NURS 509 STUDY EXAM QUESTIONS
AND ANSWERS.
Proper positioning of the patient is critically important during the physical
assessment. During the physical examination, which is the best position to have
the patient when assessing for the murmur of aortic regurgitation?.
A. Lying supine with the head of bed 30°.
B. Sitting, leaning forward.
C. Lying on the left side.
D. Lying flat.
E. Lying to Pine with the head of bed elevated 45°
B. Sitting, leaning forward.
Orthopnea and paroxysmal nocturnal dyspnea generally occur in the following
conditions? Select all that apply.
A. Left ventricular heart failure.
B. Mitral stenosis.
C. Obstructive lung disease.
D. Pulmonary embolus.
E. Spontaneous pneumothorax.
A. Left ventricular heart failure.
B. Mitral stenosis.
Hey, 72-year-old male is admitted to the intensive care from the emergency room
for initial complaint of chest pain. After the history and physical examination, the
NP documents the following cardiovascular findings: JVP is 5 cm above the
sternal angle with the head of the bed elevated to 50°. Carotid upstrokes are
brisk, and brew is heard over the left carotid artery. A 3 cm in diameter is palpated
at the interior axillary line in the fifth and six intercostal spaces. S one and S2 are
soft. S3 is present at the Apex. High pitched harsh 2/6 holistic murmur best heard
at the apex, radiating to the axilla. Which of the following possible diagnosis is
based on the accurate interpretation of the assessment findings?
A. These findings suggest aortic aneurysm.
B. These findings suggest right carotid occlusion.
,C. These findings heart failure.
D. These findings suggest previous myocardial infarction.
E. These findings sugge
C. These findings heart failure.
An NP is caring for a patient with depression. The patient reports not feeling
suicidal, although still depressed on their current regimen of medication. The
lack of suicidal ideation is an example of what important aspect of clinical
documentation?
A. Establishing a problem.
B. Including sufficient detail to support the diagnosis implant.
C. including pertinent positives.
D. Including pertinent negatives.
E. Keeping a neutral and professional tone.
D. Including pertinent negatives.
A 28-year-old female presents to the office for an annual physical examination.
The NP is evaluating the cranial nerves while assessing the eyes. Findings are
represented as eyes looking right and looking left when looking right both eyes
follow to the right when looking left one eye goes to the left, the other stay
straight. Damage or inflammation of which of the following cranial nerves is
demonstrated? """PICTURE OF THE EYE MOVING TO THE SIDE
A. CN III.
B. CN II
C. CN VI
D. CN V.
E. CN IV
C. CN VI
An 82-year-old male speaking loudly during examination, suggesting he may not
be hearing well. What is a good question to ask him to best identify whether he
has a hearing loss?
A. Have you been listening to loud music?
B. Do you have discharge from his ear?
C. How well do you understand people in a noisy environment such as a
, restaurant?
D. Do you have vertigo?
E. Have you been having an earache?
C. How well do you understand people in a noisy environment such as a restaurant?
The NP is establishing report with a patient during an initial counter and prepares
to ask the patient how they would like to be addressed. What additional
consideration should the NP acknowledge when asking patients about their
pronouns?
A. Patient will likely feel uncomfortable with gender, identification questions.
B. You should select the pronoun that best matches the person's physical
appearance.
C. Addressing patients using personalized names can avoid conflict or
uncomfortable feelings during the clinical encounter.
D. children are less likely to share how they prefer to be addressed.
E. When asking patients about their own pronouns, it can be helpful to share your
own.
E. When asking patients about their own pronouns, it can be helpful to share your
own.
84-year-old male presents with daily headaches that have worsened over the past
several months. The headaches are worse with lying down and persist throughout
the day. On funduscopic examination of the right eye, you know that the disc edge
is indistinct, and the veins do not pulsate. What medical condition is most closely
associated with these physical assessment findings?
A. Increase intercranial pressure.
B. Acute angle glaucoma.
C. Detached retina.
D. Migraine.
E. Diabetic retinopathy.
A. Increase intercranial pressure.
The NP is assuming care for 56-year-old female resident of a long-term assisted-
living facility. The woman is seated in a wheelchair in her private room. After
completing the history of physical examination, the NP documents the following
AND ANSWERS.
