CHAMBERLAIN COLLEGE OF NURSING NR
509 CERTIFICATION SCRIPT 2026
COMPLETE QUESTIONS AND CORRECT
ANSWERS
◉Know where lymph nodes should be with strep. Answer: · Strep
throat astreptococcal 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 nodes
Superficial cervical -> superficial to the sternocleidomastoid
◉What vaccines are safe during pregnancy. Answer: tdap, flu,
Pneumococcal, meningococcal, Hepatitis B, rho gam
*NOT MMR, polio, or varicella
◉Know what to be concerned about if you note an irregular rectal
mass. Answer: · Any masses with irregular borders suspicious for
rectal cancer
,A tender purulent reddened mass with fever or chills suggests an
anal abscess. Abscesses tunneling to the skin surface from the anus
or rectum may form a clogged or draining ano-rectal fistula. Fistulas
may ooze blood, pus, or feculent mucus. Consider anoscopy or
sigmoidoscopy for better visualization.
◉Know what HPV Vac protects against. Answer: · Prevents infection
from HPV subtypes 16, 18, 6 & 11 which cause 90 % of genital warts
· The bivalent vaccine prevents infection from subtypes 16 and 18.
· Recommended for prevention of cervical, vulvar, and vaginal
cancers and precancers in females as well as anal cancer, precancers,
and genital warts in both female and males
· Vaccinated women should still get cervical cancer screening
because vaccines do not prevent all HPV subtypes
· Condoms do not eliminate the risk of cervical HPV infection
Recommended for those with compromised immune systems
including HIV
◉Know what a 3-year-old can do in regard to jumping and
balancing. Answer: · Climbs well, runs easily
· Pedals a tricycle
· Walks up and down stairs, one foot on each step
, ◉Know where to place measuring tape when measuring uterus in a
pregnant patient. Answer: · Measure the fundal height if gestational
age is >20 weeks - fundus should reach the umbilicus
· Place tape measure on pubic symphysis and place the "zero" end of
the tape measure when you can firmly feel that bone.
· Extend the tape measure to the very top of uterine fundus and note
the number of cm measured.
o Subject to error between 16-36 weeks
· Number should roughly equal the number of weeks of gestation
o If fundal height is >4cm than expected -multiple gestation, large
fetus, extra amniotic fluid, uterine leiomyoma
o If fundal height is < 4cm than expected - low-level amniotic fluid,
missed abortion, intrauterine growth retardation, or fetal anomaly
◉The _______ _______ occupies most of the anterior cardiac surface.
Answer: right ventricle
◉Know what bleeding between periods is called. Answer: Abnormal
uterine bleeding, Intermenstrual bleeding
◉Know types of vaginosis. Answer: Trichomonal vaginitis, Candidal
Vaginitis, Bacterial vaginosis
509 CERTIFICATION SCRIPT 2026
COMPLETE QUESTIONS AND CORRECT
ANSWERS
◉Know where lymph nodes should be with strep. Answer: · Strep
throat astreptococcal 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 nodes
Superficial cervical -> superficial to the sternocleidomastoid
◉What vaccines are safe during pregnancy. Answer: tdap, flu,
Pneumococcal, meningococcal, Hepatitis B, rho gam
*NOT MMR, polio, or varicella
◉Know what to be concerned about if you note an irregular rectal
mass. Answer: · Any masses with irregular borders suspicious for
rectal cancer
,A tender purulent reddened mass with fever or chills suggests an
anal abscess. Abscesses tunneling to the skin surface from the anus
or rectum may form a clogged or draining ano-rectal fistula. Fistulas
may ooze blood, pus, or feculent mucus. Consider anoscopy or
sigmoidoscopy for better visualization.
◉Know what HPV Vac protects against. Answer: · Prevents infection
from HPV subtypes 16, 18, 6 & 11 which cause 90 % of genital warts
· The bivalent vaccine prevents infection from subtypes 16 and 18.
· Recommended for prevention of cervical, vulvar, and vaginal
cancers and precancers in females as well as anal cancer, precancers,
and genital warts in both female and males
· Vaccinated women should still get cervical cancer screening
because vaccines do not prevent all HPV subtypes
· Condoms do not eliminate the risk of cervical HPV infection
Recommended for those with compromised immune systems
including HIV
◉Know what a 3-year-old can do in regard to jumping and
balancing. Answer: · Climbs well, runs easily
· Pedals a tricycle
· Walks up and down stairs, one foot on each step
, ◉Know where to place measuring tape when measuring uterus in a
pregnant patient. Answer: · Measure the fundal height if gestational
age is >20 weeks - fundus should reach the umbilicus
· Place tape measure on pubic symphysis and place the "zero" end of
the tape measure when you can firmly feel that bone.
· Extend the tape measure to the very top of uterine fundus and note
the number of cm measured.
o Subject to error between 16-36 weeks
· Number should roughly equal the number of weeks of gestation
o If fundal height is >4cm than expected -multiple gestation, large
fetus, extra amniotic fluid, uterine leiomyoma
o If fundal height is < 4cm than expected - low-level amniotic fluid,
missed abortion, intrauterine growth retardation, or fetal anomaly
◉The _______ _______ occupies most of the anterior cardiac surface.
Answer: right ventricle
◉Know what bleeding between periods is called. Answer: Abnormal
uterine bleeding, Intermenstrual bleeding
◉Know types of vaginosis. Answer: Trichomonal vaginitis, Candidal
Vaginitis, Bacterial vaginosis
