KSU FNDH 450 UPDATED EXAM CERTIFICATION
ASSESSMENT 2026 VERIFIED ANSWERS
GRADED A+
◉ A young woman undergoes cranial nerve testing. On touching the
soft palate, her uvula deviates to the left. Which of the following is
likely?
A) CN IX lesion on the left
B) CN X lesion on the left
C) CN IX lesion on the right
D) CN X lesion on the right
Answer: D) CN X lesion on the right
In cranial nerve X paralysis, the soft palate fails to rise and the uvula
deviates to the opposite side.
◉ When performing posterior palpation of the thyroid gland, you
should do all fo the following, EXCEPT:
A) Have the patient tip his or her head forward and slightly to the
side.
B) Place your index fingers above the cricoid cartilage.
C) Palpate between the sternocleidomastoid muscle and the trachea
for the lobes of the thyroid.
,D) Move your fingers laterally to palpate for the thyroid lobes.
Answer: B) Place your index fingers above the cricoid cartilage.
Place the fingers of both hands on the patient's neck so that your
index fingers are just BELOW the cricoid cartilage.
◉ You are interviewing an elderly woman in the ambulatory setting
and trying to get more information about her urinary symptoms.
Which of the following techniques is NOT a component of guided
questioning?
A) Reassuring the patient that the urinary symptoms are benign and
that she doesn't need to worry about it being a sign of cancer.
B) Offering the patient multiple choices in order to clarify the
character of the urinary symptoms she is experiencing.
C) Asking her to tell you what she means when she states that she
has a urinary tract infection.
D) Directed questioning starting with the general and proceeding to
the specific in a manner that does not make the patient give a yes/no
answer.
Answer: A) Reassuring the patient that the urinary symptoms are
benign and that she doesn't need to worry about it being a sign of
cancer.
Bates p 59, 69-71
,◉ Mrs. T. comes for her regular visit to the clinic. She is on your
schedule because her regular provider is on vacation and she
wanted to be seen. You have heard about her many times from your
colleague and are aware that she is a very talkative person. Which of
the following is a helpful technique to improve the quality of the
interview for both the provider and the patient?
A) Allow the patient to speak uninterrupted for the duration of the
appointment.
B) Briefly summarize what you heard from the patient in the first 5
minutes and then try to have her focus on one aspect of what she
told you.
C) Set the time limit at the beginning of the interview and stick with
it, no matter what occurs in the course of the interview.
D) Allow your impatience to show so that the patient picks up on
your nonverbal cue that the appointment needs to end.
Answer: B) Briefly summarize what you heard from the patient in
the first 5 minutes and then try to have her focus on one aspect of
what she told you.
Give the patient free rein for the first 5-10 minutes, listening closely
to the conversation. Focus on what seems most important to the
patient. Learn to set limits when needed. A brief summary may help
you change the subject yet validate any concerns. Do no show your
impatience.
, ◉ Which of the following will help to optimize success from a
pediatric examination?
A) Doing the examination out of order if necessary to take advantage
of quiet periods for auscultation, etc.
B) Being very orderly, so as not to miss a portion of the examination.
C) Using firmness throughout your examination, letting the child
know you are in charge.
D) Making sure to place the infant on the table during the
examination while Mom watches close by.
Answer: A) Doing the examination out of order if necessary to take
advantage of quiet periods for auscultation, etc.
With certain exceptions, physical examination does not require use
of the examining table, or with the child in a parent's lap. Plan the
examination to start with the least distressing procedures and end
with the most distressing, usually involving the throat and ears.
Patience, distraction, play flexibility in the order of the examination,
and caring but firm approach are all key to successfully examining
the young child.
