Midterm Exam: NR509 NR 509

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

-if the pt can't read the largest letter should be moved closer to the chart

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