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Advanced Physical Assessment – NR 509 – Midterm Exam Questions and Answers (A+ graded)

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This document contains a comprehensive set of NR 509 midterm exam questions with detailed answers for advanced physical assessment. It covers key concepts and clinical skills from Bates’ Guide to Physical Examination and History Taking, providing a complete resource for exam preparation and practice.

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NR 509 MIDTERM EXAM




NR 509 MIDTERM EXAM ADVANCED PHYSICAL ASSESSMENT EXAM
QUESTIONS AND ANSWERS RATED A+


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: ANS >> 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: ANS >>
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? ANS >> Crepitation


When taking the history on a patient with a seizure disorder the FNP

,NR 509 MIDTERM EXAM


assesses whether the
patient has an aura. Which of these would be the best question for
obtaining this information? ANS >> 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: ANS >> " 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 patellae. Given this information what would the
FNP suspect? ANS >> Peripheral neuropathy



And 80-year-old woman is visiting the clinic for a checkup. She states "I
can't walk as much as I

, NR 509 MIDTERM EXAM


used to". The FNP is observing from motor dysfunction in her hip and
should have her: ANS >> Abduct her hip while she is lying on her back



The FNP is testing the function of cranial nerve XI. Which of this best
describes the response
the FNP should expect if the nerve is intact? The patient ANS >> 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? ANS >> 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? ANS >> 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 are known
as: ANS >> Lordosis

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