NR 509 Physical Assessment - Final Exam Questions and Answers Latest 2021/2022(100% Guaranteed success

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NR 509 Physical Assessment - Final Exam Questions and Answers Latest 2021/2022(100% Guaranteed success) Sensitivity Correct Answer- Number of people who test positive. A test with a high sensitivit... y will rule _______ (in/out)? Correct Answer- IN Specificity Correct Answer- Number of people who test negative. A test with a high specificity will rule _____(in/out)? Correct Answer- OUT If 100 patients known to have a colon cancer were tested, and 43 tested positive, what percentage would be the sensitivity of the test? Correct Answer- 43% Do we rule out a disease with high sensitivity or high specificity? Correct Answer- Specificity If 100 patients with no known colon cancer are tested and 94 return with a negative results, what percentage would the specificity of the test? Correct Answer- 94% What does the phrase Lets Tackle Symptoms with Q's and A's stand for? Correct Answer- Location, timing (duration, onset, frequency), setting (when, where), quality/quantity (burning, itching, sharp, aggravating/associating/alleviating True or False: An established patient comes to your office with a new onset of sore throat and headache. She has recently given birth (3 weeks ago), which was uncomplicated. A comprehensive exam is necessary. Correct Answer- True What is a macule? Correct Answer- Flat lesion, <1cm What is a patch? Correct Answer- Flat lesion, >1cmWhat is a papule? Correct Answer- Raised lesion, <1cm, no fluid What is a plaque? Correct Answer- Raised lesion, >1cm, no fluid What is a vesicle? Correct Answer- Raised lesion, <1cm, fluid filled What is a bulla? Correct Answer- Raised lesion, >1com, fluid filled True or False: A papule is a fluid filled lesion. Correct Answer- False A patient recently had a malignant melanoma removed from her back. Which statement by the patient ensures she understood your instructions about preventing skin cancer and further skin care? A. Melanoma rarely metastasis only squamous cell. B. I will wear SPF greater than 30 and check for any skin changes weekly. C. I can go outside without sunscreen after 3 pm because the dangerous sun rays has gone away. D. I will only concern myself with moles that have had constant sun exposure. Correct Answer- B The most sensitive criteria when ruling in melanoma is? Correct Answer- Evolution During a full body skin assessment of a patient you see the following lesion with these characteristics: waxy border, red papule with a central crater. This describes what type of lesion? A. Basal Cell B. Normal nevi C. Squamous Cell D. Melanoma Correct Answer- AA nurse assesses a client suspected of having major depressive disorder. Which client symptom would eliminate this diagnosis? A. The client is disheveled and malodorous. B. The client refuses to interact with others. C. The client is unable to feel any pleasure. D. The client has maxed-out charge cards and exhibits promiscuous behaviors. Correct Answer- D What is the rationale for a nurse practitioner to perform a full physical health assessment on a client admitted with a diagnosis of major depressive disorder? A. The attention during the assessment is beneficial in decreasing social isolation. B. Depression can generate somatic symptoms that can mask actual physical disorders. C. Physical health complications are likely to arise from antidepressant therapy. D. Depressed clients avoid addressing physical health and ignore medical problems. Correct Answer- B A nurse admits an older client who is experiencing memory loss, confused thinking, and apathy. A psychiatrist suspects depression. What is the rationale for performing a mini-mental status exam? A. To rule out bipolar disorder B. To rule out schizophrenia C. To rule out dementia D. To rule out a personality disorder Correct Answer- C What are the functional syndromes? Correct Answer- IBS, Chronic Fatigue, Fibro Myalgia, TMJ It is not uncommon for a patient to experience high volume nocturia when diagnosed with? A. CHF B. Benigh Prostate HypertrophyC. Nephrotic Syndrome D. Hepatic Cirrohsis E. Pancretitis F. A & B G. A, B, & D H. A, C, & E I. A, C, & D Correct Answer- I True or False? Low frequency nocturia is common in patients diagnosed with benign