Tag: Clinical-Nursing

  • NR 509 WEEK 1-7 QUIZ

    NR 509 Week 1 Quiz (25 Points) – Question and Answers

    A patient tells the FNP that he is very nervous, that he is nauseated, and that he “feels hot”. This type of data would be:

    The patient’s record, laboratory studies, objective data, and subjective data combine to form the:

    The FNP is reviewing information about evidence-based practice. Which statement best reflects evidence-based practice?

    A 59-year-old patient tells the FNP that he has ulcerative colitis. He has been having black stools for the last 24 hours. How would the FNP best document his reason for seeking care?

    A 29-year-old woman tells the FNP that she has excruciating pain in her back. Which would be an appropriate response by the FNP to the woman statement?

    In recording the childhood illnesses of a patient who denies having had any, which note by the FNP would be most accurate?

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    If a female patient tells the FNP that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the FNP record this information?

    Which of these statements represents subjective data the FNP obtained from the patient regarding the patient’s skin?

    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? NR 509 WEEK 1-7 QUIZ

    Which statement indicates that the FNP understands the pain experienced by an elderly person?

    The FNP is performing a vision examination. Which of these charts is most widely used for visual examination?

    During a complete health assessment, how would the FNP test the patients hearing? nr 509 week 1 quiz

    The FNP has just completed an examination of a patient’s extra-ocular muscles. When documenting the findings, the FNP should document the assessment of which cranial nerves?

    A patient’s uvula rises midline when she says “ahh” and she has a positive gag reflex. The FNP has just tested which cranial nerve?

    During an examination the FNP notices that a patient is unable to stick out his tongue. Which cranial nerve is involved with successful performance of this action?

    A patient is unable to shrug her shoulders against the FNP‘s resistant hands. What cranial nerve is involved with successful shoulder shrugging?

    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

    A five-year-old child is in the clinic for checkup. The FNP would expect him to:

    When the FNP performs the confrontation test the FNP has assessed: nr 509 week 1 quiz

    Which of these statements is true regarding the complete physical assessment?

    …. recording of data from the history and physical examination?

    … in assessment of general appearance? nr 509 week 1 quiz

    The FNP is performing a review of symptoms. Which of these questions are appropriate as Health promotion questions to ask during this time? NR 509 WEEK 1-7 QUIZ

    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?

    The FNP is preparing to complete a health assessment on a 16-year-old girl whose parents have brought her to the clinic. Which instruction would be appropriate for the parents before the interview begins?

     

    NR 509 Week 2 Quiz (25 Points) – Question and Answers

    A mother brings her two month old daughter in for an examination says “my daughter rolled over against the wall and now I have noticed that she has the spot soft on the top of her head, is there something terribly wrong?” The FNP‘s best response would be:

    During percussion the FNP knows that a dull percussion note elicited over a lung lobe. This most likely results from:

    The patient is unable to differentiate between sharp and dull stimulation to both sides of her face. The FNP suspects Damage to:

    When examining the face, the FNP is aware that the two pairs of salivary gland‘s that are accessible to examination are the _____ glands

    A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. The FNP suspects damage to cranial nerve ____ and proceeds with the examination by____

    When examining a patient’s cranial nerve function, the FNP remembers that the muscles in the neck that are innervated by CN XI are the:

    The patient’s laboratory data reveal an elevated thyroxine level. The FNP would proceed with an examination of the _____ gland

    A patient says that she has recently noticed a lump in the front of her neck below her “Adams apple” that seems to be getting bigger. During the assessment, the finding that leaves the FNP to suspect that this may not be a cancerous thyroid nodule is that the lump:

    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:

    The FNP is aware that the four areas in the body were lymph nodes accessible are the: nr 509 week 2 quiz

    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:

    The FNP is preparing to assess the visual acuity of a 16-year-old patient. How should the FNP proceed?

    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 patient is unable to read even the largest letters on the Snellen chart. The FNP should take which action next:

    A patient’s vision is ……as 20/80 in each eye. The FNP interprets this finding to mean that nr 509 week 2 quiz

    When performing the corneal light reflex assessment, the FNP notes that the light is …..at 2 o’clock in each eye. The FNP should

    The FNP is performing the diagnostic positions test. Normal findings would be which of these results? nr 509 week 2 quiz

    During an assessment of the sclera of an African-American patient, the FNP would consider which of these an expected finding?

    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?

    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?

    The FNP is palpating the sinus areas. If the findings are normal, then the patient should report which sensation?

    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

    During an assessment of a 20-year-old patient with a three day history of nausea and vomiting the FNP notices dry mucous and deep vertical fissures on the tongue. These findings are reflective of:

    The FNP is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate FNP reflects a correct understanding of tactile fremitus?

    The FNP student is reviewing physical assessment findings of the HEENT system associated with pregnancy. Which statement by the graduate FNP reflects a correct understanding of expected HEENT changes associated with pregnancy? During pregnancy:

     

    NR 509 Week 3 Quiz (25 Points) – Question and Answers

    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 patient has been diagnosed with osteoporosis and asked the FNP “what is osteoporosis?” The FNP explains to the patient that osteoporosis is defined as:

    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?

    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?

    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:

    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?

    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:

    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:

    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?

    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?

