NR 509 Week 3 Quiz:

NR 509 Week 3 Quiz: Questions / Answers (Version 2)

1. What piece of equipment can be used to test for peripheral neuropathy
2. How would you test for Romberg sign
3. Diagnosis for patient with complaint of room spinning
4. Know expected postural changes in pregnancy
5. Know what the phalen’s test is and how to conduct it
6. Hands back to back for 60 secs looking for development of
7. Positive Phalen’s test
8. Older pt that can’t remember to tie shoes in order to assess this you first want to?
9. What is loss of bone density
10. Disease that is accompanied by joint pain in the morning that improves with movement and worsens with sitting
11. What is summation effect and what does it mean
12. Know what is normal findings in passive ROM
13. … evaluate a pt with migraines in regard to if they have an aura
14. Know abnormal finding of rotator cuff
15. Know the type of neuro exam to complete on a pt presenting with one sided weakness
16. Understand tennis elbow
17. Know common reflexes at various ages
18. What tremors improve with ETOH
19. Understand CN 11
20. What concerns exist when pt is slow with RAM
21. R/O MS
22. Know education for pts on exercises that help to prevent osteoporosis
23. What does hip abduction reveal

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?
2. The direction of blood flow through the heart is best described by which of these
3. In assessing the carotid artery’s of an older patient with cardiovascular disease, the FNP would
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
5. The sack that surrounds and protects the heart is called the
6. When assessing a newborn infant who is five minutes old the FNP knows that which of these statements would be true?
7. The FNP is performing an assessment on an adult. The adults vital signs are normal and capillary refill is five seconds. What should the FNP do next?
8. During an assessment of an older adult the FNP should expect to notice which finding as normal physiologic change associated with aging process?
9. The mother of a three month old infant states that her baby has not been gaining weight. With further questioning the FNP finds that the infant falls asleep after nursing and wakes up after a short amount of time hungry again. What other information with the FNP want to have?
10. In assessing a patient’s major risk factors for heart disease which would the FNP want to include when taking a history?
11. The FNP is … the pulses of a patient who has been admitted for untreated hyperthyroidism. The FNP should expect to find a____pulse
12. A patient complains of leg pain that wakes him at night. He states that he has been having problems with his legs. ….. his legs when they are … and disappears when he dangles them. He recently noticed a sore on the inner aspect of his right ankle. On the basis of this history information the FNP interprets that the patient is most likely experiencing
13. During an assessment the FNP uses the profile sign to detect
14. Which of these statements describes the closure of the valves in a normal cardiac cycle?
15. When performing a peripheral vascular assessment on a patient the FNP is unable to palpate the ulnar pulses. The patient skin is warm and capillary refill is normal. The FNP should next
16. A 67-year-old patient states that he “recently began have pain in his left calf when climbing the 10 stairs to his apartment”. This pain is relieved by sitting for about two minutes then he’s able to resume activities. The FNP interprets this patient is most likely experiencing
17. In assessing a 70-year-old man the FNP finds the following blood pressure 140/100 mmHg, heart rate 104 and slightly irregular, split S2. Which of these findings can… by expected hemodynamic changes related to age?
18. The FNP is examining the lymphatic system of a healthy three year old child. Which finding should the FNP expect?
19. The FNP is preparing to perform modified Allen test. Which is an appropriate reason for this test?
20. A 25-year-old woman is in her fifth month of pregnancy has a blood pressure of 100/70 mmHg. In reviewing her previous exam the FNP notes that her blood pressure in her second month was 124/80 mmHg. When evaluating this change what does the FNP know to be true?
21. Findings from an … of a 70-year-old patient with swelling in his ankles include jugular venous pusations, 5 cm above the sternal angle when the head of his bed is …. 45°. The FNP knows that this finding indicate:
22. The component of the conduction system referred to as the pacemaker of the heart is the
23. The FNP is reviewing anatomy and physiology of the heart. Which statement best … by atrial kick?
24. A 45-year-old man is in the clinic for a routine physical. During history the patient states he has been having difficulty sleeping. I’ll be sleeping great and then I wake up and feel like I can’t catch my breath. The FNP‘s best response to this would be
25. When assessing a patient the FNP notes that the left femoral pulse as diminished 1+/4+. What should the FNP do next?

