Neurological and Orthopedic Assessment: Osteoporosis and Neurological Disorders, Exams of Nursing

Download Neurological and Orthopedic Assessment: Osteoporosis and Neurological Disorders and more Exams Nursing in PDF only on Docsity! NR509 Midterm examination with the best answers to the questions 1. A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when 2. she fell and landed on her left hand. The FNP examined her hand and will expect a fracture if the 3. girl complains: - answers>Of sharp pain that increases with movement 4. A patient has been diagnosed with osteoporosis and asked the FNP "what is osteoporosis?" The 5. FNP explains to the patient that osteoporosis is defined as: - answers>Loss of bone density 6. Patient states, "I can hear a crunching or grating sound when I kneel". She also states "that it is 7. very difficult to get out of bed in the morning because of stiffness and pain in my joints". The FNP 8. should assess for signs of what problem? - answers>Crepitation 9. When taking the history on a patient with a seizure disorder the FNP assesses whether the 10. patient has an aura. Which of these would be the best question for obtaining this information? - answers>Do you have any warning sign before you receive your starts? 11. The FNP is teaching a class on osteoporosis prevention to a group of post menopausal women. A 12. participant shows that she needs more instruction when she states I will: - answers>" Start swimming to increase my weight bearing exercise" 13. The FNP is performing a neurological assessment on a 41-year- old woman with a history of 14. diabetes. When testing her ability to feel the vibrations of a tuning fork the FNP notices that the 15. patient is unable to feel vibrations on the great toe or ankle bilaterally, but she is able to feel 16. vibrations on both patella. Given this information what would the FNP suspect? - answers>Peripheral neuropathy 17. And 80-year-old woman is visiting the clinic for a check up. She states "I can't walk as much as I 18. used to". The FNP is observing from motor dysfunction in her hip and should have her: - answers>Abduct her hip while she is lying on her back 19. The FNP is testing the function of cranial nerve XI. Which of these best describes the response 20. the FNP should expect if the nerve is intact?The patient - answers>Moves the head and shoulders against resistance with equal strength 21. A 50-year-old woman is in a clinic for weakness in her left arm and leg that she noticed for the 22. past week. The FNP should perform which type of neurologic examination? - answers>Complete neurologic examination 23. During the neurological assessment of a healthy 35-year-old patient the FNP asks him to relax his 24. muscles completely. The FNP then moves each extremity through full range of motion. Which of 25. these results would the FNP expect to find? - answers>Mild, even resistance to movement 26. A woman who is 8 months pregnant comments that she has noticed a change in posture and is 27. having lower back pain. The FNP tells her that during pregnancy women have a posture shift to 28. compensate for the enlarging fetus. This shift and posture is known as: - answers>Lordosis 29. A patient is able to flex his right arm forward without difficulty or pain but is unable to abduct his 30. arm because of pain and muscle spasm's. The FNP should suspect: - answers>Rotator cuff lesions 31. A professional tennis player comes into the clinic complaining of a sore elbow. The FNP will 32. assess for tenderness at the: - answers>Medial and lateral epicondyle 33. The FNP suspect that a patient has carpal tunnel syndrome and wants to perform the Phalens 74. The patient is unable to differentiate between sharp and dull stimulation to both sides of her face. 75. The FNP suspects Damage to: - answers>The trigeminal nerve 76. When examining the face, the FNP is aware that the two pairs of salivary gland's that are 77. accessible to examination are the _____ glands - answers>Parotid and submandibular 78. A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her 79. head. The FNP suspects damage to cranial nerve ____ and proceeds with the examination 80. by____ - answers>XI; asking the patient you should have her shoulders against resistance 81. When examining a patient's cranial nerve function, the FNP remembers that the muscles in the 82. neck that are innervated by CN XI are the: - answers>Sternomastoid and trapezius 83. The patient's laboratory data reveal an elevated thyroxine level. The FNP would proceed with an 84. examination of the _____ gland - answers>Thyroid 85. A patient says that she has recently noticed a lump in the front of her neck below her "Adams 86. apple" that seems to be getting bigger. During the assessment, the finding that leaves the FNP to 87. suspect that this may not be a cancerous thyroid nodule is that the lump: - answers>Is mobile and not hard 88. The FNP notices that the patient's submental lymph nodes are enlarged. In an effort to identify 89. the cause of the node enlargement, the FNP would assess the patient's: - answers>Area proximal to the enlarged node 90. The FNP is aware that the four areas in the body were lymph nodes accessible are the: - answers>Head and neck, arms, inguinal area, and axillae 91. A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his 92. eyes. The FNP should know that floaters are usually not significant and are caused 93. by: - answers>Condensed vitreous fibers 94. The FNP is preparing to assess the visual acuity of a 16-year-old patient. How should the FNP 95. proceed? - answers>Use the Snellen chart position 20 feet away from the patient 96. A patient's vision is recorded as 20/30 when the Snellen eyechart is used. The FNP interprets 97. these results to indicate that: - answers>The patient can read at 20 feet would a person with normal vision can read it 30 feet 98. A patient is unable to read even the largest letters on the Snellen chart. The FNP should take 99. which action next - answers>Shorten the distance between the patient and the chart until it is seen and record that distance 100. A patient's vision is reported as 20/80 in each eye. The FNP interprets this finding to mean that - answers>The patient has poor vision 101. When performing the corneal light reflex assessment, the FNP notes that the light is reflected at 2 102. o'clock in each eye. The FNP should - answers>Consider this a normal finding 103. The FNP is performing the diagnostic positions test. Normal findings would be which of these 104. results? - answers>Parallel movement of both eyes 105. During an assessment of the sclera of an African-American patient, the FNP would consider 106. which of these an expected finding? - answers>The presence of small brown macules on the sclera 107. A 60-year-old man is at the clinic for an examination. The FNP suspects that he has ptosis of one 108. eye. How should the FNP check for this? - answers>Observe the distance between the palpebral fissures 109. The FNP is doing an assessment on a 21-year-old patient and notices that his nasal mucosa 110. appears pale gray and swollen. What would be the most appropriate question to ask the patient? - answers>Are you aware of having any allergies 111. The FNP is palpating the sinus areas. If the findings are normal, then the patient should report 112. which sensation? - answers>Firm pressure 113. During an oral assessment of a 30-year-old African-American patient, the FNP notices bluish lips 114. and a dark line along the gingival margin. What would the FNP do in response to these findings - answers>Proceed with assessment knowing that this is a normal finding 115. During an assessment of a 20-year-old patient with a three day history of nausea and vomiting 116. the FNP notices dry mucous and deep vertical fissures on the tongue. These findings are 117. reflective of: - answers>Dehydration 118. The FNP is reviewing the technique of palpating for tactile fremitus with a new graduate. Which 119. statement by the graduate FNP reflects a correct understanding of tactile fremitus? 120. Tactile fremitus: - answers>It's caused by sounds generated from the larynx 121. The FNP student is reviewing physical assessment findings of the HEENT system associated 122. with pregnancy. Which statement by the graduate FNP reflects a correct understanding of 123. expected HEENT changes associated with pregnancy? During pregnancy: - answers>Nasal stuffiness may occur as a result of decreased vascularity in upper respiratory tract 124. A patient tells the FNP that he is very nervous, that he is nauseated, and that he "feels hot". This type 125. of data would be: - answers>Subjective 126. The patient's record, laboratory studies, objective data, and subjective data combine to form the: - answers>Data base 127. The FNP is reviewing information about evidence-based practice. Which statement best reflects evidence-based practice? - answers>EBP emphasizes the use of best evidence with the clinicians experience 128. A 59-year-old patient tells the FNP that he has 129. ulcerative colitis. He has been having black stools 130. stools for the last 24 hours. How would the FNP best