NR509/NR 509 MIDTERM EXAM LATEST 2024
:ADVANCED PHYSICAL ASSESSMENT QUESTIONS
AND CORRECT VERIFIED ANSWERS 100%PASS!!!
1) A mother brings her two month old daughter in for an examination says "my
daughter rolled over against the wall and now I have noticed that she has the
spot soft on the top of her head, is there something terribly wrong?" The FNP's
best response would be: - ANSWER-"That soft spot is normal and actually
allows for growth of the brain during the first year of your baby's life"
2) During percussion the FNP knows that a dull percussion note elicited over a
lung lobe. This most likely results from: - ANSWER-Increased density of lung
tissue
3) The patient is unable to differentiate between sharp and dull stimulation to
both sides of her face. The FNP suspects Damage to: - ANSWER-The trigeminal
nerve
4) When examining the face, the FNP is aware that the two pairs of salivary
gland's that are accessible to examination are the _____ glands - ANSWER-
Parotid and submandibular
5) A patient comes to the clinic complaining of neck and shoulder pain and is
unable to turn her head. The FNP suspects damage to cranial nerve ____ and
proceeds with the examination by____ - ANSWER-XI; asking the patient you
should have her shoulders against resistance
,6) When examining a patient's cranial nerve function, the FNP remembers that
the muscles in the neck that are innervated by CN XI are the: - ANSWER-
Sternomastoid and trapezius
7) The patient's laboratory data reveal an elevated thyroxine level. The FNP
would proceed with an examination of the _____ gland - ANSWER-Thyroid
8) A patient says that she has recently noticed a lump in the front of her neck
below her "Adams apple" that seems to be getting bigger. During the
assessment, the finding that leaves the FNP to suspect that this may not be a
cancerous thyroid nodule is that the lump: - ANSWER-Is mobile and not hard
9) The FNP notices that the patient's submental lymph nodes are enlarged. In
an effort to identify the cause of the node enlargement, the FNP would assess
the patient's: - ANSWER-Area proximal to the enlarged node
10) The FNP is aware that the four areas in the body were lymph nodes
accessible are the: - ANSWER-Head and neck, arms, inguinal area, and axillae
11) A 52-year-old patient describes the presence of occasional floaters or spots
moving in front of his eyes. The FNP should know that floaters are usually not
significant and are caused by: - ANSWER-Condensed vitreous fibers
12) The FNP is preparing to assess the visual acuity of a 16-year-old patient.
How should the FNP proceed? - ANSWER-Use the Snellen chart position 20 feet
away from the patient
13) A patient's vision is recorded as 20/30 when the Snellen eye chart is used.
The FNP interprets these results to indicate that: - ANSWER-The patient can
read at 20 feet would a person with normal vision can read it 30 feet
, 14) A patient is unable to read even the largest letters on the Snellen chart. The
FNP should take which action next: - ANSWER-Shorten the distance between
the patient and the chart until it is seen and record that distance
15) A patient's vision is reported as 20/80 in each eye. The FNP interprets this
finding to mean that - ANSWER-The patient has poor vision
16) 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 - ANSWER-
Consider this a normal finding
17) The FNP is performing the diagnostic positions test. Normal findings would
be which of these results? - ANSWER-Parallel movement of both eyes
18) During an assessment of the sclera of an African-American patient, the FNP
would consider which of these an expected finding? - ANSWER-The presence of
small brown macules on the sclera
19) 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? - ANSWER-
Observe the distance between the palpebral fissures
20) 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? - ANSWER-Are you aware of having
any allergies
21) The FNP is palpating the sinus areas. If the findings are normal, then the
patient should report which sensation? - ANSWER-Firm pressure
:ADVANCED PHYSICAL ASSESSMENT QUESTIONS
AND CORRECT VERIFIED ANSWERS 100%PASS!!!
1) A mother brings her two month old daughter in for an examination says "my
daughter rolled over against the wall and now I have noticed that she has the
spot soft on the top of her head, is there something terribly wrong?" The FNP's
best response would be: - ANSWER-"That soft spot is normal and actually
allows for growth of the brain during the first year of your baby's life"
2) During percussion the FNP knows that a dull percussion note elicited over a
lung lobe. This most likely results from: - ANSWER-Increased density of lung
tissue
3) The patient is unable to differentiate between sharp and dull stimulation to
both sides of her face. The FNP suspects Damage to: - ANSWER-The trigeminal
nerve
4) When examining the face, the FNP is aware that the two pairs of salivary
gland's that are accessible to examination are the _____ glands - ANSWER-
Parotid and submandibular
5) A patient comes to the clinic complaining of neck and shoulder pain and is
unable to turn her head. The FNP suspects damage to cranial nerve ____ and
proceeds with the examination by____ - ANSWER-XI; asking the patient you
should have her shoulders against resistance
,6) When examining a patient's cranial nerve function, the FNP remembers that
the muscles in the neck that are innervated by CN XI are the: - ANSWER-
Sternomastoid and trapezius
7) The patient's laboratory data reveal an elevated thyroxine level. The FNP
would proceed with an examination of the _____ gland - ANSWER-Thyroid
8) A patient says that she has recently noticed a lump in the front of her neck
below her "Adams apple" that seems to be getting bigger. During the
assessment, the finding that leaves the FNP to suspect that this may not be a
cancerous thyroid nodule is that the lump: - ANSWER-Is mobile and not hard
9) The FNP notices that the patient's submental lymph nodes are enlarged. In
an effort to identify the cause of the node enlargement, the FNP would assess
the patient's: - ANSWER-Area proximal to the enlarged node
10) The FNP is aware that the four areas in the body were lymph nodes
accessible are the: - ANSWER-Head and neck, arms, inguinal area, and axillae
11) A 52-year-old patient describes the presence of occasional floaters or spots
moving in front of his eyes. The FNP should know that floaters are usually not
significant and are caused by: - ANSWER-Condensed vitreous fibers
12) The FNP is preparing to assess the visual acuity of a 16-year-old patient.
How should the FNP proceed? - ANSWER-Use the Snellen chart position 20 feet
away from the patient
13) A patient's vision is recorded as 20/30 when the Snellen eye chart is used.
The FNP interprets these results to indicate that: - ANSWER-The patient can
read at 20 feet would a person with normal vision can read it 30 feet
, 14) A patient is unable to read even the largest letters on the Snellen chart. The
FNP should take which action next: - ANSWER-Shorten the distance between
the patient and the chart until it is seen and record that distance
15) A patient's vision is reported as 20/80 in each eye. The FNP interprets this
finding to mean that - ANSWER-The patient has poor vision
16) 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 - ANSWER-
Consider this a normal finding
17) The FNP is performing the diagnostic positions test. Normal findings would
be which of these results? - ANSWER-Parallel movement of both eyes
18) During an assessment of the sclera of an African-American patient, the FNP
would consider which of these an expected finding? - ANSWER-The presence of
small brown macules on the sclera
19) 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? - ANSWER-
Observe the distance between the palpebral fissures
20) 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? - ANSWER-Are you aware of having
any allergies
21) The FNP is palpating the sinus areas. If the findings are normal, then the
patient should report which sensation? - ANSWER-Firm pressure
