8/21/25, 7:31 PM NURS 500 - exam one
NURS 500 Advanced Pathophysiology –MSN Nursing
Exam 1 Guide & study material \complete questions and
accurate detailed answers \verified 100%
Conversations follow naturally after asking about caffeine and
cigarettes
Alcohol - "Tell me about your use of alcohol", "Have
you ever had a drinking problem?", "When was your
When considering alcohol last drink?"
and illicit drug use, what are
some screening strategies Use CAGE questions - cutting down, annoyance when
that the FNP might use? criticized, guilty feelings, eye openers --> two
What questions should the affirmatives suggest alcohol misuse --> ask about
FNP ask? blackouts, seizures, accidents/injuries, job problems,
conflict in personal relationships
Illicit drugs - "How many times in the past year have you
used an illegal drug or used a prescription med for
non-clinical reasons?"
Modify CAGE questions by adding "or drugs" to each question
Women of reproductive age
Who should be screened
for intimate partner
Begin with normalizing statement ("Because abuse is
violence (IPV)? What is the
common in many women's lives, I've begun to ask
best approach to IPV
about it routinely")
screening?
Act as the patient's health decision maker when they are
What is a health care proxy
incapable
and who should have
one? Any adult, especially the elderly or chronically ill
1/31
,8/21/25, 7:31 PM NURS 500 - exam one
Fatigue: nonspecific symptom with many causes, sense
What is the difference
of weariness or loss of energy --> ask about life
between weakness and
circumstances (normal response to hard work, stress,
fatigue? When is fatigue and
grief)
expected finding?
Weakness: demonstrable loss of muscle power
Overweight: BMI >25-29
Obese: BMI >30
How do we define weight Weight loss: loss of >5% over a 6 month period
loss? Overweight? Obesity?
What are some etiologies Etiologies of weight loss: anorexia, depression,
that we would consider? dysphagia, vomiting, abdominal pain, defective GI
absorption/inflammation, increased metabolic
requirements, substance abuse, HIV/AIDS,
malignancy, endocrine disorders
Does the test accurately identify whether a patient has a disease?
What determines the validity
Compare the test against a gold standard (the best
of a test?
measure of whether a patient has disease)
Sensitivity: the probability that a personal with disease
What is the difference has a positive test (true positive)
between sensitivity and
specificity? Specificity: probability that a non-diseased person has a negative
test (true negative)
Vision and
hearing
Exercise
What type of routine Household safety and fall prevention
Immunizations (influenza, pneumonia,
screening do older adults
shingles, tdap) Cancer screening
need?
Depression
Dementia, mild cognitive impairment,
cognitive decline Elder mistreatment
and abuse
What geriatric syndromes Cognitive impairment, falls, incontinence, low BMI,
should the FNP assess for dizziness, impaired vision and hearing
in the older adult?
2/31
,8/21/25, 7:31 PM NURS 500 - exam one
What environmental Temperature (not too cool or hot), bright lighting, face
changes should we patient directly (sitting at eye level), quiet room free of
consider in the office to distractions, speak in low tones, patient should be using
make a history and glasses, hearing aids, dentures
examination as comfortable
as possible for the older
adult?
When observing the Inappropriate parental discipline ("difficult
parent-child interaction temperament"), parental stress/depression, etc.
during an exam, what would
the FNP be looking for?
How and why would you Examination varies according to child's age and comfort level
approach a pediatric or - Less invasive early and distressing interventions near the end
adolescent history/exam - Exam areas of pain last
differently than an
adult?
Infant: weight should be tripled by 1 year old, height
increased by 50% from birth, head circumference (FTT --
> growth <5th percentile or drop >2 quartiles in 6 months,
What are normal growth weight for length <5th percentile)
parameters for the infant?
Child? Adolescent? Child: after 2 years, gain about 2-3 kg or grow
5cm/year, walk by 15 months and run by 2 years
Adolescent: growth spurt at 14 years for females and 16 years for
males
In considering abnormal Anorexia, bulimia, obesity
growth, which children
should be prioritized for
evaluation?
What are the five domains of Gross motor, fine motor, cognitive (or problem solving),
infant/child development? communication, personal/social
3/31
, 8/21/25, 7:31 PM NURS 500 - exam one
Birth: focuses, fixes/follows, responds to sounds, regards faces
1 month: head control, smiles
2 months: coos
3 months: rolls over, grasps rattle,
What are the various gross
motor, fine motor, and works for toy, babbles 5 months:
communication milestones
that are important to sits, squeals, laughs
identify in the infant
patient? 7 months: feeds self, indicates wants
8 months: dada/mama specific, indicates wants
9 months: pulls to stand, crawls, waves
and plays peek-a-boo 12 months: walks,
2-3 words, uses spoon
1 year: walks, runs, 2-3 single words, plays peek-a-boo, separation
anxiety
2 years: throws a ball overhand, 2-3 word phrases,
draws circle, imitates activities, prefers to do tasks
What are the various gross by self
motor, fine motor, and
3 years: pedals tricycle, jumps in place, feeds self
communication milestones
with utensils, knows colors, sentences, asks
that are important to
"why?", sings songs, knows self in mirror, knows
identify in the child
gender
patient?
