FNP Domain 1: Assessment Welcome to your FNP Domain 1: Assessment 1. FNP: Assessment When conducting a cardiovascular assessment on an elderly patient, what finding would suggest aortic stenosis? A high-pitched decrescendo diastolic murmur at the left sternal border A soft, low-pitched systolic murmur at the apex A harsh, crescendo-decrescendo systolic murmur at the right second intercostal space A continuous machine-like murmur None 2. FNP: Assessment When examining a patient's eye with suspected acute glaucoma, which finding would be expected? Pupillary constriction Pupillary dilation Red reflex absence Convergence retraction nystagmus None 3. FNP: Assessment What assessment finding is most indicative of early liver cirrhosis? Hepatomegaly with a smooth, firm edge Splenomegaly Ascites All of the above None 4. FNP: Assessment In a neurological assessment, which finding is most consistent with a diagnosis of meningitis? Positive Brudzinski's sign Absence of clonus Unilateral pupil dilation Absence of Babinski sign None 5. FNP: Assessment Which assessment finding is a common early indicator of diabetic peripheral neuropathy? Decreased vibration sense at the toes Hyperreflexia Positive Romberg sign Calf muscle hypertrophy None 6. FNP: Assessment When evaluating a patient for potential deep vein thrombosis (DVT), which physical examination test should be performed? Homans' sign Allen test Tinel's sign Phalen's test None 7. FNP: Assessment In assessing a patient with a suspected myocardial infarction, which of these findings would be considered a red flag? J-point elevation in multiple leads on EKG S3 heart sound Pulsus paradoxus Kussmaul's sign None 8. FNP: Assessment Which finding on lung assessment would most likely suggest chronic obstructive pulmonary disease 'COPD'? Prolonged expiration with wheezing Crackles at the lung bases Egophony above the diaphragm Increased vocal fremitus None 9. FNP: Assessment During an abdominal assessment, what finding is indicative of intestinal obstruction? Hypoactive bowel sounds High-pitched tinkling bowel sounds Silent abdomen Continuous low-pitched rumbling None 10. FNP: Assessment When assessing for appendicitis, which sign is most indicative of the condition? Rovsing's sign Obturator sign Psoas sign All of the above None 11. FNP: Assessment In assessing a patient with acute renal failure, what finding would suggest prerenal etiology? Urine osmolality < 350 mOsm/kg Fractional excretion of sodium > 2% BUN to creatinine ratio > 20:1 Urine sodium > 40 mEq/L None 12. FNP: Assessment What cardiovascular assessment finding is most specific for identifying left ventricular hypertrophy? Point of maximal impulse (PMI) lateral to the midclavicular line in the fifth intercostal space A high-pitched diastolic murmur at the left sternal border A split second heart sound A sustained, forceful PMI None 13. FNP: Assessment In an ophthalmologic assessment, which finding indicates acute angle-closure glaucoma? Visual acuity improvement with a pinhole Pupillary reaction slowed in the affected eye Optic disc swelling Mid-dilated, non-reactive pupil None 14. FNP: Assessment When performing a neurological examination, which sign is most indicative of a benign essential tremor? Tremor that worsens with movement Tremor that improves with alcohol Resting tremor Tremor associated with headache None 15. FNP: Assessment Which assessment technique is used to detect a fluid wave in a patient with suspected ascites? Shifting dullness Fluid thrill Percussion of Traube's space Palpation for hepatomegaly None 16. FNP: Assessment In a patient with suspected rheumatoid arthritis, which finding during joint examination is most indicative of the disease? Ulnar deviation of the wrist Dupuytren's contracture Heberden's nodes Swan neck deformity None 17. FNP: Assessment When assessing a child for developmental dysplasia of the hip, which clinical test is considered most reliable? Galeazzi sign Ortolani maneuver Barlow test All of the above None 18. FNP: Assessment In evaluating a patient for metabolic syndrome, which physical finding is a criterion for diagnosis? Waist circumference greater than 40 inches in men BMI over 30 kg/m2 Neck circumference over 16 inches Hip circumference greater than 35 inches in women None 19. FNP: Assessment Which finding on a skin examination would most likely suggest basal cell carcinoma? A rapidly enlarging red nodule A mole with irregular borders and multiple colors A pearly nodular lesion with telangiectasia A flat, painless, indurated ulcer None 20. FNP: Assessment In a cardiovascular assessment, which finding would suggest mitral valve prolapse? A mid-systolic click followed by a late systolic murmur A high-pitched diastolic murmur A systolic ejection murmur heard at the apex An early diastolic murmur None 21. FNP: Assessment When assessing a patient with suspected chronic liver disease, which finding is considered diagnostic of portal hypertension? Ascites Caput medusae Splenomegaly All of the above None 22. FNP: Assessment Which clinical finding is most indicative of a tension pneumothorax? Deviation of the trachea away from the affected side Hyperresonance on percussion over the affected area Sudden onset of unilateral chest pain and dyspnea All of the above None 23. FNP: Assessment In an adult patient undergoing a mental status exam, which finding is most concerning for advanced dementia? Inability to recall the names of common objects Poor short-term memory Difficulty following complex commands All of the above None 24. FNP: Assessment When assessing jugular venous pressure (JVP) in a patient, which finding is most suggestive of right heart failure? JVP 2 cm above the sternal angle at 45 degrees JVP not visible above the clavicle JVP 8 cm above the sternal angle while supine JVP fluctuating with respiration None 25. FNP: Assessment Which clinical finding on abdominal examination would most likely indicate a ruptured abdominal aortic aneurysm? A pulsatile abdominal mass Hypotension with a rapid, thready pulse Severe, sudden lower back pain All of the above None 26. FNP: Assessment When assessing a patient for early signs of hypothyroidism, which clinical feature is most specific? Weight gain Dry, coarse hair Cold intolerance Bradycardia None 27. FNP: Assessment In the assessment of a patient with a suspected peptic ulcer, which finding would most likely suggest a perforation? Epigastric tenderness Rebound tenderness Hematemesis Melena None 28. FNP: Assessment Which finding in a patient's fundoscopic examination would be most concerning for malignant hypertension? Copper wiring of arterioles Papilledema AV nicking Flame hemorrhages None 29. FNP: Assessment When evaluating a patient with suspected Marfan syndrome, which finding would be most diagnostic? Long arm span relative to height High arched palate Pectus excavatum Lens dislocation None 30. FNP: Assessment In the assessment of a newborn, which finding is indicative of congenital hip dysplasia? Unequal knee heights (Galeazzi sign) A soft murmur on cardiac auscultation Rapid reflex responses Excessive sleepiness None 1 out of 30 Time is Up! Time's up
