NR 509 Final Exam Latest Update -

NR 509 Final Exam Latest Update - Actual Exam Questions and 100% Verified Correct Answers Guaranteed A+

3 year old development - CORRECT ANSWER: -pedals tricycle, jumps in place.

-balance on 1 foot at 4yo

8mo old child development - CORRECT ANSWER: -say dada/mama

• indicate wants

-feeds self -sit -cant stand

Abdomen assessment sequence - CORRECT ANSWER: Inspect, auscultate, and

percuss the abdomen. Palpate lightly, then deeply. Assess the liver and spleen by percussion and then palpation. Try to palpate the kidneys. Palpate the aorta and its pulsations. If you suspect kidney infection, percuss posteriorly over the costovertebral angles.

Appendicitis pain - CORRECT ANSWER: RLQ pain or pain that migrates from the

periumbilical region, combined with abdominal wall rigidity on palpation

atopic dermatitis (eczema) - CORRECT ANSWER: Erythema, scaling, dry skin, and

intense itching

Bacterial Vaginosis (BV) - CORRECT ANSWER: -Caused by overgrowth of anaerobic

bacteria (often from sex)

• Discharge: Gray or white, thin, homogenous, malodorous, coats the vaginal walls,

usually not profuse, may be minimal

• Fishy/musty genital odor

-Normal vulva and vaginal mucosa 1 / 2

-Scan saline wet mount for clue cells (epithelial cells with stippled borders); sniff for fishy odor after applying KOH ("whiff test"); test the vaginal secretions for pH > 4.5

Bleeding between periods - CORRECT ANSWER: Metrorrhagia

Breast masses - CORRECT ANSWER: Most often found by women during self

examination

Buerger test (chronic arterial insufficiency) - CORRECT ANSWER: - Raise both legs to about 90o for up to 2 minutes

• Then pt sits up with feet to the floor
• see how long it takes for color to return to feet (usually 10-15 seconds)

Candidal Vaginitis - CORRECT ANSWER: -Cause: Candida albicans, a yeast (normal overgrowth of vaginal flora); many factors predispose, including antibiotic therapy

-Discharge: white and curdy, may be thin but usually thick, not as profuse as

trichomonal infection, not malodorous

• vaginal soreness, pruritus, pain on urination, dyspareunia (painful intercourse)

-The vulva and surrounding skin are inflamed and sometimes swollen to a variable extent; the vaginal mucosa is reddened, with white tenacious patches of discharge; the mucosa may bleed when these patches are scraped off; in mild cases, the mucosa looks normal -Scan potassium hydroxide (KOH) preparation for the branching hyphae of Candida

cardiovascular ROS - CORRECT ANSWER: SOB, syncope, edema, chest pain,

orthopnea

Cause of incr JVP - CORRECT ANSWER: -acute and chronic heart failure

-tricuspid stenosis -chronic pulmonary hypertension -superior vena cava obstruction

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