Midterm Exam - NR 509 Advanced Physical

Midterm Exam - NR 509 Advanced Physical Assessment Chamberlain

Latest 2023 / 2024

Midterm Exam

• 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

• Cerebellar

• During an oral assessment of a 30-year-old African-American patient, the FNP

notices bluish lips and a dark line along the gingival margin. What would the FNP do in response to these findings

• Proceed with assessment knowing that this is a normal finding

• 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

• During the history a patient tells the FNP that "it feels like the room is spinning

around me". The FNP would document this as:

• Vertigo

• During the neurological assessment of a healthy 35-year-old patient the FNP

asks him to relax his muscles completely. The FNP then moves each extremity through full range of motion. Which of these results would the FNP expect to find?

• Mild, even resistance to movement
• A five-year-old child is in the clinic for checkup. The FNP would expect him to:
• be able to sit on the examination table 1 / 2

• 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?

- III, IV, VI

• 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

• The FNP is doing an assessment on a 21-year-old patient and notices that his

nasal mucosa appears pale gray and swollen. What would be the most appropriate question to ask the patient?

• Are you aware of having any allergies?

• The FNP is doing an assessment on a 29-year-old woman who visits the clinic

complaining of always dropping things and falling down. While testing rapid alternating movements the FNP notices that the woman is unable to pat both her knees. Her response is very slow and she misses frequently. What should the FNP suspect?

• Dysfunction of the cerebellum

• The FNP is incorporating a person's spiritual values into the health history. Which

of these questions illustrates the community portion of the FICA questions?

• Are you part of any religious or spiritual congregation?

• The FNP is obtaining a history for a 30-year-old male patient and is concerned

about health promotion activities. Which of these questions would be appropriate to use to assess health promotion activities for this patient?

• Do you perform testicular self-examination's?

• The FNP is palpating the sinus areas. If the findings are normal, then the patient

should report which sensation?

• Firm pressure
• The FNP is performing a neurological assessment on a 41-year-old woman with

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 the great toe

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