NR 509 WEEK 1 to 7 QUIZES Q&A For Midterm Prep
A patient tells the FNP that he is very nervous, that he is nauseated, and that he “feels hot”. This
... [Show More] type of data would be: Subjective
The patient’s record, laboratory studies, objective data, and subjective data combine to form the: Data base
The FNP is reviewing information about evidence-based practice. Which statement best reflects evidence-based practice?
EBP emphasizes the use of best evidence with the clinicians experience
A 59-year-old patient tells the FNP that he has ulcerative colitis. He has been having black stools for the last 24 hours. How would the FNP best document his reason for seeking care?
J. M. Is a 59-year-old male here for having black stools for the past 24 hours
A 29-year-old woman tells the FNP that she has excruciating pain in her back. Which would be an appropriate response by the FNP to the woman statement? How would you say the pain affects your ability to do your daily activities?
In recording the childhood illnesses of a patient who denies having had any, which note by the FNP would be most accurate?
Patient denies measles, mumps, rubella, chickenpox, pertussis and strep throat
If a female patient tells the FNP that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the FNP record this information?
Gravida 6, Para 4, (S ) AB 2, Living 4
Which of these statements represents subjective data the FNP obtained from the patient regarding the patient’s skin?
Denies color change
The FNP is obtaining a history for a 30-year-old male patient and is concerned about health promotion activities. Which of these questions would be appropriate to use to assess health promotion activities for this patient?
Do you perform testicular self-examination’s?
Which statement indicates that the FNP understands the pain experienced by an elderly person?
Pain indicates pathology or injury and is not a normal process of aging
The FNP is performing a vision examination. Which of these charts is most widely used for visual examination?
Snellen
During a complete health assessment, how would the FNP test the patients hearing?
Using the whispered voice test
The FNP has just completed an examination of a patient’s extra-ocular muscles. When documenting the findings, the FNP should document the assessment of which cranial nerves?
III, IV, VI
A patient’s uvula rises midline when she says “ahh” and she has a positive gag reflex. The FNP has just tested which cranial nerve?
IX, X
During an examination the FNP notices that a patient is unable to stick out his tongue. Which cranial nerve is involved with successful performance of this action?
XII
A patient is unable to shrug her shoulders against the FNP‘s resistant hands. What cranial nerve is involved with successful shoulder shrugging?
XI
During an examination, the patient has just successfully completed the finger to nose and rapid alternating movements test and is able to run each heel down the opposite shin. The FNP would conclude that the patient’s___ function is intact
Cerebellar
A five-year-old child is in the clinic for checkup. The FNP would expect him to:
Be able to sit on the examination table
When the FNP performs the confrontation test the FNP has assessed:
Visual fields
Which of these statements is true regarding the complete physical assessment?
The patient should be in the sitting position for examination of the head and neck
Which of these statements is true regarding recording of data from the history and physical examination?
Record the data as soon as possible after the interview and physical examination
Which of these is included in assessment of general appearance?
Skin color
The FNP is performing a review of symptoms. Which of these questions are appropriate as Health promotion questions to ask during this time?
Do you sunscreen while outside?
The FNP is incorporating a person’s spiritual values into the health history. Which of these questions illustrates the community portion of the FICA questions?
Are you part of any religious or spiritual congregation?
The FNP is preparing to complete a health assessment on a 16-year-old girl whose parents have brought her to the clinic. Which instruction would be appropriate for the parents before the interview begins?
While I interview your daughter, will you step out to the waiting room and complete these family health history questionnaire
1) A mother brings her two month old daughter in for an examination says “my daughter rolled over against the wall and now I have noticed that she has the spot soft on the top of her head, is there something terribly wrong?” The FNP‘s best response would be:
“That soft spot is normal and actually allows for growth of the brain during the first year of your baby’s life”
2) During percussion the FNP knows that a dull percussion note elicited over a lung lobe. This most likely results from:
Increased density of lung tissue
3) The patient is unable to differentiate between sharp and dull stimulation to both sides of her face. The FNP suspects Damage to:
The trigeminal nerve
4) When examining the face, the FNP is aware that the two pairs of salivary gland‘s that are accessible to examination are the _____ glands
Parotid and submandibular
5) A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. The FNP suspects damage to cranial nerve ____ and proceeds with the examination by____
XI; asking the patient you should have her shoulders against resistance
6) When examining a patient’s cranial nerve function, the FNP remembers that the muscles in the neck that are innervated by CN XI are the:
Sternomastoid and trapezius
7) The patient’s laboratory data reveal an elevated thyroxine level. The FNP would proceed with an examination of the _____ gland
Thyroid
8) A patient says that she has recently noticed a lump in the front of her neck below her “Adams apple” that seems to be getting bigger. During the assessment, the finding that leaves the FNP to suspect that this may not be a cancerous thyroid nodule is that the lump:
Is mobile and not hard
9) The FNP notices that the patient’s submental lymph nodes are enlarg
1) A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when she fell and landed on her left hand. The FNP examined her hand and will expect a fracture if the girl complains:
Answer: Of sharp pain that increases with movement
2) A patient has been diagnosed with osteoporosis and asked the FNP “what is osteoporosis?” The FNP explains to the patient that osteoporosis is defined as:
Answer: Loss of bone density
3) Patient states, “I can hear a crunching or grating sound when I kneel”. She also states “that it is very difficult to get out of bed in the morning because of stiffness and pain in my joints”. The FNP should assess for signs of what problem?
Answer: Crepitation
4) When taking the history on a patient with a seizure disorder the FNP assesses whether the patient has an aura. Which of these would be the best question for obtaining this information?
Answer: Do you have any warning sign before you receive your starts?
1) A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient?
Enlarged and tender inguinal nodes
2) The direction of blood flow through the heart is best described by which of these
Right atrium > right ventricle > pulmonary artery > lungs > pulmonary vein > left atrium > left ventricle
3) In assessing the carotid artery’s of an older patient with cardiovascular disease, the FNP would
Listen with the bell of the stethoscope to assess for bruits
4) When listening to heart sounds the FNP knows that the valve closures that can be heard best at the base of the heart are
Aortic and Pulmonic
5) The sack that surrounds and protects the heart is called the
Pericardium [Show Less]