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    Exam Review

    1. Which of the following are objective findings?
      A)
      Chest pain
      B)
      Palpitations
      C)
      Shortness of breath
      D)
      Tenderness on palpation of anterior chest
    2. The advanced practice registered nurse (APRN) recognizes that extraocular movements are assessed by testing which cranial nerves?
      A)
      II, III, IV
      B)
      III, IV, VI
      C)
      V and VII
      D)
      IX and X
    3. The advanced practice registered nurse (APRN) suspects a diagnosis of pneumonia in a 13 year-old patient presenting with cough, dyspnea, and fever. The APRN auscultates the lungs while asking the patient to say "E" and the APRN hears "A". What is the name of this test?
      A)
      Whisper pectoriloquy
      B)
      Egophony
      C)
      Fremitus
      D)
      Bronchophony
    4. Which is an example of non-stigmatizing, person-first language?
      A)
      Drug addict
      B)
      Schizophrenic
      C)
      Person with disabilities
      D)
      AIDS victim
    Page 1 of 13

    Exam Review

    1. A patient presents to the advanced practice registered nurse and reports new onset abdominal pain. Which of the following is the best initial response by the nurse practitioner?
      A)
      "We will talk more about this in the interview."
      B)
      "Have you ever had any children?"
      C)
      "What have you eaten in the last four hours?"
      D)
      "When did this abdominal pain start?"
    2. The advanced practice registered nurse (APRN) suspects a trigeminal nerve (cranial nerve V) injury in a patient presenting with difficulty chewing. What tool will the APRN choose to complete the assessment?
      A)
      Flashlight
      B)
      Cotton swab
      C)
      Snellen chart
      D)
      Tuning fork
    3. Where should the advanced practice registered nurse (APRN) examine for kidney tenderness?
      A)
      Suprapubic area
      B)
      Periumbilical area
      C)
      Costovertebral angle
      D)
      Epigastric area
    4. A patient presents with a sore throat, fever, and fatigue for several days. An advanced practice registered nurse (APRN) notes exudate on the patient's enlarged tonsils. The APRN does a careful lymphatic examination and notes some scattered small, mobile lymph nodes just behind the sternocleidomastoid muscles bilaterally. Which group of nodes is this?
      A)
      Submandibular
      B)
      Tonsillar
      C)
      Occipital
      D)
      Posterior cervical
    Page 2 of 13

    Exam Review

    1. The advanced practice registered nurse (APRN) is examining a 70-year-old patient with pulmonary hypertension. On cardiac exam they auscultate a grade II/VI pansystolic (holosystolic) murmur of medium pitch at left lower sternal border which radiates to the right of the sternum (xiphoid area). The APRN asks the patient to inspire and notes an increase in the intensity of the murmur. Which is the most likely physiological cause of the murmur?
      A)
      Tricuspid valve regurgitation
      B)
      Pulmonic valve regurgitation
      C)
      Mitral valve regurgitation
      D)
      Aortic valve regurgitation
    2. Absence of the red reflex is seen in all of the following conditions EXCEPT:
      A)
      Cataract
      B)
      Detached retina
      C)
      Conjunctivitis
      D)
      Retinoblastoma
    3. An advanced practice registered nurse (APRN) assesses chest expansion (also known as lung excursion). Which technique by the APRN is correct?
      A)
      Palpate vibrations transmitted through the chest wall with the patient saying "ninety-nine
      B)
      Assess the distance between the examiner's thumbs on the thorax during inspiration
      C)
      Determine the distance between the diaphragm on expiration and inspiration
      D)
      Percuss the anterior and posterior thorax using a ladder pattern
    4. During assessment of the jugular venous pressure (JVP), the advanced practice registered nurse (APRN) measures a JVP >5cm above the sternal angle. How will this finding be described?
      A)
      Abnormal: indicating elevated right atrial pressure (central venous pressure)
      B)
      Normal: Indicating normal left atrial pressure
      C)
      Normal: Indicating normal right atrial pressure
      D)
      Abnormal: indicating decreased right atrial pressure (central venous pressure)
    Page 3 of 13

