NUR 634 APEA 3P Practice Questions
NUR 634 APEA 3P Practice Questions
- Question: The groove of the metacarpophalangeal joint can … palpated by having the patient:
- Question: When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are:
- Question: The ankle-brachial index is a screening test … to assess a person’s risk for:
- Question: Olecranon bursitis may … caused by all of the following except:
- Question: In patients who have allergic rhinitis, the nasal mucosa appears:
- Question: A term used to describe an increase in muscular bulk with diminished strength is:
- Question: If abdominal pain persists when the patient raises his head and shoulders, the origin of the tenderness is probably:
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- Question: On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide with abdominal cramps. These findings are most consistent with:
- Question: Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and around the macular area. These findings are consistent with:
- Question: Symptoms of a subdural hematoma include:
- Question: On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and shuffling gait are observed. These findings are consistent with:
NUR 634 APEA 3P Practice Questions
- Question: When discussing the musculoskeletal system, all of the following statements related to articular structure disease are true except which one?
- Question: Focal tenderness over the trochanter confirms:
- Question: Assessing the neurological status of a child with a ventriculoperitoneal shunt should include:
- Question: The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is:
- Question: A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may … present at birth and enlarge during the first 10 to 15 months is characteristic of a:
- Question: The hamstring muscles flex the knee and are located on the:
- Question: Ophthalmoscopic examination reveals dark specks … between the fundus and the lens. These specks are most likely:
- Question: When performing the first Leopold maneuver on a pregnant woman, if the buttocks and head are not easily palpated at the fundus, the fetus is said to … in:
- Question: When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm in front of his body. This motion of the shoulder girdle would … an example of:
- Question: To locate the twelfth rib, palpate:
NUR 634 APEA 3P Practice Questions
- Question: Walking on the toes and heels may reveal:
- Question: When performing a bimanual exam of the vagina, the examiner should lubricate the index and middle fingers of a gloved hand. From a standing position, the fingers should … inserted into the vagina while exerting pressure primarily:
- Question: During pregnancy, which hormone results in increased blood viscosity?
- Question: Resting tremors refer to those tremors that disappear:
- Question: A patient presents with complaints of bright red stools over the past week. This symptom could … consistent with:
- Question: Mydriasis is a term used to describe:
- Question: When performing a musculoskeletal exam on a patient with mechanical low back pain, osteoporosis is … Positive findings would include all of the following except:
- Question: Which stage of pressure is consistent with findings on dermatologic examination of a full thickness tissue loss and subcutaneous fat visible with mild slough on the right hip?
- Question: The vertebral column angles sharply posteriorly and becomes immovable at the:
- Question: Which one of the following is at the HIGHEST risk for suicide?
- Question: When auscultating heart sounds arising from the aortic valve in an adult patient, place the stethoscope:
- Question: Pain and crepitus over the patella suggests:
- Question: Which one of the following findings is NOT typical in a patient who has delirium?
- Question: When examining the skin, multiple areas of circumscribed elevations of the skin filled with serous fluid measuring approximately 0.5cm were … These types of lesions could … seen in:
- Question: The principal muscles involved when closing the mouth are innervated by which cranial nerve?
- Question: The structure that creates a channel for the vertebral artery is known as the:
- Question: Which of the following is NOT a compliant patient with type 1 diabetes?
- Question: When suspecting pediculosis capitis, the chief complaint is:
- Question: The structure that appears as the large swelling posteriorly on the superior ramus of the ischium and bears most of the weight in sitting, is known as the:
- Question: percussing the posterior chest, which one of the following techniques would … omitted?
- Question: On examination of the pupils, both are round but the right pupil appears larger than the left and reacts much slower to light. This condition may … indicative of:
- Question: During the type of seizure activity, the patient experiences partial seizures that resemble tonic-clonic seizures. The patient may recall the aura and unilateral neurologic deficit is present during the postictal period. This type of seizure activity is referred to as a:
- Question: A female patient complains of weakness in both arms when transferring the wet clothes from the washer and placing them in the dryer. This finding could … suggestive of which type of weakness pattern?
- Question: To palpate the right ovary when performing the bimanual vaginal exam, the abdominal hand should … on the right lower quadrant and the pelvic hand needs to … :
- Question: A serious disturbance in a person’s mental abilities that results in a decreased awareness of one’s environment and confused thinking is referred to as:
- Question: Which of the following screening tests for hearing loss can detect both sensorineural and conductive hearing loss?
