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?