APEA APEA Clinical Assessment Skills Questions and Answers 2

Question 1

A nurse practitioner performs a Rinne test and finds air conduction is less than bone conduction in the left ear. This indicates which type of hearing loss?

Accepted Answer

Conductive hearing loss

Answer

Sensorineural hearing loss

Answer

Mixed hearing loss

Answer

Central hearing loss

Question 2

During a musculoskeletal exam, the NP notes a positive Phalen test. Which condition does this suggest?

Accepted Answer

Carpal tunnel syndrome

Answer

De Quervain tenosynovitis

Answer

Dupuytren contracture

Answer

Trigger finger

Question 3

Which assessment technique is used to evaluate for fluid in the knee joint (ballottement)?

Accepted Answer

Patella tap test

Answer

Valgus stress test

Answer

Anterior drawer test

Answer

Lachman test

Question 4

When auscultating heart sounds, which position best accentuates the murmur of mitral stenosis?

Accepted Answer

Left lateral decubitus

Answer

Sitting forward

Answer

Supine

Answer

Standing

Question 5

A patient with suspected deep vein thrombosis has a positive Homan sign. Which clinical finding constitutes a positive Homan sign?

Accepted Answer

Calf pain with passive dorsiflexion of the foot

Answer

Edema extending above the knee

Answer

Pitting edema of the lower extremity

Answer

Erythema and warmth over the calf

Question 6

Which finding on fundoscopic exam indicates increased intracranial pressure?

Accepted Answer

Papilledema

Answer

Cotton wool spots

Answer

Flame hemorrhages

Answer

Microaneurysms