1. An older patient has been diagnosed with pernicious anemia. The FNP knows that this condition could be related to
2. ….. examining a patient who tells the FNP “I sure sweat a lot especially on my face and feet but it doesn’t have an odor”. The FNP knows that this could … related to
3. During an abdominal assessment the FNP elicits tenderness on light palpation in the right lower quadrant. The FNP interprets that this finding could indicate a disorder which of these structures?
4. An Inuit visiting Nevada from anchorage has come to the clinic in July during the hottest part of the day. It so happens that the clinics air conditioning is broken and the temperature is very hot. The FNP knows that which of these statements is true about the Inuit sweating tendencies?
5. The FNP notices that a patient has black, tarry stool and recalls that a possible cause would …
6. ….. an abdominal …. deep palpation is used to determine
7. The FNP is assessing the abdomen of an aging adult. Which of these statements regarding an aging adult and abdominal assessment is true?
8. During examination the FNP finds that a patient has excessive dryness of the skin. The best term to describe this condition is
9. A FNP notices that a patient has ascites, which indicates the presence of
10. The FNP is performing percussion during an abdominal assessment. Percussion notes during the abdominal assessment may include
11. The FNP is caring for a black child who has … with marasmus. The FNP would expect to find the
12. … patient’s medical record that the patient has a lesion that is confluent in nature. On examination the FNP would expect to find
13. The FNP is assessing the abdomen of a pregnant woman who is complaining of having acid indigestion all the time. The FNP knows that esophageal reflux during pregnancy can cause
14. The patient has abdominal borborygmi. The FNP knows that this term refers to
15. A patient has a terrible itch for several months that he … scratching continuously. On examination the FNP might expect to find
16. During aging process, the hair can look gray or white and begin to feel thin and fine. The FNP knows that this occurs because of a decrease in number of functioning
17. The FNP notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. When documenting this finding the FNP would report this as a
18. During an abdominal assessment the FNP would consider which of these findings as normal?
19. A 52 -year-old Woman has a papule on her nose that has a rounded pearly border and a central red ulcer. She said she first noticed it several months ago and that it is slowly growing larger. The FNP suspects which condition?
20. The FNP is listening to bowel sounds. Which of these statements is true about bowel sounds?
21. The FNP is watching a new graduate FNP perform auscultation of a patient abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation proceeds percussion and palpitation of the abdomen?
22. A patient is complaining of a sharp pain along the costovertebral angles. The FNP knows that this symptom is most often indicative of
23. The patient is … of having inflammation of the gallbladder or cholecystitis. The FNP should conduct which of these techniques to assess for this condition?
24. A newborn infant is in the clinic for a well baby check. The FNP observes the infant for possibility of fluid loss because of which these factors?
25. During an assessment of a newborn infant, the FNP recalls that pyloric stenosis would … manifested by

NR 509 Week 5 Quiz Review

1. Tenderness in RLQ is concerning for
2. Inuit people tend to sweat more on face than trunk and extremities when exposed to heat
3. spot on face with round pearly boarder with central red lesion concerning for
4. Murphy sign= positive with deep palpation causes pain on inspiration
5. Why do you auscultate first in abd assessment
6. Tympany in the umbilical area
7. Pt with decreased gastric secretions is at increase
8. Another name for hyperactive bowels
9. Black tarry stool concerning
10. Lichenification caused by
11. A papule is
12. Older adults have
13. CVA tenderness
14. Confluent lesions
15. Dryness of the skin
16. Newborns are at greater risk of fluid loss
17. High pitched irregular bowel sounds
18. Changes in hair texture and color of an AA child with Marasmus
19. Know how to assess for enlarged organs in the abd region
20. Know three sounds heard in percussion

1. A woman has come to the clinic to seek help with a substance-abuse problem. She admits to using cocaine just before arrival. Which of these assessment findings would the FNP expect to find when examining the woman?
2. A 63-year-old Chinese American man enters the office with complaints of chest pain, shortness of breath, and palpitations. Which statement most accurately reflect the FNPs best course of action?
3. The FNP is planning to assess new memory with the patient. The best way for the FNP to do this would be
4. During the health history the FNP asks a female patient “how many alcoholic drinks do you have a week?” Which answer by the patient would indicate at risk drinking?
5. Symptoms such as pain are often influenced by a person’s cultural heritage. Which of the following is a true statement regarding pain?
6. The FNP suspect abuse when a 10-year-old child is taken to the urgent care center for leg injury. The best way to document the history and physical findings is to
7. During a mental status assessment, which question by the FNP would best assess a persons judgment?
8. The FNP is performing a mental status assessment on a five-year-old girl. Her parents are undergoing a bitter divorce and are worried about the effect it is having on their daughter. Which action or statement might leave FNP to be concerned about the girls mental status?
9. During mental status examination, the FNP wants to assess a patient’s affect. The FNP should ask the patient which question?
10. During an examination FNP notices a patterned injury on a patients back. Which of these would cause such an injury?
11. The FNP is aware that intimate partner violence screening should occur with which situation?
12. Which statement is best for the FNP to use when preparing to administer the abuse assessment screen?
13. The FNP is conducting a class on alcohol and the effects of alcohol on the body. How many standard drinks (each containing 12 g alcohol) Per day are associated with increased deaths from cirrhosis, cancers of the mouth, esophagus and injuries in men?
14. A woman who has just discovered that she is pregnant is in the clinic for her first obstetric visit. She asked the FNP how many drinks a day safe for my baby? The FNP‘s best response is
15. The FNP is performing the Denver II screen test on a 12 month old infant during a routine well child visit. The FNP should tell the infants parents that the Denver II
16. Which term refers to a one produced by tearing or splitting of body tissue usually from blunt impact of a bony surface
17. When reviewing the use of alcohol by older adults the FNP notes that the older adults have several characteristics that can increase the risk of alcohol use which would increase the bioavailability of alcohol in the blood for longer periods of time in the older adult?
18. The FNP is reviewing concepts of cultural aspects of pain. Which statement is
    true regarding pain?
19. The FNP is planning to assess a child using behavioral checklist. This tool is most appropriate for a(an)
20. The FNP is assessing orientation in a 79-year-old patient. Which of these responses … leave the FNP to … that the patient is … ?
21. As a mandatory reporter of elder abuse, which of these must be present before an FNP notifies the authorities?
22. A 30-year-old female patient is describing feelings of hopelessness and depression. She has attempted self-mutilation and has a history of prior suicide attempts. She describes difficulty sleeping at night and has lost 10 pounds in the past month. Which of these statements or questions is the FNP‘s best response in this situation?
23. For persons age 12 years and older which of these illicit substances was one of the most commonly used?
24. Which of these individuals would the FNP consider at highest risk for suicide attempt?
25. The FNP is …. a patient who has … for cirrhosis of the liver secondary to chronic alcohol use. During the physical … the FNP looks for cardiac problems that are … with chronic heavy use of alcohol such as

