NR 509 Advanced Physical Assessment Full Course Assignment Help

NR 509 Test Bank Chapter 1 upto Chapter 30 Answers

  • Jarvis: Physical Examination & Health Assessment, 7th edition.
    • Chapter 1 – Evidence–Based Assessment
    • Chapter 2 – Cultural Competence: Cultural Care
    • Chapter 3 – The Interview
    • Chapter 4 – The Complete Health History
    • Chapter 5 – Mental Status Assessment
    • Chapter 6 – Substance Use Assessment
    • Chapter 7 – Domestic Violence Assessment
    • Chapter 8 – Assessment Techniques and Safety in the Clinical Setting
    • Chapter 9 – General Survey, Measurement, Vital Signs
    • Chapter 10 – Pain Assessment: The Fifth Vital Sign
    • Chapter 11 – Nutritional Assessment
    • Chapter 12 – Skin, Hair, and Nails
    • Chapter 13 – Head, Face, and Neck, including Regional Lymphatics
    • Chapter 14 – Eyes
    • Chapter 15 – Ears
    • Chapter 16 – Nose, Mouth, and Throat
    • Chapter 17 – Breasts and Regional Lymphatics
    • Chapter 18 – Thorax and Lungs  (Jarvis Chapter 18 7th Ed Test Bank)
    • Chapter 19 – Heart and Neck Vessels
    • Chapter 20 – Peripheral Vascular System and Lymphatic System
    • Chapter 21 – Abdomen
    • Chapter 22 – Musculoskeletal System
    • Chapter 23 – Neurologic System
    • Chapter 24 – Male Genitourinary System
    • Chapter 25 – Anus, Rectum, and Prostate
    • Chapter 26 – Female Genitourinary System
    • Chapter 27 – The Complete Health Assessment: Putting It All Together
    • Chapter 28 – Reassessment of the Hospitalized Adult
    • Chapter 29 – The Pregnant Woman
    • Chapter 30 – Functional Assessment of the Older Adult

NR 509 Quizzes Answers Week 1 to 7

NR 509 All Quizzes
NR 509 Week 1 Quiz – Questions and Answers
NR 509 Week 2 Quiz – Questions and Answers
NR 509 Week 2 Quiz Review & Study Guide (Jarvis 8, 9, 13, 14, 15, 16, 18), (Swartz 4, 6, 7, 8, 9, 10)
NR 509 Week 3 Quiz – Questions and Answers
NR 509 Week 4 Quiz – Questions and Answers
NR 509 Week 5 Quiz – Questions and Answers
NR 509 Week 6 Quiz – Questions and Answers
NR 509 Week 7 Quiz – Questions and Answers

NR 509 APEA Exam, Multiple Subject Areas – Question and Answers

APEA Exam Questions & Answers for Subject Areas Highlighted Below:

 

  • Cardio
  • GI – Gastrointestinal
  • HEENT
  • Men’s Health
  • Neurology
  • Ortho
  • Pregnancy
  • Random
  • Respiratory
  • STDs
  • Urology
  • Women’s Health

NR 509 Neurological Assignment – Shadow Health

NR 509 Neurological Results – Transcript
NR 509 Neurological Results – Subjective Data Collection: 18 of 20 (90.0%)
NR-509 Neurological Results – Objective Data Collection: 36.75 of 37 (99.32%)
NR 509 Neurological Results – Education & Empathy: 4 of 4 (100.0%)
NR 509 Neurological Results – Documentation / Electronic Health Record
NR 509 Neurological Results – Pre-Survey Lifespan
  • Tina’s three-year-old neighbor presents to the clinic with fever, neck pain, headache, and confusion. He has no symptoms of an upper respiratory infection. The parents mention that they do not believe in immunizations. Based on the information given, what diagnosis is of the greatest concern? What is your next action?
  • Tina’s 83-year-old great uncle forgets where he is during his yearly check-up. He doesn’t remember if he’s had memory problems before and no family members came to your office with him. List your differential diagnosis. What assessments would you perform?
NR 509 Neurological Results – Review Questions
  • To assess spinal levels L2, L3 and L4 in Tina, which deep tendon reflexes would have to be tested?
  • Imagine that you were preparing to irrigate a Foley catheter of a patient with a spinal cord injury at T4 in a urology clinic. Upon moving the leg bag, the patient became suddenly flushed and diaphoretic above the nipple line. What would you suspect was happening?
  • Which of the following is not a common symptom of Parkinson’s disease?
  • Name at least three ways to assess cerebellar function during a physical exam.
  • If Tina had a fever and photophobia, you would have had to test for meningitis. Describe how you would have tested for the Kernig’s sign
  • Suppose you assessed pain sensation over Tina’s left foot, and noticed that she had decreased sensation. How would you have proceeded with your exam?
NR 509 Neurological Results – Self-Reflection
  • Explicitly describe the tasks you undertook to complete this exam.
  • Explain the clinical reasoning behind your decisions and tasks.
  • Identify how your performance could be improved and how you can apply “lessons learned” within the assignment to your professional practice.

