NR 509 FINAL EXAM, MIDTERM EXAM AND MIDTERM
EXAM REVIEW 2024 /NR509 ADVANCED PHYSICAL
ASSESSMENT FINAL/MIDTERM AND MIDTERM REVIEW
EXAMS/ NEWEST ACTUAL EXAM WITH CORRECT
DETAILED AND VERIFIED ANSWERS/A+ GRADE
Final Exam
QUESTION: A 20-year-old female presents to the clinic with symptoms of fatigue,
nausea, and an increase inurination. She is sexually active, and her male partner uses condoms
occasionally. A urine
pregnancy test is positive. Her last menstrual period was 3 months ago (6/20/2021). Using the
Naegele rule, what is the estimated date of delivery (EDD, or due date)?
Correct answer 3/27/22
QUESTION: The NP is conducting a physical assessment on a woman in her 26th week
of pregnancy. Whichof the examination finding is worrisome for a potential, emergent
condition?
Correct answer Facial edema
QUESTION: The NP is documenting the obstetric history of a client. Her history includes
two spontaneous miscarriages at 16- and 24-weeks' gestation, four living children (one set of twins)
who were delivered at term, and a current pregnancy. How would this be documented?
Correct answer G6P3024
QUESTION: An 11-month-old infant male is accompanied to the clinic by his father.
The father is concerned about the skin rash on this son's arms represented in this image. Family
history is significant for a 4-year-old sibling with atopic dermatitis and asthma. Which of the
following is the best
documentation of the integument findings?
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Correct answer Erythematous, patches and plaQuestion:ues involving the
extensor surfaces of the bilateral antecubital fossa. Mild, secondary excoriations
present with serousexudate. No streaking. Scant purulent drainage
QUESTION: A mother brings her 15-day-old female infant to the outclient clinic for
evaluation of a rash that appeared suddenly after visiting family in Florida. It is August and the
house did not have air
conditioning. The infant is afebrile, eating and drinking well, and does not appear to be in
distress. The physical assessment findings are represented in this image. Based on the history and
examination findings, what is the likely etiology? ADA Description
Correct answer Infant with a red, facial rash.
Correct answer miliaria rubra
QUESTION: The NP assesses for the Moro Reflex as part of an infant routine physical
examination. The NP should suspect a neurologic disease if the reflex has not disappeared by what
specific timeframe?
Correct answer 16 weeks
QUESTION: A 2-month-old female is accompanied by her parents for her first visit to the
practice. When reviewing the hospital medical records of her birth, the NP notes documentation
regarding significantly edematous hands and feet present at birth. Upon physical examination of the
infant,
the NP finds skin folds that run along the sides of the neck down to the shoulders. Which of the
following should be assessed and monitored by the NP and parents related to these findings?
Select all that apply.
Correct answer The infant's growth chart with concern for height and length.
The infant's ability to properly latch during breastfeeding. The infant's fluid gain
or loss.
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QUESTION: The NP is observing a female pediatric client during a routine physical. She
can jump in placeand balance on one foot. She speaks in full sentences and her mother states that
she can feed herself. Based on your observations and the history, determine her developmental
age
Correct answer 4 years
QUESTION: The NP is observing a full-term infant male. He can pull to a stand, use
"mama" and "dada" specifically, and indicates his wants by vocalization and pointing. Based on
your observations, determine his developmental age.
Correct answer 12 months
QUESTION: Of the following statements, which is accurate regarding growth and
assessment charts published by the National Center for Health Statistics? Select all that apply.
Correct answer All charts include height, weight, and head circumference for
childrenup to 36 months.
Growth charts are available for children with specific conditions such as Down
syndrome or Turner syndrome.
Growth charts are available for use in infants born prematurely.
QUESTION: A 25-year-old male presents to the clinic with a complaint of severe
rectal pain during defecation. The pain is so severe he waits several days before having a bowel
movement. He has
a history of ulcerative colitis (UC). He also reports being in an active sexual new relationship
with a male partner. After conducting a history and physical exam, the NP documents the
following anorectal findings: Perirectal area inflamed; no ulcerations, open sores, fissures, or
verruca. Scant, whiteyellow, mucoid, rectal discharge noted. Unable to examine external
sphincter, rectal vault, or prostate because of spasm of the external sphincter and marked
inflammation and tenderness of anal canal. Which of the following is the most accurate
interpretation of these findings?
Correct answer These findings suggest infectious proctitis
, QUESTION: A 54-year-old female with a history of migraines since childhood pre-
sents to the clinic with chronic intermittent, progressive pulsatile headaches which are similar
in nature to prior attacksand precipitated by current life stressors. The headaches are
accompanied by nausea and
vomiting. She denies constitutional symptoms. On examination, she has elevated blood pressure
but otherwise a normal cardiovascular, neurologic, and fundoscop- ic examination. Based on the
history and physical examination findings, which diagnoses are appropriate for the differential
diagnosis (DDx) list? Select all that apply.
Correct answer Migraine
Tension
QUESTION: A 50-year-old female presents to the clinic for evaluation of neck stiffness
and aching pain. Shewas a restrained driver in a low-speed, rear-end, motor vehicle collision 1
day ago. The pain
started several hours after the accident. On physical examination, you note muscle spasms over
the paraspinous muscles on the left side of the neck, as well as pain reported during active range
of motion of the cervical spine. No neurological deficits are noted. Which of the following is the
most accurate interpretation of these findings?-
Correct answer These findings suggest cervical strain
QUESTION:Which muscle(s) are being assessed during active rotation of the neck?-
Correct answer Sternocleidomastoid
QUESTION: A 34-year-old female presents to the office with left elbow pain following
rigorous training for atennis match. Tenderness is noted with palpation in the area on the image
marked by the red circle. What correlative diagnosis does this assessment finding indicate? ADA
Description: Left
elbow with emphasis on the small, tuberculated eminence, curved a little forward, about 1 cm
from the joint.
Correct answer lateral epicondylitis
