NR 509 Advanced Physical Assessment /NR 509 Week 8 Final Exam/NR509 Final Exam Practice Test
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NR 509 Advanced Physical Assessment
Instelling
NR 509 Advanced Physical Assessment
NR 509 Advanced Physical Assessment
/NR509 Final Exam Practice Test
1. Monique is a 33-year-old administrative assistant who has had intermittent lower abdominal pain approximately one week a month for the past year. It is not related to her menses. She notes relief with defecation, and a chang...
NR 509 Advanced Physical
Assessment
NR509 Final Exam Practice Test
Number of Questions (72)
1. Monique is a 33-year-old administrative assistant who has had intermittent lower abdominal pain
approximately one week a month for the past year. It is not related to her menses. She notes relief with
defecation, and a change in form and frequency of her bowel movements with these episodes. Which of
the following is most likely?
Irritable bowel syndrome
2. A mother brings her 15-month-old daughter to your office for evaluation of a rash and fever. She says
the rash started one day and the fever developed the next day. Her daughter has had all of her
vaccinations up to 10 months. The mother sheepishly admits that she hasn't had time to bring her
daughter in since her 10-month check-up. On examination you see a mildly sick-appearing toddler with
a 102-degree temperature. Looking at her skin you see at least 100 of a variety of papules, vesicles on an
erythematous base, and ulcers in different stages of development. What illness prevented by proper
vaccination does this toddler have?
Varicella (chickenpox)
3. A 56-year-old man presents with itching, anorectal pain, and tenesmus of 1 week's duration. Rectal
examination reveals generalized tenderness without frank prostate abnormalities. Which of the following
is most likely?
Proctitis
4. In a patient with chronic venous insufficiency, the findings of edema, swelling , and ulceration:
arise from chronic obstruction and incompetent valves in the deep venous system.
5. A 30-year-old paralegal analyst comes to your clinic, complaining of a bad-smelling vaginal discharge
with some mild itching, present for about 3 weeks. She tried douching but it did not help. She has had no
, pain with urination or with sexual intercourse. She has noticed the smell increased after intercourse and
during her period last week. She denies any upper respiratory, gastrointestinal, cardiac, or pulmonary
symptoms. Her past medical history consists of one spontaneous vaginal delivery. She is married and
has one child. She denies tobacco, alcohol, or drug use. Her mother has high blood pressure and her
father died from heart disease. On examination, she appears healthy and has unremarkable vital signs.
On examination of the perineum, there are no lesions noted. On palpation of the inguinal nodes, there is
no lymphadenopathy. On speculum examination, a thin gray-white discharge is seen in the vault. The
pH of the discharge is over 4.5 and there is a fishy odor when potassium hydroxide (KOH) is applied to
the vaginal secretions on the slide. Wet prep shows epithelial cells with stippled borders (clue cells).
What type of vaginitis best describes her findings?
Bacterial vaginosis
6. Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus). As
you are conducting your physical examination, you note a raised, dark erythematous rash on the mid
cheeks of her face. When you press on the rash, it doesn't blanch. What would you tell her regarding her
rash?
It is likely related to her lupus.
7. You are conducting a workshop on the measurement of jugular venous pulsation. As part of your
instruction, you tell the students to make sure that they can distinguish between the jugular venous
pulsation and the carotid pulse. Which one of the following characteristics is typical of the carotid
pulse?
Palpable
8. A 30-year-old Hispanic male presents to the clinic with complaint of a painless, rubbery, bump on his
right lower eyelid which appeared several days ago approximately the size of a small bead. He reports
that the bump became much larger although he denies manipulating the lesion. He denies changes in his
vision, fever, chills, or feeling otherwise ill. What is your assessment?
Chalazion
9. A 68-year-old mechanic presents to the emergency room for shortness of breath. You are concerned
about a cardiac cause and measure his jugular venous pressure (JVP). It is elevated. Which one of the
following conditions is NOT a potential cause of elevated JVP?
Constrictive pericarditis
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