    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

    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:

    A professional tennis player comes into the clinic complaining of a sore elbow. The FNP will assess for tenderness at the:

    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:

    During the history a patient tells the FNP that “it feels like the room is spinning around me”. The FNP would document this as: nr 509 week 3 quiz

    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?

    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:

    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?

    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:

    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? nr 509 week 3 quiz

    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?

    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?

    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?

    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? nr 509 week 3 quiz

    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?

     

    NR 509 Week 4 Quiz (25 Points)

    A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient?

    The direction of blood flow through the heart is best described by which of these

    In assessing the carotid artery’s of an older patient with cardiovascular disease, the FNP would

    When listening to heart sounds the FNP knows that the valve closures that can be heard best at the base of the heart are

    The sack that surrounds and protects the heart is called the

    When assessing a newborn infant who is five minutes old the FNP knows that which of these statements would be true?

    The FNP is performing an assessment on an adult. The adults vital signs are normal and capillary refill is five seconds. What should the FNP do next?

    During an assessment of an older adult the FNP should expect to notice which finding as normal physiologic change associated with aging process?

    The mother of a three month old infant states that her baby has not been gaining weight. With further questioning the FNP finds that the infant falls asleep after nursing and wakes up after a short amount of time hungry again. What other information with the FNP want to have?

    In assessing a patient’s major risk factors for heart disease which would the FNP want to include when taking a history?

    The FNP is assessing the pulses of a patient who has been admitted for untreated hyperthyroidism. The FNP should expect to find a____pulse NR 509 WEEK 1-7 QUIZ

    A patient complains of leg pain that wakes him at night. … states that he has been having problems with his legs. He has pain in his legs when they are … and disappears when he dangles them. He recently noticed a sore on the inner aspect of his right ankle. On the basis of this history information the FNP interprets that the patient is most likely experiencing

    During an assessment the FNP uses the profile sign to detect nr 509 week 4 quiz

     … these statements describes the closure of the valves in a normal cardiac cycle?

    When performing a peripheral vascular assessment on a patient the FNP is unable to palpate the ulnar pulses. The patient skin is warm and capillary refill is normal. The FNP should next

    A 67-year-old patient states that he “recently began have pain in his left calf when climbing the 10 stairs to his apartment”. This pain is relieved by sitting for about two minutes then he’s able to resume activities. The FNP interprets this patient is most likely experiencing

    In assessing a 70-year-old man the FNP finds the following blood pressure 140/100 mmHg, heart rate 104 and slightly irregular, split S2. nr 509 week 4 quiz  Which of these findings can … explained by expected hemodynamic changes related to age?

    The FNP is examining the lymphatic system of a healthy three year old child. Which finding should the FNP expect?

    The FNP is preparing to perform modified Allen test. Which is an appropriate reason for this test?

    A 25-year-old woman is in her fifth month of pregnancy has a blood pressure of 100/70 mmHg. In reviewing her previous exam the FNP notes that her blood pressure in her second month was 124/80 mmHg. When evaluating this change what does the FNP know to be true?

    Findings from an assessment of a 70-year-old patient with swelling in his ankles include jugular venous pusations, 5 cm above the sternal angle when the head of his bed is … 45°. The FNP knows that this finding indicate:

    The component of the conduction system referred to as the pacemaker of the heart is the nr 509 week 4 quiz

    The FNP is reviewing anatomy and physiology of the heart. Which statement best describes what is … by atrial kick?

    A 45-year-old man is in the clinic for a routine physical. During history the patient states he has been having difficulty sleeping. I’ll be sleeping great and then I wake up and feel like I can’t catch my breath. The FNP‘s best response to this would be NR 509 WEEK 1-7 QUIZ

    When assessing a patient the FNP notes that the left femoral pulse as diminished 1+/4+. What should the FNP do next?

     

    NR 509 Week 5 Quiz (25 Points) – Question and Answers

    An older patient has been diagnosed with pernicious anemia. The FNP knows that this condition could be related to

    The FNP is examining a patient who tells the FNP “I sure sweat a lot especially on my face and feet but it doesn’t have an odor”. The FNP knows that this could be related to

    During an abdominal assessment the FNP elicits tenderness on light palpation in the right lower quadrant. The FNP interprets that this finding could indicate a disorder which of these structures?

    An Inuit visiting Nevada from anchorage has come to the clinic in July during the hottest part of the day. It so happens that the clinics air conditioning is broken and the temperature is very hot. The FNP knows that which of these statements is true about the Inuit sweating tendencies?

    The FNP notices that a patient has black, tarry stool and recalls that a possible cause would be

    The FNP knows that during an abdominal assessment deep palpation is used to determine

    The FNP is assessing the abdomen of an aging adult. Which of these statements regarding an aging adult and abdominal assessment is true?

    During examination the FNP finds that a patient has excessive dryness of the skin. The best term to describe this condition is

    A FNP notices that a patient has ascites, which indicates the presence of nr 509 week 5 quiz

    The FNP is performing percussion during an abdominal assessment. Percussion notes during the abdominal assessment may include

    The FNP is caring for a black child who has been diagnosed with marasmus. The FNP would expect to find the

    The FNP just noted from a patient’s medical record that the patient has a lesion that is confluent in nature. On examination the FNP would expect to find

    The FNP is assessing the abdomen of a pregnant woman who is complaining of having acid indigestion all the time. The FNP knows that esophageal reflux during pregnancy can cause

    The patient has abdominal borborygmi. The FNP knows that this term refers to nr 509 week 5 quiz

    A patient has a terrible itch for several months that he has been scratching continuously. On examination the FNP might expect to find NR 509 WEEK 1-7 QUIZ

    During aging process, the hair can look gray or white and begin to feel thin and fine. The FNP knows that this occurs because of a decrease in number of functioning

    The FNP notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. When documenting this finding the FNP would report this as a

    During an abdominal assessment the FNP would consider which of these findings as normal?

