Clinical Assessment Flashcards
6 cards from real Family Nurse Practitioner Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Clinical Assessment flashcards as text
A patient has pitting edema graded 3+. How deep is the pit and how long does it take to rebound?
Answer: 5–6 mm pit, rebounds in >1 minute
Grade 3+ pitting edema produces a 5–6 mm deep pit that takes more than one minute to rebound.
When auscultating the abdomen, the FNP hears a bruit over the renal artery. This finding suggests:
Answer: Renal artery stenosis
A renal artery bruit indicates turbulent blood flow, most commonly from renal artery stenosis, a correctable cause of secondary hypertension.
The FNP notes a S4 heart sound in an older patient with hypertension. This sound occurs because of:
Answer: Reduced ventricular compliance requiring forceful atrial contraction
An S4 results from atrial contraction against a stiff, noncompliant ventricle, commonly seen in hypertensive heart disease.
A positive Phalen's test reproduces which symptom and in which condition?
Answer: Paresthesias in the first three fingers; carpal tunnel syndrome
Phalen's test reproduces median nerve paresthesias in the thumb, index, and middle fingers, confirming carpal tunnel syndrome.
During a thyroid exam, the FNP asks the patient to swallow. This maneuver is done to:
Answer: Distinguish thyroid tissue from other neck masses by observing upward movement
Thyroid tissue is attached to the trachea and moves upward with swallowing, distinguishing it from fixed neck masses.
A patient reports pain on palpation of the anatomical snuffbox. The FNP should FIRST suspect:
Answer: Scaphoid fracture
Anatomical snuffbox tenderness after wrist injury is the hallmark sign of scaphoid fracture, which requires imaging even if initial X-rays are negative.