NR 509 Health History Assignment – Shadow Health

Ms. Jones is a pleasant, 28 -year- old obese African American single woman who presents to establish care and with a recent right foot injury. She is the primary source of the history. Ms. Jones off ers information freely and without contradiction. Speech is clear and coherent. She maintains eye contact throughout the interview.
Timeframe: 1 week after fall (Age: 28)
Reason for visit: Patient presents for an initial primary care visit today complaining of an infected foot wound.
NR 509 Health History Results – Overview | Digital Clinical Experience Score: 100%
NR-509 Health History Results – Transcript
NR 509 Health History Results – Subjective Data Collection: 98 of 104 (94.2%)
NR 509 Health History Results – Objective Data Collection: 1.0 of 1 (100.0%)
NR 509 Health History Results – Education & Empathy:  6 of 11 (54.5%)
NR 509 Health History Results – Documentation / Electronic Health Record
NR 509 Health History Results – Information Processing: 34 of 40 (85.0%)

NR 509 Comprehensive Assessment Assignment – Shadow Health

NR 509 Comprehensive Assessment Results: Documentation / Electronic Health Record
NR 509 Comprehensive Assessment Results: Plan My Exam
Your Final Plan
  1. Head and neck,
  2. Anterior chest,
  3. Posterior chest,
  4. Abdomen,
  5. Upper extremities,
  6. Lower extremities,
  7. Full body
NR 509: Comprehensive Assessment Results: Self-Reflection
  1. Explicitly describe the tasks you undertook to complete this exam.
  2. Explain the clinical reasoning behind your decisions and tasks.
  3. Identify how your performance could be improved and how you can apply “lessons
  4. learned” within the assignment to your professional practice.

NR 509 Focused Exam-Cough Assignment – Shadow Health

Introduction
Daniel “Danny” Rivera is an 8-year-old boy who comes to the clinic with a cough. Students determine if Danny is in distress, explore the underlying cause of his cough, and look for related symptoms in other body systems.
Case Highlights
  • Ask about a variety of psychosocial factors related to home life, such as second-hand smoke exposure Observe non-verbal cues as Danny presents with intermittent coughing and visible breathing difficulty
  • Rule out asthma, a common childhood affliction, by examining Danny
NR 509 Focused Exam Cough – Transcript
NR 509 Focused Exam Cough – Subjective Data Collection: 20 of 20 (100.0%)
NR 509 Focused Exam Cough – Objective Data Collection: 12.6 of 13 (96.92%)
NR 509 Focused Exam Cough – Education & Empathy:  4 of 5 (80.0%)
NR 509 Focused Exam-Cough – Documentation / Electronic Health Record
NR 509 Focused Exam Cough – Self-Reflection

NR 509 Focused Exam, Abdominal Pain – Question and answers

NR 509 Focused Exam: Abdominal Pain
Subjective Data Collection: 32 of 32 (100%)
  1. Chief Complaint
  2. History of Present Illness
  3. Medical History
  4. Social History
  5. Review of Systems

NR 509 Musculoskeletal and Neuro Quiz Answers

Musculoskeletal Test Prep
  • Joint pain worse in am. Moving around gets better then worse again.
  • Decrease risk to delay bone loss in post-menopausal.
  • Flex arm okay forward but cannot abduct arm.
  • Assess ankle fracture expect.
  • Tennis elbow assess tenderness at the…
  • Assess carpal tunnel syndrome with the Phalen’s test.
  • What is osteoporosis?
  • Why getting shorter, aged gentleman.
  • What is the posture change called? (8 month pregnant woman)
  • Assess motor dysfunction of the hip.
Neuro Test Prep
  • Assess tremors and admits to drinking alcohol daily
  • How to test cranial nerve 11 (spinal accessory)
  • No vibration noted to ankles and great toe.
  • During neuro assessment ask to relax all muscles. Expect on ROM
  • Asymmetrical smile and frown. Uneven lift eyebrows.  Sagging lower eyelids.  Air escapes when push on puffed right cheek.
  • Short term memory loss. Unable to perform simple task ex. Button shirt.
  • 3 month old. Assess grip and suck.
  • Complain of weakness to left arm and leg for one week.
  • Reports dropping things and falling down. During test of rapid alternating movements unable to pat both her knees.    Misses frequently.
  • Room is spinning.
  • History of seizures. ‘Aura’
  • Pressed for time. Test, sharp point pin several times.  Individual only states pain once as if a single prick.

NR 509 Completion of Immersion Program/Exam Answers

NR 509 Completion of Immersion Program/Exam
………..I’ll begin with inspecting your face. I’ll note that I don’t see any discolorations or lesions & the head is midline & symmetrical.
  1. LYMPH NODES: Next, I’ll palpate the lymph nodes. I’ll begin with the preauricular lymph nodes & postauricular lymph nodes. Next the occipital lymph nodes. I’ll move forward to palpate the tonsillar lymph nodes, submandibular & submental. I’m palpating the anterior cervical lymph nodes & posterior cervical lymph nodes & lastly the supraclavicular lymph nodes. I don’t feel any enlargement & they’re equal bilaterally.
  2. FACE : I’m testing trigeminal nerve, which is cranial nerve # 5. Palpating over the masseter muscle as the pt clenches the jaw. I don’t feel any distortions & my pt has great strength. Now, I’m testing the sensory portion of the trigeminal nerve. I’ll ask my pt to close your eyes & let me know where you feel my touch. (>> Forehead, right cheek, left cheek, chin, nose)……….Next, I’ll test the facial nerve, which is cranial nerve # 7. I’m going to ask you to do some facial expressions. I’m going to have you smile, next, frown for me. Now raise your eyebrows & puff up your cheeks, pucker your lips. I notice all expressions have bilateral symmetry.
  3. EARS
  4. EYES
  5. NOSE
  6. MOUTH
  7. NECK & THROAT
  8. HEART/CHEST
  9. UPPER EXTREMITIES
  10. ABDOMEN
  11. LOWER EXTREMITIES

