NR 509 Final Exam Latest Update 2024-2025 Actual Exam Questions and 100% Verified Correct Answers Guaranteed A+
3 year old development - CORRECT ANSWER: -pedals tricycle, jumps in place.
-balance on 1 foot at 4yo
8mo old child development - CORRECT ANSWER: -say dada/mama
- indicate wants
-feeds self -sit -cant stand
Abdomen assessment sequence - CORRECT ANSWER: Inspect, auscultate, and
percuss the abdomen. Palpate lightly, then deeply. Assess the liver and spleen by percussion and then palpation. Try to palpate the kidneys. Palpate the aorta and its pulsations. If you suspect kidney infection, percuss posteriorly over the costovertebral angles.
Appendicitis pain - CORRECT ANSWER: RLQ pain or pain that migrates from the
periumbilical region, combined with abdominal wall rigidity on palpation
atopic dermatitis (eczema) - CORRECT ANSWER: Erythema, scaling, dry skin, and
intense itching
Bacterial Vaginosis (BV) - CORRECT ANSWER: -Caused by overgrowth of anaerobic
bacteria (often from sex)
- Discharge: Gray or white, thin, homogenous, malodorous, coats the vaginal walls,
- Fishy/musty genital odor
usually not profuse, may be minimal
-Normal vulva and vaginal mucosa 1 / 2
-Scan saline wet mount for clue cells (epithelial cells with stippled borders); sniff for fishy odor after applying KOH ("whiff test"); test the vaginal secretions for pH > 4.5
Bleeding between periods - CORRECT ANSWER: Metrorrhagia
Breast masses - CORRECT ANSWER: Most often found by women during self
examination
Buerger test (chronic arterial insufficiency) - CORRECT ANSWER: - Raise both legs to about 90o for up to 2 minutes
- Then pt sits up with feet to the floor
- see how long it takes for color to return to feet (usually 10-15 seconds)
Candidal Vaginitis - CORRECT ANSWER: -Cause: Candida albicans, a yeast (normal overgrowth of vaginal flora); many factors predispose, including antibiotic therapy
-Discharge: white and curdy, may be thin but usually thick, not as profuse as
trichomonal infection, not malodorous
- vaginal soreness, pruritus, pain on urination, dyspareunia (painful intercourse)
-The vulva and surrounding skin are inflamed and sometimes swollen to a variable extent; the vaginal mucosa is reddened, with white tenacious patches of discharge; the mucosa may bleed when these patches are scraped off; in mild cases, the mucosa looks normal -Scan potassium hydroxide (KOH) preparation for the branching hyphae of Candida
cardiovascular ROS - CORRECT ANSWER: SOB, syncope, edema, chest pain,
orthopnea
Cause of incr JVP - CORRECT ANSWER: -acute and chronic heart failure
-tricuspid stenosis -chronic pulmonary hypertension -superior vena cava obstruction
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