NR 509 Midterm Exam Questions and
Answers
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
Answers
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