- Question: Located on the anterior aspect of the distal femur, the patella slides on this groove during flexion and extension of the knee. The name of this groove is the:
- Question: A 86-year-old man with uncontrolled hypertension presents with sudden, intense left lower abdominal pain that radiates to the back. The pain is associated with a tearing sensation. These findings are MOST likely associated with:
- Question: Men between the ages of 40 and 64 years should … screened yearly for:
- Question: A term used to describe drainage from the nose is:
- Question: Tenderness over the scapulohumeral muscle group with the inability to abduct the arm above the shoulder level would … consistent with all of the following except:
- Question: In the older adult, the test for leg mobility is known as the:
- Question: Which one of the following procedures would confirm a definitive medical diagnosis of Hirschsprung’s disease?
- Question: Hypofunctioning of the thyroid gland would lead to all the following disorders except:
- Question: The fleshy projection of the earlobe is known as the:
- Question: A 50-year-old male describes difficulty emptying his bladder. On exam, a distended bladder is … following urination. This finding may … associated with:
- Question: When performing an examination of the external genitalia of a female patient, a small firm, round cystic nodule in the labia is identified. This lesion is most consistent with:
- Question: Passive flexion, varus stress, and external rotation of the lower leg evaluates the:
- Question: When examining the knee, swelling above and adjacent to the patella was … This finding could … suggestive of:
- Question: While assessing the cranial nerves, the NP touches the cornea lightly with a wisp of cotton. This maneuver assesses which cranial nerve?
- Question: The NP instructs the patient to look over one shoulder, then the other. This maneuver would assess cervical:
- Question: During a speculum exam of the cervix the speculum is maintained in an open position by:
- Question: The NP is examining the elbow of a 16-year-old male athlete. Increased pain is … when he tries to extend his wrist against resistance. This finding is most consistent with:
- Question: Which examination finding is defined as a congenital ventral displacement of the meatus on the penis?
- Question: Bowel sounds may … increased in the presence of:
- Question: Eversion of the upper eyelid can … performed by placing the cotton applicator on the upper lid above the level of the internal tarsal plates and then:
- Question: Anticipatory guidance for the family of a pre-adolescent with cognitive impairment should include information about:
- Question: Asymmetry, irregular borders, variation in color, diameter greater than 6 mm, and elevation represent the “ABCDEs” of:
- Question: When performing a spinal exam, the NP … the appearance of poor posture and a “hump” appearance of the upper back. This finding could … suggestive of:
- Question: The area where the iliac crest terminates anteriorly on the ilium is … as the:
- Question: Following injury to the extremities, assessment for neurovascular competency should include the:
- Question: A patient is experiencing a dull achy pain in the epigastric area with eating. This type of pain is consistent with:
- Question: Which of the following conditions is NOT related to Polyuria?
- Question: When examining the elbow for range of motion, the NP instructs the patient to turn his palm upward. This motion is an example of:
- Question: The forward slippage of one vertebrae resulting in spinal cord compression is … to as:
- Question: Skin conditions such as pruritis, hyperpigmentation, and calciphylaxis may … seen in patients who have:
- Question: The extension of the spine of the scapula located at the highest point of the shoulder is … to as the:
- Question: A 60-year-old patient presents with severe, deep left eye pain. Findings reveal dilated and fixed left dilated and fixed left pupil and the cornea is cloudy. There is no ocular discharge … These findings are most likely consistent with:
- Question: A patient has a papule with an ulcerated center on the lower lid and medial canthus of the eye. This is consistent with:
- Question: Patients with prior hypospadias surgery who develop slow and painful urination as well as prostatitis are experiencing symptoms of:
- Question: Which substance used during pregnancy accounts for one third of all low-birth-weight infants, placental abruption, and preterm labor?
- Question: When screening for bladder cancer in a primary care setting, the test that would … LEAST appropriate is:
- Question: The axioscapular group of muscles include which on of the following?
- Question: A mental health condition characterized by over-the-top behavior such as emotional outbursts, noisy displays of temper, compulsive attention seekingand self-centered actions is:
- Question: Social phobia, panic disorder, and post-traumatic stress disorder (PTSD) are all examples of:
- Question: In older adults, the presence of heart sound S3 suggests:
- Question: Depigmented macules appearing on the face, hands, feet, and other parts of the body due to the lack of melanin are termed:
- Question: Restrictions of internal and external rotation of the hip are sensitive indicators of:
- Question: Which of the following neurological findings indicate the need for further evaluation?
