NR-509 Advanced Physical Assessment
Final Exam Study Set
The human papillomavirus (HPV) can cause genital warts in males and females as well as cervical cancer in females. Vaccination against HPV is available and should be offered to males between what ages?A 9-21 years B 1-3 years C 30-50 years D 5-7 years E 6-9 months
Correct Answer:
A
What assessment test is being performed in this image?A Weber test B conduction test C precision test D Rinne test sE accommodation test
Correct Answer:
A
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A 23-year-old female presents to the clinic. She has decided to discontinue using condoms and would like a different birth control option. Her last pelvic exam was 2 years ago when she had a negative Pap smear and STI screening. Her LMP was 2 days ago, and she is still spotting.She last had sex with her boyfriend 1 week ago. Condoms were used The NP elects to postpone her speculum exam during this office encounter. What is the best evidence-based rationale for the decision to postpone her exam?A She had a normal Pap smear within the last 3 years.B She has been using condoms.C She has only one current partner and does not need STI testing.D She should not be sexually active E She is on her menses.
Correct Answer:
E
The NP is assessing a 42-year-old female who presents to the clinic with recurring headaches. What is an effective question to ask the patient?A "Have you experienced any memory loss?" B "Do you have any aura prior to the headaches?" C "Are you feeling stressed?" D "How old were you when you first got a headache?" E "Have you ever seen anyone have a stroke?"
Correct Answer:
B
"Do you have any aura prior to the headaches?"
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17-year-old male presents to the clinic for a follow-up appointment. He fractured his left arm 8 weeks ago and remains in a cast. Upon inspection, the NP finds that his shoulder heights are unequal and there is winging of the scapula. The NP suspects contralateral weakness and muscle wasting as the etiology for the winged scapula. Which of the following physical assessment maneuvers should the NP perform to confirm the suspension?A Assess the lateral bending movement of his neck.B Compare the strength of his trapezia muscles.C Assess his ability to touch his toes.D Check for listing of his trunk.E Assess his ability to extend his back
Correct Answer:
B
An 88-year-old female presents to the clinic with joint pain and deformities secondary to osteoarthritis. On examination, the NP notes the abnormal findings highlighted by the red oval on this image. Which of the following is the most accurate interpretation of these findings?
ADA Description: Left hand with deformed and swollen finger joints.
A These findings are Janeway lesions B These findings are Heberden nodes C These findings are mucoid cysts D These findings Osler nodes.E These findings are Bouchard nodes
Correct Answer:
B
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A patient presents with right-upper quadrant (RUQ) pain but does not have any tenderness on palpation in the RUQ. The NP is suspicious of acute cholecystitis. The NP knows to perform which assessment test next?A psoas sign fifi B Murphy sign C Blumberg sign D Roving sign E McBurney sign
Correct Answer:
B
Of the following statements, which is true regarding the human papillomavirus (HPV) vaccine?A Ideally the vaccine should be administered within 3 years of first intercourse.B The vaccine does not lower the risk for oropharyngeal cancers.C The vaccine can protect against anogenital lesions.D The vaccine covers all HPV types E The vaccine can be used as adjuvant therapy in cervical cancer.
Correct Answer:
C
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