Midterm Exam: NR509 / NR 509
(Latest Edition 2025 / 2026) Advanced Physical Assessment | Review Questions & Answers | 100% Correct | Grade A - Chamberlain
Question:
Causes of False High B/P Readings
Answer:
-brachial artery is below heart level
- too small of a BP cuff
- cuff is too wide or large
Question:
Nystagmus
Answer:
-Involuntary jerking eye movements
-often seen in cerebella's disease w/ gait ataxia, dysarthria (increases with retinal fixation), vestibular disorders, and internuclear opthalmoplegia
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Question:
How to check for nystagmus
Answer:
-have pt fix vision on a distant object -observe if nystagmus increases or decreases -note the direction of the gaze in which it appears -note the direction of the quick & slow components
Question:
Yellow Sclera Indications
Answer:
Jaundice
Question:
How to get an upset pt to open up
Answer:
-identifying & acknowledging the pt's feelings -meaningful reassurance comes after the exam & diagnostic testing
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Question:
Otosclerosis
Answer:
Condition that affects the tiny middle ear bone (stapes) -stapes become stuck and unable to vibrate
-conductive hearing loss
Question:
How to test for otosclerosis
Answer:
Weber & Rinne Test
Question:
How to use Weber test
Answer:
-Tuning fork at vertex
- sound is heard in the impaired ear
- room noise is not well heart, so detection of vibrations improves
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Question:
How to do a Rinne test
Answer:
-tuning fork at external auditory meatus; then on mastoid bone -BC longer than or equal to AC
- air conduction through the external or middle ear is impaired
-vibrations through bone bypass the problem to reach the cochlea -sound heard longer through bone than air
Question:
Cherry Angiomas
Answer:
Benign moles on chest
Question:
Visual acuity results
Answer:
1st number indicated distance of pt from chart 2nd number indicates the distance at which a normal eye can read the line of letters
- larger the second number the worse the vision is
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-if the pt can't read the largest letter should be moved closer to the chart