Exam (elaborations)
NR509 Midterm
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NR509 Midterm 2024 Revised and updated questions and answers
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NR509Midterm
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:
-
ANS
Of
sharp
pain
that
increases
with
movement
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:
-
ANS
Loss
of
bone
density
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?
-
ANS
Crepitation
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?
-
ANS
Do
you
have
any
warning
sign
before
you
receive
your
starts?
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:
-
ANS
"
Start
swimming
to
increase
my
weight
bearing
exercise"
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?
-
ANS
Peripheral
neuropathy
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:
-
ANS
Abduct
her
hip
while
she
is
lying
on
her
back
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
-
ANS
Moves
the
head
and
shoulders
against
resistance
with
equal
strength
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?
-
ANS
Complete
neurologic
examination 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?
-
ANS
Mild,
even
resistance
to
movement
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:
-
ANS
Lordosis
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:
-
ANS
Rotator
cuff
lesions
A
professional
tennis
player
comes
into
the
clinic
complaining
of
a
sore
elbow.
The
FNP
will
assess
for
tenderness
at
the:
-
ANS
Medial
and
lateral
epicondyle
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:
-
ANS
Hold
both
hands
back
to
back
while
flexing
the
wrists
90°
for
60
seconds
During
the
history
a
patient
tells
the
FNP
that
"it
feels
like
the
room
is
spinning
around
me".
The
FNP
would
document
this
as:
-
ANS
Vertigo
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?
-
ANS
This
is
most
likely
the
result
of
the
summation
effect
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:
-
ANS
Of
the
shortening
of
the
vertebral
column
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?
-
ANS
Rheumatoid
arthritis
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:
-
ANS
Positive
Romberg
sign
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