NR509 MIDTERM EXAM [Advanced
physical assessment ] WITH CORRECT
ANSWERS .
MIDTERM EXAM
1.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 some...
1.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:
- " That soft spot is normal and actually allows for growth of the brain
during the first year of your baby's life"
During percussion the FNP knows that a dull percussion note
elicited over a lung lobe. This most likely results from:
- Increased density of lung tissue
The patient is unable to differentiate between sharp and
dull stimulation to both sides of her face.
The FNP suspects Damage to:
- The trigeminal nerve
When examining the face, the FNP is aware that the
two pairs of salivary gland's that are accessible to
examination are the glands
- Parotid and submandibular
, 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
- XI; asking the patient you should have her shoulders against
resistance
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:
- Sternomastoid and trapezius
The patient's laboratory data reveal an elevated thyroxine
level. The FNP would proceed with an examination of the
gland
- Thyroid
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:
- Is mobile and not hard
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:
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