NR 509 Midterm Exam Test Question and Answers
A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when
she fell and landed on her left hand. The FNP examined her hand and will expect a fracture if the
girl complains:
Answer: Of sharp pain that increases with movement
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:
Answer: Loss of bone density
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?
Answer: Crepitation
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?
Answer: Do you have any warning sign before you receive your starts?
The FNP is teaching a class on osteoporosis prevention to a group of post menopausal women. A
participant shows that she needs more instruction when she states I will:
Answer: " Start swimming to increase my weight bearing exercise"
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?
Answer: Peripheral neuropathy
And 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:
Answer: Abduct her hip while she is lying on her back
The FNP is testing the function of cranial nerve XI. Which of these best describes the response
the FNP should expect if the nerve is intact?The patient
Answer: Moves the head and shoulders against resistance with equal strength
A 50-year-old woman is in a clinic for weakness in her left arm and leg that she noticed for the
past week. The FNP should perform which type of neurologic examination?
Answer: Complete neurologic examination
During the neurological assessment of a healthy 35-year-old patient the FNP asks him to relax his
muscles completely. The FNP then moves each extremity through full range of motion. Which of
these results would the FNP expect to find?
Answer: Mild, even resistance to movement
, A woman who is 8 months pregnant comments that she has noticed a change in posture and is
having lower back pain. The FNP tells her that during pregnancy women have a posture shift to
compensate for the enlarging fetus. This shift and posture is known as:
Answer: Lordosis
A patient is able to flex his right arm forward without difficulty or pain but is unable to abduct his
arm because of pain and muscle spasm's. The FNP should suspect:
Answer: Rotator cuff lesions
A professional tennis player comes into the clinic complaining of a sore elbow. The FNP will
assess for tenderness at the:
Answer: Medial and lateral epicondyle
The FNP suspect that a patient has carpal tunnel syndrome and wants to perform the Phalens
test. To perform this task the FNP should instruct the patient to:
Answer: Hold both hands back to back while flexing the wrists 90° for 60 seconds
During the history a patient tells the FNP that "it feels like the room is spinning around me". The
FNP would document this as:
Answer: Vertigo
The assessment of a 60-year-old patient has taken longer than anticipated. In testing his pain
perception the FNP decides to complete the test as quickly as possible. When the FNP applies
the sharp point of a pin on his arm several times he is only able to identify these as one very
sharp prick. What would be the most accurate explanation for this?
Answer: This is most likely the result of the summation effect
An 85-year-old patient comments during his annual physical that "he seems to be getting shorter
as he ages". The FNP should explain that decrease height occurs with aging because:
Answer: Of the shortening of the vertebral column
A patient is complaining of pain in his joints that is worse in the morning, is better after he has
moved around for a while, and then gets worse again if he sits for long periods of time. The FNP
should assess for other signs of what problem?
Answer: Rheumatoid arthritis
When the FNP asks a 68-year-old patient to stand with feet together and arms at his side with
his eyes closed he starts to sway and moves his feet farther apart. The FNP would document this
finding as:
Answer: Positive Romberg sign
During an assessment of the cranial nerves the FNP finds the following asymmetry when the
patient smiles or frowns, uneven lifting of eyebrows, sagging of lower eyelids, and escape of air
when the FNP presses against the right path cheek. This would indicate dysfunction of which of
these cranial nerves?
Answer: Motor component of VII
The FNP is teaching a class on osteoporosis prevention to a group of postmenopausal women
A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when
she fell and landed on her left hand. The FNP examined her hand and will expect a fracture if the
girl complains:
Answer: Of sharp pain that increases with movement
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:
Answer: Loss of bone density
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?
Answer: Crepitation
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?
Answer: Do you have any warning sign before you receive your starts?
The FNP is teaching a class on osteoporosis prevention to a group of post menopausal women. A
participant shows that she needs more instruction when she states I will:
Answer: " Start swimming to increase my weight bearing exercise"
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?
Answer: Peripheral neuropathy
And 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:
Answer: Abduct her hip while she is lying on her back
The FNP is testing the function of cranial nerve XI. Which of these best describes the response
the FNP should expect if the nerve is intact?The patient
Answer: Moves the head and shoulders against resistance with equal strength
A 50-year-old woman is in a clinic for weakness in her left arm and leg that she noticed for the
past week. The FNP should perform which type of neurologic examination?
Answer: Complete neurologic examination
During the neurological assessment of a healthy 35-year-old patient the FNP asks him to relax his
muscles completely. The FNP then moves each extremity through full range of motion. Which of
these results would the FNP expect to find?
Answer: Mild, even resistance to movement
, A woman who is 8 months pregnant comments that she has noticed a change in posture and is
having lower back pain. The FNP tells her that during pregnancy women have a posture shift to
compensate for the enlarging fetus. This shift and posture is known as:
Answer: Lordosis
A patient is able to flex his right arm forward without difficulty or pain but is unable to abduct his
arm because of pain and muscle spasm's. The FNP should suspect:
Answer: Rotator cuff lesions
A professional tennis player comes into the clinic complaining of a sore elbow. The FNP will
assess for tenderness at the:
Answer: Medial and lateral epicondyle
The FNP suspect that a patient has carpal tunnel syndrome and wants to perform the Phalens
test. To perform this task the FNP should instruct the patient to:
Answer: Hold both hands back to back while flexing the wrists 90° for 60 seconds
During the history a patient tells the FNP that "it feels like the room is spinning around me". The
FNP would document this as:
Answer: Vertigo
The assessment of a 60-year-old patient has taken longer than anticipated. In testing his pain
perception the FNP decides to complete the test as quickly as possible. When the FNP applies
the sharp point of a pin on his arm several times he is only able to identify these as one very
sharp prick. What would be the most accurate explanation for this?
Answer: This is most likely the result of the summation effect
An 85-year-old patient comments during his annual physical that "he seems to be getting shorter
as he ages". The FNP should explain that decrease height occurs with aging because:
Answer: Of the shortening of the vertebral column
A patient is complaining of pain in his joints that is worse in the morning, is better after he has
moved around for a while, and then gets worse again if he sits for long periods of time. The FNP
should assess for other signs of what problem?
Answer: Rheumatoid arthritis
When the FNP asks a 68-year-old patient to stand with feet together and arms at his side with
his eyes closed he starts to sway and moves his feet farther apart. The FNP would document this
finding as:
Answer: Positive Romberg sign
During an assessment of the cranial nerves the FNP finds the following asymmetry when the
patient smiles or frowns, uneven lifting of eyebrows, sagging of lower eyelids, and escape of air
when the FNP presses against the right path cheek. This would indicate dysfunction of which of
these cranial nerves?
Answer: Motor component of VII
The FNP is teaching a class on osteoporosis prevention to a group of postmenopausal women
