NR509 FINAL EXAM SAMPLE QUESTIONS
Terms in this set (89)
A 31-year-old female presents to the clinic with a worsening A
stiff, painful neck. On inspection, the patients head is
laterally deviated toward the shoulder and rotated. Given Torticollis
this specific physical assessment finding, what condition
should the NP suspect as a differential
diagnosis?
A-torticollis
B-ankylosing spondylitis C-
osteoarthritis (OA)
D-spondylolisthesis
E-thoracic kyphosis
A 62-year-old female has a diagnosis of
A
rheumatoid arthritis (RA). Which of the
following are expected assessment findings
Swelling of the synovial tissue in joints and tendon sheaths
consistent with the diagnosis?
A-Swelling of the synovial tissue in joints and
tendon sheaths
B-The first metatarsophalangeal joint is
frequently involved.
C-Asymmetrical joint distribution.
D-Tophi present in the subcutaneous
tissue E-Stiffness follows joint
activity.
,A 66-year-old female presents to the office for a
C
focused visit to discuss hypertension
management strategies.
Deny her request, inform the patient that she has had three negative
During the interview, the patient asks the MP if she
screenings in the last 10 years
could be screened today for cervical cancer/HPV.
and no longer requires screening, and focus on the
Review of her medical record reveals she was
reason for the visit.
screened at ages 57, 60, and 63, with no
abnormal findings, and no history of cancer.
What is the best action the NP should take
regarding the patients request for screening?
A-Deny her request, inform her that she is past
due for cervical cancer/HPV screening, and
schedule another visit in 6 months.
B-Honor her request, perform the screening
today, and reschedule the appointment to
discuss
hypertension management strategies.
C-Deny her request, inform the patient that she
has had three negative screenings in the last 10
years
and no longer requires screening, and focus on
the reason
for the visit.
D-Deny her request, inform the patient she is not
due to be screened for two more years, and
focus on
the reason for the visit.
E-Honor her request, perform the screening
today, and inform her that if the results are
negative, she
will no longer require screening
A 45-year-old female presents to the primary
A
care clinic. She complains of recently
experiencing a change in the patterns of her
recent onset of small-caliber stools
bowel movements. Her PMH is significant for
bleeding ulcers as well as Crohns disease. Her
family medical history includes a maternal aunt
who died of colon cancer at age 49 years.
Which of the following historical elements would
be most concerning for colon cancer in this
patient?
A-recent onset of small-caliber
stools B-new-onset anal
fissures
C-recent history of black, tarry
stools D-long-term history of
hemorrhoids E-remote history
of anal pruritus
,Which of the following physical assessment finding is most D
suggestive of peritonitis secondary to a ruptured
appendix? pressing down onto the abdomen firmly and quickly withdraws the hand produces pain
A pain with internal rotation of the right hip
B abdominal pain that increases with hip flexion
C localized pain over McBurney point, which lies 2 inches from
the anterior superior iliac spinous process
on a line drawn from the umbilicus
D pressing down onto the abdomen firmly and quickly
withdraws the hand produces pain
E voluntary contraction of the abdominal wall that persists over
several examinations
A-21year -old female presents for her first
E
annual exam. She reports concern because her
female partner was recently diagnosed with
raised friable or lobed lesions
condyloma acuminata and wonders if she could
also be infected. If true what physical
assessment findings would the NP expect to find
during the speculum examination
A several shallow ulcers with a red base
B translucent nodules
C bright red, soft lesions arising from the cervical
canal
D small red granular spots or petechiae on the
cervix
E - raised friable or lobed lesions
A 35-year-old female with a history of migraines D
presents to the clinic with worsening symptoms
for the past few weeks. She reports waking up Take a further history and perform a very careful neurological
at night with headaches and nausea. Her only examination.
medication history is oral contraceptive pills
(OPs). Otherwise, she states she is healthy.
Which of the following actions if taken by the NP
is the best next step?
A Reassure her that this is a common pattern
with migraines
B Evaluate her for possible sinus infection.
C Order studies to evaluate potential transient
ischemic attacks (TIAs) because she is on
OCPs.
D Take a further history and perform a very
careful neurological examination.
E Prescribe a strong medication for her
, The NP is observing a full-term infant male. He A
can pull to a stand, use "mama" or "dada"
specifically, and indicates his wants by 12 MONTHS
vocalization and pointing. Based on your
observations, determine his developmental age
A 12 months
B 4 months
C 8 months
D 10 months
E 6 months
During an evaluation of an athletic 30-year-old A
female,
the NP conducts an active range of motion
evaluation at
the neck. All of the following muscles are being sacrospinalis
assessed
when the
patient is asked to extend, flex, and rotate the neck,
EXCEPT?
A sacrospinalis
B sternocleidomastoid (SCM)
C trapezius
D splenius capitis
E splenius cervicis
What structure in the spine is primarily responsible B
for
supporting the bodys weight?
vertebral body
A spinous process
B vertebral body
C transverse process
D vertebral arch
E intervertebral disk
Pain in the right-lower quadrant (RLQ) during deep, C
even
palpation of the left-lower quadrant (LLQ) then
quickly
withdrawing your fingers indicates what positive Blumberg sign
assessment
A psoas sign
B Murphy sign
C Blumberg sign
D Roving sign
E McBurney sign
Cervical motion tenderness and/or adnexal B
tenderness
are hallmarks of all the following
conditions, EXCEPT? Bacterial Vaginosis
A pelvic inflammatory disease
B bacterial vaginosis
C endometriosis
Terms in this set (89)
A 31-year-old female presents to the clinic with a worsening A
stiff, painful neck. On inspection, the patients head is
laterally deviated toward the shoulder and rotated. Given Torticollis
this specific physical assessment finding, what condition
should the NP suspect as a differential
diagnosis?