NR 509 Weekly Quizzes Key Points and Study Guides

NR 509 Weekly Quizzes Key Points and Study Guides – Year 2018
NR 509 Week 1 Quiz Blueprint
NR 509 Week 2 Quiz Blueprint
NR 509 Week 3 Quiz Blueprint
NR 509 Week 4 Quiz Blueprint
NR 509 Week 5 Quiz Blueprint
NR 509 Week 6 Quiz Blueprint
NR 509 Week 7 Quiz Blueprint

NR 509 Week 1 Quiz – Questions and Answers

NR 509 Week 1 Quiz
 
1.     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:
2.     The patient’s record, laboratory studies, objective data, and subjective data combine to form the:
3.     The FNP is reviewing information about evidence-based practice. Which statement best reflects evidence-based practice?
4.     A 59-year-old patient tells the FNP that he has ulcerative colitis. He has been having black stools for the last 24 hours. How would the FNP best document his reason for seeking care?
5.     A 29-year-old woman tells the FNP that she has excruciating pain in her back. Which would be an appropriate response by the FNP to the woman statement?
6.     In recording the childhood illnesses of a patient who denies having had any, which note by the FNP would be most accurate?
7.      If a female patient tells the FNP that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the FNP record this information?
8.     If a female patient tells the FNP that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the FNP record this information?
9.     Which of these statements represents subjective data the FNP obtained from the patient regarding the patient’s skin?
10.  The FNP is obtaining a history for a 30-year-old male patient and is concerned about health promotion activities. Which of these questions would be appropriate to use to assess health promotion activities for this patient?
11.  Which statement indicates that the FNP understands the pain experienced by an elderly person?
12.  The FNP is performing a vision examination. Which of these charts is most widely used for visual examination?
13.  During a complete health assessment, how would the FNP test the patients hearing?
14.  The FNP has just completed an examination of a patient’s extra-ocular muscles. When documenting the findings, the FNP should document the assessment of which cranial nerves?
15.  A patient’s uvula rises midline when she says “ahh” and she has a positive gag reflex. The FNP has just tested which cranial nerve?
16.  During an examination the FNP notices that a patient is unable to stick out his tongue. Which cranial nerve is involved with successful performance of this action?
17.  A patient is unable to shrug her shoulders against the FNP‘s resistant hands. What cranial nerve is involved with successful shoulder shrugging?
18.  During an examination, the patient has just successfully completed the finger to nose and rapid alternating movements test and is able to run each heel down the opposite shin. The FNP would conclude that the patient’s___ function is intact
19.  A five-year-old child is in the clinic for checkup. The FNP would expect him to:
20.  When the FNP performs the confrontation test the FNP has assessed:
21.  Which of these statements is true regarding the complete physical assessment?
22.  Which of these statements is true regarding recording of data from the history and physical examination?
23.  Which of these is included in assessment of general appearance?
24.  The FNP is performing a review of symptoms. Which of these questions are appropriate as Health promotion questions to ask during this time?
25.  The FNP is incorporating a person’s spiritual values into the health history. Which of these questions illustrates the community portion of the FICA questions?
26.  The FNP is preparing to complete a health assessment on a 16-year-old girl whose parents have brought her to the clinic. Which instruction would be appropriate for the parents before the interview begins?

NR 509 Week 2 Shadow Health Respiratory Assessment

NR 509 Week 2 Shadow Health Respiratory Assessment

Ms. Jones is a 28 year old well developed African American Female who presents to the office today complaining of increased shortness of breath as well as increase use and need of her inhaler that began two days ago. Ms. Jones has allergies to cats which exacerbate her asthma and has had recent exposure to 3 cats at her cousins, she also admits to sensitivty to seasonal allergies as well as dust……………………….. Ms. Jones sleeps with one pillow and has no difficulty sleeping. Ms. Jones also presents with an elevated blood glucose and admits to non compliance with medicaiton and regular glucose monitoring.
Lifespan:
  • Tina’s second cousin was …. with asthma at age 5. What would … included in your treatment plan? What factors might concern you related to compliance?
  • Consider that Tina’s uncle is now 68 years old and has smoked heavily every day since he was fifteen. What would you expect to find in his respiratory assessment? How would this affect your oxygenation goals for this patient?
Review Questions:
  • If Tina had mentioned that she was just diagnosed with pneumonia, what would you have expected to find during percussion?
  • If the results of Tina’s pulse oximetry had been 97%, which of the following would have been true?
  • Suppose that, during your lung exam on Tina, you had heard bronchial breath sounds in the left lower lung posteriorly. What would you have suspected based on this finding?
  • Suppose that while auscultating, you assessed a few scattered expiratory wheezes. Why would this … an expected finding for a patient with Tina’s history?
  • When you observe a patient like Tina throughout an exam, there are many ways to determine whether a patient is experiencing respiratory distress. Identify one indicator of respiratory distress that can … assessed through observation alone.
  • Describe how you would assess Tina for dyspnea.
Self-Reflection:
  • Explicitly describe the tasks you undertook to complete this exam.
  • Explain the clinical reasoning behind your decisions and tasks.
  • Identify how your performance could … improved and how you can apply “lessons learned” within the assignment to your professional practice.

