NR 509 MIDTERM EXAM STUDY QUESTIONS AND
VERIFIED ANSWERS CHAMBERLAIN UNIVERSITY
A patient is unable to read even the largest letters on the Snellen chart. The
FNP should take which action next
Correct Answer -Shorten the distance between the patient and the chart
until it is seen and record that distance
A patient's vision is reported as 20/80 in each eye. The FNP interprets this
finding to mean that
Correct Answer -The patient has poor vision
When performing the corneal light reflex assessment, the FNP notes that
the light is reflected at 2
o'clock in each eye. The FNP should
Correct Answer -Consider this a normal finding
The FNP is performing the diagnostic positions test. Normal findings
would be which of these
results?
Correct Answer -Parallel movement of both eyes
During an assessment of the sclera of an African-American patient, the
FNP would consider
which of these an expected finding?
Correct Answer -The presence of small brown macules on the sclera
A 60-year-old man is at the clinic for an examination. The FNP suspects
that he has ptosis of one
,eye. How should the FNP check for this?
Correct Answer -Observe the distance between the palpebral fissures
The FNP is doing an assessment on a 21-year-old patient and notices that
his nasal mucosa
appears pale gray and swollen. What would be the most appropriate
question to ask the patient?
Correct Answer -Are you aware of having any allergies
The FNP is palpating the sinus areas. If the findings are normal, then the
patient should report
which sensation?
Correct Answer -Firm pressure
During an oral assessment of a 30-year-old African-American patient, the
FNP notices bluish lips
and a dark line along the gingival margin. What would the FNP do in
response to these findings
Correct Answer -Proceed with assessment knowing that this is a normal
finding
During an assessment of a 20-year-old patient with a three day history of
nausea and vomiting
the FNP notices dry mucous and deep vertical fissures on the tongue.
These findings are
reflective of:
Correct Answer -Dehydration
The FNP is reviewing the technique of palpating for tactile fremitus with a
new graduate. Which
, statement by the graduate FNP reflects a correct understanding of tactile
fremitus?
Tactile fremitus:
Correct Answer -It's caused by sounds generated from the larynx
The FNP student is reviewing physical assessment findings of the HEENT
system associated
with pregnancy. Which statement by the graduate FNP reflects a correct
understanding of
expected HEENT changes associated with pregnancy? During pregnancy:
Correct Answer -Nasal stuffiness may occur as a result of decreased
vascularity in upper respiratory tract
A patient tells the FNP that he is very nervous, that he is nauseated, and
that he "feels hot". This type
of data would be:
Correct Answer -Subjective
The patient's record, laboratory studies, objective data, and subjective data
combine to form the:
Correct Answer -Data base
The FNP is reviewing information about evidence-based practice. Which
statement best reflects evidence-based practice?
Correct Answer -EBP emphasizes the use of best evidence with the
clinicians experience
A 59-year-old patient tells the FNP that he has
ulcerative colitis. He has been having black stools
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