    A 52 -year-old Woman has a papule on her nose that has a rounded pearly border and a central red ulcer. She said she first noticed it several months ago and that it is slowly growing larger. The FNP suspects which condition?

    The FNP is listening to bowel sounds. Which of these statements is true about bowel sounds?

    The FNP is watching a new graduate FNP perform auscultation of a patient abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation proceeds percussion and palpitation of the abdomen?

    A patient is complaining of a sharp pain along the costovertebral angles. The FNP knows that this symptom is most often indicative of

    The patient is ….of having inflammation of the gallbladder or cholecystitis. The FNP should conduct which of these techniques to assess for this condition?

    A newborn infant is in the clinic for a well baby check. The FNP observes the infant for possibility of fluid loss because of which these factors?

    During an assessment of a newborn infant, the FNP recalls that pyloric stenosis would be manifested by nr 509 week 5 quiz

     

    NR 509 Week 6 Quiz (25 Points) – Question and Answers

    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?

    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?

    The FNP is planning to assess new memory with the patient. The best way for the FNP to do this would be

    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?

    Symptoms such as pain are often influenced by a person’s cultural heritage. Which of the following is a true statement regarding pain? NR 509 WEEK 1-7 QUIZ

    The FNP suspect abuse when a 10-year-old child is taken to the urgent care center for leg injury. nr 509 week 6 quiz The best way to document the history and physical findings is to

    During a mental status assessment, which question by the FNP would best assess a persons judgment?

    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?

    During mental status examination, the FNP wants to assess a patient’s affect. The FNP should ask the patient which question?

    During an examination FNP notices a patterned injury on a patients back. Which of these would cause such an injury?

    The FNP is aware that intimate partner violence screening should occur with which situation?

    Which statement is best for the FNP to use when preparing to administer the abuse assessment screen?

    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?

    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

    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

    Which term refers to a one produced by tearing or splitting of body tissue usually from blunt impact of a bony surface NR 509 WEEK 1-7 QUIZ

    When reviewing the use of alcohol by older adults the FNP notes that the older adults have several characteristics that can increase the risk of alcohol use which would increase the bioavailability of alcohol in the blood for longer periods of time in the older adult?

    The FNP is reviewing concepts of cultural aspects of pain. Which statement is true regarding pain?

    The FNP is planning to assess a child using behavioral checklist. This tool is most appropriate for a(an)

    The FNP is … orientation in a 79-year-old patient. Which of these responses would leave the FNP to conclude that the patient is … ?

    As a mandatory reporter of elder abuse, which of these must be present before an FNP notifies the authorities?

    A 30-year-old female patient is describing feelings of hopelessness and depression. She has attempted self-mutilation and has a history of prior suicide attempts. She describes difficulty sleeping at night and has lost 10 pounds in the past month. Which of these statements or questions is the FNP‘s best response in this situation? nr 509 week 6 quiz

    For persons age 12 years and older which of these illicit substances was one of the most commonly used?

    Which of these individuals would the FNP consider at highest risk for suicide attempt?

    The FNP is assessing a patient who has … admitted for cirrhosis of the liver secondary to chronic alcohol use. nr 509 week 6 quiz During the physical assessment the FNP looks for cardiac problems that are … with chronic heavy use of alcohol such as

    NR 509 Week 7 Quiz – Question and Answers

    During an examination of an aging male the FNP recognizes that normal changes to expect would be:

    During a health history, a 22-year-old woman asks “can I get that vaccine for HPV? I have gentle warts and I’d like them to go away!” What is the FNP‘s best response?

    During a speculum inspection of the vagina the FNP would expect to see what at the end of the vaginal canal?

    A 62-year-old man is experiencing fever, chills, malaise, urinary frequency and urgency. He also reports urethral discharge and a dull aching pain in the perineal and rectal area. The symptoms are most consistent with which of the following?

    When performing a genital examination on a 25-year-old man the FNP notices deeply pigmented, wrinkled scrotal skin with large sebaceous follicles. On the basis of this information the FNP would:

    The mother of a 10-year-old boy asks the FNP to discuss the recognition of puberty. The FNP should reply by saying:

    The uterus is usually positioned tilting forward and superior to the bladder. This position is known as

    A male patient with possible fertility problems asks the FNP where sperm is produced. The FNP knows that sperm production occurs in

    A 15-year-old boy is seen in the clinic for complaints of dull pain and pulling in the scrotal area. On examination the FNP palpates a soft, irregular mass posterior to and above the testes on the left. This mass collapses when the patient is supine in refills when he is up right. This description is consistent with:

    In performing an assessment of a woman’s axillary lymph system the FNP should assess which of these nodes?

    A patient contacts the office and tells the FNP that she is … about her 10-year-old daughter having breast cancer. She describes a unilateral enlargement of the right breast with associated tenderness. She is … because the left breast is not enlarged. What would be the FNP‘s best response?