NR 509 Week 2 Quiz: Questions and Answers

NR 509 Week 2 Quiz: Questions and Answers
  • A mother brings her two month old daughter in for an examination says “my daughter rolled over against the wall and now I have noticed that she has the spot soft on the top of her head, is there something terribly wrong?” The FNP‘s best response would be:
  • During percussion the FNP knows that a dull percussion note elicited over a lung lobe. This most likely results from:
  • The patient is unable to differentiate between sharp and dull stimulation to both sides of her face. The FNP suspects Damage to:
  • When examining the face, the FNP is aware that the two pairs of salivary gland‘s that are accessible to examination are the _____ glands
  • A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. The FNP suspects damage to cranial nerve ____ and proceeds with the examination by____
  • When examining a patient’s cranial nerve function, the FNP remembers that the muscles in the neck that are innervated by CN XI are the:
  • The patient’s laboratory data reveal an elevated thyroxine level. The FNP would proceed with an examination of the _____ gland
  • A patient says that she has recently noticed a lump in the front of her neck below her “Adams apple” that seems to be getting bigger. During the assessment, the finding that leaves the FNP to suspect that this may not be a cancerous thyroid nodule is that the lump:
  • The FNP notices that the patient’s submental lymph nodes are enlarged. In an effort to identify the cause of the node enlargement, the FNP would assess the patient’s:
  • The FNP is aware that the four areas in the body were lymph nodes accessible are the:
  • A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his eyes. The FNP should know that floaters are usually not significant and are caused by:
  • The FNP is preparing to assess the visual acuity of a 16-year-old patient. How should the FNP proceed?
  • A patient’s vision is recorded as 20/30 when the Snellen eye chart is used. The FNP interprets these results to indicate that:
  • A patient is unable to read even the largest letters on the Snellen chart. The FNP should take which action next:
  • A patient’s vision is reported as 20/80 in each eye. The FNP interprets this finding to mean that
  • When performing the corneal light reflex assessment, the FNP notes that the light is reflected at 2 o’clock in each eye. The FNP should
  • The FNP is performing the diagnostic positions test. Normal findings would be which of these results?
  • During an assessment of the sclera of an African-American patient, the FNP would consider which of these an expected finding?
  • A 60-year-old man is at the clinic for an examination. The FNP suspects that he has ptosis of one eye. How should the FNP check for this?
  • The FNP is doing an assessment on a 21-year-old patient and notices that his nasal mucosa appears pale gray and swollen. What would be the most appropriate question to ask the patient?
  • The FNP is palpating the sinus areas. If the findings are normal, then the patient should report which sensation?
  • During an oral assessment of a 30-year-old African-American patient, the FNP notices bluish lips and a dark line along the gingival margin. What would the FNP do in response to these findings
  • During an assessment of a 20-year-old patient with a three day history of nausea and vomiting the FNP notices dry mucous and deep vertical fissures on the tongue. These findings are reflective of:
  • The FNP is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate FNP reflects a correct understanding of tactile fremitus?
  • The FNP student is reviewing physical assessment findings of the HEENT system associated with pregnancy. Which statement by the graduate FNP reflects a correct understanding of expected HEENT changes associated with pregnancy? During pregnancy:
NR 509 Week 2 Quiz Key Points
NR 509 Week 2 Quiz Review – (Jarvis 8,9,13,14,15,16,18), (Swartz 4,6,7,8,9,10)
  • What does dullness when percussing lung fields: Jarvis pg 427
  • Facial sensation controlled by which CN: Jarvis 283,
  • Know what two salivary glands are accessible during exam
  • What CN is being … when pt shrugs shoulders Jarvis 646
  • What muscles are being …. when …. CN 11 (spinal accessory nerve)
  • Concern for malignant nodules versus benign lymph nodule
  • Know what you’d do next if you palpated a submental lymph node: Jarvis pg 253
  • Define visual acuity
  • Know what to do if your patient can’t read the largest number on the Snellen chart: Jarvis 289
  • Example of good visual acuity : Jarvis 289
  • Example of poor visual acuity: Jarvis 289
  • What is …. with corneal light reflex-
  • Know normal variances of sclera : Jarvis 283
  • Know how to check for Ptosis: Jarvis 292
  • What does ptosis indicate: Jarvis 292
  • Nasal fissure of pt with chronic allergies : Jarvis 271
  • Acute allergies : Jarvis p 363 .
  • What is an abnormal palpation of sinuses: Jarvis 362
  • Normal palpation of sinuses
  • Know normal variations in gingival margin
  • Know what a dehydrated oral cavity will look like: Jarvis 387
  • What is tactile fremitus, how do you test for it and what does it indicate. Jarvis 425

