NR 509 MIDTERM PRACTICE
QUESTIONS AND ANSWERS
FIFEkmodelk-kCORRECTkANSWER-
Feelings,kideas,kfunctionalkeffects,kexpectations
Challengingkpatientsk-kCORRECTkANSWER-
Silent,ktalkative,kconfusingknarrative,kemotionalkliability,kangr
y/aggressive,kflirtatious,kdiscriminatory,khearingkloss,knonadh
erence
Focuskvskcomprehensivekassessmentk-
kCORRECTkANSWER-
Comprehensivekforkinitialkassessment,kfocusedkforkreturningk
ptkwithkchiefkcompliantkwithkankestablishedkbaseline.
Healthkhistoryk-kCORRECTkANSWER-
Usekquotation,kage,kgender,ksourcekofkinfo,k1-2ksentences
PMHk-kCORRECTkANSWER-
Medicalkillnesses,ksx,kpsych,kobgyn
Problemklistkandkdifferentialkdiagnosesk-
kCORRECTkANSWER-
Problemklistksummarizeskallkrelatedkproblemsktoksupportkdiff
kdx.k
diffkdx-
klistkofkallkposskdxkwithkpertinentk+k(abnormalkfindingskthatk
supportkdx)kandkpertinent-
k(normalkfindingskthatkdoknotksupportkdx)
whitekcoatkHTNk-kCORRECTkANSWER-Htnkinkoffice
, MaskedkHTNk-kCORRECTkANSWER-
htnkatkhomekbutknotkinkclinic
Hallucinationsk-kCORRECTkANSWER-
Nokexternalkstimulation,kcankhear,ksee,ksmell,korkfeelingkse
nsationskthatkareknotkthere.kDelirium,kdementia,kptsd,kschizo
Illusionsk-kCORRECTkANSWER-
misinterpretationskofkrealkexternalkstimuli.k"Magickshow".kDel
irium,kgriefkreaction,kacutekptsd,kschizo
Depressionkscreeningk-kCORRECTkANSWER-
UsekPHQ2kfirstkandkifkanykquestionskarekansweredk"yes"kpr
oceedkwithkPHQ9.kCanktaxkforkdepressionkbasedkoffkofkPH
Q9.
retinalkdetachmentk-kCORRECTkANSWER-
Visionkloss,kunilateral,kpainless,ktreatmentkisksupportive.kSxk
tokreattach
Redkreflexkabsenceskindicateskwhat?k-
kCORRECTkANSWER-
Cataracts,kvitreous,kdetachedkretina,kretinoblastomak(inkkids)
.k
referktokophthalmologist
nystagmusk-kCORRECTkANSWER-
Involuntarykrapidkeyekmovements
couldkindicatekcerebellumkdzkwithkgaitkataxia,kdysarthriak(inc
reasekinkretinalkfixation),kvestibularkdisorder(decreaseskwithk
retinalkfixation)
Optickneuritisk-kCORRECTkANSWER-
Painful,kunilateralkinflammationkofkthekopticknerve
seenkinkptskwithkMS
QUESTIONS AND ANSWERS
FIFEkmodelk-kCORRECTkANSWER-
Feelings,kideas,kfunctionalkeffects,kexpectations
Challengingkpatientsk-kCORRECTkANSWER-
Silent,ktalkative,kconfusingknarrative,kemotionalkliability,kangr
y/aggressive,kflirtatious,kdiscriminatory,khearingkloss,knonadh
erence
Focuskvskcomprehensivekassessmentk-
kCORRECTkANSWER-
Comprehensivekforkinitialkassessment,kfocusedkforkreturningk
ptkwithkchiefkcompliantkwithkankestablishedkbaseline.
Healthkhistoryk-kCORRECTkANSWER-
Usekquotation,kage,kgender,ksourcekofkinfo,k1-2ksentences
PMHk-kCORRECTkANSWER-
Medicalkillnesses,ksx,kpsych,kobgyn
Problemklistkandkdifferentialkdiagnosesk-
kCORRECTkANSWER-
Problemklistksummarizeskallkrelatedkproblemsktoksupportkdiff
kdx.k
diffkdx-
klistkofkallkposskdxkwithkpertinentk+k(abnormalkfindingskthatk
supportkdx)kandkpertinent-
k(normalkfindingskthatkdoknotksupportkdx)
whitekcoatkHTNk-kCORRECTkANSWER-Htnkinkoffice
, MaskedkHTNk-kCORRECTkANSWER-
htnkatkhomekbutknotkinkclinic
Hallucinationsk-kCORRECTkANSWER-
Nokexternalkstimulation,kcankhear,ksee,ksmell,korkfeelingkse
nsationskthatkareknotkthere.kDelirium,kdementia,kptsd,kschizo
Illusionsk-kCORRECTkANSWER-
misinterpretationskofkrealkexternalkstimuli.k"Magickshow".kDel
irium,kgriefkreaction,kacutekptsd,kschizo
Depressionkscreeningk-kCORRECTkANSWER-
UsekPHQ2kfirstkandkifkanykquestionskarekansweredk"yes"kpr
oceedkwithkPHQ9.kCanktaxkforkdepressionkbasedkoffkofkPH
Q9.
retinalkdetachmentk-kCORRECTkANSWER-
Visionkloss,kunilateral,kpainless,ktreatmentkisksupportive.kSxk
tokreattach
Redkreflexkabsenceskindicateskwhat?k-
kCORRECTkANSWER-
Cataracts,kvitreous,kdetachedkretina,kretinoblastomak(inkkids)
.k
referktokophthalmologist
nystagmusk-kCORRECTkANSWER-
Involuntarykrapidkeyekmovements
couldkindicatekcerebellumkdzkwithkgaitkataxia,kdysarthriak(inc
reasekinkretinalkfixation),kvestibularkdisorder(decreaseskwithk
retinalkfixation)
Optickneuritisk-kCORRECTkANSWER-
Painful,kunilateralkinflammationkofkthekopticknerve
seenkinkptskwithkMS