NR509 / NR 509 Midterm Exam Study Guide
Advanced Physical Assessment
Questions and Answers (Verified Answers)
1. A teenage girl has arrived complaining of pain in her left wrist. She was
play- ing basketball when she fell and landed on her left hand. The FNP
examined her hand and will expect a fracture if the girl complains:
A. of a dull ache
B. that the pain in her wrist is deep
C. of sharp pain that increases with movement
D. of dull throbbing pain that increases with rest
.: Of sharp pain that increases with movement
2. 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:
A. increased bone matrix
B. loss of bone density
C. new, weaker bone growth
D. increased phagocytic activity.
, : Loss of bone density
3. 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?
A. Crepitation
B. A bone spur
C. A loose tendon
D. Fluid in the knee joint
: Crepitation
4. 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?
A. "Does your muscle tone seem to tense or limp?"
B. "After the seizure, do you spend a lot of time sleeping?"
C. "Do you have any warning sign before your seizure starts?"
D. "Do you experience any color change or incontinence during the seizure
?"-
: Do you have any warning sign before your seizure starts?
,5. The FNP is teaching a class on osteoporosis prevention to a group of
post-menopausal women. A participant shows that she needs more
instruc- tion when she states I will:
A) start swimming to increase my weight-bearing exercise."
B) try to stop smoking as soon as possible."
C) check with my doctor about taking calcium supplements."
D) get a bone-density test soon.
": " Start swimming to increase my weight bearing exercise"
, Weight-bearing exercises include walking, low-impact aerobics, dancing,
or sta- tionary cycling. Swimming is not considered a weight-bearing
exercise. The other responses are correct.
6. 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?
A. Hyperalgesia
B. Hyperesthesia
C. Peripheral neuropathy
D. Lesion of sensory cortex
: Peripheral neuropathy
7. An 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:
A) internally rotate her hip while she is sitting.
B) abduct her hip while she is lying on her back.
C) adduct her hip while she is lying on her back.
Advanced Physical Assessment
Questions and Answers (Verified Answers)
1. A teenage girl has arrived complaining of pain in her left wrist. She was
play- ing basketball when she fell and landed on her left hand. The FNP
examined her hand and will expect a fracture if the girl complains:
A. of a dull ache
B. that the pain in her wrist is deep
C. of sharp pain that increases with movement
D. of dull throbbing pain that increases with rest
.: Of sharp pain that increases with movement
2. 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:
A. increased bone matrix
B. loss of bone density
C. new, weaker bone growth
D. increased phagocytic activity.
, : Loss of bone density
3. 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?
A. Crepitation
B. A bone spur
C. A loose tendon
D. Fluid in the knee joint
: Crepitation
4. 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?
A. "Does your muscle tone seem to tense or limp?"
B. "After the seizure, do you spend a lot of time sleeping?"
C. "Do you have any warning sign before your seizure starts?"
D. "Do you experience any color change or incontinence during the seizure
?"-
: Do you have any warning sign before your seizure starts?
,5. The FNP is teaching a class on osteoporosis prevention to a group of
post-menopausal women. A participant shows that she needs more
instruc- tion when she states I will:
A) start swimming to increase my weight-bearing exercise."
B) try to stop smoking as soon as possible."
C) check with my doctor about taking calcium supplements."
D) get a bone-density test soon.
": " Start swimming to increase my weight bearing exercise"
, Weight-bearing exercises include walking, low-impact aerobics, dancing,
or sta- tionary cycling. Swimming is not considered a weight-bearing
exercise. The other responses are correct.
6. 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?
A. Hyperalgesia
B. Hyperesthesia
C. Peripheral neuropathy
D. Lesion of sensory cortex
: Peripheral neuropathy
7. An 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:
A) internally rotate her hip while she is sitting.
B) abduct her hip while she is lying on her back.
C) adduct her hip while she is lying on her back.