NR 509 Week 3 Quiz: Questions and Answers

NR 509 Week 3 Quiz: Questions / Answers
  • A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when she fell and landed on her left hand. The FNP examined her hand and will expect a fracture if the girl complains:
  • A patient has been diagnosed with osteoporosis and asked the FNP “what is osteoporosis?” The FNP explains to the patient that osteoporosis is defined as:
  • Patient states, “I can hear a crunching or grating sound when I kneel”. She also states “that it is very difficult to get out of bed in the morning because of stiffness and pain in my joints”. The FNP should assess for signs of what problem?
  • When taking the history on a patient with a seizure disorder the FNP assesses whether the patient has an aura. Which of these would be the best question for obtaining this information?
  • The FNP is teaching a class on osteoporosis prevention to a group of post menopausal women. A participant shows that she needs more instruction when she states I will:
  • The FNP is performing a neurological assessment on a 41-year-old woman with a history of diabetes. When testing her ability to feel the vibrations of a tuning fork the FNP notices that the patient is unable to feel vibrations on the great toe or ankle bilaterally, but she is able to feel vibrations on both patella. Given this information what would the FNP suspect?
  • And 80-year-old woman is visiting the clinic for a check up. She states “I can’t walk as much as I used to”. The FNP is observing from motor dysfunction in her hip and should have her:
  • The FNP is testing the function of cranial nerve XI. Which of these best describes the response the FNP should expect if the nerve is intact? The patient:
  • A 50-year-old woman is in a clinic for weakness in her left arm and leg that she noticed for the past week. The FNP should perform which type of neurologic examination?
  • During the neurological assessment of a healthy 35-year-old patient the FNP asks him to relax his muscles completely. The FNP then moves each extremity through full range of motion. Which of these results would the FNP expect to find?
  • A woman who is 8 months pregnant comments that she has noticed a change in posture and is having lower back pain. The FNP tells her that during pregnancy women have a posture shift to compensate for the enlarging fetus. This shift and posture is known as:
  • A patient is able to flex his right arm forward without difficulty or pain but is unable to abduct his arm because of pain and muscle spasm’s. The FNP should suspect:
  • A professional tennis player comes into the clinic complaining of a sore elbow. The FNP will assess for tenderness at the:
  • The FNP suspect that a patient has carpal tunnel syndrome and wants to perform the Phalens test. To perform this task the FNP should instruct the patient to:
  • During the history a patient tells the FNP that “it feels like the room is spinning around me”. The FNP would document this as:
  • The assessment of a 60-year-old patient has taken longer than anticipated. In testing his pain perception the FNP decides to complete the test as quickly as possible. When the FNP applies the sharp point of a pin on his arm several times he is only able to identify these as one very sharp prick. What would be the most accurate explanation for this?
  • An 85-year-old patient comments during his annual physical that “he seems to be getting shorter as he ages”. The FNP should explain that decrease height occurs with aging because:
  • A patient is complaining of pain in his joints that is worse in the morning, is better after he has moved around for a while, and then gets worse again if he sits for long periods of time. The FNP should assess for other signs of what problem?
  • When the FNP asks a 68-year-old patient to stand with feet together and arms at his side with his eyes closed he starts to sway and moves his feet farther apart. The FNP would document this finding as:
  • During an assessment of the cranial nerves the FNP finds the following asymmetry when the patient smiles or frowns, uneven lifting of eyebrows, sagging of lower eyelids, and escape of air when the FNP presses against the right path cheek. This would indicate dysfunction of which of these cranial nerves?
  • The FNP is teaching a class on osteoporosis prevention to a group of postmenopausal women which of these actions is the best way to prevent or delay bone loss in this group?
  • In obtaining a history on a 74 year old patient the FNP notes that he drinks alcohol daily and that he has noticed a tremor in his hands that affects his ability to hold thing. With this information what should the FNP‘s response be?
  • During a history of a 78-year-old man his wife states that “he occasionally has problems with short-term memory loss and confusion. He can’t even remember how to button his shirt”. In doing the assessment of his sensory system which action of the FNP‘s is most appropriate?
  • While obtaining a history of a 3 month old infant from the mother the FNP asks about the infants ability to suck and grass the mothers finger. What is the FNP assessing?
  • The FNP is doing an assessment on a 29-year-old woman who visits the clinic complaining of always dropping things and falling down. While testing rapid alternating movements the FNP notices that the woman is unable to pat both her knees. Her response is very slow and she misses frequently. What should the FNP suspect?
NR 509 Week 3 Quiz Questions / Answers (Version 2)
  • What piece of equipment can be used to test for peripheral neuropathy
  • How would you test for Romberg sign
  • Diagnosis for patient with complaint of room spinning
  • Know expected postural changes in pregnancy
  • Know what the phalen’s test is and how to conduct it
  • Hands back to back for 60 secs looking for development of
  • Positive Phalen’s test
  • Older pt that can’t remember to tie shoes in order to assess this you first want to?
  • What is loss of bone density
  • Disease that is accompanied by joint pain in the morning that improves with movement and worsens with sitting
  • What is summation effect and what does it mean
  • Know what is normal findings in passive ROM
  • … evaluate a pt with migraines in regard to if they have an aura
  • Know abnormal finding of rotator cuff
  • Know the type of neuro exam to complete on a pt presenting with one sided weakness
  • Understand tennis elbow
  • Know common reflexes at various ages
  • What tremors improve with ETOH
  • Understand CN 11
  • What concerns exist when pt is slow with RAM
  • R/O MS
  • Know education for pts on exercises that help to prevent osteoporosis
  • What does hip abduction reveal

