NR509 WEEK 4 MIDTERM EXAM DUE 1ST
FEBRUARY 2026 COMPLETE ACTUAL EXAM
QUESTIONS 1- 100 NR-509 ADVANCED
PHYSICAL ASSESSMENT NR 509 MIDTERM
AND FINALS EXAMPLIFY ONLINE
PROCTORED EXAM QUESTIONS WITH
VERIFIED AND ACCURATE ANSWERS | 100%
PASS GUARANTEED | GRADED A+ |
Click to highlight the findings that require immediate follow-up with the provider. To
deselect a finding, click on the finding again.
Nurses' Notes
1500:
Client transported to emergency department via ambulance. Client's partner is present
and reports that client became increasingly drowsy, confused, and walking unsteadily
over the past 24 hr.
History of heart failure and rheumatoid arthritis. Home medications: lisinopril and
aspirin.
Client reports headache, ringing in ears, and feeling dizzy. Client oriented to person.
Lethargic, diaphoretic, and vomiting.
1530:
Client is obtunded. Difficult to awake and client's speech is mumbled.
Vital Signs
, 1530:
Temperature 39.1° C (102.3° F)
Heart rate 116/min
Respiratory rate 34/min
Blood pressure 100/60 mm Hg
Oxygen saturation 93% on room air - answer-Aspirin, headache, ringing in ears, feeling
dizzy, diaphoretic, obtunded, temperature 39.1° C (102.3° F), respiratory rate 34/min,
and oxygen saturation of 93% on room air.
Rational:
These findings are associated with salicylism, which requires immediate intervention
and therefore are priority findings. Salicylism is a syndrome that occurs when a client
takes too much aspirin, either acutely (overdose) or with chronic use. With elevated
aspirin blood levels, a client can have manifestations of tinnitus (ringing in ears),
sweating, headache, and dizziness. If immediate actions are not taken, acid-base
imbalance occurs. Excess aspirin affects the CNS and increases respiratory rate,
leading to an increase loss in carbon dioxide when exhaling faster. This in turn can
produce respiratory alkalosis. The client has manifestations of respiratory alkalosis
which are increased heart rate, low blood pressure, and increased respiratory rate.
A nurse is teaching a client who has a new prescription for tramadol. Which of the
following instructions should the nurse include? (Select all that apply.) - answer-
Increase fiber and fluid intake
Take the drug with food
Change position gradually
Avoid driving after taking the medication
A nurse is reviewing the medical record of a client who has a new prescription for
tramadol. The nurse should identify that which of the following conditions is a
contraindication for tramadol? - answer-Seizure disorder
Rational:
Tramadol, a nonopioid analgesic, can cause seizure activity. Clients who have seizure
disorders, head injuries, or increased intracranial pressure should not take tramadol.
FEBRUARY 2026 COMPLETE ACTUAL EXAM
QUESTIONS 1- 100 NR-509 ADVANCED
PHYSICAL ASSESSMENT NR 509 MIDTERM
AND FINALS EXAMPLIFY ONLINE
PROCTORED EXAM QUESTIONS WITH
VERIFIED AND ACCURATE ANSWERS | 100%
PASS GUARANTEED | GRADED A+ |
Click to highlight the findings that require immediate follow-up with the provider. To
deselect a finding, click on the finding again.
Nurses' Notes
1500:
Client transported to emergency department via ambulance. Client's partner is present
and reports that client became increasingly drowsy, confused, and walking unsteadily
over the past 24 hr.
History of heart failure and rheumatoid arthritis. Home medications: lisinopril and
aspirin.
Client reports headache, ringing in ears, and feeling dizzy. Client oriented to person.
Lethargic, diaphoretic, and vomiting.
1530:
Client is obtunded. Difficult to awake and client's speech is mumbled.
Vital Signs
, 1530:
Temperature 39.1° C (102.3° F)
Heart rate 116/min
Respiratory rate 34/min
Blood pressure 100/60 mm Hg
Oxygen saturation 93% on room air - answer-Aspirin, headache, ringing in ears, feeling
dizzy, diaphoretic, obtunded, temperature 39.1° C (102.3° F), respiratory rate 34/min,
and oxygen saturation of 93% on room air.
Rational:
These findings are associated with salicylism, which requires immediate intervention
and therefore are priority findings. Salicylism is a syndrome that occurs when a client
takes too much aspirin, either acutely (overdose) or with chronic use. With elevated
aspirin blood levels, a client can have manifestations of tinnitus (ringing in ears),
sweating, headache, and dizziness. If immediate actions are not taken, acid-base
imbalance occurs. Excess aspirin affects the CNS and increases respiratory rate,
leading to an increase loss in carbon dioxide when exhaling faster. This in turn can
produce respiratory alkalosis. The client has manifestations of respiratory alkalosis
which are increased heart rate, low blood pressure, and increased respiratory rate.
A nurse is teaching a client who has a new prescription for tramadol. Which of the
following instructions should the nurse include? (Select all that apply.) - answer-
Increase fiber and fluid intake
Take the drug with food
Change position gradually
Avoid driving after taking the medication
A nurse is reviewing the medical record of a client who has a new prescription for
tramadol. The nurse should identify that which of the following conditions is a
contraindication for tramadol? - answer-Seizure disorder
Rational:
Tramadol, a nonopioid analgesic, can cause seizure activity. Clients who have seizure
disorders, head injuries, or increased intracranial pressure should not take tramadol.