prostate hypertrophy? Correct Answer- False (they are diagnosed with low volume nocturia) The nurse practitioner would expect to find which of the following in a patient diagnosed with chronic arterial insufficiencies? A. Red, dusky legs B. Pale with leg elevation C. Edema D. Normal Pulses E. A & B F. A, B, C G A, B, D Correct Answer- E A patient that complains of intermittent claudication that progresses to pain while walking but resolves at rest may be diagnosed with what type of insufficiency? Correct Answer- Arterial A patient with chronic venous insufficiency may present with? A. Cool legs and feet B. Brown pigmentation, stainingC. Grangrene D. Ulceration on toes E. A & B F. A, B, & C G. B, C, & D Correct Answer- B A patents ankle-brachial index was calculated as 0.74. This would be considered? Correct Answer- Mid PAD Normal ankle-brachial index values are? Correct Answer- >.90 Severe ankle-brachial index values are? Correct Answer- <0.39 A 14 year old patient comes to the clinic for his yearly physical. Upon the eye examination, the nurse practitioner documents a red reflex in his left eye and a white reflex in his right eye. The NP would document this finding as: A. A normal finding. B. An unexpected finding. Correct Answer- B Absence of red reflex suggests? Correct Answer- Opacity of lens, opacity of vitreous, artificial eye, detached retina, or retinablastoma. What is amblyopia? Correct Answer- "Lazy eye" What is myopia? Correct Answer- Near-sighted What is hyperopia? Correct Answer- Far-sighted What is presbyopia? Correct Answer- Gradual vision changes with aging.A patient with presbyopia would expect to lose what type of vision first? Correct Answer- Myopia What is diplopia? Correct Answer- Double vision What is ptosis? Correct Answer- Drooping of eyelid What is proptosis? Correct Answer- Buldging of eyeball. A patient is diagnosed with strabismus. What would the NP expect to find following this diagnosis? A. Cross eyes B. Rapid movements of eyes C. A painful lesion on eyelid margin D. Eyelashes that turn inward, causing irritation of the corneas. Correct Answer- A A patient complains of a painful lesion on the eyelid margin. The most likely diagnosis is? A. Chalazion B. Anasokoria C. Stye D. Drusen Correct Answer- C Undigested cell debris that is typically seen in patients with macular degeneration is called? Correct Answer- Drusen While preforming an opthalmoscope exam, the NP notices yellow spots. She would document this finding as? Correct Answer- Drusen What are infarcted nerve fibers in the eyes called? Correct Answer- Cotton wool patchesCotton Wool patches are commonly seen in patients with? A. Macular Degeneration B. Diabetes C. HTN D. A & B E. B &C Correct Answer- E Risk factors for cataracts? Correct Answer- DM, Cigarettes, Alcohol, Medications (steroids) What is anasorkia? Correct Answer- Difference in pupil size (>.04mm) "Worst headache of my life"? Correct Answer- Subarachnoid hemorhage or meningitis What assessment tool(s) would be most valuable when diagnosing meningitis? A. McBurneys Point B. Kernig's Sign C. Rosvings Sign D. Bowmans Sign Correct Answer- B True or False A patient with meningitis may have acute mental status change? Correct Answer- True A patient comes to the clinic wearing sunglasses and a jacket, complaining of a intense headache that has lasted for the past day with nausea and vomiting. She denies fever or a cough. Upon further evaluation, the patient states that she has a sensitivity to perfume and she visited a new perfume shop the day before. The most likely diagnosis would include? Correct Answer- Migraine A patient has been diagnosed with a brain tumor. The NP would expect what type of headaches? A. Intermittent B. ConstantC. Worsening over time D. A & B E. A & C Correct Answer- E A 62 year old, female patient comes to the clinic complaining of a headache for the past 5 days. She is a fairly active woman, exercises 6 times per week and enjoys time playing with her grandson. She states that she is thankful she is in remission following her diagnosis of breast cancer 5 years earlier. She states that she has not been having trouble sleeping when she props herself up on pillows and dose not have any other symptoms. Which of the following would the NP want to evalu [Show More]

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