    An 11-year-old girl is in the clinic for a sports physical. The FNP notices that she has begun to develop breasts, and during the conversation the girl reveals that she is worried about her development. … use which of these techniques to best assist the young girl in understanding the expected sequence for development? The FNP should: NR 509 WEEK 1-7 QUIZ

    A 54-year-old woman who has just completed menopause is in the clinic today for yearly physical examination. Which of these statements should the FNP include in patient education? A post menopausal woman:

    A 62-year-old man states that his doctor told him that he has an inguinal hernia. He asks the FNP to explain what a hernia is….. :

    When performing a genital assessment on a middle-age man, the FNP notices multiple soft, moist, painless papules in the shape of cauliflower like patches scattered across the shaft of the penis. These lesions are characteristics of:

    If a patient reports a recent breast infection, then the FNP should expect to find_____node enlargement

    A 9-year-old girl is in the clinic for a sports physical. After some initial shyness she finally ….“am I normal? I don’t seem to need a bra yet, but I have some friends who do. What if I never get breasts?” The FNP‘s best response would be:

    Which of these statements about the testes this true?

    During an examination FNP observes a female patients vestibule and expect to see the

    A 14-year-old girl is anxious about not having reached menarche. When taking history, the FNP should ascertain which of the following? The age:

    A woman who is 22 weeks pregnant has a vaginal infection. She tells the FNP that she is afraid that the infection will hurt the fetus. The FNP knows that which of these statements is true?

    In performing a breast examination the FNP knows that it is especially important to examine the upper outer quadrant of the breast. The reason for this is that the upper outer quadrant

    An accessory glandular structure for the male genital organs is the

     …. true regarding the penis?

    __ 8 weeks pregnant is in the clinic for a check up. The FNP reads on her chart that her cervix is … and looks cyanotic. The FNP knows that the woman is exhibiting____sign and _____sign NR 509 WEEK 1-7 QUIZ

  • NR 509 WEEK 1 QUIZ

    NR 509 Week 1 Quiz (25 Points) – Question and Answers

    A patient tells the FNP that he is very nervous, that he is nauseated, and that he “feels hot”. This type of data would be:

    The patient’s record, laboratory studies, objective data, and subjective data combine to form the:

    The FNP is reviewing information about evidence-based practice. Which statement best reflects evidence-based practice?

    A 59-year-old patient tells the FNP that he has ulcerative colitis. He has been having black stools for the last 24 hours. How would the FNP best document his reason for seeking care?

    A 29-year-old woman tells the FNP that she has excruciating pain in her back. Which would be an appropriate response by the FNP to the woman statement?

    In recording the childhood illnesses of a patient who denies having had any, which note by the FNP would be most accurate?

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    If a female patient tells the FNP that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the FNP record this information?

    Which of these statements represents subjective data the FNP obtained from the patient regarding the patient’s skin?

    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?

    Which statement indicates that the FNP understands the pain experienced by an elderly person?

    The FNP is performing a vision examination. Which of these charts is most widely used for visual examination?

    During a complete health assessment, how would the FNP test the patients hearing? nr 509 week 1 quiz

    The FNP has just completed an examination of a patient’s extra-ocular muscles. When documenting the findings, the FNP should document the assessment of which cranial nerves?

    A patient’s uvula rises midline when she says “ahh” and she has a positive gag reflex. The FNP has just tested which cranial nerve? NR 509 WEEK 1 QUIZ

    During an examination the FNP notices that a patient is unable to stick out his tongue. Which cranial nerve is involved with successful performance of this action?

    A patient is unable to shrug her shoulders against the FNP‘s resistant hands. What cranial nerve is involved with successful shoulder shrugging?

    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

    A five-year-old child is in the clinic for checkup. The FNP would expect him to:

    When the FNP performs the confrontation test the FNP has assessed: nr 509 week 1 quiz

    Which of these statements is true regarding the complete physical assessment?

    …. recording of data from the history and physical examination?

    … in assessment of general appearance? nr 509 week 1 quiz

    The FNP is performing a review of symptoms. Which of these questions are appropriate as Health promotion questions to ask during this time?

    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?

    The FNP is preparing to complete a health assessment on a 16-year-old girl whose parents have brought her to the clinic. Which instruction would be appropriate for the parents before the interview begins? NR 509 WEEK 1 QUIZ

  • NR 509 Week 4 Quiz Advanced Physical Assessment

    NR 509 Week 4 Quiz Advanced Physical Assessment

    1. A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient?

    a. Hard and fixed cervical nodes

    b. Enlarged and tender inguinal nodes

    c. Bilateral enlargement of the popliteal nodes

    d. Pelletlike nodes in the supraclavicular region

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    2. The direction of blood flow through the heart is best described by which of these

    a. Vena cava right atrium right ventricle lungs pulmonary artery left atrium left ventricle

    b. Right atrium right ventricle pulmonary artery lungs pulmonary vein left atrium left ventricle

    c. Aorta right atrium right ventricle lungs pulmonary vein left atrium left ventricle vena cava

    d. Right atrium right ventricle pulmonary vein lungs pulmonary artery left atrium left ventricle

    3. In assessing the carotid arteries of an older patient with cardiovascular disease, the FNP would

    a. Palpate the artery in the upper one third of the neck. NR 509 Week 4 Quiz Advanced Physical Assessment

    b. Listen with the bell of the stethoscope to assess for bruits.

    c. Simultaneously palpate both arteries to compare amplitude.

    d. Instruct the patient to take slow deep breaths during auscultation.

