NursGuru

    Exam Review

    1. The nurse practitioner is serving in a clinic dedicated to patients over age 65 years. The nurse practitioner observes several common characteristics in the posture of elderly patients. Which of the following is common?
      A)
      Increase in the length of the trunk in relationship to the upper extremities.
      B)
      Head tips backward.
      C)
      Increase in the range of motion (ROM).
      D)
      Disappearance of bony prominences.
    2. A 77-year-old female patient comes in for an office visit presenting symptoms of nasal congestion, itching, and sneezing and is diagnosed with rhinitis. Which of the following is true about the types of rhinitis?
      A)
      Nonallergic rhinitis (NAR) is a condition of adulthood and is more common in older adults.
      B)
      Allergic rhinitis (AR) is a condition of adulthood and is more common in the older adult.
      C)
      Allergic rhinitis is common between ages 10 and 39, declining after age 40.
      D)
      Nonallergic rhinitis is most common in children and adolescents.
    3. When assessing a patient with a possible musculoskeletal condition, it is important to:
      A)
      Know how much sleep the patient gets per night.
      B)
      Determine range of motion (ROM) in all limbs.
      C)
      Report any and all pains.
      D)
      Not refer to past injuries or conditions.
    4. Mr. James is 91 years old. His daughter notices that he has bruises and lacerations on his arms and reports this to the nurse practitioner, who tells her that older people bruise easily due to their fragile blood vessels. The skin lacerations happen because he has thin skin. Even so, the nurse practitioner assures the daughter that she will investigate further to ensure that he is getting proper care. She says this because she understands that:
      A)
      The daughter needs assurance that her father is okay.
      B)
      These markings on the patient's skin are part of aging skin.
      C)
      Bruises and lacerations can indicate inadequate care.
      D)
      The patient is being abused.

    Exam Review

    1. Which cranial nerve should be assessed in the examination for disorders of the face?
      A)
      Cranial nerve IX
      B)
      Cranial nerve III
      C)
      Cranial nerve V
      D)
      Cranial nerve VII
    2. Mr. Cummins, a 69-year-old Caucasian male, presents with an inability to move his right arm sufficiently. The nurse practitioner tells him that she will perform a physical examination and order tests to rule out which of the following?
      A)
      Gout
      B)
      Rheumatoid arthritis (RA)
      C)
      Osteoarthritis (OA)
      D)
      Muscle weakness from a systemic condition
    3. Which of the following conditions is signaled by bleeding from the nose?
      A)
      Telangiectasia
      B)
      Epistaxis
      C)
      Retinopathy
      D)
      Sinusitis
    4. For which of the following evaluations should the patient be referred when sleep impairment is involved with chronic rhinitis?
      A)
      Pulmonary function testing
      B)
      Obstructive sleep apnea
      C)
      Massage therapy
      D)
      Allergy skin testing

    Exam Review

    1. Mr. Jones, a 70-year-old male, visits the urgent care and presents symptoms of unilateral eye pain, visual blurring with halos around lights, red eye, and photophobia. He also reports nausea and vomiting. Visual acuity shows a loss in the affected eye. He is immediately referred for a complete ophthalmic examination. Which of the following condition may Mr. Jones be experiencing?
      A)
      Acute glaucoma
      B)
      Uveitis
      C)
      Hyphema
      D)
      Conjunctivitis
    2. Evaluation for head and neck disorders should be performed with a systemic and thorough examination, including inspections of the face, head, and scalp. This includes which of the following?
      A)
      Palpating bones of the head for any anatomical irregularities.
      B)
      Inspecting patient's features for any abnormalities.
      C)
      Inspecting the skin for any lesions or discoloration.
      D)
      Inspecting the scalp and hair for hygiene and distribution.
    3. The nurse practitioner calls Mr. Smith to come into the examining room. As he is coming in, the nurse practitioner observes his gait to assess for musculoskeletal conditions. One abnormal sign is:
      A)
      Lack of a lurch.
      B)
      Symmetrical leg movement.
      C)
      Unbalance in gait.
      D)
      Ability to sit in and get out of a chair without using arms.
    4. The nurse practitioner assesses a patient's skin and finds an infectious lesion on the lower leg. The lesion is considered a secondary lesion. The nurse practitioner explains that a secondary lesion is one that:
      A)
      Is difficult to treat.
      B)
      Arises from changes to a primary lesion.
      C)
      Is a complication of an underlying disease.
      D)
      Is a normal sign of aging.

