NR 509 - Advanced Physical Assessment (Already Verified Q & A)
8 views 0 purchase
Course
NR 509 - Advanced Physical Assessment
Institution
Chamberlain College Of Nursing
Book
Advanced Health Assessment and Clinical Diagnosis in Primary Care
NR 509 - Advanced Physical Assessment
1.A mother brings her 2-month-old daughter in for an examination and says, My
daughter rolled over against the wall, and now I have noticed that she has this spot
that is soft on the top of her head. Is something terribly wrong? The nurses best
response ...
Full Test Bank for Advanced Health Assessment & Clinical Diagnosis in Primary Care 6th Edition by Dains (100% Correct Answers)
Advanced Health Assessment & Clinical Diagnosis in Primary Care 6th Edition Dains Test Bank
Advanced Health Assessment & Clinical Diagnosis in Primary Care 6th Edition Dains Test Bank
All for this textbook (10)
Written for
Chamberlain College Of Nursing
NR 509 - Advanced Physical Assessment
All documents for this subject (282)
Seller
Follow
Phoebe312
Reviews received
Content preview
NR 509 - Advanced Physical Assessment
Midterm Exam
1.A mother brings her 2-month-old daughter in for an examination and says, My
daughter rolled over against the wall, and now I have noticed that she has this spot
that is soft on the top of her head. Is something terribly wrong? The nurses best
response would be:
A. Perhaps that could be a result of your dietary intake during pregnancy.
B. Your baby may have craniosynostosis, a disease of the sutures of the brain.
C. That soft spot may be an indication of cretinism or congenital hypothyroidism.
D. That soft spot is normal, and actually allows for growth of the brain during the
first year of your babys life.
ANS: D
2. Membrane-covered soft spots allow for growth of the brain during the first year
of life. They gradually ossify; the triangular-shaped posterior fontanel is closed by
1 to 2 months, and the diamond-shaped anterior fontanel closes between 9 months
and 2 years.
,The nurse notices that a patients palpebral fissures are not symmetric. On
examination, the nurse may find that damage has occurred to which cranial nerve
(CN)?
a. III
b. V
c. VII
d. VIII
ANS: C
Facial muscles are mediated by CN VII; asymmetry of palpebral fissures may be
attributable to damage to CN VII (Bell palsy).
3. A patient is unable to differentiate between sharp and dull stimulation to both
sides of her face. The nurse suspects:
a. Bell palsy.
b. Damage to the trigeminal nerve.
c. Frostbite with resultant paresthesia to the cheeks.
d. Scleroderma.
ANS: B
Facial sensations of pain or touch are mediated by CN V, which is the trigeminal
, nerve. Bell palsy is associated with CN VII damage. Frostbite and scleroderma are
not associated with this problem.
4. When examining the face of a patient, the nurse is aware that the two pairs of
salivary glands that are accessible to examination are the ___________ and
___________ glands.
a. Occipital; submental
b. Parotid; jugulodigastric
c. Parotid; submandibular
d. Submandibular; occipital
ANS: C
Two pairs of salivary glands accessible to examination on the face are the parotid
glands, which are in the cheeks over the mandible, anterior to and below the ear;
and the submandibular glands, which are beneath the mandible at the angle of the
jaw. The parotid glands are normally nonpalpable.
5. A patient comes to the clinic complaining of neck and shoulder pain and is
unable to turn her head. The nurse suspects damage to CN ______ and proceeds
with the examination by _____________.
a. XI; palpating the anterior and posterior triangles
b. XI; asking the patient to shrug her shoulders against resistance
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Phoebe312. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