- Question: The infant with the lowest risk of developing … levels of bilirubin is the one who:
- Question: The patient experiences a sudden loss of consciousness with falling without movements and injury may occur. The type of a seizure is consistent with:
- Question: When assessing the skin, it has a velvety appearance and is warm to touch. This could be … with:
- Question: Breath sounds auscultated over the periphery of the lung fields are quiet and wispy during the inspiratory phase followed by a short, almost silent expiratory phase. These breath sounds are … :
- Question: To palpate the medial meniscus, slightly internally rotate the tibia and palpate the medial soft tissue along the:
- Question: Eyelid retraction with exophthalmos presents as:
- Question: All of the following strategies are useful for assessing older adults at high risk for falls except:
- Question: If a patient has a history of heat intolerance with a preference to light clothing, this behavior could … consistent with:
- Question: The best method of detecting cognitive impairment or intellectual disability at an early age is by:
- Question: When screening for scoliosis, assessment should include:
- Question: In a female diagnosed with a first-degree uterine prolapse, the cervix:
- Question: The part of the brain that relays sensory information between brain regions and controls many autonomic functions of the peripheral nervous system is … as the:
- Question: During assessment of the thyroid, a fixed, firm, nontender large mass is … These findings describe:
- Question: When examining the foot of a patient, the nurse practitioner notes localized tenderness over the ankle joint. This could … suggestive of:
- Question: Women with hyperthyroidism often experience:
- While auscultating the patient’s heart, a medium, soft murmur is audible. It is pansystolic and heard loudest at the apex with radiation to the left axilla. These findings are consistent with:
- Question: A 26-year-old man with a past medical history of sickle cell disease arrives at the office with complaints of a penile erection that has lasted 4 hours. He is experiencing symptoms of:
- Question: On ophthalmoscopic examination, glaucomatous cupping appears:
- Question: Hairy leukoplakia may … with:
- Question: To estimate the expected delivery date (EDD) using Naegele’s rule, if the last menses was March 3, 2014, the EDD would … :
- Question: The infraorbital or maxillary, buccinator, and supramandibular lymph nodes drain lymphatic fluid from the:
- Question: A whitish sebaceous secretion that collects between the glans and foreskin or in the vulva is … as:
- Question: The bony structures of the shoulder include all of the following except:
- Question: Murmurs audible during pregnancy may suggest:
- Question: A fine rhythmic oscillation of the eyes is termed:
- Question: The whispered voice test allows the examiner to screen for:
- Question: A patient experienced a neck injury yesterday and presents to the NP with aching paracervical pain and stiffness. Other complaints include dizziness, malaise, and fatigue. These findings may … associated with:
- Question: When evaluating a patient for weakness of the upper extremities, bilateral distal weakness is … This finding could … suggestive of:
- Question: Fasciculations in atrophic muscles suggest:
- Question: The nerve that provides sensation to the palm and palmar surface of most of the thumb, second and third fingers, and half of the fourthdigit is the:
- Question: Stools that appear black, tarry, and sticky are … to as:
- Question: A patient with cirrhosis develops portal hypertension as indicated by the presence of:
- Question: Which of the … an extrinsic risk factor for falls in the older adult?
- Question: The thoracic lymph duct drains lymphatic fluid from all of the following areas except the:
- Question: Which ethnicity is … with glucose-6-phosoahte dehydrogenase (G-^-PD) deficiency
- Question: During pregnancy, which hormone is responsible for increasing insulin resistance and hyperglycemia … with diabetes?
- Question: On examination of a six-week-old infant, developmental hip dysplasia (DDH) is … If DDH is present, it might … evidenced by:
- Question: When should a vaginal swab for Group B streptococcus obtained in a pregnant woman?
- Question: Percussion of the abdomen should … avoided when?
- Basic self-care activities are … to as:
- Question: Which sexually … disease (STD) is … as a ‘silent’ infection and often lacks abnormal physical findings:
- Question: With transillumination of the frontal sinuses, a dim red glow is … on the forehead. This dim red glow would … indicative of:
- Question: During the mental status exam, a 45-year-old woman is easily distractible and seems to have difficulty responding to each question. This is an assessment of:
- Question: The normal fetal heart rate (FHR) range is:
- Question: A patient presents with a productive cough. Which one of the following descriptions of the mucus is correct?
- Question: The posterior cruciate ligament of the knee:
- Question: On physical exam, the soft palate does not rise, there is an absent gag reflex, and the patient complains of taste abnormalities. This requires further evaluation of the cranial nerve:
- Question: When performing a spinal exam, the nurse practitioner notices unequal heights of the iliac crests. This finding could … suggestive of:
- Question: When examining the ankle and the foot of a patient, the NP instructs the patient to point the foot toward the ceiling. This motion assess:
- Question: Ophthalmoscopic examination of the retina reveals AV tapering. This appears as if the:
- Question: The concavities … on each side and above the patella are … as the:
- Question: The lymphatic ducts drain into the:
- Question: A swollen deviated uvula may … associated with a:
- Question: A patient complains of some pain in the distal portions of her fingers on both hands. She states that it tends to occur more frequently with exposure to cold. These symptoms may … consistent with:
- Question: When examining the elbow for range of motion, the NP instructs the patient to straighten his elbow. This motion is an example of:
- Question: The patellar tendon continues below the knee joint and inserts distally on the:
- Question: The hilar region of the lungs describes:
- Physical signs associated with cervical myelopathy from cervical cord compression include:
- Question: Peritoneal inflammation produces abdominal pain and tenderness. What technique can … used to assess a tender abdomen suspected to … secondary to peritoneal inflammation?
