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FNU Physical Assessment in Health Care Quiz – 2025 FNU Physical Assessment in Health Care Quiz Question 1 Which of the following is a relatively benign
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FNU Physical Assessment in Health Care Quiz – 2025
FNU Physical Assessment in Health Care Quiz
Question 1
Which of the following is a relatively benign condition that may occur during pregnancy or labor?
a. Macular degeneration
b. Papilledema
c. Subconjunctival hemorrhage
d. Cupping of the optic disc
Question 2
Which maneuver can be done to reduce the systemic absorption of cycloplegic and mydriatic agents when examining a pregnant woman if the examination is mandatory?
a. Have the woman keep her eyes closed for several minutes.
b. Instill half the usual dosage.
c. Keep the patient supine, with her head turned and flexed.
d. Use nasolacrimal occlusion after instillation
Question 3
When there is an imbalance found with the corneal light test, you should then perform the ___________ test.
a. confrontation
b. accommodation
c. cover–uncover
d. visual acuity
Question 4
White specks scattered in a linear pattern around the entire circumference of the iris are called:
a. drusen bodies.
b. cotton wool spots.
c. rust spots.
d. Brushfield spots.
Question 5
Which of the following may be suggestive of Down syndrome?
a. Drusen bodies
b. Papilledema
c. Narrow palpebral fissures
d. Prominent epicanthal folds
Question 6
You are attempting to examine the eyes of a newborn. To facilitate eye opening, you would first:
a. dim the room lights.
b. elicit pain.
c. place him in the supine position.
d. shine the penlight in his or her eyes.
Question 7
When testing corneal sensitivity controlled by cranial nerve V, you should expect the patient to respond by:
a. brisk blinking.
b. copious tearing.
c. pupil dilation.
d. reflex smiling.
Question 8
Xanthelasma may suggest that the patient has an abnormality of:
a. lipid metabolism.
b. cognitive function.
c. renal metabolism.
d. bone marrow function.
Question 9
You observe pupillary response as the patient looks at a distant object and then at an object held 10 cm from the bridge of the nose.You are assessing for:
a. confrontation reaction.
b. accommodation.
c. pupillary light reflex.
d. nystagmus.
Question 10
Which of the following findings, when seen in the infant, is ominous?
a. Difficulty tracking objects with the eyes
b. Appearing to have better peripheral than central vision
c. Blinking when bright light is directed at the face
d. White pupils on photographs
Question 11
When you ask the patient to identify smells, you are assessing cranial nerve __.
Ans: 1
Question 12
Which risk factor is associated with the highest rate of oral cancers?
a. Women
b. Being younger than 55 years
c. excessive caffeine use
d. Fanconi anemia
Question 13
You are interviewing a parent whose child has a fever, is pulling at her right ear, and is irritable. You ask the parent about the child’s appetite and find that the child has a decreased appetite. This additional finding is more suggestive of:
a. acute otitis media.
b. otitis externa.
c. serous otitis media.
d. middle ear effusion.
Question 14
Which of the following signs and symptoms occur with a sensorineural hearing loss? (Select all that apply.)
a. Air conduction shorter than bone conduction
b. Lateralization to the affected ear
c. Loss of high-frequency sounds
d. Speaks more loudly
e. Disorder of the inner ear
f. Air conduction longer than bone conduction
Question 15
Which variation may be an expected finding in the ear examination of a newborn?
a. Diffuse light reflex
b. Purulent material in the ear canal
c. Redness and swelling of the mastoid process
d. Small perforations of the tympanic membrane
Question 16
White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are:
a. Fordyce spots.
b. aphthous ulcers.
c. Stensen ducts.
d. leukoedema.
Question 17
You are performing Weber and Rinne hearing tests. For the Weber test, the sound lateralized to the unaffected ear; for the Rinne test, air conduction–to–bone conduction ratio is less than 2:1. You interpret these findings as suggestive of:
a. a defect in the inner ear.
b. a defect in the middle ear.
c. otitis externa.
d. impacted cerumen.
Question 18
You are performing hearing screening tests. Who would be expected to find difficulty in hearing the highest frequencies?
a. 7
b. 12
c. 20
d. 40
e. 65
Question 19
Which abnormality is common during pregnancy?
a. Eruption of additional molars
b. Hypertrophy of the gums
c. Otitis externa
d. Otitis media
Question 20
You are using a pneumatic attachment on the otoscope while assessing tympanic membrane movement. You gently squeeze the bulb but see no movement of the membrane. Your next action should be to:
a. remove all cerumen from the canal.
b. make sure the speculum is sealed form outside air.
c. squeeze the bulb with more force.
d. insert the speculum to depth of 2 cm.
