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

Grade 3+ pitting edema produces a 5–6 mm deep pit that takes more than one minute to rebound.

Question 2

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

Accepted Answer

Renal artery stenosis

Answer

A renal artery bruit indicates turbulent blood flow, most commonly from renal artery stenosis, a correctable cause of secondary hypertension.

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

An S4 results from atrial contraction against a stiff, noncompliant ventricle, commonly seen in hypertensive heart disease.

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

Phalen's test reproduces median nerve paresthesias in the thumb, index, and middle fingers, confirming carpal 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

Thyroid tissue is attached to the trachea and moves upward with swallowing, distinguishing it from fixed neck masses.

Family Nurse Practitioner Test Practice Test