NR509 MIDTERM FINAL EXAMS WITH
ANSWERS
Akteenagekgirlkhaskarrivedkcomplainingkofkpainkinkherkleftkw
rist.kShekwaskplayingkbasketballkwhenk
shekfellkandklandedkonkherkleftkhand.kThekFNPkexaminedkh
erkhandkandkwillkexpectkakfracturekifkthe
girlkcomplains:k-kCORRECTkANSWER-
Ofksharpkpainkthatkincreaseskwithkmovement
Akpatientkhaskbeenkdiagnosedkwithkosteoporosiskandkasked
kthekFNPk"whatkiskosteoporosis?"kThek
FNPkexplainsktokthekpatientkthatkosteoporosiskiskdefinedkas:
k-kCORRECTkANSWER-Losskofkbonekdensity
Patientkstates,k"Ikcankhearkakcrunchingkorkgratingksoundkwh
enkIkkneel".kShekalsokstatesk"thatkitkisk
verykdifficultktokgetkoutkofkbedkinkthekmorningkbecausekofks
tiffnesskandkpainkinkmykjoints".kThekFNP
shouldkassesskforksignskofkwhatkproblem?k-
kCORRECTkANSWER-Crepitation
Whenktakingkthekhistorykonkakpatientkwithkakseizurekdisorde
rkthekFNPkassesseskwhetherkthek
patientkhaskankaura.kWhichkofkthesekwouldkbekthekbestkqu
estionkforkobtainingkthiskinformation?k-
kCORRECTkANSWER-
Dokyoukhavekanykwarningksignkbeforekyoukreceivekyourksta
rts?
ThekFNPkiskteachingkakclasskonkosteoporosiskpreventionkto
kakgroupkofkpostkmenopausalkwomen.kA
, participantkshowskthatkshekneedskmorekinstructionkwhenksh
ekstateskIkwill:k-kCORRECTkANSWER-
"kStartkswimmingktokincreasekmykweightkbearingkexercise"
ThekFNPkiskperformingkakneurologicalkassessmentkonkak41-
year-oldkwomankwithkakhistorykofk
diabetes.kWhenktestingkherkabilityktokfeelkthekvibrationskofka
ktuningkforkkthekFNPknoticeskthatkthek
patientkiskunablektokfeelkvibrationskonkthekgreatktoekorkankl
ekbilaterally,kbutkshekiskablektokfeelk
vibrationskonkbothkpatella.kGivenkthiskinformationkwhatkwoul
dkthekFNPksuspect?k-kCORRECTkANSWER-
Peripheralkneuropathy
Andk80-year-
oldkwomankiskvisitingkthekclinickforkakcheckkup.kShekstatesk
"Ikcan'tkwalkkaskmuchkaskIk
usedkto".kThekFNPkiskobservingkfromkmotorkdysfunctionkink
herkhipkandkshouldkhavekher:k-kCORRECTkANSWER-
Abductkherkhipkwhilekshekisklyingkonkherkback
ThekFNPkisktestingkthekfunctionkofkcranialknervekXI.kWhichk
ofkthesekbestkdescribeskthekresponsek
thekFNPkshouldkexpectkifktheknervekiskintact?Thekpatientk-
kCORRECTkANSWER-
Moveskthekheadkandkshoulderskagainstkresistancekwithkequ
alkstrength
Ak50-year-
oldkwomankiskinkakclinickforkweaknesskinkherkleftkarmkandkl
egkthatksheknoticedkforkthek
pastkweek.kThekFNPkshouldkperformkwhichktypekofkneurolo
gickexamination?k-kCORRECTkANSWER-
Completekneurologickexamination
Duringkthekneurologicalkassessmentkofkakhealthyk35-year-
oldkpatientkthekFNPkaskskhimktokrelaxkhis
ANSWERS
Akteenagekgirlkhaskarrivedkcomplainingkofkpainkinkherkleftkw
rist.kShekwaskplayingkbasketballkwhenk
shekfellkandklandedkonkherkleftkhand.kThekFNPkexaminedkh
erkhandkandkwillkexpectkakfracturekifkthe
girlkcomplains:k-kCORRECTkANSWER-
Ofksharpkpainkthatkincreaseskwithkmovement
Akpatientkhaskbeenkdiagnosedkwithkosteoporosiskandkasked
kthekFNPk"whatkiskosteoporosis?"kThek
FNPkexplainsktokthekpatientkthatkosteoporosiskiskdefinedkas:
k-kCORRECTkANSWER-Losskofkbonekdensity
Patientkstates,k"Ikcankhearkakcrunchingkorkgratingksoundkwh
enkIkkneel".kShekalsokstatesk"thatkitkisk
verykdifficultktokgetkoutkofkbedkinkthekmorningkbecausekofks
tiffnesskandkpainkinkmykjoints".kThekFNP
shouldkassesskforksignskofkwhatkproblem?k-
kCORRECTkANSWER-Crepitation
Whenktakingkthekhistorykonkakpatientkwithkakseizurekdisorde
rkthekFNPkassesseskwhetherkthek
patientkhaskankaura.kWhichkofkthesekwouldkbekthekbestkqu
estionkforkobtainingkthiskinformation?k-
kCORRECTkANSWER-
Dokyoukhavekanykwarningksignkbeforekyoukreceivekyourksta
rts?
ThekFNPkiskteachingkakclasskonkosteoporosiskpreventionkto
kakgroupkofkpostkmenopausalkwomen.kA
, participantkshowskthatkshekneedskmorekinstructionkwhenksh
ekstateskIkwill:k-kCORRECTkANSWER-
"kStartkswimmingktokincreasekmykweightkbearingkexercise"
ThekFNPkiskperformingkakneurologicalkassessmentkonkak41-
year-oldkwomankwithkakhistorykofk
diabetes.kWhenktestingkherkabilityktokfeelkthekvibrationskofka
ktuningkforkkthekFNPknoticeskthatkthek
patientkiskunablektokfeelkvibrationskonkthekgreatktoekorkankl
ekbilaterally,kbutkshekiskablektokfeelk
vibrationskonkbothkpatella.kGivenkthiskinformationkwhatkwoul
dkthekFNPksuspect?k-kCORRECTkANSWER-
Peripheralkneuropathy
Andk80-year-
oldkwomankiskvisitingkthekclinickforkakcheckkup.kShekstatesk
"Ikcan'tkwalkkaskmuchkaskIk
usedkto".kThekFNPkiskobservingkfromkmotorkdysfunctionkink
herkhipkandkshouldkhavekher:k-kCORRECTkANSWER-
Abductkherkhipkwhilekshekisklyingkonkherkback
ThekFNPkisktestingkthekfunctionkofkcranialknervekXI.kWhichk
ofkthesekbestkdescribeskthekresponsek
thekFNPkshouldkexpectkifktheknervekiskintact?Thekpatientk-
kCORRECTkANSWER-
Moveskthekheadkandkshoulderskagainstkresistancekwithkequ
alkstrength
Ak50-year-
oldkwomankiskinkakclinickforkweaknesskinkherkleftkarmkandkl
egkthatksheknoticedkforkthek
pastkweek.kThekFNPkshouldkperformkwhichktypekofkneurolo
gickexamination?k-kCORRECTkANSWER-
Completekneurologickexamination
Duringkthekneurologicalkassessmentkofkakhealthyk35-year-
oldkpatientkthekFNPkaskskhimktokrelaxkhis