1. During an examination of an aging male the FNP recognizes that normal changes to expect would be:
2. During a health history, a 22-year-old woman asks “can I get that vaccine for HPV? I have gentle warts and I’d like them to go away!” What is the FNP‘s best response?
3. During a speculum inspection of the vagina the FNP would expect to see what at the end of the vaginal canal?
4. A 62-year-old man is experiencing fever, chills, malaise, urinary frequency and urgency. He also reports urethral discharge and a dull aching pain in the perineal and rectal area. The symptoms are most consistent with which of the following?
5. When performing a genital examination on a 25-year-old man the FNP notices deeply pigmented, wrinkled scrotal skin with large sebaceous follicles. On the basis of this information the FNP would:
6. The mother of a 10-year-old boy asks the FNP to discuss the recognition of puberty. The FNP should reply by saying:
7. The uterus is usually … tilting forward and superior to the bladder. This position is known as
8. A male patient with possible fertility problems asks the FNP where sperm is produced. The FNP knows that sperm production occurs in
9. A 15-year-old boy is seen in the clinic for complaints of dull pain and pulling in the scrotal area. On examination the FNP palpates a soft, irregular mass posterior to and above the testes on the left. This mass collapses when the patient is supine in refills when he is up right. This description is consistent with:
10. In performing an assessment of a woman’s axillary lymph system the FNP should assess which of these nodes?
11. A patient contacts the office and tells the FNP that she is worried about her 10-year-old daughter having breast cancer. She describes a unilateral enlargement of the right breast with associated tenderness. She is worried because the left breast is not enlarged. What would be the FNP‘s best response?
12. An 11-year-old girl is in the clinic for a sports physical. The FNP notices that she has begun to develop breasts, and during the conversation the girl reveals that she is worried about her development. …. which of these techniques to best assist the young girl in understanding the expected sequence for development? The FNP should:
13. A 54-year-old woman who has just completed menopause is in the clinic today for yearly physical examination. Which of these statements should the FNP include in patient education? A post menopausal woman:
14. A 62-year-old man states that his doctor told him that he has an inguinal hernia. He asks the FNP to explain what a hernia is……:
15. When performing a genital assessment on a middle-age man, the FNP notices multiple soft, moist, painless papules in the shape of cauliflower like patches scattered across the shaft of the penis. These lesions are characteristics of:
16. If a patient reports a recent breast infection, then the FNP should expect to find_____node enlargement
17. A 9-year-old girl is in the clinic for a sports physical. After some initial shyness she finally asked “am I normal? I don’t seem to need a bra yet, but I have some friends who do. What if I never get breasts?” The FNP‘s best response would be:
18. Which of these statements about the testes this true?
19. During an examination FNP observes a female patients vestibule and expect to see the
20. A 14-year-old girl is anxious about not having reached menarche. When taking history, the FNP should ascertain which of the following? The age:
21. A woman who is 22 weeks pregnant has a vaginal infection. She tells the FNP that she is afraid that the infection will hurt the fetus. The FNP knows that which of these statements is true?
22. In performing a breast examination the FNP knows that it is especially important to examine the upper outer quadrant of the breast. The reason for this is that the upper outer quadrant
23. An accessory glandular structure for the male genital organs is the
24. Which of these statements is true regarding the penis?
25. A woman who is 8 weeks pregnant is in the clinic for a check up. The FNP reads on her chart that her cervix is … cyanotic. The FNP knows that the woman is exhibiting____sign and _____sign