Proper positioning of the patient is critically important during the physical
assessment. During the physical examination, which is the best position to have
the patient when assessing for the murmur of aortic regurgitation?.
A. Lying supine with the head of bed 30°.
B. Sitting, leaning forward.
C. Lying on the left side.
D. Lying flat.
E. Lying to Pine with the head of bed elevated 45°
B. Sitting, leaning forward.
Orthopnea and paroxysmal nocturnal dyspnea generally occur in the following
conditions? Select all that apply.
A. Left ventricular heart failure.
B. Mitral stenosis.
C. Obstructive lung disease.
D. Pulmonary embolus.
E. Spontaneous pneumothorax.
A. Left ventricular heart failure.
B. Mitral stenosis.
Hey, 72-year-old male is admitted to the intensive care from the emergency room
for initial complaint of chest pain. After the history and physical examination, the
NP documents the following cardiovascular findings: JVP is 5 cm above the
sternal angle with the head of the bed elevated to 50°. Carotid upstrokes are
brisk, and brew is heard over the left carotid artery. A 3 cm in diameter is palpated
at the interior axillary line in the fifth and six intercostal spaces. S one and S2 are
soft. S3 is present at the Apex. High pitched harsh 2/6 holistic murmur best heard
at the apex, radiating to the axilla. Which of the following possible diagnosis is
based on the accurate interpretation of the assessment findings?
A. These findings suggest aortic aneurysm.
B. These findings suggest right carotid occlusion.
,C. These findings heart failure.
D. These findings suggest previous myocardial infarction.
E. These findings sugge
C. These findings heart failure.
An NP is caring for a patient with depression. The patient reports not feeling
suicidal, although still depressed on their current regimen of medication. The
lack of suicidal ideation is an example of what important aspect of clinical
documentation?
A. Establishing a problem.
B. Including sufficient detail to support the diagnosis implant.
C. including pertinent positives.
D. Including pertinent negatives.
E. Keeping a neutral and professional tone.
D. Including pertinent negatives.
A 28-year-old female presents to the office for an annual physical examination.
The NP is evaluating the cranial nerves while assessing the eyes. Findings are
represented as eyes looking right and looking left when looking right both eyes
follow to the right when looking left one eye goes to the left, the other stay
straight. Damage or inflammation of which of the following cranial nerves is
demonstrated? """PICTURE OF THE EYE MOVING TO THE SIDE
A. CN III.
B. CN II
C. CN VI
D. CN V.
E. CN IV
C. CN VI
An 82-year-old male speaking loudly during examination, suggesting he may not
be hearing well. What is a good question to ask him to best identify whether he
has a hearing loss?
A. Have you been listening to loud music?
B. Do you have discharge from his ear?
C. How well do you understand people in a noisy environment such as a
, restaurant?
D. Do you have vertigo?
E. Have you been having an earache?
C. How well do you understand people in a noisy environment such as a restaurant?
The NP is establishing report with a patient during an initial counter and prepares
to ask the patient how they would like to be addressed. What additional
consideration should the NP acknowledge when asking patients about their
pronouns?
A. Patient will likely feel uncomfortable with gender, identification questions.
B. You should select the pronoun that best matches the person's physical
appearance.
C. Addressing patients using personalized names can avoid conflict or
uncomfortable feelings during the clinical encounter.
D. children are less likely to share how they prefer to be addressed.
E. When asking patients about their own pronouns, it can be helpful to share your
own.
E. When asking patients about their own pronouns, it can be helpful to share your
own.
84-year-old male presents with daily headaches that have worsened over the past
several months. The headaches are worse with lying down and persist throughout
the day. On funduscopic examination of the right eye, you know that the disc edge
is indistinct, and the veins do not pulsate. What medical condition is most closely
associated with these physical assessment findings?
A. Increase intercranial pressure.
B. Acute angle glaucoma.
C. Detached retina.
D. Migraine.
E. Diabetic retinopathy.
A. Increase intercranial pressure.
The NP is assuming care for 56-year-old female resident of a long-term assisted-
living facility. The woman is seated in a wheelchair in her private room. After
completing the history of physical examination, the NP documents the following