    4. When listening to heart sounds the FNP knows that the valve closures that can be heard best at the base of the heart are

    a. mitral, tricuspid.

    b. tricuspid, aortic.

    c. aortic, pulmonic.

    d. mitral, pulmonic.

    5. The sack that surrounds and protects the heart is called the

    a. pericardium.

    b. myocardium.

    c. endocardium.

    d. pleural space.

    6. When assessing a newborn infant who is five minutes old the FNP knows that which of these statements would be true?

    a. The left ventricle is larger and weighs more than the right.

    b. The circulation of a newborn is identical to that of an adult.

    c. There is an opening in the atrial septum where blood can flow into the left side of the heart.

    d. The foramen ovale closes just minutes before birth and the ductus arteriosus closes immediately after.

    7. The FNP is performing an assessment on an adult. The adults vital signs are normal and capillary refill is five seconds. What should the FNP do next? NR 509 Week 4 Quiz Advanced Physical Assessment

    a. ask the parent if the child has had frostbite in the past.

    b. suspect that the child has a venous insufficiency problem.

    c. consider this a delayed capillary refill time and investigate further.

    d. consider this a normal capillary refill time that requires no further assessment.

    8. During an assessment of an older adult the FNP should expect to notice which finding as normal physiologic change associated with aging process?

    a. Hormonal changes causing vasodilation and a resulting drop in blood pressure

    b. Progressive atrophy of the intramuscular calf veins, causing venous insufficiency

    c. Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood pressure

    d. Narrowing of the inferior vena cava, causing low blood flow and increases in venous pressure resulting in varicosities

    9. The mother of a three month old infant states that her baby has not been gaining weight. With further questioning the FNP finds that the infant falls asleep after nursing and wakes up after a short amount of time hungry again. What other information with the FNP want to have?

    a. The position that baby sleeps in

    b. Sibling history of eating disorders

    c. Amount of background noise when eating

    d. Presence of dyspnea or diaphoresis when sucking

    10. In assessing a patient’s major risk factors for heart disease which would the FNP want to include when taking a history?

    a. Family history, hypertension, stress, age

    b. Personality type, high cholesterol, diabetes, smoking

    c. Smoking, hypertension, obesity, diabetes, high cholesterol

    d. Alcohol consumption, obesity, diabetes, stress, high cholesterol

    11. The FNP is assessing… the pulses of a patient who has been admitted for untreated hyperthyroidism. The FNP should expect to find a—— pulse NR 509 Week 4 Quiz Advanced Physical Assessment

    a. normal

    b. absent

    c. bounding

    d. weak, thread

    12. A patient complains of leg pain that wakes him at night. He states that he has been having problems with his legs. He has pain in his legs his legs when they are elevated, which disappears when he dangles them. He recently noticed a sore on the inner aspect of his right ankle. On the basis of this history information the FNP interprets that the patient is most likely experiencing

    a. pain related to lymphatic abnormalities.

    b. problems related to arterial insufficiency.

    c. problems related to venous insufficiency.

    d. pain related to musculoskeletal abnormalities.

    13. During an assessment the FNP uses the profile sign to detect

    a. Pitting edema. NR 509 Week 4 Quiz Advanced Physical Assessment

    b. Early clubbing.

    c. Symmetry of the fingers.

    d. Insufficient capillary refill.

    14. Which of these statements describes the closure of the valves in a normal cardiac cycle?

    a. The aortic valve closes slightly before the tricuspid valve.

    b. The pulmonic valve closes slightly before the aortic valve.

    c. The tricuspid valve closes slightly later than the mitral valve.

    d. Both the tricuspid and pulmonic valves close at the same time.

    15. When performing a peripheral vascular assessment on a patient the FNP is unable to palpate the ulnar pulses. The patient skin is warm and capillary refill is normal. The FNP should next

    a. check for the presence of claudication.

    b. refer the individual for further evaluation.

    c. consider this a normal finding and proceed with the peripheral vascular evaluation.

    d. ask the patient if he or she has experienced any unusual cramping or tingling in the arm.

    16. A 67-year-old patient states that he “recently began have pain in his left calf when climbing the 10 stairs to his apartment”. This pain is relieved by sitting for about two minutes then he’s able to resume activities. The FNP interprets this patient is most likely experiencing NR 509 Week 4 Quiz Advanced Physical Assessment

    a. Claudication.

    b. Sore muscles.

    c. Muscle cramps.

    d. Venous insufficiency.

