NR 509 / NR509 ADVANCED PHYSICAL ASSESSMENT
MIDTERM EXAM
QUESTIONS WITH VERIFIED ANSWERS - CHAMBERLAIN
Consist of 100 multiple choices Questions with Answer
1. A teenage girl has arrived complaining of pain in her left wrist. She was play-ing
basketball when she fell and landed on her left hand. The FNP examined her hand
and will expect a fracture if the girl complains:
A. of a dull ache
B. that the pain in her wrist is deep
C. of sharp pain that increases with movement
D. of dull throbbing pain that increases with rest
.: Of sharp pain that increaseswith movement
2. A patient has been diagnosed with osteoporosis and asked the FNP "what is
osteoporosis?" The FNP explains to the patient that osteoporosis is definedas:
A. increased bone matrix
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B. loss of bone density
C. new, weaker bone growth
D. increased phagocytic activity.
: Loss of bone density
3. Patient states, "I can hear a crunching or grating sound when I kneel". Shealso
states "that it is
very difficult to get out of bed in the morning because of stiffness and pain inmy
joints". The FNP should assess for signs of what problem?
A. Crepitation
B. A bone spur
C. A loose tendon
D. Fluid in the knee joint
: Crepitation
4. When taking the history on a patient with a seizure disorder the FNP assesses
whether the patient has an aura. Which of these would be the bestquestion for
obtaining this information?
A. "Does your muscle tone seem to tense or limp?"
B. "After the seizure, do you spend a lot of time sleeping?"
C. "Do you have any warning sign before your seizure starts?"
D. "Do you experience any color change or incontinence during the seizure
: Do you have any warning sign before your seizure starts?
,5. The FNP is teaching a class on osteoporosis prevention to a group of post-
menopausal women. A participant shows that she needs more instruc-tion when she
states I will:
A) start swimming to increase my weight-bearing exercise."
B) try to stop smoking as soon as possible."
C) check with my doctor about taking calcium supplements."
D) get a bone-density test soon.
": " Start swimming to increase my weight bearingexercise"
Weight-bearing exercises include walking, low-impact aerobics, dancing, or sta- tionary
cycling. Swimming is not considered a weight-bearing exercise. The otherresponses are
correct.
6. The FNP is performing a neurological assessment on a 41-year-old womanwith a
history of diabetes. When testing her ability to feel the vibrations of a tuning fork the
FNP notices that the patient is unable to feel vibrations on thegreat toe or ankle
bilaterally, but she is able to feel vibrations on both patella.
Given this information what would the FNP suspect?
A. Hyperalgesia
B. Hyperesthesia
C. Peripheral neuropathy
D. Lesion of sensory cortex
, @LECTJULIESOLUTIONSSTUVIA
: Peripheral neuropathy
7. An 80-year-old woman is visiting the clinic for a check-up. She states "I can'twalk as
much as I used to". The FNP is observing from motor dysfunction inher hip and
should have her:
A) internally rotate her hip while she is sitting.
B) abduct her hip while she is lying on her back.
C) adduct her hip while she is lying on her back.
D) externally rotate her hip while she is standing.
: B. Abduct her hip while she islying on her back
8. The FNP is testing the function of cranial nerve XI. Which of these best
describes the response the FNP should expect if the nerve is intact? The patient
A) demonstrates the ability to hear normal conversation.
B) sticks tongue out midline without tremors or deviation.
C) follows an object with eyes without nystagmus or strabismus.
