Family Nurse Practitioner Test Clinical Assessment 3

Question 1

The FNP is performing a cranial nerve assessment and asks the patient to follow a finger in all directions. Which cranial nerves are being tested?

Accepted Answer

CN III, IV, VI

Answer

CN II, III, IV

Answer

CN V, VII, VIII

Answer

CN IV, V, VI

Question 2

When assessing a patient's JVD (jugular venous distension), the patient should be positioned at:

Accepted Answer

30–45 degree head elevation

Answer

Flat supine

Answer

90 degrees sitting upright

Answer

Left lateral decubitus

Question 3

A patient with COPD exacerbation is found to have pursed-lip breathing. This compensatory mechanism primarily serves to:

Accepted Answer

Slow exhalation to maintain airway pressure and prevent early airway collapse

Answer

Increase tidal volume

Answer

Reduce respiratory rate

Answer

Improve oxygen saturation by deep breathing

Question 4

When examining skin turgor in elderly patients, the best site for assessment is the:

Accepted Answer

Forehead or sternum

Answer

Dorsum of the hand

Answer

Forearm

Answer

Abdomen

Question 5

A patient's Weber test shows lateralization to the LEFT ear. Which interpretation is MOST accurate?

Accepted Answer

Conductive hearing loss in the left ear OR sensorineural loss in the right ear

Answer

Sensorineural hearing loss in the left ear

Answer

Normal bilateral hearing

Answer

Conductive hearing loss in the right ear only

Question 6

Which of the following is a normal finding on abdominal assessment?

Accepted Answer

Tympany over most of the abdomen

Answer

Dullness over the right lower quadrant

Answer

Hyperresonance over the liver

Answer

Absent bowel sounds after 5 minutes of auscultation