NR 509 Week 3 Shadow Health Assessment Musculoskeletal

NR 509 Week 3 Shadow Health Assessment Musculoskeletal
Subjective: HPI: Ms. Jones presents to the clinic complaining of back pain that began 3 days ago after she “tweaked it” while lifting a heavy box while helping a friend move. She states that lifted several boxes before this event without incident and does……………………………… She presents today as the pain has continued and is interfering with her activities of daily living.
Social History: Ms. Jones’ job is mostly supervisory, although she does report that she may have to sit or stand for extended periods of time……………. use of tobacco, alcohol, and illicit drugs. She does not exercise.
ROS: General: Denies changes in weight, fatigue, weakness, fever, chills, and night sweats.
Musculoskeletal: Denies muscle weakness, pain, joint instability, or swelling. She does state that she has difficulties with range of motion…… lower back has impacted her comfort while sleeping and sitting in class…….. numbness, tingling, radiation, or bowel/bladder dysfunction. She denies previous musculoskeletal injuries or fractures.
Neurologic: Denies loss of sensation, numbness, tingling, tremors, weakness, paralysis, fainting, blackouts, or seizures.
Objective: ROS: General: Ms. Jones is a pleasant, obese 28-year-old African American woman in no acute distress. She is alert and oriented. She maintains eye contact throughout interview and examination.
Musculoskeletal: Bilateral upper extremities without muscle atrophy or joint deformity. Bilateral upper extremities with full range of motion of shoulder, elbow, and wrist……………….. upper extremity strength equal and 5/5 in neck, shoulders, elbows, wrists, hands. Bilateral lower extremity strength equal and 5/5 in hip flexors, knees, and ankles.
ASSESSMENT: Low back muscle strain related to lifting

NR 509 Week 4 Quiz – Questions and Answers

NR 509 Week 4 Quiz Key Points
NR 509 Week 4 Quiz: Questions and Answers
  1. 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?
  2. The direction of blood flow through the heart is best described by which of these
  3. In assessing the carotid artery’s of an older patient with cardiovascular disease, the FNP would
  4. When listening to heart sounds the FNP knows that the valve closures that can be heard best at the base of the heart are
  5. The sack that surrounds and protects the heart is called the
  6. When assessing a newborn infant who is five minutes old the FNP knows that which of these statements would be true?
  7. The FNP is performing an assessment on an adult. The adults vital signs are normal and capillary refill is five seconds. What should the FNP do next?
  8. During an assessment of an older adult the FNP should expect to notice which finding as normal physiologic change associated with aging process?
  9. The mother of a three month old infant states that her baby has not been gaining weight. With further questioning the FNP finds that the infant falls asleep after nursing and wakes up after a short amount of time hungry again. What other information with the FNP want to have?
  10. In assessing a patient’s major risk factors for heart disease which would the FNP want to include when taking a history?
  11. The FNP is … the pulses of a patient who has been admitted for untreated hyperthyroidism. The FNP should expect to find a____pulse
  12. A patient complains of leg pain that wakes him at night. He states that he has been having problems with his legs. ….. his legs when they are … and disappears when he dangles them. He recently noticed a sore on the inner aspect of his right ankle. On the basis of this history information the FNP interprets that the patient is most likely experiencing
  13. During an assessment the FNP uses the profile sign to detect
  14. Which of these statements describes the closure of the valves in a normal cardiac cycle?
  15. When performing a peripheral vascular assessment on a patient the FNP is unable to palpate the ulnar pulses. The patient skin is warm and capillary refill is normal. The FNP should next
  16. A 67-year-old patient states that he “recently began have pain in his left calf when climbing the 10 stairs to his apartment”. This pain is relieved by sitting for about two minutes then he’s able to resume activities. The FNP interprets this patient is most likely experiencing
  17. In assessing a 70-year-old man the FNP finds the following blood pressure 140/100 mmHg, heart rate 104 and slightly irregular, split S2. Which of these findings can… by expected hemodynamic changes related to age?
  18. The FNP is examining the lymphatic system of a healthy three year old child. Which finding should the FNP expect?
  19. The FNP is preparing to perform modified Allen test. Which is an appropriate reason for this test?
  20. A 25-year-old woman is in her fifth month of pregnancy has a blood pressure of 100/70 mmHg. In reviewing her previous exam the FNP notes that her blood pressure in her second month was 124/80 mmHg. When evaluating this change what does the FNP know to be true?
  21. Findings from an … of a 70-year-old patient with swelling in his ankles include jugular venous pusations, 5 cm above the sternal angle when the head of his bed is …. 45°. The FNP knows that this finding indicate:
  22. The component of the conduction system referred to as the pacemaker of the heart is the
  23. The FNP is reviewing anatomy and physiology of the heart. Which statement best … by atrial kick?
  24. A 45-year-old man is in the clinic for a routine physical. During history the patient states he has been having difficulty sleeping. I’ll be sleeping great and then I wake up and feel like I can’t catch my breath. The FNP‘s best response to this would be
  25. When assessing a patient the FNP notes that the left femoral pulse as diminished 1+/4+. What should the FNP do next?

