Hi ScottFaver,
Welcome to the Windows Community.
I'm sorry to hear that you're having problems with the item icons and fonts getting bigger, but since you haven't provided us with any detailed information, we can't accurately determine what's going on, and we hope that you'll be able to provide us with screenshots of some of the abnormalities that are occurring with the icons and other items on your screen.
In your description, even if you have adjusted the resolution, the problem still exists, we can only roughly deduce that this may be the system is running some third-party software (such as software that can set the theme and background), the impact on your system's scaling and layout settings, please refer to the following steps to adjust:
Clean boot:
I recommend trying a clean boot which starts Windows with a minimal set of drivers and startup programs. It can be used to determine whether a background It can be used to determine whether a background service or programme is interfering or causing a problem.
These steps of "clean boot" might look complicated at first glance. However, to avoid any trouble for you, please follow them in order and step-by-step.
Check to see if the same problem occurs in a clean boot, and if it doesn't occur in a clean boot, and you have installed software that modifies themes or the like, uninstall all the software in question.
If the current problem of huge icons and text is affecting your normal use, you can try the following steps to change your zoom and layout settings to make it normal:
1 Press the Windows key and I at the same time to open Settings.
2 Search for Dispaly in the Settings search box.
3 Find the Scale column, set the value inside, change it to the appropriate size (usually 100%) .
I hope the above can help you, if you have other questions please contact me.
Best Regards,
Zev - MSFT | Microsoft Community Support Specialist