Summary NR509 Midterm Exam Study Guide | NR 509 Midterm Exam -Advanced
Physical Assessment (Questions and Answers latest 2024-2025) - Chamberlain
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:
Of sharp pain that increases with movement
A client has been diagnosed with osteoporosis and asked the FNP "what is
osteoporosis?" The
FNP explains to the client that osteoporosis is
defined as: Loss of bone density
Client 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? Crepitation
When taking the history on a client with a seizure disorder the FNP
assesses whether the
client has an aura. Which of these would be the best question for obtaining
this information?
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: " 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
client 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? 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:
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 client
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?
Complete neurologic examination
During the neurological assessment of a healthy 35-year-old client 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? 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: Lordosis
A client 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: Rotator cuf f lesions
,A professional tennis player comes into the clinic complaining of a sore
elbow. The FNP will
assess for tenderness at the:
Medial and lateral epicondyle
The FNP suspect that a client has carpal tunnel syndrome and wants
to perform the Phalens
test. To perform this task the FNP should instruct the client to:
Hold both hands back to back while flexing the wrists 90° for 60 seconds
During the history a client tells the FNP that "it feels like the room is
spinning around me". The
FNP would document this as:
Vertigo
The assessment of a 60-year-old client 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? This is most likely the result of the summation effect
An 85-year-old client 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:
Of the shortening of the vertebral column
A client 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? Rheumatoid arthritis
When the FNP asks a 68-year-old client 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:
, Positive Romberg sign
During an assessment of the cranial nerves the FNP finds the following
asymmetry when the
client 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?
Motor component of VII
The FNP is teaching a class on osteoporosis prevention to a group of
postmenopausal women
which of these actions is the best way to prevent or delay bone loss in
this group? Taking calcium and vitamin D supplements
In obtaining a history on a 74 year old client the FNP notes that he drinks
alcohol daily and that
he has noticed a tremor in his hands that affects his ability to hold thing.
With this information
what should the FNP's response be?
Does the tremor change when you drink the alcohol?
During a history of a 78-year-old man his wife states that "he occasionally
has problems with
short-term memory loss and confusion. He can't even remember how to
button his shirt". In
doing the assessment of his sensory system which action of the FNP's is
most appropriate?
Before testing, the FNP would assess the client's mental status and ability
to follow directions
at this time
While obtaining a history of a 3 month old infant from the mother the FNP
asks about the infants
ability to suck and grass the mothers finger. What is the FNP
assessing? Reflexes
The FNP is doing an assessment on a 29-year-old woman who visits the clinic
complaining of
always dropping things and falling down. While testing rapid alternating
movements the FNP
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