NR 509 Week 8 Final Exam

$35.00

Contributor

Cressida Bonas

Category

Nursing

Course

NR 509 Advanced Physical Assessment

Institute

Chamberlain

Pages

36

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Question 12 pts A 6-year-old female presents to the clinic with sore throat. The point of care test for Group A Streptococcal infection is positive. Which of the following indicates the expected lymphadenopathy presentation in this case? 924560323924924560727784Group of answer choices Bilateral, tender, mobile anterior cervical lymphadenopathy Unilateral, non-tender, fixed occipital lymphadenopathy Bilateral, non-tender, shotty supraclavicular lymphadenopathy 924560-586030924560-182170Lymphadenopathy is not normally encountered in those diagnosed with Streptococcal Pharyngitis Flag question: Question 2Question 22 pts Which of the following changes are expected in vision as part of the normal aging process?924560322654924560727784Group of answer choices Cataracts 924560224864924560629994Glaucoma Blurring of near vision Macular Degeneration Flag question: Question 3Question 32 pts Identify the anatomical structure in this image between both of the examiner's hands and fingertips. 924560280109924560685239Group of answer choices Cricoid cartilage 924560273124924560678254Thyroid isthmus Thyroid cartilage Hyoid bone Flag question: Question 4Question 42 pts A 19-year-old African-American female presents to the clinic with moderate to severe right lower quadrant abdominal pain for the last 2 days. She has been experiencing nausea and vomiting but unsure if she has had fever. Which of the following is a possible differential diagnosis? 924560323924924560727784Group of answer choices Appendicitis 924560222959924560626819Small Bowel Obstruction Peritonitis Diverticulitis Flag question: Question 5Question 52 pts A 15-day old infant girl is brought to the outpatient clinic by her mother on a Monday morning. The mother is concerned about a rash that seems to have appeared suddenly after she and her infant daughter spent the previous weekend in Florida visiting family. The time of year 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. You note scattered vesicles on an erythematous base involving the infant's face and trunk. Based on the history and physical examination findings, what is the likely diagnosis? 924560323289924560728419Group of answer choices Miliaria Rubra924560224229924560629359Erythema Toxicum MiliaPustular melanosis Flag question: Question 6Question 62 pts A 48-year-old high school librarian comes to your clinic, complaining of 1 week of heavy discharge causing severe itching. She is not presently sexually active and has had no burning with urination. The symptoms started several days after her last period. She just finished a course of antibiotics for a sinus infection. Her past medical history consists of type 2 diabetes and high blood pressure. She is widowed and has three children. She denies tobacco, alcohol, or drug use. Her mother has high blood pressure and her father died of diabetes complications. On examination you see a healthy appearing woman. Her blood pressure is 130/80 and her pulse is 70. Her head, eyes, ears, nose, throat, cardiac, lung, and abdominal examinations are unremarkable. Palpation of the inguinal lymph nodes is unremarkable. On visualization of the vulva, a thick, white, curdy discharge is seen at the introitus. On speculum examination there is a copious amount of this discharge. The pH of the discharge is 4.1 and the KOH whiff test is negative, with no unusual smell. Wet prep shows budding hyphae. What vaginitis does this patient most likely have? 92456032328992456072841992456011322799245601537409Group of answer choices Trichomonas vaginitis Bacterial vaginosis Candida vaginitis Atrophic vaginitis Flag question: Question 7Question 72 pts A 32-year-old female presents with a complaint of a singular breast mass. The nurse practitioner collects a thorough history and physical examination of the client's breast and related systems. Based on the characteristics of a soft, round, mobile, and tender mass, as well at the client's age, select the most likely cause of the breast mass. 924560323924924560727784Group of answer choices Cancer 924560222959924560626819Fibroadenoma Cyst Fibrocystic breast changes Flag question: Question 8Question 82 pts A 16-year-old female presents with the complaint of acne as represented in this image. When documenting the assessment findings, what is the morphology of the predominant skin lesions? 9245602807449245606858749245601089734Group of answer choices Open and closed comedones Papules and pustules 924560222959Cysts and comedones Pustules and nodules Flag question: Question 9Question 92 pts You are observing an infant born at 42-weeks gestation who is able to pull to a stand, uses “mama” and “dada” specifically, and indicates his wants by vocalization and pointing. Where would you place this child's developmental age? 924560323924924560727784Group of answer choices 10 months 9245602223166 months 8 months 12 months Flag question: Question 10Question 102 pts 924560498549Which of the following vaccinations are safe during pregnancy? Group of answer choices 924560349959924560753819MMR Hepatitis B Varicella Polio 924560-587935Flag question: Question 11Question 112 pts A 50- year-old Caucasian male presents to the clinic with left leg pain that increases with rest and a feeling of warmth in the calf area. During your physical examination, you note erythema and increased warm involving the left posterior lower leg as well as a palpable cord. What diagnosis do you suspect? 92456032392492456072778492456011329149245601536774Group of answer choices Atherosclerosis Lymphadenopathy Raynaud's Disease Thrombophlebitis Flag question: Question 12Question 122 pts Upon physical examination of an 11-month-old infant, you note the skin findings represented in this image. What is your initial assessment? 924560280109924560685239Group of answer choices Infant psoriasis 924560224864924560629994Scabies Tinea corporisAtopic dermatitis Flag question: Question 13Question 132 pts Jim is a 60-year-old man who presents with vomiting. He denies seeing any blood with emesis, which has been occurring for 2 days. He does note a dark, granular substance resembling the coffee left in the filter after brewing. What do you suspect? 92456032392492456072778492456011329149245601536774Group of answer choices Bleeding from a peptic ulcer Bleeding from cholecystitis Bleeding from a diverticulum Bleeding from a colon cancer Flag question: Question 14Question 142 pts A 57-year-old maintenance worker comes to your office for evaluation of pain in his legs. He has smoked two packs per day since the age of 16, but he is otherwise healthy. You are concerned that he may have peripheral vascular disease. Which of the following is part of common or concerning symptoms for the peripheral vascular system? 9245602731249245606782549245601082114Group of answer choices Intermittent claudication Knee pain 924560222959Chest pressure with exertion Shortness of breath Flag question: Question 15Question 152 pts You note a painful ulcerative lesion near the medial malleolus, with accompanying hyperpigmentation. Which of the following etiologies is most likely? 92456032392492456072778492456011329149245601536774Group of answer choices Arterial insufficiency Venous insufficiency Trauma Neuropathic ulcer Flag question: Question 16Question 162 pts 924560498549Which is the proper sequence of examination for the abdomen? Group of answer choices 9245603493249245607531849245601158314Inspection, auscultation, percussion, palpation Auscultation, inspection, palpation, percussion Auscultation, percussion, inspection, palpation Inspection, percussion, palpation, auscultation Flag question: Question 17Question 172 pts An elderly woman with dementia is brought in by her daughter for a “rectal mass.” On examination you notice a moist pink mass protruding from the anus, which is non- tender. It is soft and does not have any associated bleedin

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