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NO. 509 Midterm Exam

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NR 509 Midterm Exam 1. A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient? Enlarged and tender inguinal nodes 2. The direction of blood flow through the heart is best described by which of these Right atrium → right ventricle → pulmonary artery → lungs → pulmonary vein → left atrium → left ventricle 3. In assessing the carotid artery’s of an older patient with cardiovascular disease, the FNP would: Listen with the bell of the stethoscope to assess for bruit 4. When listening to heart sounds the FNP knows that the valve closures that can be heard best at the base of the heart are: Aortic and pulmonic 5. The sack that surrounds and protects the heart is called the: Pericardium 6. When assessing a newborn infant who is five minutes old the FNP knows that which of these statements would be true? There is an opening in the atrial septum where blood can flow into the left side of the heart. 7. The FNP is performing an assessment on an adult. The adults vital signs are normal and capillary refill is five seconds. What should the FNP do next? Consider this a delayed capillary refill time, and investigate further. 8. During an assessment of an older adult the FNP should expect to notice which finding as normal physiologic change associated with aging process? Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood pressure 9. The mother of a three month old infant states that

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Nr 509
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NR 509 Midterm Exam


1. A 35-year-old man is seen in the clinic for an infection in his left
foot. Which of these findings should the FNP expect to see during an
assessment of this patient?


Enlarged and tender inguinal nodes


2. The direction of blood flow through the heart is best described by which
of these
Right atrium → right ventricle → pulmonary artery → lungs →
pulmonary vein → left atrium → left ventricle


3. In assessing the carotid artery’s of an older patient with
cardiovascular disease, the FNP would:
Listen with the bell of the stethoscope to assess for bruit


4. When listening to heart sounds the FNP knows that the valve closures
that can be heard best at the base of the heart are:
Aortic and pulmonic


5. The sack that surrounds and protects the heart is called the:
Pericardium


6. When assessing a newborn infant who is five minutes old the FNP knows

, that which of these statements would be true?
There is an opening in the atrial septum where blood can flow into the left
side of the heart.


7. The FNP is performing an assessment on an adult. The adults vital signs
are normal and capillary refill is five seconds. What should the FNP do next?
Consider this a delayed capillary refill time, and investigate further.


8. During an assessment of an older adult the FNP should expect to notice
which finding as normal physiologic change associated with aging process?
Peripheral blood vessels growing more rigid with age, producing a rise in
systolic blood pressure


9. The mother of a three month old infant states that her baby has not been
gaining weight. With further questioning the FNP finds that the infant falls
asleep after nursing and wakes up after a short amount of time hungry again.
What other information with the FNP want to have?
Presence of dyspnea or diaphoresis when sucking


10. In assessing a patient’s major risk factors for heart disease which would
the FNP want to include when taking a history?
Smoking, hypertension, obesity, diabetes, high cholesterol


11. Which of the following data should be included under the general
statement with the physical examination findings?
Level of distress

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Nr 509
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