NR 509 SHADOW HEALTH EMILY GREEN
FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ Know where pain is located with pancreatitis: chronic.
Answer: epigastric, radiating to back
◍ Know the Risk Factors for PAD.
Answer: 1. Age greater than or equal to 50 with a hx of DM or smoking2.
Leg symptoms with exertion3. Nonhealing woundsAlso: smoking, diabetes,
obesity (BMI >30), high blood pressure, high cholesterol, increasing age
(especially over 50), family hx of PAD, heart dis, or stroke.
◍ Shift Assessment.
Answer: ...
◍ Senile (Actinic) Pupura.
Answer:
◍ Know the signs of prostatitis: chronic.
Answer: is associated with recurrent UTI's, usually from the same organism.
Men may be asymptomatic or have symptoms of dysuria or mild pelvic
pain. The prostate gland may feel normal, without tenderness or swelling.
◍ Know the signs of elder abuse.
Answer: abuse, neglect, exploitation, or abandonment. Prevalence is highest
in adults with dementia and depression.
◍ Know what a retracted tympanic membrane with effusion looks like.
Answer: amber fluid behind the ear drum is characteristic
◍ Know what an ulcer due to venous insufficiency looks like.
Answer: Usually appears over the medial and sometimes lateral malleolus.
, Ulcer contains small, painful granulation tissue and fibrin; necrosis or
exposed tendons are rare. Borders are irregular, flat, or slightly steep. Pain
effects QOL in 75% of patients. Associated findings include edema, reddish
pigmentation and purpura, venous varicosities, the eczematous changes of
stasis dermatitis (redness, scaling, and pruritis), and at times cyanosis of the
foot when dependent. Gangrene is rare.
◍ Know the signs of gestational HTN.
Answer: Gestational is systolic blood pressure (SBP) >140 mm Hg or
diastolic blood pressure (DBP) > 90 mm Hg first documented after 20
weeks, without proteinuria or preeclampsia, that resolves by 12 weeks
postpartum.
◍ Know the sign factors of prostate cancer: family hx.
Answer: Genetics appear to play an important role in prostate cancer risk.
For men with one affected first degree relative (father, brother) risk of
developing prostate cancer increases two fold. For men with 2 or 3 affected
first degree relatives, risk increases 5-11 fold. The BRCA1 and BRCA2
mutations also appear to confer increased risk of prostate cancer.
◍ Know what to do if you feel an abdominal mass.
Answer: Occasionally there are masses in the abdominal wall rather than
inside the abdominal cavity. Ask the patient either to raise the head and
shoulders or to strain down, thus tightening the abdominal muscles. Feel for
the mass again.
◍ Breast stage 2.
Answer: breast bud stage- elevation of breast and nipple as a small mound;
enlargement of areolar diameter
◍ Family History (3 generations).
Answer: • Father: died at age 58 in a car accident, history of hypertension,
high cholesterol, and type 2 diabetes • Mother: hypertension, high
cholesterol • Brother: healthy • Sister: asthma • Maternal grandmother: died
at age 73 of a stroke, history of hypertension, high cholesterol • Maternal
grandfather: died at age 78 of a suspected myocardial infarction, history of
, hypertension, high cholesterol • Paternal grandmother: still living, age 82,
hypertension • Paternal grandfather: died at age 65 of colon cancer, history
of type 2 diabetes • Paternal uncle: alcoholism
◍ Know the causes of increased jugular venous pressure.
Answer: Highly correlated with both acute and chronic heart failure. Also
seen in tricuspid stenosis, chronic pulmonary hypertension, superior vena
cava obstruction, cardiac tamponade, and constrictive pericarditis.
◍ Know when to give the tetanus vaccine.
Answer: All adults age 19 or older who have not received a Tdap should
receive a single dose regardless of the time interval since last Td. After
receiving Tdap they should receive Td boosters at 10 year intervals. For
adults 65 and older this will reduce the likelihood of transmission to infants
under 12 months.
◍ Know where lymph nodes should be with strep.
Answer: · Strep throat àstreptococcal pharyngitis, bacterial infection that
may cause a sore, scratchy throat· Common childhood infection has a
classic presentation of erythema of the posterior pharynx and palatal
petechiae· Enlarged swollen cervical lymph nodes -> superficial cervical
lymph nodesSuperficial cervical -> superficial to the sternocleidomastoid
◍ overflow incontinence.
Answer: detrusor contractions are insufficient to overcome urethral
resistance, causing urinary retention. The bladder is typically flaccid and
large, even after an effort to void. Mechanisms: obstruction of the bladder
outlet ie: BPH or tumor. Weakness of the detrusor muscle associated with
peripheral nerve disease at S2-4 level. Impaired bladder sensation that
interrupts the reflex arc ie: diabetic neuropathy.
◍ Know how hepatitis A is transmitted.
Answer: Transmitted through fecal-oral route. Fecal shedding followed by
poor handwashing contaminates water and foods leading to infection of
household and sexual contacts
FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ Know where pain is located with pancreatitis: chronic.