    17. In assessing a 70-year-old man the FNP finds the following blood pressure 140/100 mmHg, heart rate 104 and slightly irregular, split S2. Which of these findings can… by expected hemodynamic changes related to age?

    a. Increase in resting heart rate

    b. Increase in systolic blood pressure

    c. Decrease in diastolic blood pressure

    d. Increase in diastolic blood pressure

    18. The FNP is examining the lymphatic system of a healthy three year old child. Which finding should the FNP expect?

    a. Excessive swelling of the lymph nodes

    b. The presence of palpable lymph nodes

    c. No nodes palpable because of the immature immune system of a child

    d. Fewer numbers and a decrease in size of lymph nodes compared with those of an adult

    19. The FNP is preparing to perform modified Allen test. Which is an appropriate reason for this test?

    a. To measure the rate of lymphatic drainage NR 509 Week 4 Quiz Advanced Physical Assessment

    b. To evaluate the adequacy of capillary patency before venous blood draws

    c. To evaluate the adequacy of collateral circulation before cannulating the radial artery

    d. To evaluate the venous refill rate that occurs after the ulnar and radial arteries are temporarily occluded

    20. A 25-year-old woman is in her fifth month of pregnancy has a blood pressure of 100/70 mmHg. In reviewing her previous exam the FNP notes that her blood pressure in her second month was 124/80 mmHg. When evaluating this change what does the FNP know to be true?

    a. This is the result of peripheral vasodilatation and is an expected change.

    b. Because of increased cardiac output, the blood pressure should be higher this time.

    c. This is not an expected finding because it would mean a decreased cardiac output.

    d. This would mean a decrease in circulating blood volume, which is dangerous for the fetus

    21. Findings from an assessment of a 70-year-old patient with swelling in his ankles include jugular venous pusations, 5 cm above the sternal angle when the head of his bed is eleveted 45°. The FNP knows that this finding indicate: NR 509 Week 4 Quiz Advanced Physical Assessment

    a. Decreased fluid volume.

    b. Increased cardiac output.

    c. Narrowing of jugular veins.

    d. Elevated pressure related to heart failure.

    22. The component of the conduction system referred to as the pacemaker of the heart is the

    a. Atrioventricular (AV) node.

    b. Sinoatrial (SA) node.

    c. Bundle of His.

    d. Bundle branches.

    23. The FNP is reviewing anatomy and physiology of the heart. Which statement best describes by atrial kick?

    a. The atria contract during systole and attempt to push against closed valves.

    b. Contraction of the atria at the beginning of diastole can be felt as a palpitation.

    c. Atrial kick is the pressure exerted against the atria as the ventricles contract during systole.

    d. The atria contract toward the end of diastole and push the remaining blood into the ventricles.

    24. A 45-year-old man is in the clinic for a routine physical. During history the patient states he has been having difficulty sleeping. I’ll be sleeping great and then I wake up and feel like I can’t catch my breath. The FNP‘s best response to this would be

    a. “When was your last electrocardiogram?”

    b. “It’s probably because it’s been so hot at night.”

    c. “Do you have any history of problems with your heart?”

    d. “Have you had a recent sinus infection or upper respiratory infection?”

    25. When assessing a patient the FNP notes that the left femoral pulse as diminished 1 /4 . What should the FNP do next? NR 509 Week 4 Quiz Advanced Physical Assessment

  • NR 509 Week 8 Summary Reflection

    NR 509 Week 8 Summary Reflection

    Purpose

    In order to provide high quality healthcare to patients, the provider of care must possess the skills and competency indicative of a high quality medical provider. The rationale for measuring quality improvement is the belief that good performance reflects good-quality practice. A quality improvement strategy is defined as any intervention aimed at reducing the quality gap. Therefore, students must aim to achieve the skills and competencies indicative of high quality healthcare providers through the systematic implementation of a quality improvement strategy.

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    Program Outcomes

    This activity is guided by Program Outcome (PO) 1:

    PO1. Provide high quality, safe, patient-centered care grounded in holistic health principles. (holistic health & patient-centered care) NR 509 Week 8 Summary Reflection

    The purposes of this activity are to: (a) reflect upon providing high quality healthcare to patients, (b) identify knowledge deficits as determined by the 3P examination, (c) identify educational resources available through the Chamberlain University library, (d) create a self-driven quality improvement plan aimed at decreasing knowledge deficits and improving performance, and (e) share your improvement strategies with student peers.

    Preparing for the Activity and Guidelines

    Reflect upon PO1and provide 
    two
     (2) or more examples of how you specifically achieved or had exposure to this outcome during this course.

    Review the results of your 3P examination.

    Identify 
    three
     (3) content domains in which your performance was the lowest percentage as compared to the national average. If two or more domains share equal percentages, select the three lowest domains for this activity. In the 
    example
     below, the student scored the lowest (17%) in the Endocrine and Urology domains and 33% in Cardiovascular. The student would select all three domains.

    Access the 
    NR509 Library 
    using the web link below and select resources available through the Chamberlain University library to research topics and content areas related to the domains identified in Step 3. Explore the NR509 LibGuide Study Strategies box.  NR 509 Week 8 Summary Reflection

    Create a self-guided quality improvement plan based on these resources. Include details such as:

    Resource Names

    Timeline for studying

    Goals/Outcomes

    Share your improvement plan with your peers in the Week 8 Summary Reflection Post in Canvas. NR 509 Week 8 Summary Reflection

  • NR 509 Week 7 Shadow Health Comprehensive Health History and Physical Assessment Assignment

    Pre Brief

    In this case study, you will complete the Plan My Exam activity to organize the exam procedures you will use into a sequence that moves smoothly from head to toe by mapping them to the region of the body where you will perform them. After you have planned your exam, you will enter the clinic room and conduct a Comprehensive Assessment by interviewing and examining your Digital Standardized Patient. When collecting information for the comprehensive assessment, be sure to include the following:

