4/4/25, 5:49
PM
NR 509 WEEK 6 EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE
ANS: Dilated pupils, pacing, psychomotor agitation
A woman has come to the clinic to seek
help with a substance-abuse problem.
A cocaine user's appearance includes pupillary dilation, tachycardia or
She admits to using cocaine just before
bradycardia, elevated or lowered blood pressure, sweating, chills, nausea,
arrival. Which of these assessment
vomiting, and weight loss. The person's behavior includes euphoria, talkativeness,
findings would the FNP expect to find
hypervigilance, pacing, psychomotor agitation, impaired social or occupational
when examining the woman?
functioning, fighting, grandiosity, and visual or tactile hallucinations.
A 63-year-old Chinese American man D) It is unclear what is happening with this patient, so the nurse should perform an
enters the office with complaints of chest assessment in both the physical and the psychosocial realms.
pain, shortness of breath, and
palpitations. Which statement most
accurately reflect the FNPs best course of
action?
A) The nurse should focus on performing
a full cardiac assessment.
B)The nurse should focus on
psychosomatic complaints because he
has just learned that his wife has cancer.
C) This patient is not in any danger at
present, so the nurse should send
him home with instructions to contact
his physician.
D) It is unclear what is happening with
this patient, so the nurse should
perform an
assessment in both the physical and the
psychosocial realms.
The FNP is planning to assess new ANS: Give him the Four Unrelated Words Test.
memory with the patient. The best way for
the FNP to do this would be Ask questions that can be corroborated, which screens for the occasional person
who confabulates or makes up answers to fill in the gaps of memory loss. The
a.Administer the FACT test. Four Unrelated Words Test tests the persons ability to lay down new memories
and is a highly sensitive and valid memory test.
b.Ask him to describe his first job.
c. Give him the Four Unrelated
Words Test.
d.Ask him to describe what
television show he was watching
before coming to the clinic.
ANS: "No amount of alcohol has been determined to be safe during pregnancy."
During the health history the FNP asks
a female patient "how many
No amount of alcohol has been determined to be safe for pregnant women. The
alcoholic drinks do you have a
potential adverse effects of alcohol use for the fetus are well known; women who
week?" Which answer by the patient
are pregnant should be screened for alcohol use, and abstinence should be
would indicate at risk drinking?
recommended.
1/
7
, 4/4/25, 5:49
PM
Symptoms such as pain are often B
influenced by a person's cultural
heritage. Which of the following is a true Silent suffering is a potential response to pain in many cultures. The nurse's
statement regarding pain? assessment of pain needs to be embedded in a cultural context. The
other responses are not correct.
a.
Nurses' attitudes toward their patients'
pain are unrelated to their own
experiences with pain.
b.
Nurses need to recognize that many
cultures practice silent suffering as
a response to pain.
c.
A nurse's area of clinical practice will
most likely determine his or her
assessment of a patient's pain.
d.
A nurse's years of clinical experience and
current position are strong indicators of
his or her response to patient pain.
The FNP suspect abuse when a 10- ANS: use the words the child has given to describe how the injury occurred.
year- old child is taken to the urgent
care When documenting the history and physical findings of child abuse and neglect,
center for leg injury. The best way use the words the child has given to describe how his or her injury occurred.
to document the history and Remember that the abuser may be accompanying the child.
physical findings is to
During a mental status assessment, which ANS: B
question by the FNP would best assess a A person exercises judgment when he or she can compare and evaluate the
persons judgment? alternatives in a situation and reach an appropriate course of action. Rather than
testing the person's response to a hypothetical situation (as illustrated in the
A. "Do you feel that you are option with the envelope), the nurse should be more interested in the person's
being watched, followed, or judgment about daily or long-term goals, the likelihood of acting in response to
controlled?" delusions or hallucinations and the capacity for violent or suicidal behavior.
B."Tell me about what you plan to
do once you are discharged from
the
hospital."
C. "What does the statement, 'People
in glass houses shouldn't throw
stones,' mean to you?"
D."What would you do if you found
a stamped, addressed envelope lying
on the sidewalk?
The FNP is performing a mental status ANS: Her mother states that her daughter prefers to play with toddlers instead
assessment on a five-year-old girl. Her of kids her own age while in daycare.
parents are undergoing a bitter divorce
and are worried about the effect it is The mental status assessment of infants and children covers behavioral, cognitive,
having on their daughter. Which action or and psycho-social development and examines how the child is coping with his or
statement might leave FNP to be her environment. Essentially, the nurse should follow the same Association for
2/
7
PM
NR 509 WEEK 6 EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE
ANS: Dilated pupils, pacing, psychomotor agitation
A woman has come to the clinic to seek
help with a substance-abuse problem.
