NR 509 WEEK 4 QUIZ QUESTION AND ANSWERS( verified by gold expert)DOWNLOAD TO SCORE A

1) A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient? Enlarged and tender inguinal nodes 2) The direction of blood flow through the heart is best described by which of these Right atrium > right ventricle > pulmonary artery > lungs > pulmonary vein > left atrium > left ventricle 3) In assessing the carotid artery’s of an older patient with cardiovascular disease, the FNP would Listen with the bell of the stethoscope to assess for bruits 4) When listening to heart sounds the FNP knows that the valve closures that can be heard best at the base of the heart are Aortic and Pulmonic 5) The sack that surrounds and protects the heart is called the Pericardium 6) When assessing a newborn infant who is five minutes old the FNP knows that which of these statements would be true? There is an opening in the atrial septum we are blood can flow into the left side of the heart 7) The FNP is performing an assessment on an adult. The adults vital signs are normal and capillary refill is five seconds. What should the FNP do next? Consider this a delayed capillary refill time investigate further 8) During an assessment of an older adult the FNP should expect to notice which finding as normal physiologic change associated with aging process? Peripheral blood vessels growing more rigid with age producing a rise in systolic blood pressure 9) The mother of a three month old infant states that her baby has not been gaining weight. With further questioning the FNP finds that the infant falls asleep after nursing and wakes up after a short amount of time hungry again. What other information with the FNP want to have? Presence of dyspnea or diaphoresis one sucking 10) In assessing a patient’s major risk factors for heart disease which would the FNP want to include when taking a history? Smoking, hypertension, obesity, diabetes, high cholesterol 11) The FNP is assessing the pulses of a patient who has been admitted for untreated hyperthyroidism. The FNP should expect to find a____pulse Bounding 12) A patient complains of leg pain that wakes him at night. He states that he has been having problems with his legs. He has pain in his legs when they are elevated and disappears when he dangles them. He recently noticed a sore on the inner aspect of his right ankle. On the basis of this history information the FNP interprets that the patient is most likely experiencing Problems related to arterial insufficiency 13) During an assessment the FNP uses the profile sign to detect Early clubbing 14) Which of these statements describes the closure of the valves in a normal cardiac cycle? The tricuspid valve closes slightly later than the mitral valve 15) When performing a peripheral vascular assessment on a patient the FNP is unable to palpate the ulnar pulses. The patient skin is warm and capillary refill is normal. The FNP should next Consider this a normal finding and proceed with the peripheral vascular evaluation 16) A 67-year-old patient states that he “recently began have pain in his left calf when climbing the 10 stairs to his apartment”. This pain is relieved by sitting for about two minutes then he’s able to resume activities. The FNP interprets this patient is most likely experiencing Claudication 17) In assessing a 70-year-old man the FNP finds the following blood pressure 140/100 mmHg, heart rate 104 and slightly irregular, split S2. Which of these findings can be explained by expected hemodynamic changes related to age? Increase in systolic blood pressure 18) The FNP is examining the lymphatic system of a healthy three year old child. Which finding should the FNP expect? The presence of probable lymph nodes 19) The FNP is preparing to perform modified Allen test. Which is an appropriate reason for this test? To evaluate the adequacy of collateral circulation before cannulating the radial artery 20) A 25-year-old woman is in her fifth month of pregnancy has a blood pressure of 100/70 mmHg. In reviewing her previous exam the FNP notes that her blood pressure in her second month was 124/80 mmHg. When evaluating this change what does the FNP know to be true? This is the result of peripheral vasodilation and is an expected change 21) Findings from an assessment of a 70-year-old patient with swelling in his ankles include jugular venous pusations, 5 cm above the sternal angle when the head of his bed is elevated 45°. The FNP knows that this finding indicate: Elevated pressure related to heart failure 22) The component of the conduction system referred to as the pacemaker of the heart is the Sinoatrial (SA) node 23) The FNP is reviewing anatomy and physiology of the heart. Which statement best describes what is meant by atrial kick? The atria contract toward the end of diastole and push the remaining blood into the ventricles 24) A 45-year-old man is in the clinic for a routine physical. During history the patient states he has been having difficulty sleeping. I’ll be sleeping great and then I wake up and feel like I can’t catch my breath. The FNP‘s best response to this would be Do you have any history of problems with your heart 25) When assessing a patient the FNP notes that the left femoral pulse as diminished 1+/4+. What should the FNP do next? Auscultate the site for a bruit Week 5 1. An older patient has been diagnosed with pernicious anemia. The FNP knows that this condition could be related to? decreased gastric acid secretion 2. ….. examining a patient who tells the FNP “I sure sweat a lot especially on my face and feet but it doesn’t have an odor”. The FNP knows that this could … related to? the eccrine glands. 