NR509 UPDATED AND VERIFIED A+ MIDTERM EXAM 2024 QUESTIONS 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: - correct 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: - correct 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? - correct 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?
- correct 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: - correct 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? - correct
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: -
correct 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 - correct 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
, NR509 UPDATED AND VERIFIED A+ MIDTERM EXAM 2024 QUESTIONS AND ANSWERS
past week. The FNP should perform which type of neurologic examination? - correct 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? - correct 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: - correct 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: - correct 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: - correct 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: - correct 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: - correct 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? - correct 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
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