- Question: To evaluate a patient’s response to a vibration sensation, the NP would ask the patient to identify.
NUR 634 APEA 3P Practice Questions
NUR 634 APEA 3P Practice Questions
ADDITIONAL INFORMATION;
What is the term used to describe an increase in muscular bulk with diminished strength?
Introduction
If you are an athlete and have been injured, you may be curious what is the term used to describe an increase in muscular bulk with diminished strength? The answer is that it is called hypertrophy. This condition can be caused by a number of factors. It can also occur after any kind of injury that causes inflammation or trauma to muscles or tendons; this includes tendonitis, tendon rupture or sprains.
What is the term used to describe an increase in muscular bulk with diminished strength?
In this question, you will learn what is the term used to describe an increase in muscular bulk with diminished strength? The answer is hypertrophic.
Hypertrophy means the enlargement of a muscle or organ due to increased cell number or size. When a person increases muscle mass, he or she develops more than one muscle fiber per section (typically 2–5). This can lead to increased strength and power because all of those extra fibers work together as one unit instead of individually acting on their own as they would if they were just isolated from each other.
Hypertrophy
Hypertrophy is the enlargement of an organ or part in response to increased functional activity, due to the deposition of new cells. Muscle hypertrophy can occur in muscles, bones and organs.
Tendonitis is a type of inflammation that affects tendons. Tendons are fibrous tissues that connect muscles to bone. The condition can result in pain and stiffness.
Myotonia is the abnormal delayed relaxation of muscles after a voluntary contraction.[2][3]
Tendonitis
Tendonitis is an inflammation of the tendon, which connects muscle to bone. It can be caused by overuse, injury and infection. Tendonitis may also occur when there’s a lack of blood flow to it or a contraction that causes damage to the cells lining the tendons’ sheaths (the covering around them).
Making sure you get adequate rest after working out is important because it helps heal your muscles and tendons faster. If you notice any redness or swelling around your joint after exercising heavy weights or doing high-impact activities like running or jumping rope regularly for more than 30 minutes per session without taking breaks in between sets then this could be an indication that something isn’t right with how much oxygenated blood flows through certain parts of our body including joints.’
Myotonia
Myotonia is a muscle disorder. It causes delayed relaxation of the muscles after contraction, which can lead to muscle stiffness, cramps and spasms. In some cases, it may also cause symptoms such as difficulty swallowing or breathing, fatigue and pain in the stomach area.
Myotonia can be treated with medication or physical therapy; however there is no cure for this condition yet so you may need to manage your symptoms with these methods for life (or until you find a way out).
Myasthenia Gravis
Myasthenia Gravis is an autoimmune disorder that affects the muscles, causing weakness and fatigue. Myasthenia gravis is characterized by muscle weakness and fatigue, sometimes associated with respiratory failure.
Myasthenia gravis can either be primary or secondary to other conditions such as viral infections or cancer. The most common cause of myasthenia gravis is autoimmune disease, which occurs when antibodies attack the neuromuscular junction (the nerve-muscle connection) causing damage to nerves and resulting in weakness in certain muscles over time.
Myotonia.
Myotonia is a rare genetic disorder characterized by muscle stiffness and weakness. It may also be known as myotonia congenita, as it is caused by mutations in the gene for the muscle voltage-gated potassium channel (Kv1.1).
Symptoms of myotonia congenita include: 1) Muscle stiffness, which can be worsened by cold temperatures or stress.2) Muscle weakness that worsens with exercise.3) Difficulty relaxing muscles after they contract.4) Tremors in hands and feet (especially when lying down).5) Uncoordinated movements (this may be seen as a child trying to sit up for the first time).
Conclusion
In conclusion, myotonia is a term used to describe an increase in muscular bulk with diminished strength. The most common causes of myotonia are muscle injury or trauma which will result in increased muscle fiber size leading eventually to hypertrophy. There are also other potential causes such as myasthenia gravis or tendonitis that can cause similar symptoms but these more commonly occur after an infection has already set in causing inflammation throughout your body.
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