Download NR 509 FINAL EXAM 2024-2025 VERIFIED QUESTIONS AND CORRECT ANSWERS and more Exams Nursing in PDF only on Docsity!
NR 509 FINAL EXAM 2024 - 2025 VERIFIED QUESTIONS AND
CORRECT ANSWERS
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: - Correct Answer>>Of sharp pain that increases with movement 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: - Correct Answer>>Loss of bone density 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? - Correct Answer>>Crepitation 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? - Correct Answer>>Do you have any warning sign before you receive your starts? The FNP is teaching a class on osteoporosis prevention to a group of post menopausal women. A participant shows that she needs more instruction when she states I
will: - Correct Answer>>" Start swimming to increase my weight bearing exercise" The FNP is performing a neurological assessment on a 41-year-old woman with a history of diabetes. When testing her ability to feel the vibrations of a tuning fork the FNP notices that the patient is unable to feel vibrations on the great toe or ankle bilaterally, but she is able to feel vibrations on both patella. Given this information what would the FNP suspect? - Correct Answer>>Peripheral neuropathy And 80-year-old woman is visiting the clinic for a check up. She states "I can't walk as much as I used to". The FNP is observing from motor dysfunction in her hip and should have her: - Correct Answer>>Abduct her hip while she is lying on her back The FNP is testing the function of cranial nerve XI. Which of these best describes the response the FNP should expect if the nerve is intact?The patient - Correct Answer>>Moves the head and shoulders against resistance with equal strength A 50-year-old woman is in a clinic for weakness in her left arm and leg that she noticed for the past week. The FNP should perform which type of neurologic examination? - Correct Answer>>Complete neurologic examination During the neurological assessment of a healthy 35-year-old patient the FNP asks him to relax his
The assessment of a 60-year-old patient has taken longer than anticipated. In testing his pain perception the FNP decides to complete the test as quickly as possible. When the FNP applies the sharp point of a pin on his arm several times he is only able to identify these as one very sharp prick. What would be the most accurate explanation for this? - Correct Answer>>This is most likely the result of the summation effect An 85-year-old patient comments during his annual physical that "he seems to be getting shorter as he ages". The FNP should explain that decrease height occurs with aging because: - Correct Answer>>Of the shortening of the vertebral column A patient is complaining of pain in his joints that is worse in the morning, is better after he has moved around for a while, and then gets worse again if he sits for long periods of time. The FNP should assess for other signs of what problem? - Correct Answer>>Rheumatoid arthritis When the FNP asks a 68-year-old patient to stand with feet together and arms at his side with his eyes closed he starts to sway and moves his feet farther apart. The FNP would document this finding as: - Correct Answer>>Positive Romberg sign During an assessment of the cranial nerves the FNP finds the following asymmetry when the
patient smiles or frowns, uneven lifting of eyebrows, sagging of lower eyelids, and escape of air when the FNP presses against the right path cheek. This would indicate dysfunction of which of these cranial nerves? - Correct Answer>>Motor component of VII The FNP is teaching a class on osteoporosis prevention to a group of postmenopausal women which of these actions is the best way to prevent or delay bone loss in this group? - Correct Answer>>Taking calcium and vitamin D supplements In obtaining a history on a 74 year old patient the FNP notes that he drinks alcohol daily and that he has noticed a tremor in his hands that affects his ability to hold thing. With this information what should the FNP's response be? - Correct Answer>>Does the tremor change when you drink the alcohol? During a history of a 78-year-old man his wife states that "he occasionally has problems with short-term memory loss and confusion. He can't even remember how to button his shirt". In doing the assessment of his sensory system which action of the FNP's is most appropriate? - Correct Answer>>Before testing, the FNP would assess the patient's mental status and ability to follow directions at this time While obtaining a history of a 3 month old infant from the mother the FNP asks about the infants
accessible to examination are the _____ glands - Correct Answer>>Parotid and submandibular 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____ - Correct Answer>>XI; asking the patient you should have her shoulders against resistance 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: - Correct Answer>>Sternomastoid and trapezius The patient's laboratory data reveal an elevated thyroxine level. The FNP would proceed with an examination of the _____ gland - Correct Answer>>Thyroid 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: - Correct Answer>>Is mobile and not hard The FNP notices that the patient's submental lymph nodes are enlarged. In an effort to identify the cause of the node enlargement, the FNP would assess the patient's:
- Correct Answer>>Area proximal to the enlarged node The FNP is aware that the four areas in the body were lymph nodes
accessible are the: - Correct Answer>>Head and neck, arms, inguinal area, and axillae A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his eyes. The FNP should know that floaters are usually not significant and are caused by: - Correct Answer>>Condensed vitreous fibers The FNP is preparing to assess the visual acuity of a 16-year-old patient. How should the FNP proceed? - Correct Answer>>Use the Snellen chart position 20 feet away from the patient A patient's vision is recorded as 20/30 when the Snellen eyechart is used. The FNP interprets these results to indicate that: - Correct Answer>>The patient can read at 20 feet would a person with normal vision can read it 30 feet A patient is unable to read even the largest letters on the Snellen chart. The FNP should take which action next - Correct Answer>>Shorten the distance between the patient and the chart until it is seen and record that distance A patient's vision is reported as 20/80 in each eye. The FNP interprets this finding to mean that - Correct Answer>>The patient has poor vision When performing the corneal light reflex assessment, the FNP notes that the light is reflected at 2 o'clock in each eye. The FNP should - Correct Answer>>Consider this a normal finding The FNP is performing the diagnostic positions test. Normal findings
These findings are reflective of: - Correct Answer>>Dehydration The FNP is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate FNP reflects a correct understanding of tactile fremitus? Tactile fremitus: - Correct Answer>>It's caused by sounds generated from the larynx The FNP student is reviewing physical assessment findings of the HEENT system associated with pregnancy. Which statement by the graduate FNP reflects a correct understanding of expected HEENT changes associated with pregnancy? During pregnancy: - Correct Answer>>Nasal stuffiness may occur as a result of decreased vascularity in upper respiratory tract A patient tells the FNP that he is very nervous, that he is nauseated, and that he "feels hot". This type of data would be: - Correct Answer>>Subjective The patient's record, laboratory studies, objective data, and subjective data combine to form the: - Correct Answer>>Data base The FNP is reviewing information about evidence-based practice. Which statement best reflects evidence-based practice? - Correct Answer>>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
stools for the last 24 hours. How would the FNP best document his reason for seeking care? - Correct Answer>>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's statement? - Correct Answer>>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? - Correct Answer>>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? - Correct Answer>>Gravida 6, Para 4, (S) AB 2, living 4 Which of these statements represents subjective data the FNP obtained from the patient regarding the patients skin: - Correct Answer>>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? - Correct Answer>>Do you perform testicular self examination's? Which statement indicates that the FNP understands the pain experienced by an elderly persons? - Correct Answer>>Pain indicates pathology or injury and is not normal process of ageing
position or examination of the head and neck Which of these statements is true regarding recording of data from the history and physical examination? - Correct Answer>>Record the data as soon as possible after the interview and physical examination Which of these is included in the assessment of general appearance? - Correct Answer>>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?
- Correct Answer>>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? - Correct Answer>>Are you part of any religious or spiritual congregation? The FNP is preparing to complete a health assessment on a 1-year-old girl whose parents have brought her to the clinic. Which instruction would be appropriate for the parents before the interview begins? - Correct Answer>>While I interview your daughter, will you step out to the waiting room and complete these family health history questionnaires
