TEST
, 1. A woman has come to the clinic to seek help with a substance-abuse problem. She admits to
using cocaine just before arrival. Which of these as- sessment findings would the FNP expect to
find when examining the woman?-
: ANS: Dilated pupils, pacing, psychomotor agitation
A cocaine user's appearance includes pupillary dilation, tachycardia or bradycar- dia, elevated or
lowered blood pressure, sweating, chills, nausea, vomiting, and weight loss. The person's behavior
includes euphoria, talkativeness, hypervigilance, pacing, psychomotor agitation, impaired social or
occupational functioning, fighting, grandiosity, and visual or tactile hallucinations.
2. A 63-year-old Chinese American man enters the office with complaints
of chest pain, shortness of breath, and palpitations. Which statement most accurately reflect
the FNPs best course of action?
A) The nurse should focus on performing a full cardiac assessment.
B) The nurse should focus on psychosomatic complaints because he has just learned that his
wife has cancer.
C) This patient is not in any danger at present, so the nurse should send him home with
instructions to contact his physician.
D) It is unclear what is happening with this patient, so the nurse should perform an
assessment in both the physical and the psychosocial realms.: D) It is unclear what is happening
with this patient, so the nurse should perform an assessment in both the physical and the
psychosocial realms.
3. The FNP is planning to assess new memory with the patient. The best way for the FNP to do
this would be
a. Administer the FACT test.
b. Ask him to describe his first job.
c. Give him the Four Unrelated Words Test.
d. Ask him to describe what television show he was watching before coming to the clinic.:
ANS: Give him the Four Unrelated Words Test.
Ask questions that can be corroborated, which screens for the occasional person