NR509 Week 8: Final Exam
Question 1
Given this specific physical assessment finding, what condition should the NP suspect as a differential diagnosis?
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A. ankylosing spondylitis
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B. torticollis ✅
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C. thoracic kyphosis
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D. osteoarthritis (OA)
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E. spondylolisthesis
Question 2
Which of the following is the most accurate interpretation of these findings?
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A. These findings suggest sensory ataxia.
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B. These findings suggest B12 deficiency.
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C. These findings suggest no abnormalities. ✅
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D. These findings suggest hyporeflexia.
Question 3
Which of the following physical assessment maneuvers should the NP perform to confirm the suspicion of winged scapula?
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A. Compare the strength of his trapezia muscles. ✅
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B. Assess the lateral bending movement of his neck.
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C. Assess his ability to extend his back.
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D. Assess his ability to touch his toes.
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E. Check for listing of his trunk.
Question 4
Which of the following statements is true regarding risks and rapid recognition of suspected stroke? (Select all that apply)
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A. Atrial fibrillation is not a risk factor for ischemic stroke in individuals age greater than 75 years of age.
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B. Transient ischemic attacks (TIAs) that resolve within 1 hour confer a 5% risk of death from stroke within the next 12 months.
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C. Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke. ✅
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D. Due to increasing public awareness, the median time for arrival to care for suspected stroke is less than 3 hours.
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E. Obesity doubles the risk of stroke even without associated glucose intolerance. ✅
Question 85
These assessment findings are consistent with which Tanner Stage of development?
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A. III
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B. Preadolescent
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C. IV ✅
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D. I
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E. II
Question 86
The NP is suspicious of acute cholecystitis. The NP knows to perform which assessment test next?
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A. Rovsing sign
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B. Murphy sign ✅
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C. Blumberg sign
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D. McBurney sign
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E. psoas sign
Question 87
All of the following assessment findings are consistent with hepatomegaly, EXCEPT?
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A. dullness to percussion over a span of 9 cm at the midsternal line ✅
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B. liver span greater than 12 cm at the midclavicular line
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C. liver palpable 3 cm below the right costal margin, midclavicular line, on expiration
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D. dullness to percussion over a span of 14 cm at the midclavicular line
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E. liver span of 8 cm at the midsternal line
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