NR 509 Week 3 Quiz; Neuro and Musculoskeletal with Rationale (Fall 2018)

Question: The FNP is doing an assessment on a 29-year-old woman who visits the clinic c/o 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?

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Question: A women 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 in posture is known as:

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Question: 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?

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Question: During the history, a patient tells the FNP that “it feels like the room is spinning around me”. The FNP would document this as:

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Question: 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?

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Question: 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 spasms; the FNP should suspect:

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Question: In obtaining a history on a 74 year old patient the FNP notes that he is drinking alcohol daily and that he has noticed a tremor in his hands that affect his ability to hold things. With this information, what should the FNP response be?

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Question: The FNP suspects that a patient has carpal tunnel syndrome and wants to perform the Phalen’s test. To perform this test, the FNP should instruct the patient to:

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Question: The FNP is teaching a class on osteoporosis prevention to a group of postmenopausal women. A participant shows hat she needs more instructions when she states, “I will:

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Question: When the FNP asks a 68 year old patient to stand with his feet together and arms at this side with his eyes closed, he starts to sway and moves his feet farther apart. The FNP would document this finding as:

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Question: 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 the 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?

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