A cocaine user's appearance includes pupillary dilation, tachycardia or
She admits to using cocaine just before
bradycardia, elevated or lowered blood pressure, sweating, chills, nausea,
arrival. Which of these assessment
vomiting, and weight loss. The person's behavior includes euphoria, talkativeness,
findings would the FNP expect to find
hypervigilance, pacing, psychomotor agitation, impaired social or occupational
when examining the woman?
functioning, fighting, grandiosity, and visual or tactile hallucinations.
A 63-year-old Chinese American man D) It is unclear what is happening with this patient, so the nurse should perform an
enters the office with complaints of chest assessment in both the physical and the psychosocial realms.
pain, shortness of breath, and
palpitations. Which statement most
accurately reflect the FNPs best course of
action?
A) The nurse should focus on performing
a full cardiac assessment.
B)The nurse should focus on
psychosomatic complaints because he
has just learned that his wife has cancer.
C) This patient is not in any danger at
present, so the nurse should send
him home with instructions to contact
his physician.
D) It is unclear what is happening with
this patient, so the nurse should
perform an
assessment in both the physical and the
psychosocial realms.
The FNP is planning to assess new ANS: Give him the Four Unrelated Words Test.
memory with the patient. The best way for
the FNP to do this would be Ask questions that can be corroborated, which screens for the occasional person
who confabulates or makes up answers to fill in the gaps of memory loss. The
a.Administer the FACT test. Four Unrelated Words Test tests the persons ability to lay down new memories
and is a highly sensitive and valid memory test.
b.Ask him to describe his first job.
c. Give him the Four Unrelated
Words Test.
d.Ask him to describe what
television show he was watching
before coming to the clinic.
ANS: "No amount of alcohol has been determined to be safe during pregnancy."
During the health history the FNP asks
a female patient "how many
No amount of alcohol has been determined to be safe for pregnant women. The
alcoholic drinks do you have a
potential adverse effects of alcohol use for the fetus are well known; women who
week?" Which answer by the patient
are pregnant should be screened for alcohol use, and abstinence should be
would indicate at risk drinking?
recommended.
1/
7
, 4/4/25, 5:49
PM
Symptoms such as pain are often B
influenced by a person's cultural
heritage. Which of the following is a true Silent suffering is a potential response to pain in many cultures. The nurse's
statement regarding pain? assessment of pain needs to be embedded in a cultural context. The
other responses are not correct.
a.
Nurses' attitudes toward their patients'
pain are unrelated to their own
experiences with pain.
b.
Nurses need to recognize that many
cultures practice silent suffering as
a response to pain.
c.
A nurse's area of clinical practice will
most likely determine his or her
assessment of a patient's pain.
d.
A nurse's years of clinical experience and
current position are strong indicators of
his or her response to patient pain.
The FNP suspect abuse when a 10- ANS: use the words the child has given to describe how the injury occurred.
year- old child is taken to the urgent
care When documenting the history and physical findings of child abuse and neglect,
center for leg injury. The best way use the words the child has given to describe how his or her injury occurred.
to document the history and Remember that the abuser may be accompanying the child.
physical findings is to
During a mental status assessment, which ANS: B
question by the FNP would best assess a A person exercises judgment when he or she can compare and evaluate the
persons judgment? alternatives in a situation and reach an appropriate course of action. Rather than
testing the person's response to a hypothetical situation (as illustrated in the
A. "Do you feel that you are option with the envelope), the nurse should be more interested in the person's
being watched, followed, or judgment about daily or long-term goals, the likelihood of acting in response to
controlled?" delusions or hallucinations and the capacity for violent or suicidal behavior.
B."Tell me about what you plan to
do once you are discharged from
the
hospital."
C. "What does the statement, 'People
in glass houses shouldn't throw
stones,' mean to you?"
D."What would you do if you found
a stamped, addressed envelope lying
on the sidewalk?
The FNP is performing a mental status ANS: Her mother states that her daughter prefers to play with toddlers instead
assessment on a five-year-old girl. Her of kids her own age while in daycare.
parents are undergoing a bitter divorce
and are worried about the effect it is The mental status assessment of infants and children covers behavioral, cognitive,
having on their daughter. Which action or and psycho-social development and examines how the child is coping with his or
statement might leave FNP to be her environment. Essentially, the nurse should follow the same Association for
2/
7