4 years: cuts with scissors, hops, balances on 1 foot,
100% of speech is understandable, talks in paragraphs,
imaginative, signs, talks in turn, puts on clothes
5 years: copies, skips, balances on 1 foot, walks on
tiptoes, says ABCs, copies figures, defines words,
dresses self w/ buttons/zips, plays games, knows whole
4/31
NURS 500 Advanced Pathophysiology –MSN Nursing
Exam 1 Guide & study material \complete questions and
accurate detailed answers \verified 100%
Conversations follow naturally after asking about caffeine and
cigarettes
Alcohol - "Tell me about your use of alcohol", "Have
you ever had a drinking problem?", "When was your
When considering alcohol last drink?"
and illicit drug use, what are
some screening strategies Use CAGE questions - cutting down, annoyance when
that the FNP might use? criticized, guilty feelings, eye openers --> two
What questions should the affirmatives suggest alcohol misuse --> ask about
FNP ask? blackouts, seizures, accidents/injuries, job problems,
conflict in personal relationships
Illicit drugs - "How many times in the past year have you
used an illegal drug or used a prescription med for
non-clinical reasons?"
Modify CAGE questions by adding "or drugs" to each question
Women of reproductive age
Who should be screened
for intimate partner
Begin with normalizing statement ("Because abuse is
violence (IPV)? What is the
common in many women's lives, I've begun to ask
best approach to IPV
about it routinely")
screening?
Act as the patient's health decision maker when they are
What is a health care proxy
incapable
and who should have
one? Any adult, especially the elderly or chronically ill
1/31
,8/21/25, 7:31 PM NURS 500 - exam one
Fatigue: nonspecific symptom with many causes, sense
What is the difference
of weariness or loss of energy --> ask about life
between weakness and
circumstances (normal response to hard work, stress,
fatigue? When is fatigue and
grief)
expected finding?
Weakness: demonstrable loss of muscle power
Overweight: BMI >25-29
Obese: BMI >30
How do we define weight Weight loss: loss of >5% over a 6 month period
loss? Overweight? Obesity?
What are some etiologies Etiologies of weight loss: anorexia, depression,
that we would consider? dysphagia, vomiting, abdominal pain, defective GI
absorption/inflammation, increased metabolic
requirements, substance abuse, HIV/AIDS,
malignancy, endocrine disorders
Does the test accurately identify whether a patient has a disease?
What determines the validity
Compare the test against a gold standard (the best
of a test?
measure of whether a patient has disease)
Sensitivity: the probability that a personal with disease
What is the difference has a positive test (true positive)
between sensitivity and
specificity? Specificity: probability that a non-diseased person has a negative
test (true negative)
Vision and
hearing
Exercise
What type of routine Household safety and fall prevention
Immunizations (influenza, pneumonia,
screening do older adults
shingles, tdap) Cancer screening
need?
Depression
Dementia, mild cognitive impairment,
cognitive decline Elder mistreatment
and abuse
What geriatric syndromes Cognitive impairment, falls, incontinence, low BMI,
should the FNP assess for dizziness, impaired vision and hearing
in the older adult?
2/31
,8/21/25, 7:31 PM NURS 500 - exam one
What environmental Temperature (not too cool or hot), bright lighting, face
changes should we patient directly (sitting at eye level), quiet room free of
consider in the office to distractions, speak in low tones, patient should be using
make a history and glasses, hearing aids, dentures
examination as comfortable
as possible for the older
adult?
When observing the Inappropriate parental discipline ("difficult
parent-child interaction temperament"), parental stress/depression, etc.
during an exam, what would
the FNP be looking for?
How and why would you Examination varies according to child's age and comfort level
approach a pediatric or - Less invasive early and distressing interventions near the end
adolescent history/exam - Exam areas of pain last
differently than an
adult?
Infant: weight should be tripled by 1 year old, height
increased by 50% from birth, head circumference (FTT --
> growth <5th percentile or drop >2 quartiles in 6 months,
What are normal growth weight for length <5th percentile)
parameters for the infant?
Child? Adolescent? Child: after 2 years, gain about 2-3 kg or grow
5cm/year, walk by 15 months and run by 2 years
Adolescent: growth spurt at 14 years for females and 16 years for
males
In considering abnormal Anorexia, bulimia, obesity
growth, which children
should be prioritized for
evaluation?
What are the five domains of Gross motor, fine motor, cognitive (or problem solving),
infant/child development? communication, personal/social
3/31
, 8/21/25, 7:31 PM NURS 500 - exam one
Birth: focuses, fixes/follows, responds to sounds, regards faces
1 month: head control, smiles
2 months: coos
3 months: rolls over, grasps rattle,
What are the various gross
motor, fine motor, and works for toy, babbles 5 months:
communication milestones
that are important to sits, squeals, laughs
identify in the infant
patient? 7 months: feeds self, indicates wants
8 months: dada/mama specific, indicates wants
9 months: pulls to stand, crawls, waves
and plays peek-a-boo 12 months: walks,
2-3 words, uses spoon
1 year: walks, runs, 2-3 single words, plays peek-a-boo, separation
anxiety
2 years: throws a ball overhand, 2-3 word phrases,
draws circle, imitates activities, prefers to do tasks
What are the various gross by self
motor, fine motor, and
3 years: pedals tricycle, jumps in place, feeds self
communication milestones
with utensils, knows colors, sentences, asks
that are important to
"why?", sings songs, knows self in mirror, knows
identify in the child
gender
patient?
4 years: cuts with scissors, hops, balances on 1 foot,
100% of speech is understandable, talks in paragraphs,
imaginative, signs, talks in turn, puts on clothes
5 years: copies, skips, balances on 1 foot, walks on
tiptoes, says ABCs, copies figures, defines words,
dresses self w/ buttons/zips, plays games, knows whole
4/31
