Nr 509 Week 4 Midterm Exam.latest Update

NR 509 WEEK 4 Midterm EXAM.LATEST UPDATE 1. A 25-year-old woman is in her fifth month of pregnancy has a blood pressure of 100/70 mmHg. In reviewing her previous exam the FNP notes that her blood pressure in her second month was 124/80 mmHg. When evaluating this change what does the FNP know to be true? 2. 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? 3. A 45-year-old man is in the clinic for a routine physical. During history the patient states he has been having difficulty sleeping. I'll be sleeping great and then I wake up and feel like I can't catch my breath. The FNP's best response to this would be 4. 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 experiencing 5. The component of the conduction system referred to as the pacemaker of the heart is the 6. The direction of blood flow through the heart is best described by which of these This is a result of peripheral vasodilatation and is an expected change. Enlarged and tender inguinal nodes The inguinal nodes in the groin drain most of the lymph of the lower extremities. With local inflammation, the nodes in that area become swollen and tender. "Do you have any history of problems with your heart?" claudication SA Node Right atrium → right ventricle → pulmonary artery → lungs → pulmonary vein → left atrium → left ventricle 7. During an assessment of an older adult the FNP should expect to notice which finding as normal physiologic change associated with aging process? 8. During an assessment the FNP uses the profile sign to detect 9. The findings from an assessment of a 70-yearold patient with swelling in his ankles include jugular venous pulsations 5 cm above the sternal angle when the head of his bed is elevated 45 degrees. The nurse knows that this finding indicates: 10. The FNP is examining the lymphatic system of a healthy three year old child. Which finding should the FNP expect? 11. 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? ANS: Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood pressure Peripheral blood vessels grow more rigid with age, resulting in a rise in systolic blood pressure. Aging produces progressive enlargement of the intramuscular calf veins, not atrophy. The other options are not correct ANS: early clubbing. The nurse should use the profile sign (viewing the finger from the side) to detect early clubbing. elevated pressure related to heart failure