NR 509 Week 4 Midterm Exam Practice Questions - Filled Out
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Throat—Oral mucosa pink, dental caries in lower molars, tongue midline, uvula, and pharynx erythematous, bilateral tonsils enlarged, no exudates. Neck—Trachea midline. Neck supple; thyroid isthmus midline, lobes palpable but not enlarged. Lymph Nodes—Submandibular and anterior cervical lymph nodes tender, 1 cm × 1 cm, rubbery and mobile; no posterior cervical, epitrochlear, axillary, or inguinal lymphadenopathy. Which of the following is the most accurate interpreta琀椀on of the 昀椀ndings? • These 昀椀ndings suggest pharyngi琀椀s. 7. The NP is assuming care for a 56-year-old female resident of a long-term assisted living facility. The woman is seated in a wheelchair next to a window in her private room. A昀琀er comple琀椀ng the history and physical examina琀椀on, the NP documented the following mental status 昀椀ndings: The pa琀椀ent appears sad and fa琀椀gued; clothes are wrinkled. Speech is slow and words are mumbled. Thought processes are coherent, but insight into current life reverses is limited. The pa琀椀ent is oriented to person, place, and 琀椀me. Digit span, serial 7s, and calcula琀椀ons accurate, but responses delayed. Clock drawing is good. Which of the following is the most accurate interpreta琀椀on of the 昀椀ndings? • These 昀椀ndings suggest depression. 8. The NP conducted a physical assessment on a 74-year-old male with a complaint of shortness of breath. His history is signi昀椀cant for a 20 pack-year history of smoking. He uses 2 inhalers daily (medica琀椀on unknown) but did not bring them with him to his appointment. The documenta琀椀on for the respiratory 昀椀ndings is as follows: Which of the following is the most accurate interpreta琀椀on of the 昀椀ndings? • These 昀椀ndings suggest COPD. 9. A 28-year-old female presents to the o昀케ce for an annual physical examina琀椀on. The NP is evalua琀椀ng the cranial nerves (CNs) while assessing the eyes. The 昀椀ndings are represented in this image. Damage or in昀氀amma琀椀on of which of the following cranial nerve(s) is demonstrated in this image? ADA Descrip琀椀on: Eyes looking right and looking le昀琀. • CNVI 14. Orthopnea and paroxysmal nocturnal dyspnea (PND) generally occur in the following condi琀椀ons? Select all that apply. • Le昀琀 ventricular heart failure • Mitral stenosis • Obstruc琀椀ve lung disease 15. A 19-year-old male sustained a lacera琀椀on to the ulnar aspect of his mid-forearm. He did not have his injury evaluated at that 琀椀me and is now no琀椀cing purulent discharge and increasing pain from the wound along with fever and chills. Where would the NP expect to 昀椀nd the 昀椀rst signs of lymphadenopathy? • epitrochlear nodes 16. An NP is evalua琀椀ng a 74-year-old female for an open wound on the right lower leg (see image). She denies injury and reports the wound is very painful. On examina琀椀on, the NP does not note any odor from the wound or increased warmth with palpa琀椀on. Based on history and physical examina琀椀on, which of the following most likely explains her signs and symptoms? ADA Descrip琀椀on: Right, lower leg with open wound above the lateral ankle • Chronic venous insu昀케ciency 17. A 42-year-old male complains of pain in his le昀琀 leg. He does not remember injuring his leg; however, he
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