NR509 Midterm Exam Review:
Comprehensive Practice Questions
and Detailed Rationales for Advanced
Nursing Students
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
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
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
,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?
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"
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? -
-- 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: - -- 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 - -- 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
past week. The FNP should perform which type of neurologic examination? - --
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? - -- 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: - --
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: - --
ANSWER>>>>--Rotator cuff lesions
Comprehensive Practice Questions
and Detailed Rationales for Advanced
Nursing Students
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
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
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
,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?
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"
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? -
-- 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: - -- 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 - -- 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
past week. The FNP should perform which type of neurologic examination? - --
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? - -- 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: - --
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: - --
ANSWER>>>>--Rotator cuff lesions