3. During an abdominal assessment the FNP elicits tenderness on light palpation in the right lower quadrant. The FNP interprets that this finding could indicate a disorder which of these structures?  Appendix 4. An Inuit visiting Nevada from anchorage has come to the clinic in July during the hottest part of the day. It so happens that the clinics air conditioning is broken and the temperature is very hot. The FNP knows that which of these statements is true about the Inuit sweating tendencies? They will sweat more on their faces and less on their trunks and extremities. 5. The FNP notices that a patient has black, tarry stool and recalls that a possible cause would? gastrointestinal bleeding 6. ….. an abdominal …. deep palpation is used to determine? enlarged organs 7. The FNP is assessing the abdomen of an aging adult. Which of these statements regarding an aging adult and abdominal assessment is true? The abdominal musculature is thinner. 8. During examination the FNP finds that a patient has excessive dryness of the skin. The best term to describe this condition is? xerosis 9. A FNP notices that a patient has ascites, which indicates the presence of? Fluid 10. The FNP is performing percussion during an abdominal assessment. Percussion notes during the abdominal assessment may include? tympany, hyperresonance, and dullness. 11. The FNP is caring for a black child who has … with marasmus. The FNP would expect to find the? hair to be less kinky and to be a copper-red color. (The hair of black children with severe malnutrition (e.g., marasmus) frequently changes not only in texture but in color—the child's hair becomes less kinky and assumes a copper-red color. The other findings are not present with marasmus.) 12. … patient’s medical record that the patient has a lesion that is confluent in nature. On examination the FNP would expect to find? lesions that run together 13. The FNP is assessing the abdomen of a pregnant woman who is complaining of having acid indigestion all the time. The FNP knows that esophageal reflux during pregnancy can cause? pyrosis. (Pyrosis, or heartburn, is caused by esophageal reflux during pregnancy.) 14. The patient has abdominal borborygmi. The FNP knows that this term refers to? hyperactive bowel sounds (Borborygmi is the term used for hyperperistalsis when the person actually feels his or her stomach growling.) 15. A patient has a terrible itch for several months that he … scratching continuously. On examination the FNP might expect to find?  lichenification. (Lichenification results from prolonged, intense scratching that eventually thickens the skin and produces tightly packed sets of papules. A keloid is a hypertrophic scar. A fissure is a linear crack with abrupt edges that extends into the dermis, and it can be dry or moist. Keratoses are lesions that are raised, thickened areas of pigmentation that look crusted, scaly, and warty.) 16. During aging process, the hair can look gray or white and begin to feel thin and fine. The FNP knows that this occurs because of a decrease in number of functioning? melanocytes. (In the aging hair matrix, the number of functioning melanocytes decreases so the hair looks gray or white and feels thin and fine. ) 17. The FNP notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. When documenting this finding the FNP would report this as a? papule 18. During an abdominal assessment the FNP would consider which of these findings as normal? A tympanic percussion note in the umbilical region 19. A 52 -year-old Woman has a papule on her nose that has a rounded pearly border and a central red ulcer. She said she first noticed it several months ago and that it is slowly growing larger. The FNP suspects which condition? Actinic Keratosis 20. The FNP is listening to bowel sounds. Which of these statements is true about bowel sounds? High pitched and irregular and gurgling 21. The FNP is watching a new graduate FNP perform auscultation of a patient abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation proceeds percussion and palpitation of the abdomen? It prevent distortion of bowel sounds that might occur after percussion and palpation 22. A patient is complaining of a sharp pain along the costovertebral angles. The FNP knows that this symptom is most often indicative of? kidney inflammation. 23. The patient is … of having inflammation of the gallbladder or cholecystitis. The FNP should conduct which of these techniques to assess for this condition? Test for Murphy's sign (Normally, palpating the liver causes no pain. In a person with inflammation of the gallbladder, or cholecystitis, pain occurs as the descending liver pushes the inflamed gallbladder onto the examining hand during inspiration (Murphy test). The person feels sharp pain and abruptly stops midway during inspiration.) 24. A newborn infant is in the clinic for a well baby check. The FNP observes the infant for possibility of fluid loss because of which these factors? The newborn's skin is more permeable than that of the adult 25. During an assessment of a newborn infant, the FNP recalls that pyloric stenosis would … manifested by? projectile vomiting (Marked peristalsis together with projectile vomiting in the newborn suggests pyloric stenosis. After feeding, pronounced peristaltic waves cross from left to right, leading to projectile vomiting. One can also palpate an olive-sized mass in the right upper quadrant.)