1. 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: A s
...
1. 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: A sharp pain that increases with 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 defined as: Loss of bone
Density
3. Patient states, “I can hear a crunching or grating sound when I kneel”. She also states
“that it is very difficult to get out of bed in the morning because of stiffness and pain in my
joints”. The FNP should assess for signs of what problem? 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 best question for obtaining this
information? do you have any warning signs before you have a seizure
5. The FNP is teaching a class on osteoporosis prevention to a group of post menopausal
women. A participant shows that she needs more instruction when she states I will: start
swimming to increase my weight bearing exercise
6. 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 or ankle bilaterally, but she is
able to feel vibrations on both patella. Given this information what would the FNP suspect?
peripheral neuropathy
7. And 80-year-old woman is visiting the clinic for a check up. She states “I can’t walk as
much as I used to”. The FNP is observing from motor dysfunction in her hip and should
have her: abduct her hip while she is lying 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: moves the head and
shoulder against resistance with equal strength
9. A 50-year-old woman is in a clinic for weakness in her left arm and leg that she noticed
for the past week. The FNP should perform which type of neurologic examination? complete
neurologic examination
10. 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
11. A woman who is 8 months pregnant comments that she has noticed a change in
posture and is having lower back pain. The FNP tells her that during pregnancy women
have a posture shift to compensate for the enlarging fetus. This shift and posture is known
as: Lordosis
12. A patient is able to flex his right arm forward without difficulty or pain but is unable to
abduct his arm because of pain and muscle spasm’s. The FNP should suspect: Rotator cuff
lesion
13. A professional tennis player comes into the clinic complaining of a sore elbow. The FNP
will assess for tenderness at the: Medial and lateral eicondyle
14. The FNP suspect that a patient has carpal tunnel syndrome and wants to perform the
Phalens test. To perform this task the FNP should instruct the patient to: Hold both hands
back to back while flexing the wrist 90 degrees for 60 seconds
15. 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
16. The assessment of a 60-year-old patient has taken longer than anticipated. In testing his
pain perception the FNP decides to complete the test as quickly as possible. When the FNP
applies the sharp point of a pin on his arm several times he is only able to identify these as
one very sharp prick. What would be the most accurate explanation for this? This is most
likely the rest of the summation effect
17. An 85-year-old patient comments during his annual physical that “he seems to be
getting shorter as he ages”. The FNP should explain that decrease height occurs with aging
because: of the shortening f the vertebral
18. A patient is complaining of pain in his joints that is worse in the morning, is better after
he has moved around for a while, and then gets worse again if he sits for long periods of
time. The FNP should assess for other signs of what problem? Rheumatoid Arthritis (RA)
19. When the FNP asks a 68-year-old patient to stand with feet together and arms at his side
with his eyes closed he starts to sway and moves his feet farther apart. The FNP would
document this finding as: Positive Romberg sign
20. During an assessment of the cranial nerves the FNP finds the following asymmetry
when the patient smiles or frowns, uneven lifting of eyebrows, sagging of lower eyelids, and
escape of air when the FNP presses against the right path cheek. This would indicate
dysfunction of which of these cranial nerves? Motor component of VII
21. The FNP is teaching a class on osteoporosis prevention to a group of postmenopausal
women which of these actions is the best way to prevent or delay bone loss in this group?
Taking calcium and vit D supp.
22. In obtaining a history on a 74 year old patient the FNP notes that he drinks alcohol daily
and that he has noticed a tremor in his hands that affects his ability to hold thing. With this
information what should the FNP‘s response be? Does the tremor change when you drink
alcohol
23. During a history of a 78-year-old man his wife states that “he occasionally has problems
with short-term memory loss and confusion. He can’t even remember how to button his
shirt”. In doing the assessment of his sensory system which action of the FNP‘s is most
appropriate? Before testing, the FNP would assess the patient’s mental status and ability to
follow directions at this time
24. While obtaining a history of a 3 month old infant from the mother the FNP asks about
the infants ability to suck and grass the mothers finger. What is the FNP assessing? Reflexes
25. 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
26. What concerns exist when pt is slow with RAM? cerbral disease dysdiadochokinesia
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