NR 509 Advanced Physical Assessment Q&A Bundle

First step obtain patient consent to video and assessment Face most note head is midline and symmetrical no discoloration or lesions Palpation of Lymph nodes on face and neck preauricular lymph nodes-at front of ear postauricular lymph nodes-back of ear occipital lymph nodes-back of head ...

The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry. This finding would be related to which factor? a. Increased vascularity of the skin in the elderly b. Increased numbers of sweat and sebaceous glands in the elderly c. An increase in elastin and a d...

When performing a physical assessment, the first technique the nurse will always use A. Palpation B. Inspection C. Percussion D. Auscultation B. Inspection The nurse is preparing to perform a physical assessment. Which statement is true about the physical assessment? The inspection phase:...

A patient has been diagnosed with pernicious anemia. The nurse knows that this condition could be related to: ased gastric acid secretion. ased gastric acid secretion. ed gastrointestinal emptying time. ased gastrointestinal emptying time. ANS: 2 Gastric acid secretion decreases with ag...

A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient? Enlarged and tender inguinal nodes The direction of blood flow through the heart is best described by which of these Right atrium &...

Palmer Grasp Reflex the infant will flex all finger to grasp your finger. *If seen beyond 4 mo= pyramidal tract dysfunction. Persistance of a clinched hand over 2 mo=CNS damage *especially if fingers overlap the thumb. Plantar grasp reflex 6-8 mo Touch the sole at the base of the toes , the toes...

patient presents for evaluation of a sharp, aching chest pain which increases with breathing. Which anatomic area would you localize the symptom to? A) Musculoskeletal B) Reproductive C) Urinary D) Endocrine A) Musculoskeletal Chest pain may be due to a musculoskeletal condition, such as co...

According to the holistic model, a narrow definition of holistic health includes: A. an optimal functioning of mind, body and spirit within the environment B. The absence of disease C. the response of the whole person to actual or potential problems D. the internal and external environment B. ...

A patient tells the FNP that he is very nervous, that he is nauseated, and that he "feels hot". This type of data would be: A. objective B. subjective C. introspective D. reflective subjective The patient's record, laboratory studies, objective data and subjective data combine to for the...

Facial skin No discoloration or lesions Head Midline, symmetrical, normal in size Lymph node palpation (9 locations) *Preauricular* - in front of ear *Post auricular* - behind ear *Occipital* - back of head Move forward - *tonsillar* Under jawline - *submandibular*, *Submental* *Anterior...

The nurse practitioner (NP) is completing a comprehensive assessment of Anita, a new client in a primary care facility. Which assessment finding(s) reported by Anita are related to social determinants of health? Select all that apply. occasionally running out of food, being discriminated against in ...

Cause of saddle numbness and urinary retention Cauda equina syndrome Presentation of retinal detachment If sudden visual loss is unilateral and painless, Obtunded patient opens the eyes and looks at you but responds slowly and is somewhat confused. Alertness and interest in the environment are...

Appendicitis 1. McBurney point tenderness 2. Rovsing sign 3. the psoas sign 4. the obturator sign --Appendicitis is twice as likely in the presence of RLQ tenderness, Rovsing sign, and the psoas sign --The pain of appendicitis classically begins near the umbilicus, then migrates to the RLQ. Ol...

Suspicious breast mass-A mobile mass that becomes fixed when the arm relaxes is attached to the ribs and intercostal muscles; if fixed when the hand is pressed against the hip, it is attached to the pectoral fascia. -Hard irregular poorly circumscribed nodules, fixed to the skin or underlying tissu...