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

Extraocular movements are controlled by the oculomotor (III), trochlear (IV), and abducens (VI) cranial nerves.

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

JVD is best assessed with the head of the bed elevated 30–45 degrees, allowing visualization of the jugular venous pulsation above the clavicle.

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

Pursed-lip breathing creates positive expiratory pressure that splints small airways open, preventing dynamic collapse during exhalation in COPD.

Question 4

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

Accepted Answer

Forehead or sternum

Answer

In elderly patients, skin loses elasticity at the hands and forearms due to aging, making the forehead or sternum more reliable for assessing hydration status.

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

Weber lateralizes to the affected side with conductive loss (sound travels through bone to the blocked ear) or to the better side with sensorineural loss.

Family Nurse Practitioner Test Practice Test

Family Nurse Practitioner Test Practice Test

Family Nurse Practitioner Test Clinical Assessment 3