NR 509 Week 5 Quiz, Questions and Answers

NR 509 Week 5 Quiz: Questions and Answers
  1. An older patient has been diagnosed with pernicious anemia. The FNP knows that this condition could be related to
  2. ….. examining a patient who tells the FNP “I sure sweat a lot especially on my face and feet but it doesn’t have an odor”. The FNP knows that this could … related to
  3. During an abdominal assessment the FNP elicits tenderness on light palpation in the right lower quadrant. The FNP interprets that this finding could indicate a disorder which of these structures?
  4. An Inuit visiting Nevada from anchorage has come to the clinic in July during the hottest part of the day. It so happens that the clinics air conditioning is broken and the temperature is very hot. The FNP knows that which of these statements is true about the Inuit sweating tendencies?
  5. The FNP notices that a patient has black, tarry stool and recalls that a possible cause would …
  6. ….. an abdominal …. deep palpation is used to determine
  7. The FNP is assessing the abdomen of an aging adult. Which of these statements regarding an aging adult and abdominal assessment is true?
  8. During examination the FNP finds that a patient has excessive dryness of the skin. The best term to describe this condition is
  9. A FNP notices that a patient has ascites, which indicates the presence of
  10. The FNP is performing percussion during an abdominal assessment. Percussion notes during the abdominal assessment may include
  11. The FNP is caring for a black child who has … with marasmus. The FNP would expect to find the
  12. … patient’s medical record that the patient has a lesion that is confluent in nature. On examination the FNP would expect to find
  13. The FNP is assessing the abdomen of a pregnant woman who is complaining of having acid indigestion all the time. The FNP knows that esophageal reflux during pregnancy can cause
  14. The patient has abdominal borborygmi. The FNP knows that this term refers to
  15. A patient has a terrible itch for several months that he … scratching continuously. On examination the FNP might expect to find
  16. During aging process, the hair can look gray or white and begin to feel thin and fine. The FNP knows that this occurs because of a decrease in number of functioning
  17. The FNP notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. When documenting this finding the FNP would report this as a
  18. During an abdominal assessment the FNP would consider which of these findings as normal?
  19. A 52 -year-old Woman has a papule on her nose that has a rounded pearly border and a central red ulcer. She said she first noticed it several months ago and that it is slowly growing larger. The FNP suspects which condition?
  20. The FNP is listening to bowel sounds. Which of these statements is true about bowel sounds?
  21. The FNP is watching a new graduate FNP perform auscultation of a patient abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation proceeds percussion and palpitation of the abdomen?
  22. A patient is complaining of a sharp pain along the costovertebral angles. The FNP knows that this symptom is most often indicative of
  23. The patient is … of having inflammation of the gallbladder or cholecystitis. The FNP should conduct which of these techniques to assess for this condition?
  24. A newborn infant is in the clinic for a well baby check. The FNP observes the infant for possibility of fluid loss because of which these factors?
  25. During an assessment of a newborn infant, the FNP recalls that pyloric stenosis would … manifested by
NR 509 Week 5 Quiz Review
  1. Tenderness in RLQ is concerning for
  2. Inuit people tend to sweat more on face than trunk and extremities when exposed to heat
  3. spot on face with round pearly boarder with central red lesion concerning for
  4. Murphy sign= positive with deep palpation causes pain on inspiration
  5. Why do you auscultate first in abd assessment
  6. Tympany in the umbilical area
  7. Pt with decreased gastric secretions is at increase
  8. Another name for hyperactive bowels
  9. Black tarry stool concerning
  10. Lichenification caused by
  11. A papule is
  12. Older adults have
  13. CVA tenderness
  14. Confluent lesions
  15. Dryness of the skin
  16. Newborns are at greater risk of fluid loss
  17. High pitched irregular bowel sounds
  18. Changes in hair texture and color of an AA child with Marasmus
  19. Know how to assess for enlarged organs in the abd region
  20. Know three sounds heard in percussion

NR 509 Week 6 Quiz – Questions and Answers

NR 509 Week 6 Quiz: Questions and Answers
  • A woman has come to the clinic to seek help with a substance-abuse problem. She admits to using cocaine just before arrival. Which of these assessment findings would the FNP expect to find when examining the woman?
  • A 63-year-old Chinese American man enters the office with complaints of chest pain, shortness of breath, and palpitations. Which statement most accurately reflect the FNPs best course of action?
  • The FNP is planning to assess new memory with the patient. The best way for the FNP to do this would be
  • During the health history the FNP asks a female patient “how many alcoholic drinks do you have a week?” Which answer by the patient would indicate at risk drinking?
  • Symptoms such as pain are often influenced by a person’s cultural heritage. Which of the following is a true statement regarding pain?
  • The FNP suspect abuse when a 10-year-old child is taken to the urgent care center for leg injury. The best way to document the history and physical findings is to
  • During a mental status assessment, which question by the FNP would best assess a persons judgment?
  • The FNP is performing a mental status assessment on a five-year-old girl. Her parents are undergoing a bitter divorce and are worried about the effect it is having on their daughter. Which action or statement might leave FNP to be concerned about the girls mental status?
  • During mental status examination, the FNP wants to assess a patient’s affect. The FNP should ask the patient which question?
  • During an examination FNP notices a patterned injury on a patients back. Which of these would cause such an injury?
  • The FNP is aware that intimate partner violence screening should occur with which situation?
  • Which statement is best for the FNP to use when preparing to administer the abuse assessment screen?
  • The FNP is conducting a class on alcohol and the effects of alcohol on the body. How many standard drinks (each containing 12 g alcohol) Per day are associated with increased deaths from cirrhosis, cancers of the mouth, esophagus and injuries in men?
  • A woman who has just discovered that she is pregnant is in the clinic for her first obstetric visit. She asked the FNP how many drinks a day safe for my baby? The FNP‘s best response is
  • The FNP is performing the Denver II screen test on a 12 month old infant during a routine well child visit. The FNP should tell the infants parents that the Denver II
  • Which term refers to a one produced by tearing or splitting of body tissue usually from blunt impact of a bony surface
  • When reviewing the use of alcohol by older adults the FNP notes that the older adults have several characteristics that can increase the risk of alcohol use which would increase the bioavailability of alcohol in the blood for longer periods of time in the older adult?
  • The FNP is reviewing concepts of cultural aspects of pain. Which statement is
  • true regarding pain?
  • The FNP is planning to assess a child using behavioral checklist. This tool is most appropriate for a(an)
  • The FNP is assessing orientation in a 79-year-old patient. Which of these responses … leave the FNP to … that the patient is … ?
  • As a mandatory reporter of elder abuse, which of these must be present before an FNP notifies the authorities?
  • A 30-year-old female patient is describing feelings of hopelessness and depression. She has attempted self-mutilation and has a history of prior suicide attempts. She describes difficulty sleeping at night and has lost 10 pounds in the past month. Which of these statements or questions is the FNP‘s best response in this situation?
  • For persons age 12 years and older which of these illicit substances was one of the most commonly used?
  • Which of these individuals would the FNP consider at highest risk for suicide attempt?
  • The FNP is …. a patient who has … for cirrhosis of the liver secondary to chronic alcohol use. During the physical … the FNP looks for cardiac problems that are … with chronic heavy use of alcohol such as