D) moves the head and shoulders against resistance with equal strength.: -
Moves the head and shoulders against resistance with equal strength
These are the expected normal findings when testing cranial nerve XI (spinal accessory
nerve): The patient's sternomastoid and trapezius muscles are of equalsize; the person can
rotate the head both ways forcibly against resistance applied tothe side of the chin with
equal strength; the patient can shrug the shoulders againstresistance with equal strength on
both sides. Checking the patient's ability to hear normal conversation checks the function
MIDTERM EXAM
QUESTIONS WITH VERIFIED ANSWERS - CHAMBERLAIN
Consist of 100 multiple choices Questions with Answer
1. A teenage girl has arrived complaining of pain in her left wrist. She was play-ing
basketball when she fell and landed on her left hand. The FNP examined her hand
and will expect a fracture if the girl complains:
A. of a dull ache
B. that the pain in her wrist is deep
C. of sharp pain that increases with movement
D. of dull throbbing pain that increases with rest
.: Of sharp pain that increaseswith movement
2. A patient has been diagnosed with osteoporosis and asked the FNP "what is
osteoporosis?" The FNP explains to the patient that osteoporosis is definedas:
A. increased bone matrix
, @LECTJULIESOLUTIONSSTUVIA
B. loss of bone density
C. new, weaker bone growth
D. increased phagocytic activity.
: Loss of bone density
3. Patient states, "I can hear a crunching or grating sound when I kneel". Shealso
states "that it is
very difficult to get out of bed in the morning because of stiffness and pain inmy
joints". The FNP should assess for signs of what problem?
A. Crepitation
B. A bone spur
C. A loose tendon
D. Fluid in the knee joint
: Crepitation
4. When taking the history on a patient with a seizure disorder the FNP assesses
whether the patient has an aura. Which of these would be the bestquestion for
obtaining this information?
A. "Does your muscle tone seem to tense or limp?"
B. "After the seizure, do you spend a lot of time sleeping?"
C. "Do you have any warning sign before your seizure starts?"
D. "Do you experience any color change or incontinence during the seizure
: Do you have any warning sign before your seizure starts?
,5. The FNP is teaching a class on osteoporosis prevention to a group of post-
menopausal women. A participant shows that she needs more instruc-tion when she
states I will:
A) start swimming to increase my weight-bearing exercise."
B) try to stop smoking as soon as possible."
C) check with my doctor about taking calcium supplements."
D) get a bone-density test soon.
": " Start swimming to increase my weight bearingexercise"
Weight-bearing exercises include walking, low-impact aerobics, dancing, or sta- tionary
cycling. Swimming is not considered a weight-bearing exercise. The otherresponses are
correct.
6. The FNP is performing a neurological assessment on a 41-year-old womanwith a
history of diabetes. When testing her ability to feel the vibrations of a tuning fork the
FNP notices that the patient is unable to feel vibrations on thegreat toe or ankle
bilaterally, but she is able to feel vibrations on both patella.
Given this information what would the FNP suspect?
A. Hyperalgesia
B. Hyperesthesia
C. Peripheral neuropathy
D. Lesion of sensory cortex
, @LECTJULIESOLUTIONSSTUVIA
: Peripheral neuropathy
7. An 80-year-old woman is visiting the clinic for a check-up. She states "I can'twalk as
much as I used to". The FNP is observing from motor dysfunction inher hip and
should have her:
A) internally rotate her hip while she is sitting.
B) abduct her hip while she is lying on her back.
C) adduct her hip while she is lying on her back.
D) externally rotate her hip while she is standing.
: B. Abduct her hip while she islying on her back
8. The FNP is testing the function of cranial nerve XI. Which of these best
describes the response the FNP should expect if the nerve is intact? The patient
A) demonstrates the ability to hear normal conversation.
B) sticks tongue out midline without tremors or deviation.
C) follows an object with eyes without nystagmus or strabismus.
D) moves the head and shoulders against resistance with equal strength.: -
Moves the head and shoulders against resistance with equal strength
These are the expected normal findings when testing cranial nerve XI (spinal accessory
nerve): The patient's sternomastoid and trapezius muscles are of equalsize; the person can
rotate the head both ways forcibly against resistance applied tothe side of the chin with
equal strength; the patient can shrug the shoulders againstresistance with equal strength on
both sides. Checking the patient's ability to hear normal conversation checks the function