    • Current Illnesses

    • Past Illnesses

    • Chronic Illnesses

    • Past Medical History

    • Injuries and Treatments

    • Hospitalizations/Surgeries

    • Environmental/Food/Drug Allergies

    • Current Medications/Herbal Remedies/Health Supplements

    • Past Medications

    • Habits/Drug and Alcohol Use

    • Family Medical History

    • Psychosocial/Cultural/Spiritual History

    • Sexual History

    • Obstetric History

    As you complete the case study this week, be cognizant of the time that it takes you to conduct the history and physical. In family practice, you are generally allocated a total of 15-minutes for an entire patient visit, which includes taking a history, performing a physical examination, and developing/implementing a treatment plan. You also need to incorporate health promotion into the visit when possible. Be certain to follow a systematic approach during your interview and inquire about each system on the ROS. During the physical exam, be sure to apply the examination skills that you have learned in this course to assess your virtual patient.

    Ms. Tina Jones is a pleasant, 29-year-old African American single woman who presents for a pre-employment physical. She is the primary source of the history. Ms. Jones offers information freely and without contradiction. Speech is clear and coherent. She maintains eye contact throughout the interview. Reason for visit: Patient requests a complete health assessment for a pre-employment.

    Results Included:

    Experience Overview

    Transcript

    Subjective
     
    Data
     
    Collection

    Objective
     
    Data
     
    Collection

    Documentation
     
    /
     
    Electronic
     
    Health
     
    Record

    Plan
     
    My
     
    Exam

    Self –
     
    Reflection

  • NR 509 Week 6 Shadow Health Mental Health Physical Assessment Assignment

    Pre Brief

    Tina’s recent sleep disturbance has lasted a month. She states that her sleep is “shallow and not restful”. She complains of difficulty falling asleep at least 5 nights per week, but states that she is able to stay asleep without difficulty. On average she sleeps 4 or 5 hours per night and awakens at 8:00 AM daily. She does not take any prescription or over the counter sleep aids. This case study is an opportunity for you to ask probing interview questions and take a thorough history of the presenting complaint. Be sure to compile a list of positive and negative findings during the patient interview to support each potential differential diagnosis. 
    Reason for visit:
     Patient presents complaining of sleep problems and feelings of anxiety.

    Results Included
    :

    Transcript

    Subjective
     
    Data
     
    Collection

    Education
     
    and
     
    Empathy

    Documentation

    Life
     
    Span

    Review
     
    Questions

    Self
     
    Reflection

  • NR 509 Week 5 Shadow Health Gastrointestinal Physical Assessment Assignment

    Pre Brief

    For at least a month, Tina has been experiencing pain in her upper stomach after eating, which she describes as “kind of like heartburn, but sharper.” She notices it a little every day, but 3-4 times a week it is very painful (5/10 on pain scale). She also notices burping after she eats. She denies cough, hoarseness, sore throat, dysphagia, and chest pain. Be sure to apply the supportive information learned in this week’s concept lab to your critical thinking process in this case study. 
    Reason for visit: 
    Patient presents complaining of recent recurrent stomach pain.

     

    Results Included
    :

    Overview

    Transcript

    Subjective
     
    Data
     
    Collection

    Objective
     
    Data
     
    Collection

    Education
     
    &
     
    Empathy

    Documentation

    Lifespan

    Review
     
    Questions

    Self – Reflection

  • NR 509 Week 5 Shadow Health Abdominal Pain Physical Assessment Assignment

    Pre Brief

    Ms. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. She reports that the pain isn’t severe, but that her daughter was concerned and brought her in. It is very important to determine whether or not the situation is an emergency and that the underlying cause of Esther’s discomfort. Be sure to inquire about a variety of psychosocial factors related to the GI system, including her diet, toilet habits, immunizations, recent travel, etc. This case study will offer you the opportunity to take a complete surgical, reproductive, and current sexual history. During her physical examination, take particular note as to where Mrs. Park verbalizes pain during palpation so that you may synthesize verbal and non-verbal cues. Be sure to apply the supportive information learned in this week’s concept lab to your critical thinking process in this case study. Reason for Visit: Patient presents complaining of abdominal pain.

    Results Included:

    Overview

    Transcript

    Subjective Data Collection

    Objective Data Collection

    Education & Empathy

    Documentation (Provider Notes & Vitals)

    Self-Reflection

  • NR 509 Week 4 Shadow Health Chest Pain Physical Assessment Assignment

    Pre Brief

    This assignment provides the opportunity to conduct a focused exam on a patient presenting with recent episodes of chest pain in a non-emergency setting. Interview Mr. Foster and be sure to thoroughly assess the cardiovascular system as well as related body systems in order to compile a list of differential diagnoses. This case study offers you the opportunity to evaluate Mr. Foster’s personal and family history with heart disease and identify lifestyle risk factors. During the physical examination, thoroughly examine the cardiovascular system and carefully evaluate and document the patient’s heart sounds. Reason for visit: Patient presents complaining recurrent chest pain.

    Chest Pain Results: Overview

    Chest Pain Results: Transcript

    Chest Pain Results: Subjective Data Collection

    Chest Pain Results: Objective Data Collection

    Chest Pain Results: Education & Empathy

    Chest Pain Results: Documentation

    Chest Pain Results: Self-Reflection

  • NURS 6541 Week 7 Quiz : Advance Practice Care of Children and Adolescents

    NURS 6541 Week 7 Quiz : Advance Practice Care of Children and Adolescents

    Question 1

    In children who have not received antibiotics in the past month, which antibiotic is recommended by the Centers for Disease Control and Prevention for the management of acute bacterial respiratory infection?

    a.

