Family Nurse Practitioner Test Clinical Assessment 2

Question 1

A patient has pitting edema graded 3+. How deep is the pit and how long does it take to rebound?

Accepted Answer

5–6 mm pit, rebounds in >1 minute

Answer

1–2 mm pit, rebounds quickly

Answer

3–4 mm pit, rebounds in 10–15 seconds

Answer

7+ mm pit, permanent indentation

Question 2

When auscultating the abdomen, the FNP hears a bruit over the renal artery. This finding suggests:

Accepted Answer

Renal artery stenosis

Answer

Bowel obstruction

Answer

Normal peristalsis

Answer

Aortic aneurysm

Question 3

The FNP notes a S4 heart sound in an older patient with hypertension. This sound occurs because of:

Accepted Answer

Reduced ventricular compliance requiring forceful atrial contraction

Answer

Rapid ventricular filling in early diastole

Answer

Mitral valve prolapse

Answer

Aortic stenosis turbulence

Question 4

A positive Phalen's test reproduces which symptom and in which condition?

Accepted Answer

Paresthesias in the first three fingers; carpal tunnel syndrome

Answer

Wrist pain with gripping; De Quervain's tenosynovitis

Answer

Lateral elbow pain; tennis elbow

Answer

Numbness of the fifth finger; cubital tunnel syndrome

Question 5

During a thyroid exam, the FNP asks the patient to swallow. This maneuver is done to:

Accepted Answer

Distinguish thyroid tissue from other neck masses by observing upward movement

Answer

Assess vocal cord function

Answer

Identify lymphadenopathy

Answer

Evaluate carotid artery pulsation

Question 6

A patient reports pain on palpation of the anatomical snuffbox. The FNP should FIRST suspect:

Accepted Answer

Scaphoid fracture

Answer

Wrist sprain

Answer

De Quervain's tenosynovitis

Answer

Colles' fracture