NR 509 EXAM 2 QUESTIONS AND WELL CERTIFIED ANSWERS

NR 509 MIDTERM EXAM 2 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: “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: 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: 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 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 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: Sternomastoid and trapezius 7) The patient’s laboratory data reveal an elevated thyroxine level. The FNP would proceed with an examination of the gland 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: 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: Area proximal to the enlarged node 10) The FNP is aware that the four areas in the body were lymph nodes accessible are the: 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: Condensed vitreous fibers 12) The FNP is preparing to assess the visual acuity of a 16-year-old patient. How should the FNP proceed? 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: 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: 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 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 Consider this a normal finding 17) The FNP is performing the diagnostic positions test. Normal findings would be which of these results? 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? 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? Observe the distance between the palpebral fissures