A-torticollis
B-ankylosing spondylitis C-
osteoarthritis (OA)
D-spondylolisthesis
E-thoracic kyphosis
A 62-year-old female has a diagnosis of
A
rheumatoid arthritis (RA). Which of the
following are expected assessment findings
Swelling of the synovial tissue in joints and tendon sheaths
consistent with the diagnosis?
A-Swelling of the synovial tissue in joints and
tendon sheaths
B-The first metatarsophalangeal joint is
frequently involved.
C-Asymmetrical joint distribution.
D-Tophi present in the subcutaneous
tissue E-Stiffness follows joint
activity.
,A 66-year-old female presents to the office for a
C
focused visit to discuss hypertension
management strategies.
Deny her request, inform the patient that she has had three negative
During the interview, the patient asks the MP if she
screenings in the last 10 years
could be screened today for cervical cancer/HPV.
and no longer requires screening, and focus on the
Review of her medical record reveals she was
reason for the visit.
screened at ages 57, 60, and 63, with no
abnormal findings, and no history of cancer.
What is the best action the NP should take
regarding the patients request for screening?
A-Deny her request, inform her that she is past
due for cervical cancer/HPV screening, and
schedule another visit in 6 months.
B-Honor her request, perform the screening
today, and reschedule the appointment to
discuss
hypertension management strategies.
C-Deny her request, inform the patient that she
has had three negative screenings in the last 10
years
and no longer requires screening, and focus on
the reason
for the visit.
D-Deny her request, inform the patient she is not
due to be screened for two more years, and
focus on
the reason for the visit.
E-Honor her request, perform the screening
today, and inform her that if the results are
negative, she
will no longer require screening
A 45-year-old female presents to the primary
A
care clinic. She complains of recently
experiencing a change in the patterns of her
recent onset of small-caliber stools
bowel movements. Her PMH is significant for
bleeding ulcers as well as Crohns disease. Her
family medical history includes a maternal aunt
who died of colon cancer at age 49 years.
Which of the following historical elements would
be most concerning for colon cancer in this
patient?
A-recent onset of small-caliber
stools B-new-onset anal
fissures
C-recent history of black, tarry
stools D-long-term history of
hemorrhoids E-remote history
of anal pruritus
,Which of the following physical assessment finding is most D
suggestive of peritonitis secondary to a ruptured
appendix? pressing down onto the abdomen firmly and quickly withdraws the hand produces pain
A pain with internal rotation of the right hip
B abdominal pain that increases with hip flexion
C localized pain over McBurney point, which lies 2 inches from
the anterior superior iliac spinous process
on a line drawn from the umbilicus
D pressing down onto the abdomen firmly and quickly
withdraws the hand produces pain
E voluntary contraction of the abdominal wall that persists over
several examinations
A-21year -old female presents for her first
E
annual exam. She reports concern because her
female partner was recently diagnosed with
raised friable or lobed lesions
condyloma acuminata and wonders if she could
also be infected. If true what physical
assessment findings would the NP expect to find
during the speculum examination
A several shallow ulcers with a red base
B translucent nodules
C bright red, soft lesions arising from the cervical
canal
D small red granular spots or petechiae on the
cervix
E - raised friable or lobed lesions
A 35-year-old female with a history of migraines D
presents to the clinic with worsening symptoms
for the past few weeks. She reports waking up Take a further history and perform a very careful neurological
at night with headaches and nausea. Her only examination.
medication history is oral contraceptive pills
(OPs). Otherwise, she states she is healthy.
Which of the following actions if taken by the NP
is the best next step?
A Reassure her that this is a common pattern
with migraines
B Evaluate her for possible sinus infection.
C Order studies to evaluate potential transient
ischemic attacks (TIAs) because she is on
OCPs.
D Take a further history and perform a very
careful neurological examination.
E Prescribe a strong medication for her
, The NP is observing a full-term infant male. He A
can pull to a stand, use "mama" or "dada"
specifically, and indicates his wants by 12 MONTHS
vocalization and pointing. Based on your
observations, determine his developmental age
A 12 months
B 4 months
C 8 months
D 10 months
E 6 months
During an evaluation of an athletic 30-year-old A
female,
the NP conducts an active range of motion
evaluation at
the neck. All of the following muscles are being sacrospinalis
assessed
when the
patient is asked to extend, flex, and rotate the neck,
EXCEPT?
A sacrospinalis
B sternocleidomastoid (SCM)
C trapezius
D splenius capitis
E splenius cervicis
What structure in the spine is primarily responsible B
for
supporting the bodys weight?
vertebral body
A spinous process
B vertebral body
C transverse process
D vertebral arch
E intervertebral disk
Pain in the right-lower quadrant (RLQ) during deep, C
even
palpation of the left-lower quadrant (LLQ) then
quickly
withdrawing your fingers indicates what positive Blumberg sign
assessment
A psoas sign
B Murphy sign
C Blumberg sign
D Roving sign
E McBurney sign
Cervical motion tenderness and/or adnexal B
tenderness
are hallmarks of all the following
conditions, EXCEPT? Bacterial Vaginosis
A pelvic inflammatory disease
B bacterial vaginosis
C endometriosis