NR 509 Week 7 Quiz, Questions and Answers

  1. During an examination of an aging male the FNP recognizes that normal changes to expect would be:
  2. During a health history, a 22-year-old woman asks “can I get that vaccine for HPV? I have gentle warts and I’d like them to go away!” What is the FNP‘s best response?
  3. During a speculum inspection of the vagina the FNP would expect to see what at the end of the vaginal canal?
  4. A 62-year-old man is experiencing fever, chills, malaise, urinary frequency and urgency. He also reports urethral discharge and a dull aching pain in the perineal and rectal area. The symptoms are most consistent with which of the following?
  5. When performing a genital examination on a 25-year-old man the FNP notices deeply pigmented, wrinkled scrotal skin with large sebaceous follicles. On the basis of this information the FNP would:
  6. The mother of a 10-year-old boy asks the FNP to discuss the recognition of puberty. The FNP should reply by saying:
  7. The uterus is usually … tilting forward and superior to the bladder. This position is known as
  8. A male patient with possible fertility problems asks the FNP where sperm is produced. The FNP knows that sperm production occurs in
  9. A 15-year-old boy is seen in the clinic for complaints of dull pain and pulling in the scrotal area. On examination the FNP palpates a soft, irregular mass posterior to and above the testes on the left. This mass collapses when the patient is supine in refills when he is up right. This description is consistent with:
  10. In performing an assessment of a woman’s axillary lymph system the FNP should assess which of these nodes?
  11. A patient contacts the office and tells the FNP that she is worried about her 10-year-old daughter having breast cancer. She describes a unilateral enlargement of the right breast with associated tenderness. She is worried because the left breast is not enlarged. What would be the FNP‘s best response?
  12. An 11-year-old girl is in the clinic for a sports physical. The FNP notices that she has begun to develop breasts, and during the conversation the girl reveals that she is worried about her development. …. which of these techniques to best assist the young girl in understanding the expected sequence for development? The FNP should:
  13. A 54-year-old woman who has just completed menopause is in the clinic today for yearly physical examination. Which of these statements should the FNP include in patient education? A post menopausal woman:
  14. A 62-year-old man states that his doctor told him that he has an inguinal hernia. He asks the FNP to explain what a hernia is……:
  15. When performing a genital assessment on a middle-age man, the FNP notices multiple soft, moist, painless papules in the shape of cauliflower like patches scattered across the shaft of the penis. These lesions are characteristics of:
  16. If a patient reports a recent breast infection, then the FNP should expect to find_____node enlargement
  17. A 9-year-old girl is in the clinic for a sports physical. After some initial shyness she finally asked “am I normal? I don’t seem to need a bra yet, but I have some friends who do. What if I never get breasts?” The FNP‘s best response would be:
  18. Which of these statements about the testes this true?
  19. During an examination FNP observes a female patients vestibule and expect to see the
  20. A 14-year-old girl is anxious about not having reached menarche. When taking history, the FNP should ascertain which of the following? The age:
  21. A woman who is 22 weeks pregnant has a vaginal infection. She tells the FNP that she is afraid that the infection will hurt the fetus. The FNP knows that which of these statements is true?
  22. In performing a breast examination the FNP knows that it is especially important to examine the upper outer quadrant of the breast. The reason for this is that the upper outer quadrant
  23. An accessory glandular structure for the male genital organs is the
  24. Which of these statements is true regarding the penis?
  25. A woman who is 8 weeks pregnant is in the clinic for a check up. The FNP reads on her chart that her cervix is … cyanotic. The FNP knows that the woman is exhibiting____sign and _____sign

NR 509 Week 8 Reflection: MSN program outcome 1 and the MSN Essential I

Reflect back over the past eight weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #1 and the MSN Essential I.

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