NR 509 Week 1 Quiz (Spring 2018) - €13,22   In winkelwagen

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NR 509 Week 1 Quiz (Spring 2018)

1. 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: a. objective b. reflective c. subjective d. introspective. 2. The patient’s record, laboratory studies, objective data, and subjective data combine to form the: a. Database. b. Admitting data. c. Financial statement. d. Discharge summary. 3. The FNP is reviewing information about evidence-based practice. Which statement best reflects evidence-based practice? a. EBP relies on tradition for support of best practices. b. EBP is simply the use of best practice techniques for treatment of patients. c. EBP emphasizes the use of best evidence with the clinician's experience. d. The patient's own preferences are not important with EBP. 4. 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. J.M. is a 59-year-old man seeking treatment for ulcerative colitis. b. J.M. came into the clinic complaining of having black stools for the past 24 hours. c. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked. d. J.M. is a 59-year-old man who states that he has been having "black stools" for the past 24 hours. 5. 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? a."How does your family react to your pain?" b."The pain must be terrible. You probably pinched a nerve." c."I've had back pain myself, and it can be excruciating." d."How would you say the pain affects your ability to do your daily activities?" 6. In recording the childhood illnesses of a patient who denies having had any, which note by the FNP would be most accurate? a. Patient denies usual childhood illnesses. b. Patient states he was a "very healthy" child. c. Patient states his sister had measles, but he didn't. d. Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat. 7. 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? a. P-6, B-4, (S)Ab-2 b. Grav 6, Term 4, (S)Ab-2, Living 4 c. Patient has had four living babies. d. Patient has been pregnant six times. 8. 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? a. P-6, B-4, (S)Ab-2 b. Grav 6, Term 4, (S)Ab-2, Living 4 c. Patient has had four living babies. d. Patient has been pregnant six times. 9. Which of these statements represents subjective data the FNP obtained from the patient regarding the patient’s skin? a. Skin appears dry. b. No lesions are obvious. c. Patient denies any color change. d. Lesion is noted on the lateral aspect of the right arm 10. 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? a."Do you perform testicular self-exams?" b."Have you ever noticed any pain in your testicles?" c."Have you had any problems with passing your urine?" d."Do you have any history of sexually transmitted disease?" 11. Which statement indicates that the FNP understands the pain experienced by an elderly person? a. "Older persons must learn to tolerate pain." b. "Pain is a normal process of aging and is to be expected." c. "Pain indicates pathology or injury and is not a normal process of aging." d. "Older individuals perceive pain to a lesser degree than younger individuals." 12. The FNP is performing a vision examination. Which of these charts is most widely used for visual examination? a. Snellen b. Shetllen c. Smoollen d. Schwellon 13. During a complete health assessment, how would the FNP test the patients hearing? a. By observing how the patient participates in normal conversation b. Using the whispered voice test c. Using the Weber and Rinne tests d. Testing with an audiometer 14. 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. II, III, VI v. II, IV, V c. III, IV, V d. III, IV, VI 15. 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? a. IX, X b. IX, XII c. X, XII d. XI, XII 16. 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. I b. V c. XI d. XII 17. A patient is unable to shrug her shoulders against the FNP‘s resistant hands. What cranial nerve is involved with successful shoulder shrugging? a. VII b. IX c. XI d. XII 18. 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. occipital b. cerebral c. temporal d. cerebellar 19. A five-year-old child is in the clinic for checkup. The FNP would expect him to: a. have to be held on his mother's lap. b. be able to sit on the examination table. c. be able to stand on the floor for the examination. d. be able to remain alone in the examination room 20. When the FNP performs the confrontation test the FNP has assessed: a. extraocular eye muscles (EOMs). b. pupils (PERRLA). c. near vision. d. visual fields. 21. Which of these statements is true regarding the complete physical assessment? a. The male genitalia should be examined in the supine position. b. The patient should be in the sitting position for examination of the head and neck. c. The vital signs, height, and weight should be obtained at the end of the examination. d. To promote consistency between patients, the examiner should not vary the order of the assessment. 22. Which of these statements is true regarding recording of data from the history and physical examination? a. Use long, descriptive sentences to document findings. b. Record the data as soon as possible after the interview and physical examination. c. If the information is not documented, then it can be assumed that it was done as a standard of care. d. The examiner should avoid taking any notes during the history and examination because of the possibility of decreasing the rapport with the patient. 23. Which of these is included in assessment of general appearance? a. Height b. Weight c. Skin color d. Vital signs 24. The FNP is performing a review of symptoms. Which of these questions are appropriate as Health promotion questions to ask during this time? a.“Do you use sunscreen while outside?” b. “May I see if your skin is warm and dry?” c.“Have you had any dizziness or headaches?” d.“When you cough, what color is the sputum you bring up?” 25. 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? a. “Do you believe in God?” b.“Are you a part of any religious or spiritual congregation?” c.“Do you consider yourself to be a religious or spiritual person?” d.“How does your religious faith influence the way you think about your health?” 26. 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? a. Please stay during the interview; you can answer for her if she does not know the answer. b. It would help to interview the three of you together. c. While I interview your daughter, will you please stay in the room and complete these family health history questionnaires? d. While I interview your daughter, will you step out to the waiting room and complete these family health history questionnaires?

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