NR509 MIDTERM Exam WITH 100
Questions AND ANSWERS
The FNP notices that the patient's submental lymph nodes are enlarged. In
an effort to identify the cause of the node enlargement, the FNP would
assess the patient's:
A. Infraclavicular area.
B. Supraclavicular area.
C. Area distal ...
The FNP notices that the patient's submental lymph nodes are enlarged. In
an effort to identify the cause of the node enlargement, the FNP would
assess the patient's:
A. Infraclavicular area.
B. Supraclavicular area.
C. Area distal to the enlarged node.
D. Area proximal to the enlarged node. - ANSWER-Area proximal to the
enlarged node
The FNP is aware that the four areas in the body were lymph nodes
accessible are the:
A. Head, breasts, groin, and abdomen.
B. Arms, breasts, inguinal area, and legs.
C. Head and neck, arms, breasts, and axillae.
D. Head and neck, arms, inguinal area, and axillae - ANSWER-Head and
neck, arms, inguinal area, and axillae
A 52-year-old patient describes the presence of occasional floaters or spots
moving in front of his eyes. The FNP should know that floaters are usually
not significant and are caused
by:
A. Examine the retina to determine the number of floaters.
B. Presume the patient has glaucoma and refer him for further testing.
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C. Consider these to be abnormal findings, and refer him to an
ophthalmologist.
D. Know that floaters are usually insignificant and are caused by
condensed vitreous fibers. - ANSWER-Caused by condensed vitreous
fibers.
Know that floaters are usually insignificant and are caused by condensed
vitreous fibers.
The FNP is preparing to assess the visual acuity of a 16-year-old patient.
How should the FNP
proceed?
A. Perform the confrontation test.
B. Ask the patient to read the print on a handheld Jaeger card.
C. Use the Snellen chart positioned 20 feet away from the patient.
D. Determine the patient's ability to read newsprint at a distance of 12 to 14
inches. - ANSWER-Use the Snellen chart position 20 feet away from the
patient
A patient's vision is recorded as 20/30 when the Snellen eye chart is used.
The FNP interprets
these results to indicate that:
A. At 30 feet the patient can read the entire chart.
B. The patient can read at 20 feet what a person with normal vision can
read at 30 feet.
C. The patient can read the chart from 20 feet in the left eye and 30 feet in
the right eye.
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D. The patient can read from 30 feet what a person with normal vision can
read from 20 feet. - ANSWER-The patient can read at 20 feet what a
person with normal vision can read at 30 feet
A patient is unable to read even the largest letters on the Snellen chart.
The FNP should take which action next?
A. Refer the patient to an ophthalmologist or optometrist for further
evaluation.
B. Assess whether the patient can count the nurse's fingers when they are
placed in front of his or her eyes.
C. Ask the patient to put on his or her reading glasses and attempt to read
the Snellen chart again.
D. Shorten the distance between the patient and the chart until the letters
are seen, and record that distance. - ANSWER-Shorten the distance
between the patient and the chart until it is seen and record that distance
A patient's vision is reported as 20/80 in each eye. The FNP interprets this
finding to mean that the patient:
A. Has poor vision.
B. Has acute vision.
C. Has normal vision.
D. Is presbyopic. - ANSWER-The patient has poor vision
When performing the corneal light reflex assessment, the FNP notes that
the light is reflected at 2 o'clock in each eye. The FNP should:
A. Consider this a normal finding.
B. Refer the individual for further evaluation.
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C. Document this finding as an asymmetric light reflex.
D. Perform the confrontation test to validate the findings. - ANSWER-
Consider this a normal finding
The FNP is performing the diagnostic positions test. Normal findings would
be which of these
results?
A. Convergence of the eyes
B. Parallel movement of both eyes
C. Nystagmus in extreme superior gaze
D. Slight amount of lid lag when moving the eyes from a superior to an
inferior position - ANSWER-Parallel movement of both eyes
During an assessment of the sclera of an African-American patient, the
FNP would consider which of these an expected finding?
A. Yellow fatty deposits over the cornea
B. Pallor near the outer canthus of the lower lid
C. Yellow color of the sclera that extends up to the iris
D. Presence of small brown macules on the sclera - ANSWER-The
presence of small brown macules on the sclera
In African Americans, the sclera can have brownish spots or splotches due
to high levels of the dark brown pigment called melanin. This is harmless.
A 60-year-old man is at the clinic for an examination. The FNP suspects
that he has ptosis of one eye. How should the FNP check for this?
A. Perform the confrontation test.
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