1) A woman has come to the clinic to seek help with a substance-abuse problem. She admits to
using cocaine just before arrival. Which of these assessment findings would the FNP expect to
find when examining the woman?
...
1) A woman has come to the clinic to seek help with a substance-abuse problem. She admits to
using cocaine just before arrival. Which of these assessment findings would the FNP expect to
find when examining the woman?
Dilated pupils, pacing, psycho motor agitation
Dilated pupil, unsteady gait, aggressiveness
Pupil constriction, lethargy, apathy, dysphoria
Constricted pupils, euphoria, decreased temperature
2) A 63-year-old Chinese American man enters the office with complaints of chest pain, shortness of
breath, and palpitations. Which statement most accurately reflect the FNPs best course of action?
It is unclear what is happening with this patient so the FNP should perform an assessment in both
the physical and psychosocial realms
The FNP should focus on performing a full cardiac assessment
The FNP should focus on psychosomatic complaints because he has just learned that his wife
has cancer
This patient is not in any danger at present, so the FNP should send him home
3) The FNP is planning to assess new memory with the patient. The best way for the FNP to do this
would be
Give him the four unrelated words test
Administer the FACT test
Ask him to describe his first job
Ask him to describe what television show he was watching before coming to the clinic
4) During the health history the FNP asks a female patient “how many alcoholic drinks do you have
a week?” Which answer by the patient would indicate at risk drinking?
I have 7 or 8 drinks a week but I never get drunk
I have one or two drinks a week
I usually have three or four drinks a week
I’ll have a glass or two of wine every now and then
5) Symptoms such as pain are often influenced by a person’s cultural heritage. Which of the
following is a true statement regarding pain?
The FNP needs to recognize that many cultures practice silent suffering as a response to pain
6) The FNP suspect abuse when a 10-year-old child is taken to the urgent care center for leg injury.
The best way to document the history and physical findings is to
Use the words the child is given to describe how the injury occurred
Write what the child’s caregiver tells the FNP
Write what the FNP observes during the conversation
Rely on photographs of the injuries
7) During a mental status assessment, which question by the FNP would best assess a persons
judgment?
Tell me about what you plan to do once you’re discharged from the hospital
Do you feel that you are being watched, followed, or controlled?
What does the statement, “People in glass houses shouldn’t throw stones” mean to you?
What would you do if you found a stamped, addressed envelope on the sidewalk?
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Quiz 6
8) The FNP is performing a mental status assessment on a five-year-old girl. Her parents are
undergoing a bitter divorce and are worried about the effect it is having on their daughter. Which
action or statement might leave FNP to be concerned about the girls mental status?
Her mother states that her daughter prefers to play with toddlers instead of kids her own age well
in daycare
She clings to her mother whenever the FNP is in the room
She appears angry and will not make eye contact with the FNP
Her mother states that she has begun to ride a tricycle around their yard
9) During mental status examination, the FNP wants to assess a patient’s affect. The FNP should
ask the patient which question?
How do you feel today?
Would you please repeat the following words
Have these medications had any effect on your pain?
Has this pain affected your ability to get dressed by yourself?
10) During an examination FNP notices a patterned injury on a patients back. Which of these would
cause such an injury?
Whipping from an extension cord
11) The FNP is aware that intimate partner violence screening should occur with which situation?
As a routine part of each healthcare encounter
When IPV is suspected
When a woman has an unexplained injury
When there is a known history of abuse in the family
12) Which statement is best for the FNP to use when preparing to administer the abuse assessment
screen?
We ask the following questions because domestic violence is so common in our society
We are required by law to ask these questions
We need to talk about whether you feel you have been abused
We are asking these questions because we suspect that you are being abused
13) The FNP is conducting a class on alcohol and the effects of alcohol on the body. How many
standard drinks (each containing 12 g alcohol) Per day are associated with increased deaths from
cirrhosis, cancers of the mouth, esophagus and injuries in men?
4
14) A woman who has just discovered that she is pregnant is in the clinic for her first obstetric visit.
She asked the FNP how many drinks a day safe for my baby? The FNP‘s best response is:
No amount of alcohol has been determined to be safe during pregnancy
You should limit your drinking to once or twice a week
It’s okay to have up to two glasses of wine a day
As long as you avoid getting drunk you should be safe
15) The FNP is performing the Denver II screen test on a 12 month old infant during a routine well
child visit. The FNP should tell the infants parents that the Denver II
Is a screening instrument designed to detect children who are slow in development
Tests three areas of development: cognitive, physical, and psychological
Will indicate whether the child has a speech disorder so that treatment can begin
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