NR 509 MIDTERM EXAM 2024 ADVANCED PHYSICAL
ASSESSMENT - CHAMBERLAIN
A mother brings her two month old daughter in for an examination and says my daughter rolled over against the wall and now I have noticed that she hit this spot that is soft on top of her head is something terribly wrong: - ANSWER✔✔That soft spot is normal and actually allows for growth of the brain during the first year of your babies life A mother brings her newborn and for an assessment and ask is there something wrong with my baby his head seems so big which statement is true regarding the relative proportions of the head and trunk in the newborn: - ANSWER✔✔Head circumference should be greater than chest circumference at birth The nurse has just completed a lymph node assessment on a 60-year-old healthy female patient the nurse knows that most lymph nodes in a healthy adults are normally:
- ANSWER✔✔Non-palpable
During an examination of a patient in her third trimester pregnancy the nurse notices of the patient's thyroid gland is slightly enlarged no enlargement has been previously noted the nurse expect the patient: - ANSWER✔✔Is exhibiting a normal enlargement of the thyroid gland during pregnancy During an examination the nurse knows that the best way to palpate the lymph nodes in
the neck is described by which statement: - ANSWER✔✔Using gentle pressure
palpate with both hands to compare the two sides The nurse is testing a patient's visual accommodation which refers to which action: - ANSWER✔✔Pupillary constriction when looking at a near object A patient has a normal pupillary light reflects the nurse recognizes that this reflects indicates that: - ANSWER✔✔Construction of both pupils occurs in response to bright light 1 / 3
A mother asked when her newborn infant eyesight will be developed the nurse should reply: - ANSWER✔✔By approximately 3 to 4 months of age infants can fixate follow and reach for a toy The nurse is reviewing age related changes seen in the eye which of the physiologic
changes is responsible for presbyopia: - ANSWER✔✔Loss of lens elasticity
A patient's vision is recorded as 20/80 in each eye. The nurse interprets this finding to
mean that the patient: - ANSWER✔✔Has poor vision.
The nurse is reviewing the structures of the ear. Which of these statements concerning the eustachian tube is true? - ANSWER✔✔It remains open except when swallowing or yawning.The mother of a 2- year-old is concerned because her son has had three ear infections in the past year. What would be an appropriate response by the nurse? - ANSWER✔✔ "Your son's eustachian tube is shorter and wider than yours because of his age, which allows for infections to develop more easily." A 70 -year-old patient tells the nurse that he has noticed that he is having trouble hearing, especially in large groups. He says he "can't always tell where the sound is coming from" and the words often sound "mixed up." What might the nurse suspect as the cause for this change? - ANSWER✔✔Nerve degeneration in the inner ear In performing a voice test to assess hearing, which of these actions would the nurse perform? - ANSWER✔✔Whisper a set of random numbers and letters, and then ask the patient to repeat them.The nurse is examining a patient's ears and notices cerumen in the external canal.Which of these statements about cerumen is correct? - ANSWER✔✔The purpose of cerumen is to protect and lubricate the ear.Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis
would be: - ANSWER✔✔obese 2 / 3
The nurse recognizes which of these persons is at greatest risk for undernutrition? - ANSWER✔✔5 month old infant When assessing a patient's nutritional status, the nurse recalls that the best definition of optimal nutritional status is sufficient nutrients that: - ANSWER✔✔Provide for daily body requirements and support increased metabolic demands.The nurse is discussing appropriate foods with the mothers of a 3- year-old child. Which of these foods are recommended? - ANSWER✔✔Finger foods and nutritious snacks that cannot cause choking Mrs. Leonard brings her newborn infant into the pediatrician's office for a first well-baby visit. As the health care provider, you teach her that newborn are more vulnerable to hypothermia because of: - ANSWER✔✔A poorly developed subcutaneous fat layer.As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include: - ANSWER✔✔Repeated trauma (sunburns) or irritation to skin.Mrs. Bower is a39-year-old patent who has come to the office for a routine physical examination. As the health care provider, you know that the skin temperature is best
assessed with the: - ANSWER✔✔Dorsal surface of the examiner's hand.
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 in the older adult? - ANSWER✔✔ An increased loss of elastin and a decrease in subcutaneous fat Skin turgor checks are performed to determine the: - ANSWER✔✔Hydration status Mrs. Mulligan brings her 16-year-old son into the office for a sports physical examination. As the health care provider, you explain that normal hormone related changes of adolescence include: - ANSWER✔✔Increased oil production
- / 3