Midterm Exam - NR 509 Advanced Physical Assessment – Chamberlain
Latest 2023 / 2024
A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when she fell and landed on her left hand. The FNP examined her hand and
will expect a fracture if the girl complains:
- Of a dull ache
- That the pain in her wrist is deep
- Of sharp pain that increases with movement
- Of dull throbbing pain that increases with rest.
A patient has been diagnosed with osteoporosis and asked the FNP "what is osteoporosis?" The FNP explains to the patient that osteoporosis is defined as:
- Increased bone matrix
- Loss of bone density
- New, weaker bone growth
- Increased phagocytic activity.
Which statement indicates that the FNP understands the pain experienced by an elderly person?
- Older adults must learn to tolerate pain.
- Pain is a normal process of aging and is to be expected.
- Pain indicates a pathologic condition or an injury and is not a normal
- Older individuals perceive pain to a lesser degree than do younger individuals. 1 / 3
process of aging.
The FNP is performing a vision examination. What chart is most widely used for visual examination?
- Snellen
- Shetllen
- Smoollen
- Schwellon
During a complete health assessment, how would the FNP test the patient's hearing?
- By observing how the patient participates in normal conversation
- Using the whispered voice test
- Using the Weber and Rinne tests
- Testing with an audiometer
The FNP has completed an examination of a patient's extra-ocular muscles. When documenting the findings, the FNP should document the assessment of which cranial nerves?
- II, III, VI
- II, IV, V
- III, IV, V
- III, IV, VI
Extraocular muscles are innervated by cranial nerves III, IV, and VI.
A patient's uvula rises midline when she says "ahh" and she has a positive gag reflex.The FNP has just tested which cranial nerves?
- IX, X
- IX, XII
- X, XII
- XI, XII
Cranial nerves IX and X are being tested by having the patient say "ahh," noting the mobility of the uvula, and when assessing the patient's gag reflex. 2 / 3
During an examination, the FNP notices that a patient is unable to stick out his tongue.Which cranial nerve is involved with the successful performance of this action?
- I
- V
- XI
- XII
Cranial nerve XII enables the person to stick out his or her tongue.
A patient is unable to shrug her shoulders against the FNP's resistant hands. What cranial nerve is involved with successful shoulder-shrugging?
- VII
- IX
- XI
- XII
Cranial nerve XI enables the patient to shrug her shoulders against resistance.
During an examination, the patient has just successfully completed the finger to nose and rapid alternating movements test and is able to run each heel down the opposite
shin. The FNP would conclude that the patient's function is intact:
- Occipital
- Cerebral
- Temporal
- Cerebellar
- / 3
The nurse should test cerebellar function of the upper extremities by using the finger-to-nose test or rapid-alternating-movements test. The nurse should test cerebellar function of the lower extremities by asking the person to run each heel down the opposite shin.