NR509 Final Exam QUESTIONS AND ANSWERS
Terms in this set (88)
A 35-year-old female with a history of migraines Take a further history and perform a very careful neurological exam
presents to the clinic with worsening symptoms for
the past few weeks. She reports waking up at night
with headaches and nausea. Her only medication
history is oral contraceptive pills (OCPs). Otherwise,
she states she is healthy. Which of the following
actions if taken by the NP is the best next step?
A grandmother is accompanying her 9-year-old IV
granddaughter during a routine physical examination. She
asks you privately if her granddaughter has started
puberty yet. During the examination, the NP notes
asymmetric projection of the areola and nipple of the
right chest to form a secondary mound above the
level of the breast. The left breast is underdeveloped.
These assessment findings are consistent with which
Tanner Stage of development?
Primary prevention is defined as which of the following? Interventions designed to prevent disease
Based on the U.S. Preventive Services Task Force Mammography is recommended every 2 years for women aged 50-74 with
(USPSTF) recommendations, which of the following insufficient evidence for screening women over the age of 75.
statements is true about screening for breast cancer
in average-risk women?
, Which of the following statements is true regarding Target blood pressure should be </= 150/90 mmHg but notes that if treatment
recommendations by the eighth Joint National results in SBP <140 and is "well tolerated and without adverse effects to health or
Committee (JNC8) for adults aged 60 and older? quality of live, treatment does not need to be adjusted."
Select all that apply.
In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear
optimal for notable reductions in stroke, cardiovascular events, and all-cause
mortality.
Which of the following is a useful strategy when Have the parent facilitate the exam (e.g., removing clothes, holding the child on
examining young children between the ages of 1 and 4? lap).
The NP is completing the review of systems on a "It often takes the baby more than 30 minutes to finish a bottle."
4- month-old female during a routine encounter.
Which
statement from the parent may indicate a cardiac problem
in the infant and require a more thorough subjective
history?
A 16-year-old male presents to the clinic with a history CNIII
of a congenital right upper eyelid drooping as
represented in this image. He has no complaints and
denies injury or trauma. Which cranial nerve (CN) is
involved in this condition?
Patient with eyelid drooping
Which cranial nerve (CN) innervates the muscles of the CN IX
pharynx and provides sensory fibers to portions of the
tympanic membrane, auditory canal, pharynx, and the
posterior third of the tongue?
The NP should suspect injury to which cranial nerve (CN) CNIII
if a patient presents with complaints of
photosensitivity and uneven pupils after being struck
in the eye with a baseball?
Which of the following statements is true regarding risks Obesity doubles the risk of stroke even without associated glucose intolerance
and rapid recognition of suspected stroke? Select all that
apply Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke
The combination of both receptive and global aphasia
expressive aphasia is a characteristic of which
type of speech disorder?
The NP is assessing a 42-year-old female who presents to Do you have any aura prior to the headaches?
the clinic with recurring headaches. What is an effective
question to ask the patient?
A 55-year-old female presents to the clinic with a The patient reports fever, night sweats, and thinks she lost weight.
headache. During the interview, which of the following
symptoms should prompt the NP to be concerned and
investigate further?
Terms in this set (88)
A 35-year-old female with a history of migraines Take a further history and perform a very careful neurological exam
presents to the clinic with worsening symptoms for
the past few weeks. She reports waking up at night
with headaches and nausea. Her only medication
history is oral contraceptive pills (OCPs). Otherwise,
she states she is healthy. Which of the following
actions if taken by the NP is the best next step?
A grandmother is accompanying her 9-year-old IV
granddaughter during a routine physical examination. She
asks you privately if her granddaughter has started
puberty yet. During the examination, the NP notes
asymmetric projection of the areola and nipple of the
right chest to form a secondary mound above the
level of the breast. The left breast is underdeveloped.
These assessment findings are consistent with which
Tanner Stage of development?
Primary prevention is defined as which of the following? Interventions designed to prevent disease
Based on the U.S. Preventive Services Task Force Mammography is recommended every 2 years for women aged 50-74 with
(USPSTF) recommendations, which of the following insufficient evidence for screening women over the age of 75.
statements is true about screening for breast cancer
in average-risk women?
, Which of the following statements is true regarding Target blood pressure should be </= 150/90 mmHg but notes that if treatment
recommendations by the eighth Joint National results in SBP <140 and is "well tolerated and without adverse effects to health or
Committee (JNC8) for adults aged 60 and older? quality of live, treatment does not need to be adjusted."
Select all that apply.
In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear
optimal for notable reductions in stroke, cardiovascular events, and all-cause
mortality.
Which of the following is a useful strategy when Have the parent facilitate the exam (e.g., removing clothes, holding the child on
examining young children between the ages of 1 and 4? lap).
The NP is completing the review of systems on a "It often takes the baby more than 30 minutes to finish a bottle."
4- month-old female during a routine encounter.
Which
statement from the parent may indicate a cardiac problem
in the infant and require a more thorough subjective
history?
A 16-year-old male presents to the clinic with a history CNIII
of a congenital right upper eyelid drooping as
represented in this image. He has no complaints and
denies injury or trauma. Which cranial nerve (CN) is
involved in this condition?
Patient with eyelid drooping
Which cranial nerve (CN) innervates the muscles of the CN IX
pharynx and provides sensory fibers to portions of the
tympanic membrane, auditory canal, pharynx, and the
posterior third of the tongue?
The NP should suspect injury to which cranial nerve (CN) CNIII
if a patient presents with complaints of
photosensitivity and uneven pupils after being struck
in the eye with a baseball?
Which of the following statements is true regarding risks Obesity doubles the risk of stroke even without associated glucose intolerance
and rapid recognition of suspected stroke? Select all that
apply Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke
The combination of both receptive and global aphasia
expressive aphasia is a characteristic of which
type of speech disorder?
The NP is assessing a 42-year-old female who presents to Do you have any aura prior to the headaches?
the clinic with recurring headaches. What is an effective
question to ask the patient?
A 55-year-old female presents to the clinic with a The patient reports fever, night sweats, and thinks she lost weight.
headache. During the interview, which of the following
symptoms should prompt the NP to be concerned and
investigate further?