◉ A patient has come in for an examination and states, "I have this
spot in front of my ear lobe here on my cheek that seems to be
getting bigger and is tender. What do you think it is?" The NP notes
swelling above the angle of the jaw and suspects it could be an
inflammation of his:
A) occipital node
ASSESSMENT 2026 VERIFIED ANSWERS
GRADED A+
◉ A young woman undergoes cranial nerve testing. On touching the
soft palate, her uvula deviates to the left. Which of the following is
likely?
A) CN IX lesion on the left
B) CN X lesion on the left
C) CN IX lesion on the right
D) CN X lesion on the right
Answer: D) CN X lesion on the right
In cranial nerve X paralysis, the soft palate fails to rise and the uvula
deviates to the opposite side.
◉ When performing posterior palpation of the thyroid gland, you
should do all fo the following, EXCEPT:
A) Have the patient tip his or her head forward and slightly to the
side.
B) Place your index fingers above the cricoid cartilage.
C) Palpate between the sternocleidomastoid muscle and the trachea
for the lobes of the thyroid.
,D) Move your fingers laterally to palpate for the thyroid lobes.
Answer: B) Place your index fingers above the cricoid cartilage.
Place the fingers of both hands on the patient's neck so that your
index fingers are just BELOW the cricoid cartilage.
◉ You are interviewing an elderly woman in the ambulatory setting
and trying to get more information about her urinary symptoms.
Which of the following techniques is NOT a component of guided
questioning?
A) Reassuring the patient that the urinary symptoms are benign and
that she doesn't need to worry about it being a sign of cancer.
B) Offering the patient multiple choices in order to clarify the
character of the urinary symptoms she is experiencing.
C) Asking her to tell you what she means when she states that she
has a urinary tract infection.
D) Directed questioning starting with the general and proceeding to
the specific in a manner that does not make the patient give a yes/no
answer.
Answer: A) Reassuring the patient that the urinary symptoms are
benign and that she doesn't need to worry about it being a sign of
cancer.
Bates p 59, 69-71
,◉ Mrs. T. comes for her regular visit to the clinic. She is on your
schedule because her regular provider is on vacation and she
wanted to be seen. You have heard about her many times from your
colleague and are aware that she is a very talkative person. Which of
the following is a helpful technique to improve the quality of the
interview for both the provider and the patient?
A) Allow the patient to speak uninterrupted for the duration of the
appointment.
B) Briefly summarize what you heard from the patient in the first 5
minutes and then try to have her focus on one aspect of what she
told you.
C) Set the time limit at the beginning of the interview and stick with
it, no matter what occurs in the course of the interview.
D) Allow your impatience to show so that the patient picks up on
your nonverbal cue that the appointment needs to end.
Answer: B) Briefly summarize what you heard from the patient in
the first 5 minutes and then try to have her focus on one aspect of
what she told you.
Give the patient free rein for the first 5-10 minutes, listening closely
to the conversation. Focus on what seems most important to the
patient. Learn to set limits when needed. A brief summary may help
you change the subject yet validate any concerns. Do no show your
impatience.
, ◉ Which of the following will help to optimize success from a
pediatric examination?
A) Doing the examination out of order if necessary to take advantage
of quiet periods for auscultation, etc.
B) Being very orderly, so as not to miss a portion of the examination.
C) Using firmness throughout your examination, letting the child
know you are in charge.
D) Making sure to place the infant on the table during the
examination while Mom watches close by.
Answer: A) Doing the examination out of order if necessary to take
advantage of quiet periods for auscultation, etc.
With certain exceptions, physical examination does not require use
of the examining table, or with the child in a parent's lap. Plan the
examination to start with the least distressing procedures and end
with the most distressing, usually involving the throat and ears.
Patience, distraction, play flexibility in the order of the examination,
and caring but firm approach are all key to successfully examining
the young child.
◉ A patient has come in for an examination and states, "I have this
spot in front of my ear lobe here on my cheek that seems to be
getting bigger and is tender. What do you think it is?" The NP notes
swelling above the angle of the jaw and suspects it could be an
inflammation of his:
A) occipital node
