NR509 ACTUAL FINAL EXAM|100 COMPLETE QUESTIONS WITH EXPERT
SOLUTIONS|2026 LATEST UPDATED |GET A+
1. A 35-year-old female with a history of migraines 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?: Take a further history and perform a very careful neurological exam
2. A grandmother is accompanying her 9-year-old 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?-
: IV
3. Primary prevention is defined as which of the following?: Interventions designed to
prevent disease
,4. Based on the U.S. Preventive Services Task Force (USPSTF) recommendations, which
of the following statements is true about screening for breast cancer in average-risk
women?: Mammography is recommended every 2 years for women aged
50-74 with insufficient evidence for screening women over the age of 75.
5. Which of the following statements is true regarding recommendations by the eighth
Joint National Committee (JNC8) for adults aged 60 and older?
Select all that apply.: Target blood pressure should be </= 150/90 mmHg but notes that if
treatment results in SBP <140 and is "well tolerated and without adverse effects to health
or quality of live, treatment does not need to be adjusted."
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.
6. Which of the following is a useful strategy when examining young children
between the ages of 1 and 4?: Have the parent facilitate the exam (e.g., removing clothes,
holding the child on lap).
7. The NP is completing the review of systems on a 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?: "It often takes the baby more than 30
minutes to finish a bottle."
, 8. A 16-year-old male presents to the clinic with a history 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: CNIII
9. Which cranial nerve (CN) innervates the muscles of the pharynx and provides sensory
fibers to portions of the tympanic membrane, auditory canal, pharynx, and the posterior
third of the tongue?: CN IX
10. The NP should suspect injury to which cranial nerve (CN) if a patient presents with
complaints of photosensitivity and uneven pupils after being struck in the eye with a
baseball?: CNIII
11. Which of the following statements is true regarding risks and rapid recognition of
suspected stroke? Select all that apply: Obesity doubles the risk of stroke even without
associated glucose intolerance
Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke
12. The combination of both receptive and expressive aphasia is a characteristic of which
type of speech disorder?: global aphasia
SOLUTIONS|2026 LATEST UPDATED |GET A+
1. A 35-year-old female with a history of migraines 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?: Take a further history and perform a very careful neurological exam
2. A grandmother is accompanying her 9-year-old 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?-
: IV
3. Primary prevention is defined as which of the following?: Interventions designed to
prevent disease
,4. Based on the U.S. Preventive Services Task Force (USPSTF) recommendations, which
of the following statements is true about screening for breast cancer in average-risk
women?: Mammography is recommended every 2 years for women aged
50-74 with insufficient evidence for screening women over the age of 75.
5. Which of the following statements is true regarding recommendations by the eighth
Joint National Committee (JNC8) for adults aged 60 and older?
Select all that apply.: Target blood pressure should be </= 150/90 mmHg but notes that if
treatment results in SBP <140 and is "well tolerated and without adverse effects to health
or quality of live, treatment does not need to be adjusted."
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.
6. Which of the following is a useful strategy when examining young children
between the ages of 1 and 4?: Have the parent facilitate the exam (e.g., removing clothes,
holding the child on lap).
7. The NP is completing the review of systems on a 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?: "It often takes the baby more than 30
minutes to finish a bottle."
, 8. A 16-year-old male presents to the clinic with a history 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: CNIII
9. Which cranial nerve (CN) innervates the muscles of the pharynx and provides sensory
fibers to portions of the tympanic membrane, auditory canal, pharynx, and the posterior
third of the tongue?: CN IX
10. The NP should suspect injury to which cranial nerve (CN) if a patient presents with
complaints of photosensitivity and uneven pupils after being struck in the eye with a
baseball?: CNIII
11. Which of the following statements is true regarding risks and rapid recognition of
suspected stroke? Select all that apply: Obesity doubles the risk of stroke even without
associated glucose intolerance
Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke
12. The combination of both receptive and expressive aphasia is a characteristic of which
type of speech disorder?: global aphasia