    Exam Review

    1. Mrs. Wilbur reports the presence of pain in her lower and upper back. The nurse practitioner responds by doing which of the following?
      A)
      Ruling out the presence of anything inflammatory.
      B)
      Ignoring any history of injury.
      C)
      Determining that this pain does not affect activities of daily living (ADLs), as the patient came in independently.
      D)
      Determining where the pain is coming from.
    2. Mr. Weisner is a 65-year-old male who is experiencing pain in his joints. The nurse practitioner assesses which of the following? Select all that apply.
      A)
      Movement of the joint in extension.
      B)
      Appearance of the limb being normal for his age.
      C)
      Movement of the joint in flexion.
      D)
      Movement of the joint in a relaxed position.
      E)
      Presence of crepitus or swelling in the joint.
    3. Ms. Rose, 88 years old, comes to the nurse practitioner with a complaint about a growth on her hand. She wants to have a biopsy done. The nurse practitioner asks the following question:
      A)
      Has this growth made it difficult to put on your rings?
      B)
      Are you using a different detergent?
      C)
      Have you injured your hand recently?
      D)
      Has this growth changed, bled, or is it painful?
    4. Mrs. Cameron is a 72-year-old woman who comes to see her nurse practitioner for pain in her right thigh. The nurse practitioner assesses that Mrs. Cameron has bruises on her thigh and muscle weakness distally, near the knee. The nurse practitioner suspects which of the following?
      A)
      Tendon rupture
      B)
      Musculoskeletal lesions
      C)
      Deep vein thrombosis
      D)
      Peripheral neuropathy

    Exam Review

    1. The nurse practitioner is concerned with primary prevention strategies. How can the nurse practitioner implement primary prevention strategies for an 80-year-old male patient who smokes?
      A)
      Inform him that if he does not stop smoking, the nurse practitioner cannot see him again.
      B)
      Have a conference with his family about his smoking.
      C)
      Review home fire safety protocols, including the proper use of smoke alarms, and discuss smoking cessation.
      D)
      Plan a family meeting with the patient to discuss benefits of his smoking cessation.
    2. Oral cancer is a malignant tumor presented by a nonhealing sore in the mouth or lip that causes difficulty chewing or swallowing. Which of the following statements applies to an oral cancer diagnosis?
      A)
      It involves unexplained lymph node swelling in the head and neck area.
      B)
      It is three times more likely in women than men.
      C)
      It involves unexplained lymph node swelling in the axillary area.
      D)
      It is usually painless and resolves without treatment.
    3. A 60-year-old male enters the burn center for triage and treatment due to a burn he received at a campfire. His left arm has an area that is erythematous and painful, and another area has a blister. What does the nurse practitioner record as the degree of burn?
      A)
      First and second degree
      B)
      Second and third degree
      C)
      Second degree
      D)
      First degree
    4. The nurse practitioner is conducting patient rounds in a long-term care facility. As she talks with Mrs. Jones, she notices that her arms and elbows are excoriated and the skin is shearing. The nurse practitioner explains to the staff that Mrs. Jones needs frequent assessment of her skin and protection provided to prevent skin breakdown because:
      A)
      She has lost weight and is in jeopardy of falling.
      B)
      She picks at herself and causes skin breakdown.
      C)
      Fat has redistributed to the abdomen and thighs, leaving bony surfaces in areas such as the face, hands, and sacrum. This can result in injury.
      D)
      Her lack of activity causes the skin to tear.

    Exam Review

    1. While conducting a thorough examination of the musculoskeletal system, the patient asks why such detail is necessary. Which of the following is the nurse practitioner's best response?
      A)
      I don't want to miss any signs of something serious.
      B)
      I am looking for symptoms that form a pattern.
      C)
      This is routine for all patients over 65 years of age.
      D)
      The purpose of conducting this examination is to regulate your medications.
    2. Which of the following medical specialists deals with the diagnosing of visual impairments and conditions?
      A)
      Podiatrist
      B)
      Ophthalmologist
      C)
      Cardiologist
      D)
      Dermatologist
    3. Which of the following is the correct term for the eye condition that presents a sterile mass on the eyelid that is painless and has no reddening?
      A)
      Hordeolum
      B)
      Blepharitis
      C)
      Entropion
      D)
      Chalazion
    4. Mrs. Williams is 76 years old and comes in to have a wound checked on her right leg. She fell a month ago and the wound has not healed. She is concerned that something is wrong. The nurse practitioner examines the wound and sees that it has been cleaned properly and has no signs of infection. The edges are approximated, but the skin around the wound is red and tender to touch. The best response regarding Mrs. Williams’ concern is:
      A)
      I will order an antibiotic to prevent infection.
      B)
      Let us talk about what you are eating.
      C)
      Had you come in earlier, I would have ordered medicine that would have healed that right up.
      D)
      Wound healing for older people may take up to four times longer than it does for younger people.