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
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?
Answer: CN III, IV, VI
Extraocular movements are controlled by the oculomotor (III), trochlear (IV), and abducens (VI) cranial nerves.
When assessing a patient's JVD (jugular venous distension), the patient should be positioned at:
Answer: 30–45 degree head elevation
JVD is best assessed with the head of the bed elevated 30–45 degrees, allowing visualization of the jugular venous pulsation above the clavicle.
A patient with COPD exacerbation is found to have pursed-lip breathing. This compensatory mechanism primarily serves to:
Answer: Slow exhalation to maintain airway pressure and prevent early airway collapse
Pursed-lip breathing creates positive expiratory pressure that splints small airways open, preventing dynamic collapse during exhalation in COPD.
When examining skin turgor in elderly patients, the best site for assessment is the:
Answer: Forehead or sternum
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.
A patient's Weber test shows lateralization to the LEFT ear. Which interpretation is MOST accurate?
Answer: Conductive hearing loss in the left ear OR sensorineural loss in the right ear
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.
Which of the following is a normal finding on abdominal assessment?
Answer: Tympany over most of the abdomen
Tympany predominates over most of the abdomen due to gas in the gastrointestinal tract, while dullness is normal over solid organs like the liver and spleen.