Question 21
Which of the following is an expected change in the assessment of the thyroid during pregnancy?
a. Palpation of the gland becomes difficult.
b. A bruit is auscultated.
c. Inspection reveals a goiter.
d. The gland is tender on palpation
Question 22
Which type of headache usually occurs at night, is precipitated by alcohol consumption, and occurs more often in men than in women?
a. Classic migraine
b. Temporal arteritis
c. Cluster
d. Hypertensive
Question 23
Which of the following is true regarding caput succedaneum?
a. It is a subperiosteal collection of blood.
b. It is firm and its edges are well defined.
c. It develops several days after delivery.
d. It is seen over the presenting part of thehead
Question 24
You are palpating a patient’s thyroid and find that its broadest dimension measures 4 cm. The right lobe is 25% larger than the left.These data would indicate:
a. a congenital anomaly.
b. a normal thyroid gland.
c. a multinodular goiter.
d. thyroiditis.
Question 25
Which of the following findings would be consistent with fetal alcohol syndrome (FAS)?
a. Corneal clouding
b. Eye slanting
c. Mild ptosis
d. Symmetric, bulging fontanels
Question 26
Which of the following is a chronic autoimmune disorder?
a. tenosynovitis
b. fibromyalgia
c. rhabdomyolysis
d. myasthenia gravis
Question 27
Which cranial nerves innervate the face?
a. II and V
b. III and VI
c. V and VII
d. VIII and IX
Question 28
You are examining Ms. L, age 78 years. You find a sunken appearance of her eyes, cheeks, and temporal areas. Her skin is dry, and her nose appears sharp. This description of Ms. L’s facies is associated with:
a. cutis laxa syndrome.
b. Hurler syndrome.
c. old age.
d. terminal illness.
Question 29
Which of the following is true regarding a cephalohematoma?
a. It is bound by suture lines.
b. The affected part feels soft.
c. It is obvious at birth.
d. The margins are poorly defined
Question 30
Which is the best way to position a patient’s neck for palpation of the thyroid?
a. Flexed away from the side being examined
b. Flexed directly forward
c. Flexed toward the side being examined
d. Hyperextended directly backward
MN566 Written Assignment: Poor Patient Outcome – 2025 No Plegarism please assignment will be checked with Turnitin Will need minimum of 3 pages title and reference
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MN566 Written Assignment: Poor Patient Outcome – 2025
No Plegarism please, assignment will be checked with Turnitin.
Will need minimum of 3 pages, title, and reference page APA Style, double spaced, times new romans, font 12, and and 3 references with intext citations.
Poor Patient Outcome
Relying solely on the classic features of a disease may be misleading. That’s because the clinical presentation of a disease often varies: the symptoms and signs of many conditions are non-specific initially and may require hours, days, or even months to develop.
Generating a differential diagnosis; that is, developing a list of the possible conditions that might produce a patient’s symptoms and signs — is an important part of clinical reasoning. It enables appropriate testing to rule out possibilities and confirm a final diagnosis.
This case portrays a poor patient outcome after a misdiagnosis.
Case scenario
A previously healthy 35-year-old lawyer presents to a primary care office with a chief complaint of chest pain and a non-productive cough. The pain started suddenly 2 hours prior to coming to the office while the patient was sitting at his desk. The patient describes the pain as sharp in nature, constantly present but made worse with inspiration and movement, and with radiation to the base of the neck. His blood pressure in the right arm and other vital signs are normal.
On physical examination the only findings of note are chest wall tenderness and a faint cardiac murmur. The ECG in the office is normal. The patient is observed for an hour in the office and assessed. He is diagnosed with viral pleurisy and sent home on non-steroidal analgesics.
The following day the patient collapses at home and cannot be resuscitated by the paramedic service. An autopsy reveals a Type 1 aortic dissection with pericardial tamponade.
Written Assignment:
Developing a list of possible conditions that might produce a patient’s symptoms and signs is an important part of clinical reasoning.
As an NP in primary care what would you have done differently?
Discuss the importance of creating a list of differentials for this patient. How could it have changed this outcome?
If a serious diagnosis comes to mind based on a patient’s symptoms:
Ask yourself; Have you considered the likelihood of it and whether it needs to be ruled out by testing or referral?
Because many serious disorders are challenging to diagnose, have you considered ruling out the worst case scenario?
Ask yourself: Do you have sufficient understanding of the clinical presentation to offer an opinion on the diagnosis?
What other diagnosis could it be? How might the treatment to date have altered the patient outcome?
What other diagnostic and laboratory or imaging was needed in order to make a complete differential list?
What support tools would you consider using in helping to create a differential diagnosis list?
Are you familiar with the current clinical practice guidelines for the investigation of a suspected condition such as chest pain?
Leadership and Governance – 2025 Write a 700 to 1 050 word paper that evaluates the difference between leadership i e directors C suite
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Leadership and Governance – 2025
Write a 700- to 1,050-word paper that evaluates the difference between leadership [i.e. directors, C-suite – Chief Executive Officer, Chief Operating Officer, etc.) and board governance [the Board of Directors] in establishing strategic planning for a health care organization.
Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).
Format your assignment according to APA guidelines.
practicum Reflective Journal – 2025 Students are required to maintain weekly reflective narratives throughout the course to combine into one course long
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practicum Reflective Journal – 2025
Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.
In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:
Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin.