CHAMBERLAIN COLLEGE OF NURSING NR
509 FINAL PAPER 2026 FULL Q&A STUDY
GUIDE GRADED A+
◉Know where pain is with diverticulitis. Answer: LLQ
◉Know what position to have pt in to listen for mitral stenosis.
Answer: Left lateral decubitus
◉Know what to ask in regards to cardiovascular review of systems
(pick the one that belongs). Answer: Ask questions related to: chest
pain, palpitations, shortness of breath, swelling (edema), syncope
◉Know how a bartholin's gland infection presents. Answer: Acutely,
the gland appears as a tense, hot, very tender abscess. Possible labial
swelling. Look for pus emerging from the duct or erythema around
the duct opening. Chronically, a nontender cyst is felt that may be
large or small.
◉Know where pain is with appendicitis. Answer: RLQ pain or pain
that migrates from the periumbilical region, combined with
abdominal wall rigidity on palpation is suspicious for appendicitis
, ◉Know how syphilis presents genitally. Answer: Female: syphilitic
chancre- firm, painless ulcer from primary syphilis, forms approx. 21
days after exposure to Treponema pallidum. It may remain hidden
and undetected in the vagina and heals regardless of treatment in 3-
6 weeks.
Secondary syphilis (Condyloma lantum)- large raised, round or oval,
flat-topped gray or white lesions point to condylomata lata. These
are contagious and, along with rash and mucus membrane sores in
the mouth, vagina, or anus are manifestations of secondary syphilis.
Male: Primary syphilis: small red papule that becomes a chancre, a
painless erosion up to 2 cm in diameter. Base of chancre is clean, red,
smooth, and glistening; borders are raised and indurated. Chancre
heals within 3-8 weeks.
◉Know the signs of proctitis. Answer: Anorectal pain, itching,
tenesmus, or discharge or bleeding from infection or rectal abscess
suggest proctitis.
◉Know what causes dark, bloody emesis. Answer: Hematemesis
may accompany esophageal or gastric varices, Mallory-Weiss tears,
or peptic ulcer disease.
◉Know what causes an S3 heart sound. Answer: In children and
young adults, a third heart sound (S3) may arise from rapid
deceleration of the column of blood against the ventricular wall. In
509 FINAL PAPER 2026 FULL Q&A STUDY
GUIDE GRADED A+
◉Know where pain is with diverticulitis. Answer: LLQ
◉Know what position to have pt in to listen for mitral stenosis.
Answer: Left lateral decubitus
◉Know what to ask in regards to cardiovascular review of systems
(pick the one that belongs). Answer: Ask questions related to: chest
pain, palpitations, shortness of breath, swelling (edema), syncope
◉Know how a bartholin's gland infection presents. Answer: Acutely,
the gland appears as a tense, hot, very tender abscess. Possible labial
swelling. Look for pus emerging from the duct or erythema around
the duct opening. Chronically, a nontender cyst is felt that may be
large or small.
◉Know where pain is with appendicitis. Answer: RLQ pain or pain
that migrates from the periumbilical region, combined with
abdominal wall rigidity on palpation is suspicious for appendicitis
, ◉Know how syphilis presents genitally. Answer: Female: syphilitic
chancre- firm, painless ulcer from primary syphilis, forms approx. 21
days after exposure to Treponema pallidum. It may remain hidden
and undetected in the vagina and heals regardless of treatment in 3-
6 weeks.
Secondary syphilis (Condyloma lantum)- large raised, round or oval,
flat-topped gray or white lesions point to condylomata lata. These
are contagious and, along with rash and mucus membrane sores in
the mouth, vagina, or anus are manifestations of secondary syphilis.
Male: Primary syphilis: small red papule that becomes a chancre, a
painless erosion up to 2 cm in diameter. Base of chancre is clean, red,
smooth, and glistening; borders are raised and indurated. Chancre
heals within 3-8 weeks.
◉Know the signs of proctitis. Answer: Anorectal pain, itching,
tenesmus, or discharge or bleeding from infection or rectal abscess
suggest proctitis.
◉Know what causes dark, bloody emesis. Answer: Hematemesis
may accompany esophageal or gastric varices, Mallory-Weiss tears,
or peptic ulcer disease.
◉Know what causes an S3 heart sound. Answer: In children and
young adults, a third heart sound (S3) may arise from rapid
deceleration of the column of blood against the ventricular wall. In