    Azithromycin (Zithromax)

    b.

    Amoxicillin (Amoxil)

    c.

    Amoxicillin plus clavulanic acid (Augmentin)

    d.

    Sulfamethoxasole (Bactrim)

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    Question 2

    A 3-year-old presents to your office with a history of wheezing over the last 3 months and has only been moderately responsive to therapy. Which of the following diagnostic tests would be appropriate?

    a.

    Sweat chloride testing

    b.

    Pulmonary function testing

    c.

    Bronchoscopy

    d.

    All of the above

     

    Question 3

    A 7-year-old presents with abrupt fever, stridor, drooling, and hyperextension of the neck. You examine the nose and throat and notice one tonsil is enlarged and there is marked erythema of the pharynx with uvular deviation. Which is most appropriate? NURS 6541 Week 7 Quiz : Advance Practice Care of Children and Adolescents

    a.

    Start amoxicillin at the appropriate dose for weight after obtaining a throat culture.

    b.

    Place on a 5-day course of oral steroids after obtaining a monospot, EBV titers, and a CBC.

    c.

    Refer to otolaryngology for management of a peritonsillar abscess and possible hospital admission.

    d.

    Start cephalexin (Keflex) at the appropriate dose for weight after obtaining a throat culture.

     

    Question 4

    Hope is a 7-month-old who presents in January with a 1-day history of cough, yellow nasal discharge, and low-grade temp (T max 100°F). She was previously healthy. She does have 2+ edema of the nasal turbinates and cloudy rhinorrhea. She is afebrile in the office. Her chest, mouth, and ears are clear. You prescribe:

    a.

    Guaifenesin liquid suspension

    b.

    Amoxicillin 80 mg/kg/day in two divided doses for 10 day

    c.

    Neo-Synephrine half-strength drops three times a day for 5 to 6 days

    d.

    Saline drops, bulb suction, humidified air, and increased PO fluids

     

    Question 5

    You are on call and receive a phone call from the parents of a 13-year-old known asthmatic. She has been having chest tightness and a worsening cough for 48 hours. She has significant nasal discharge that began 14 days ago and intermittent complaint of headache. She is now running a low-grade fever. Her peak flow the last 48 hours is 70–80% of personal best. Her temperature right now is 101.7°F. She is on salmeterol with corticosteroid (Advair) and PRN albuterol. Which of the following is most appropriate? NURS 6541 Week 7 Quiz : Advance Practice Care of Children and Adolescents

    a.

    Continue home management with the use of inhaled beta agonists and inhaled corticosteroids, and add the use of oral antihistamine/decongestant combinations.

    b.

    See her in the office in the morning and prescribe a 14-day course of amoxicillin plus the addition of a short course of oral steroids.

    c.

    See her in the office in the morning and prescribe a short course of oral steroids.

    d.

    Continue home management and add inhaled cromolyn sulfate.

     

    Question 6

    Anthony is a known asthmatic. He has symptoms three times a week but never more than once a day. Exacerbations affect his normal activities occasionally. He awakens with cough three to four times a month. You classify his asthma as: NURS 6541 Week 7 Quiz : Advance Practice Care of Children and Adolescents

    a.

    Mild intermittent

    b.

    Mild persistent

    c.

    Moderate persistent

    d.

    Severe persistent

     

    Question 7

    Which of the following symptoms are most suggestive of pneumonia in a young child?

    a.

    Headache, fever, malaise, congestion, scattered rhonchi

    b.

    Fever, tachypnea, coryza, cough, scattered rales

    c.

    Fever, vomiting, coryza, cough, scattered rales

    d.

    Irritability, fever, decreased appetite, scattered rhonchi

     

    Question 8

    A 16-year-old presents with pharyngitis, cough, and high fever. Her chest X-ray reveals bilateral pulmonary infiltrates. Her white blood cell count is normal and the neutrophil count is normal. The most likely etiology is:

    a.

    Chlamydia pneumonia

    b.

    Streptococcus pneumonia

    c.

    Legionella

    d.

    Staphylococcus aureus

     

    Question 9

    A 2-year-old presents to your office with the following symptoms: nasal congestion and rhinorrhea for 48 hours, low-grade fever, and a harsh/barky cough that is significantly worse at night. Inspiratory stridor is present and she has clear but slightly decreased breath sounds. Which of the following treatments is best? NURS 6541 Week 7 Quiz : Advance Practice Care of Children and Adolescents

    a.

    Albuterol sulfate solution via nebulizer every 4 to 6 hours

    b.

    Azithromycin (Zithromax) treatment for 5 days

    c.

    One dose of oral dexamethasone

    d.

    Oral dextromethorphan extended release at night only

     

    Question 10

    A 2-year-old presents with a history of wheezing and persistent cough. The father reports the child had a coughing/choking episode about a week ago that was spontaneously resolved. A few days later she began to cough and wheeze. This scenario is most consistent with:

    a.

    Restrictive airway disease

    b.

    Sinusitis

    c.

    Bronchiolitis

    d.

    Foreign body aspiration NURS 6541 Week 7 Quiz : Advance Practice Care of Children and Adolescents