NR 509 WEEK 6 QUIZLET CURRENTLY TESTING
WITH DETAILED QUESTIONS AND CORRECT
ANSWERS GRADED A+| CHAMBERLAIN
UNIVERSITY
1. A patient presents to the clinic after consuming cocaine
immediately prior to arrival. Which clinical presentation
should the Family Nurse Practitioner (FNP) expect during the
physical assessment?
A. Miosis, bradycardia, and severe lethargy
B. Dilated pupils, pacing, and psychomotor agitation
C. Ptosis, hypotension, and hypothermia
D. Nystagmus, generalized edema, and hypoventilation
Correct Answer: B
Rationale: Cocaine is a central nervous system stimulant that
triggers sympathetic nervous system activation. Assessment
findings typically include pupillary dilation (mydriasis),
psychomotor agitation, pacing, tachycardia, and elevated blood
pressure.
,2. A 63-year-old Chinese American male presents with
sudden-onset chest pain, shortness of breath, and
palpitations. What is the FNP’s most appropriate initial
action?
A. Perform an immediate, focused cardiac assessment
exclusively.
B. Attribute the complaints to psychosomatic stress upon
discovering his wife’s cancer diagnosis.
C. Discharge the patient with instructions to follow up with his
primary care provider.
D. Perform a comprehensive assessment addressing both
physical and psychosocial realms.
Correct Answer: D
Rationale: Symptoms such as chest pain and dyspnea can stem
from acute physiological crises (e.g., myocardial infarction) or
severe psychosocial distress (e.g., panic attack). Because the
etiology is unclear upon initial presentation, the clinician must
, thoroughly evaluate both physical and psychosocial domains to
ensure patient safety and avoid diagnostic bias.
3. The FNP is evaluating a patient for early cognitive decline
and wishes to assess the ability to lay down new memories.
Which assessment strategy is the most valid and sensitive
tool for this purpose?
A. Asking the patient to detail their daily routine prior to the
appointment
B. Administering the Four Unrelated Words Test
C. Inquiring about the patient’s first job or childhood home
D. Administering the Functional Activities Assessment (FACT) test
Correct Answer: B
Rationale: The Four Unrelated Words Test evaluates recent
memory and the cognitive ability to form new memories, using
objective targets that prevent confabulation. Asking about remote
events (like a first job) tests long-term recall rather than new
memory formation, while asking about recent self-reported
activities cannot easily be corroborated.
WITH DETAILED QUESTIONS AND CORRECT
ANSWERS GRADED A+| CHAMBERLAIN
UNIVERSITY
1. A patient presents to the clinic after consuming cocaine
immediately prior to arrival. Which clinical presentation
should the Family Nurse Practitioner (FNP) expect during the
physical assessment?
A. Miosis, bradycardia, and severe lethargy
B. Dilated pupils, pacing, and psychomotor agitation
C. Ptosis, hypotension, and hypothermia
D. Nystagmus, generalized edema, and hypoventilation
Correct Answer: B
Rationale: Cocaine is a central nervous system stimulant that
triggers sympathetic nervous system activation. Assessment
findings typically include pupillary dilation (mydriasis),
psychomotor agitation, pacing, tachycardia, and elevated blood
pressure.
,2. A 63-year-old Chinese American male presents with
sudden-onset chest pain, shortness of breath, and
palpitations. What is the FNP’s most appropriate initial
action?
A. Perform an immediate, focused cardiac assessment
exclusively.
B. Attribute the complaints to psychosomatic stress upon
discovering his wife’s cancer diagnosis.
C. Discharge the patient with instructions to follow up with his
primary care provider.
D. Perform a comprehensive assessment addressing both
physical and psychosocial realms.
Correct Answer: D
Rationale: Symptoms such as chest pain and dyspnea can stem
from acute physiological crises (e.g., myocardial infarction) or
severe psychosocial distress (e.g., panic attack). Because the
etiology is unclear upon initial presentation, the clinician must
, thoroughly evaluate both physical and psychosocial domains to
ensure patient safety and avoid diagnostic bias.
3. The FNP is evaluating a patient for early cognitive decline
and wishes to assess the ability to lay down new memories.
Which assessment strategy is the most valid and sensitive
tool for this purpose?
A. Asking the patient to detail their daily routine prior to the
appointment
B. Administering the Four Unrelated Words Test
C. Inquiring about the patient’s first job or childhood home
D. Administering the Functional Activities Assessment (FACT) test
Correct Answer: B
Rationale: The Four Unrelated Words Test evaluates recent
memory and the cognitive ability to form new memories, using
objective targets that prevent confabulation. Asking about remote
events (like a first job) tests long-term recall rather than new
memory formation, while asking about recent self-reported
activities cannot easily be corroborated.
