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NR509 MIDTERM EXAM WITH RATIONALIZED ANSWERS YEAR 2024/2025

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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? - verified answers-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: - verified answers-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? - verified answers-Rheumatoid arthritis

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Uploaded on
March 25, 2025
Number of pages
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2024/2025
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  • nr509 midterm exam

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NR509 MIDTERM EXAM WITH RATIONALIZED
ANSWERS YEAR 2024/2025

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: - verified answers-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: -
verified answers-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? - verified answers-
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? - verified answers-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: - verified answers-" 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? - verified answers-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: - verified answers-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 -
verified answers-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? - verified answers-Complete neurologic
examination

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? - verified answers-
Mild, even resistance to movement

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
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