    Exam Review

    1. A sudden, painless, unilateral vision loss may be caused by which of the following?
      A)
      Retinal detachment
      B)
      Corneal ulcer
      C)
      Acute glaucoma
      D)
      Uveitis
    2. The advanced practice registered nurse (APRN) is assessing the cranial nerves during a physical examination. Which tool will the APRN use to test cranial nerve II (CN2)?
      A)
      Alcohol prep
      B)
      Cotton swab
      C)
      Snellen chart
      D)
      Tuning fork
    3. Which of the following results describes a positive Romberg test?
      A)
      Loss of balance when feet are together and eyes are closed
      B)
      Ability to maintain an upright posture with eyes closed
      C)
      Falling while feet are together and eyes are open
      D)
      Patient report of feeling dizzy when eyes are closed
    4. A patient tells the advanced practice registered nurse (APRN) about their experience with prolonged therapy for their breast cancer. The APRN comments, "That must have been a very trying time for you". What is this statement an example of?
      A)
      Reassurance
      B)
      Clarification
      C)
      Validation
      D)
      Summarization
    Page 4 of 13

    Exam Review

    1. Which of the following is consistent with a positive obturator sign?
      A)
      Pain distant from the site used to check rebound tenderness
      B)
      Right hypogastric pain with the right hip flexed and the hip internally rotated
      C)
      Pain with extension of the right thigh while the patient is on their left side
      D)
      Pain that stops inhalation in the right upper quadrant
    2. The advanced practice registered nurse (APRN) is performing the Weber test on an 80 year-old patient with known cochlear nerve damage. The APRN expects what findings?
      A)
      Sound will lateralize to the patient's ears equally.
      B)
      Sound will lateralize to the patient's unaffected ear
      C)
      Sound will lateralize to the patient's affected ear
      D)
      The patient will not hear the tuning fork at all.
    3. An 82 year-old presents to the Emergency Department in the care of their extended family with new-onset speech impairment. According to family members, the patient awoke with this symptom as well as difficulty in understanding questions. On examination, the patient's speech is clear, fluent and rapid but lacks meaning and includes invented words. The patient is unable to follow simple commands or written instructions. Which of the following best describes this speech disorder?
      A)
      Wernicke aphasia
      B)
      Dysphonia
      C)
      Dysarthria
      D)
      Broca aphasia
    4. The advanced practice registered nurse (APRN) is assessing an 15 year-old who presents with sudden high fever, severe headache, and a stiff neck. From the health history, the APRN suspects meningitis. What maneuvers can the APRN perform to assess meningeal inflammation? SELECT ALL THAT APPLY.
      A)
      Kernig Sign
      B)
      Murphy's Sign
      C)
      Trendelenburg Sign
      D)
      Brudzinski Sign
    Page 5 of 13

    Exam Review

    1. Which of the following are Review of Systems (ROS) questions? SELECT ALL THAT APPLY.
      A)
      No cough, wheezing, shortness of breath
      B)
      Bilateral inspiratory wheeze with mild intercostal retractions
      C)
      Reports increased inhaler use following exercise
      D)
      No hemoptysis or change in sputum color or consistency
      E)
      Chest radiograph findings show loculated pleural effusion
    2. The following information is recorded in the health history: "Patient denies chest pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea." Which category would include this information?
      A)
      Chief Complaint/Concern
      B)
      Past Medical History
      C)
      Social History
      D)
      Review of Systems
    3. A patient is admitted to the hospital with facial trauma secondary to a motor vehicle accident. The advanced practice registered nurse (APRN) strokes the cornea of each eye with a cotton wisp to check for reflex blinking. What is the name of this reflex and what is the cranial nerve being assessed?
      A)
      Cardinal reflex; CN IV &V
      B)
      Corneal reflex; CNV &VII
      C)
      Oculocephalic reflex; CN III, VI, &VIII
      D)
      Oculovestibular reflex; CN III, VII, &VIII
    4. Which condition produces a hyperresonant percussion note?
      A)
      Pneumothorax
      B)
      Lobar pneumonia
      C)
      Pleural effusion
      D)
      Empyema
    Page 6 of 13