NR-509 Advanced Physical Assessment

Quiz 4

1) A 35-year-old man is seen in the clinic for an infection in his left foot. Which of

these findings should the FNP expect to see during an assessment of this

patient?

Enlarged and tender inguinal nodes

2) The direction of blood flow through the heart is best described by which of these

Right atrium > right ventricle > pulmonary artery > lungs > pulmonary vein

> left atrium > left ventricle

3) In assessing the carotid artery’s of an older patient with cardiovascular disease,

the FNP would

Listen with the bell of the stethoscope to assess for bruits

4) When listening to heart sounds the FNP knows that the valve closures that can

be heard best at the base of the heart are

Aortic and Pulmonic

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5) The sack that surrounds and protects the heart is called the

Pericardium

6) When assessing a newborn infant who is five minutes old the FNP knows that

which of these statements would be true?

There is an opening in the atrial septum we are blood can flow into the left

side of the heart

7) The FNP is performing an assessment on an adult. The adults vital signs are

normal and capillary refill is five seconds. What should the FNP do next?

Consider this a delayed capillary refill time investigate further

8) During an assessment of an older adult the FNP should expect to notice which

finding as normal physiologic change associated with aging process?

Peripheral blood vessels growing more rigid with age producing a rise in

systolic blood pressure

9) The mother of a three-month-old infant states that her baby has not been gaining

weight. With further questioning the FNP finds that the infant falls asleep after

nursing and wakes up after a short amount of time hungry again. What other

information with the FNP want to have?

Presence of dyspnea or diaphoresis one sucking

10)In assessing a patient’s major risk factors for heart disease which would the FNP

want to include when taking a history?

Smoking, hypertension, obesity, diabetes, high cholesterol

11)The FNP is assessing the pulses of a patient who has been admitted for

untreated hyperthyroidism. The FNP should expect to find a____pulse

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