NR509 Midterm Exam Latest Study
Questions with Verified Answers
Already Graded A+
1. 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: - ANSWER Of sharp pain that increases with
movement
2. 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: -
ANSWER Loss of bone density
3. 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? - ANSWER Crepitation
4. 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? - ANSWER Do you have any warning sign before you receive your
starts?
,5. 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: -
ANSWER " Start swimming to increase my weight bearing exercise"
6. Active listening - ANSWER -closely attending to what the patient is
communicating
-connecting to the patient's emotional state
-verbal and nonverbal skills
7. Empathic responses - ANSWER capacity to identify with the patient and feel
the patient's pain as your own, then respond in a supportive manner
8. Guided questioning - ANSWER Helps to continue the patients story
-moving from open ended to focused questions
-using questions that elicit a graded response
-asking a series of questions, ONE at a time
-clarifying what the patient means
-encouraging with continuers
-using echoing
also known as adaptive questioning
9. Reassurance - ANSWER appropriate way to help the patient feel that problems
have been fully
,10.Intra-articular (acute, < 6 weeks): acute arthritis - ANSWER gout
infectious arthritis
pseudogout
Reiter syndrome
11.Intra-articular (chronic, > 6 weeks): Chronic inflammatory arthritis with 1-3
joints involved - ANSWER Indolent infection
Psoriatic arthritis
Reiter syndrome
Periarticular JA
Intra-articular (chronic, > 6 weeks): Chronic inflammatory arthritis with >3 joints
involved:
12.if not RA then - ANSWER Psoriatic arthritis
Reiter syndrome (no symmetry)
rheumatoid arthritis if not RA then à SLE, scleroderma, polymyositis
13.what causes saddle numbness and urinary retention - ANSWER CES
CES (cauda equina syndrome)
14.describe how this occurs - ANSWER -a massive herniated disc in the lumbar
region.
, -single excessive strain or injury
disc material degenerates naturally as a person ages, and the ligaments that hold
it in place begin to weaken. As this degeneration progresses, a relatively minor
strain or twisting movement can cause a disc to rupture
15.Nystagmus is seen in cerebellar disease especially with - ANSWER gait ataxia
dysarthria (increases with retinal fixation)
vestibular disorders (decreases with retinal fixation)
internuclear
ophthalmoplegia
16.Nystagmus increases with _ in _ - ANSWER retinal fixation, vestibular
retinal fixation, dysarthria
17.how to get a patient to open up when he seems upset - ANSWER reassurance
Otosclerosis
_ can become stuck limiting ability to vibrate
Questions with Verified Answers
Already Graded A+
1. 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: - ANSWER Of sharp pain that increases with
movement
2. 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: -
ANSWER Loss of bone density
3. 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? - ANSWER Crepitation
4. 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? - ANSWER Do you have any warning sign before you receive your
starts?
,5. 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: -
ANSWER " Start swimming to increase my weight bearing exercise"
6. Active listening - ANSWER -closely attending to what the patient is
communicating
-connecting to the patient's emotional state
-verbal and nonverbal skills
7. Empathic responses - ANSWER capacity to identify with the patient and feel
the patient's pain as your own, then respond in a supportive manner
8. Guided questioning - ANSWER Helps to continue the patients story
-moving from open ended to focused questions
-using questions that elicit a graded response
-asking a series of questions, ONE at a time
-clarifying what the patient means
-encouraging with continuers
-using echoing
also known as adaptive questioning
9. Reassurance - ANSWER appropriate way to help the patient feel that problems
have been fully
,10.Intra-articular (acute, < 6 weeks): acute arthritis - ANSWER gout
infectious arthritis
pseudogout
Reiter syndrome
11.Intra-articular (chronic, > 6 weeks): Chronic inflammatory arthritis with 1-3
joints involved - ANSWER Indolent infection
Psoriatic arthritis
Reiter syndrome
Periarticular JA
Intra-articular (chronic, > 6 weeks): Chronic inflammatory arthritis with >3 joints
involved:
12.if not RA then - ANSWER Psoriatic arthritis
Reiter syndrome (no symmetry)
rheumatoid arthritis if not RA then à SLE, scleroderma, polymyositis
13.what causes saddle numbness and urinary retention - ANSWER CES
CES (cauda equina syndrome)
14.describe how this occurs - ANSWER -a massive herniated disc in the lumbar
region.
, -single excessive strain or injury
disc material degenerates naturally as a person ages, and the ligaments that hold
it in place begin to weaken. As this degeneration progresses, a relatively minor
strain or twisting movement can cause a disc to rupture
15.Nystagmus is seen in cerebellar disease especially with - ANSWER gait ataxia
dysarthria (increases with retinal fixation)
vestibular disorders (decreases with retinal fixation)
internuclear
ophthalmoplegia
16.Nystagmus increases with _ in _ - ANSWER retinal fixation, vestibular
retinal fixation, dysarthria
17.how to get a patient to open up when he seems upset - ANSWER reassurance
Otosclerosis
_ can become stuck limiting ability to vibrate
