Exam (elaborations)
Final Exam Q & A - NR509 / NR 509 (Latest 2023 / 2024) : Advanced Physical Assessment - Chamberlain
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- Chamberlain College Of Nursing
NR509 / NR 509 Advanced Physical Assessment Final Exam Q & A - Chamberlain
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NR-509 Advanced Physical Assessment Final Exam Q & A The clinician is seeing a middle -aged patient who has a diagnosis of lumbar spinal stenosis. The patient's history is consistent with this diagnosis as he has pain in the back with walking that improves with rest. Which physical sign(s) are most consistent with his diagnosis? - Flexed forward posture with lower extremity weakness The clinician is seeing a 58 -year-old patient with a diagnosis of arthritis. The patient complains of pain in his knees , hips, hands, wrists, neck, and low back. Based on which joints are involved, the patient most likely has which joint problem? - Osteoarthritis (OA) A 62-year-old patient with rheumatoid arthritis (RA) complains of increased joint stiffness. What character istic(s) are consistent with her diagnosis of RA? - Swelling of the synovial tissue is seen in joints and tendon sheaths A 55-year-old woman with a headache explains to the clinician that she has had headaches before, but this one is unusual because of some new symptoms. Which of the following symptoms would prompt an immediate investigation? - The patient also has developed fever and night sweats and thinks she lost some weight In the case of a middle -aged female with a pounding headache, what is an effecti ve question to ask the patient? - Does the patient have any aura prior to the beaches A 35-year-old female patient has had migraines for much of her adult life. Ather regular checkup, she is healthy, takes no medications except oral contraceptive pills (OCPs), exercises, and has a steady job. Her only complaint is that her migraines seem to have become worse, and, for the past few weeks, she has been waking up at night with headache and also nausea. Which of the following is the best course of action? - Take a further history and perform a very careful neurological examination An 82 -year-old grandmother presents to the Emergency Department in the care of her extended family with new -onset speech impairment. According to family members, the patient awoke with this symptom as well as difficulty in understanding questions or following commands. Her past medical history is remarkable for atrial fibrillation but no other notable conditions. On examination, her speech is verbose but poorly com prehensible and lacks meaning. She is unable to follow simple commands. Which of the following best describes her speech disorder? - Wernicke aphasia A 74-year-old bus driver is delivered to the hospital via emergency transport after an astute passenger noted that the patient exhibited drooping facial features and slurred speech. The patient was diagnosed rapidly with ischemic (nonhemorrhagic) stroke, and urgent intervention lead to a near complete recovery from his symptoms. The astute passenge r was thanked and congratulated for recognizing the signs of acute stroke; this individual credited this recognition to a public safety awareness campaign that outlined the critical public health need to recognize strokes early. Which of the following statements is true for risks and rapid recognition of suspected strokes? - Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke A 70-year-old male presents to the Emergency Department accompanied by his wife, who is concerned that he has experienced a stroke. She states that he awoke with drooping of the right side of his mouth. He has a history of hypertension and diet -controlled diabetes, but no history of prior transient ischemic attacks (TIAs), strokes, or neurologic deficits. Phy sical examination reveals a well -nourished, right -handed male, who has an obvious flattening of the right nasolabial fold at rest. He is unable to close his right eye, wrinkle his forehead, or raise his eyebrows. The remainder of the neurologic examination is symmetric with intact strength and normal deep tendon reflexes. Based on this history and physical examination, which of the following statements is true? - The patient most likely has an isolated peripheral lower motor neuron (LMN) lesion involving cran ial nerve (CN) VII, the facial nerve. In longstanding and poorly controlled hypertension, white matter tracts in the brain are subjected to arteriolosclerosis effects. Which one of the following is most vulnerable to this process? - Internal Capsule A 14-year-old student comes with her family to the urgent care center, having been hit in the right eye with a plastic baseball during a family reunion. She complains of a painful, watery, red right eye and sensitivity to light. She has normal visual acuity in b oth eyes, no diplopia, and can open and close her eyes normally. The pupils are unequal in size, 3 mm in diameter on the left, 5 mm in diameter on the right. Which cranial nerve (CN) would be implicated as the cause of the photosensitivity complaint and th e pupillary asymmetry? - CN III Parents bring in their 3 -year-old toddler, stating that he has been pulling at his right ear and fussing all day. Examination of the auditory canal shows a small green plastic toy piece partially obstructing the passage. Whic h cranial nerve (CN) supplies the sensory innervation to that area and is conducting the boy's pain sensation? - CN IXThe benefits of buying summaries with Stuvia:
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