NR509 Midterm
1. Of sharp pain that increases with movement: 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:
2. Loss of bone density: 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:
3. Crepitation: 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?
4. Do you have any warning sign before you receive your starts?: 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?
5. " Start swimming to increase my weight bearing exercise": 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:
6. Peripheral neuropathy: 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?
7. Abduct her hip while she is lying on her back: 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:
8. Moves the head and shoulders against resistance with equal strength: 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
9. Complete neurologic examination: A 50-year-old woman is in a clinic for weak-
ness in her left arm and leg that she noticed for the
past week. The FNP should perform which type of neurologic examination?
1/8
, NR509 Midterm
10. Mild, even resistance to movement: During the neurological assessment of a
healthy 35-year-old patient the FNP asks him to relax his
muscles completely. The FNP then moves each extremity through full range of
motion. Which of
these results would the FNP expect to find?
11. Lordosis: A woman who is 8 months pregnant comments that she has noticed
a change in posture and is
having lower back pain. The FNP tells her that during pregnancy women have a
posture shift to
compensate for the enlarging fetus. This shift and posture is known as:
12. Rotator cuff lesions: A patient is able to flex his right arm forward without
difficulty or pain but is unable to abduct his
arm because of pain and muscle spasm's. The FNP should suspect:
13. Medial and lateral epicondyle: A professional tennis player comes into the
clinic complaining of a sore elbow. The FNP will
assess for tenderness at the:
14. Hold both hands back to back while flexing the wrists 90° for 60 seconds-
: The FNP suspect that a patient has carpal tunnel syndrome and wants to perform
the Phalens
test. To perform this task the FNP should instruct the patient to:
15. Vertigo: During the history a patient tells the FNP that "it feels like the room is
spinning around me". The
FNP would document this as:
16. This is most likely the result of the summation effect: 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?
17. Of the shortening of the vertebral column: 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:
18. Rheumatoid arthritis: 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?
2/8
1. Of sharp pain that increases with movement: 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:
2. Loss of bone density: 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:
3. Crepitation: 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?
4. Do you have any warning sign before you receive your starts?: 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?
5. " Start swimming to increase my weight bearing exercise": 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:
6. Peripheral neuropathy: 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?
7. Abduct her hip while she is lying on her back: 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:
8. Moves the head and shoulders against resistance with equal strength: 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
9. Complete neurologic examination: A 50-year-old woman is in a clinic for weak-
ness in her left arm and leg that she noticed for the
past week. The FNP should perform which type of neurologic examination?
1/8
, NR509 Midterm
10. Mild, even resistance to movement: During the neurological assessment of a
healthy 35-year-old patient the FNP asks him to relax his
muscles completely. The FNP then moves each extremity through full range of
motion. Which of
these results would the FNP expect to find?
11. Lordosis: A woman who is 8 months pregnant comments that she has noticed
a change in posture and is
having lower back pain. The FNP tells her that during pregnancy women have a
posture shift to
compensate for the enlarging fetus. This shift and posture is known as:
12. Rotator cuff lesions: A patient is able to flex his right arm forward without
difficulty or pain but is unable to abduct his
arm because of pain and muscle spasm's. The FNP should suspect:
13. Medial and lateral epicondyle: A professional tennis player comes into the
clinic complaining of a sore elbow. The FNP will
assess for tenderness at the:
14. Hold both hands back to back while flexing the wrists 90° for 60 seconds-
: The FNP suspect that a patient has carpal tunnel syndrome and wants to perform
the Phalens
test. To perform this task the FNP should instruct the patient to:
15. Vertigo: During the history a patient tells the FNP that "it feels like the room is
spinning around me". The
FNP would document this as:
16. This is most likely the result of the summation effect: 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?
17. Of the shortening of the vertebral column: 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:
18. Rheumatoid arthritis: 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?
2/8