Answer: epigastric, radiating to back
◍ Know the Risk Factors for PAD.
Answer: 1. Age greater than or equal to 50 with a hx of DM or smoking2.
Leg symptoms with exertion3. Nonhealing woundsAlso: smoking, diabetes,
obesity (BMI >30), high blood pressure, high cholesterol, increasing age
(especially over 50), family hx of PAD, heart dis, or stroke.
◍ Shift Assessment.
Answer: ...
◍ Senile (Actinic) Pupura.
Answer:
◍ Know the signs of prostatitis: chronic.
Answer: is associated with recurrent UTI's, usually from the same organism.
Men may be asymptomatic or have symptoms of dysuria or mild pelvic
pain. The prostate gland may feel normal, without tenderness or swelling.
◍ Know the signs of elder abuse.
Answer: abuse, neglect, exploitation, or abandonment. Prevalence is highest
in adults with dementia and depression.
◍ Know what a retracted tympanic membrane with effusion looks like.
Answer: amber fluid behind the ear drum is characteristic
◍ Know what an ulcer due to venous insufficiency looks like.
Answer: Usually appears over the medial and sometimes lateral malleolus.
, Ulcer contains small, painful granulation tissue and fibrin; necrosis or
exposed tendons are rare. Borders are irregular, flat, or slightly steep. Pain
effects QOL in 75% of patients. Associated findings include edema, reddish
pigmentation and purpura, venous varicosities, the eczematous changes of
stasis dermatitis (redness, scaling, and pruritis), and at times cyanosis of the
foot when dependent. Gangrene is rare.
◍ Know the signs of gestational HTN.
Answer: Gestational is systolic blood pressure (SBP) >140 mm Hg or
diastolic blood pressure (DBP) > 90 mm Hg first documented after 20
weeks, without proteinuria or preeclampsia, that resolves by 12 weeks
postpartum.
◍ Know the sign factors of prostate cancer: family hx.
Answer: Genetics appear to play an important role in prostate cancer risk.
For men with one affected first degree relative (father, brother) risk of
developing prostate cancer increases two fold. For men with 2 or 3 affected
first degree relatives, risk increases 5-11 fold. The BRCA1 and BRCA2
mutations also appear to confer increased risk of prostate cancer.
◍ Know what to do if you feel an abdominal mass.
Answer: Occasionally there are masses in the abdominal wall rather than
inside the abdominal cavity. Ask the patient either to raise the head and
shoulders or to strain down, thus tightening the abdominal muscles. Feel for
the mass again.
◍ Breast stage 2.
Answer: breast bud stage- elevation of breast and nipple as a small mound;
enlargement of areolar diameter
◍ Family History (3 generations).
Answer: • Father: died at age 58 in a car accident, history of hypertension,
high cholesterol, and type 2 diabetes • Mother: hypertension, high
cholesterol • Brother: healthy • Sister: asthma • Maternal grandmother: died
at age 73 of a stroke, history of hypertension, high cholesterol • Maternal
grandfather: died at age 78 of a suspected myocardial infarction, history of
, hypertension, high cholesterol • Paternal grandmother: still living, age 82,
hypertension • Paternal grandfather: died at age 65 of colon cancer, history
of type 2 diabetes • Paternal uncle: alcoholism
◍ Know the causes of increased jugular venous pressure.
Answer: Highly correlated with both acute and chronic heart failure. Also
seen in tricuspid stenosis, chronic pulmonary hypertension, superior vena
cava obstruction, cardiac tamponade, and constrictive pericarditis.
◍ Know when to give the tetanus vaccine.
Answer: All adults age 19 or older who have not received a Tdap should
receive a single dose regardless of the time interval since last Td. After
receiving Tdap they should receive Td boosters at 10 year intervals. For
adults 65 and older this will reduce the likelihood of transmission to infants
under 12 months.
◍ Know where lymph nodes should be with strep.
Answer: · Strep throat àstreptococcal pharyngitis, bacterial infection that
may cause a sore, scratchy throat· Common childhood infection has a
classic presentation of erythema of the posterior pharynx and palatal
petechiae· Enlarged swollen cervical lymph nodes -> superficial cervical
lymph nodesSuperficial cervical -> superficial to the sternocleidomastoid
◍ overflow incontinence.
Answer: detrusor contractions are insufficient to overcome urethral
resistance, causing urinary retention. The bladder is typically flaccid and
large, even after an effort to void. Mechanisms: obstruction of the bladder
outlet ie: BPH or tumor. Weakness of the detrusor muscle associated with
peripheral nerve disease at S2-4 level. Impaired bladder sensation that
interrupts the reflex arc ie: diabetic neuropathy.
◍ Know how hepatitis A is transmitted.
Answer: Transmitted through fecal-oral route. Fecal shedding followed by
poor handwashing contaminates water and foods leading to infection of
household and sexual contacts
