NR509 Final Exam Practice Test
A 6-year-old female presents to the clinic with sore throat. The point of care test
for Group A Streptococcal infection is positive. Which of the following indicates
the expected lymphadenopathy presentation in this case?
Bilateral, tender, mobile anterior cervical lymphadenopathy
Which of the following changes are expected in vision as part of the normal aging
process?
Blurring of near vision
Identify the anatomical structure in this image between both of the examiner's
hands and fingertips.
Cricoid cartilage
A 19-year-old African-American female presents to the clinic with moderate to
severe right lower quadrant abdominal pain for the last 2 days. She has been
experiencing nausea and vomiting but unsure if she has had fever. Which of the
following is a possible differential diagnosis?
Appendicitis
A 15-day old infant girl is brought to the outpatient clinic by her mother on a
Monday morning. The mother is concerned about a rash that seems to have
appeared suddenly after she and her infant daughter spent the previous weekend
in Florida visiting family. The time of year is August and the house did not have
air conditioning. The infant is afebrile, eating and drinking well, and does not
appear to be in distress. You note scattered vesicles on an erythematous base
involving the infant's face and trunk. Based on the history and physical
examination findings, what is the likely diagnosis?
Erythema Toxicum
A 48-year-old high school librarian comes to your clinic, complaining of 1 week of
heavy discharge causing severe itching. She is not presently sexually active and
has had no burning with urination. The symptoms started several days after her
last period. She just finished a course of antibiotics for a sinus infection. Her past
medical history consists of type 2 diabetes and high blood pressure. She is
widowed and has three children. She denies tobacco, alcohol, or drug use. Her
mother has high blood pressure and her father died of diabetes complications.
On examination you see a healthy appearing woman. Her blood pressure is
130/80 and her pulse is 70. Her head, eyes, ears, nose, throat, cardiac, lung, and
abdominal examinations are unremarkable. Palpation of the inguinal lymph nodes
is unremarkable. On visualization of the vulva, a thick, white, curdy discharge is
seen at the introitus. On speculum examination there is a copious amount of this
discharge. The pH of the discharge is 4.1 and the KOH whiff test is negative, with
no unusual smell. Wet prep shows budding hyphae. What vaginitis does this
patient most likely have?
Candida vaginitis
A 32-year-old female presents with a complaint of a singular breast mass. The
nurse practitioner collects a thorough history and physical examination of the
client's breast and related systems. Based on the characteristics of a soft, round,
, mobile, and tender mass, as well at the client's age, select the most likely cause
of the breast mass.
Cyst
A 16-year-old female presents with the complaint of acne as represented in this
image. When documenting the assessment findings, what is the morphology of
the predominant skin lesions?
Papules and pustules
You are observing an infant born at 42-weeks gestation who is able to pull to a
stand, uses "mama" and "dada" specifically, and indicates his wants by
vocalization and pointing. Where would you place this child's developmental
age?
8 months
Which of the following vaccinations are safe during pregnancy?
Hep B
A 50- year-old Caucasian male presents to the clinic with left leg pain that
increases with rest and a feeling of warmth in the calf area. During your physical
examination, you note erythema and increased warm involving the left posterior
lower leg as well as a palpable cord. What diagnosis do you suspect?
Thrombophlebitis
Upon physical examination of an 11-month-old infant, you note the skin findings
represented in this image. What is your initial assessment?
Atopic dermatitis
Jim is a 60-year-old man who presents with vomiting. He denies seeing any blood
with emesis, which has been occurring for 2 days. He does note a dark, granular
substance resembling the coffee left in the filter after brewing. What do you
suspect?
Bleeding from a peptic ulcer
A 57-year-old maintenance worker comes to your office for evaluation of pain in
his legs. He has smoked two packs per day since the age of 16, but he is
otherwise healthy. You are concerned that he may have peripheral vascular
disease. Which of the following is part of common or concerning symptoms for
the peripheral vascular system?
Intermittent claudication
You note a painful ulcerative lesion near the medial malleolus, with
accompanying hyperpigmentation. Which of the following etiologies is most
likely?
Venous insufficiency
Which is the proper sequence of examination for the abdomen?
Inspection, auscultation, percussion, palpation
An elderly woman with dementia is brought in by her daughter for a "rectal
mass." On examination you notice a moist pink mass protruding from the anus,
which is non-tender. It is soft and does not have any associated bleeding. Which
of the following is most likely?
Rectal prolapse
Which of the following is true of the human papilloma virus (HPV) vaccine?
It can protect against anogenital lesions.
A 6-year-old female presents to the clinic with sore throat. The point of care test
for Group A Streptococcal infection is positive. Which of the following indicates
the expected lymphadenopathy presentation in this case?
Bilateral, tender, mobile anterior cervical lymphadenopathy
Which of the following changes are expected in vision as part of the normal aging
process?
Blurring of near vision
Identify the anatomical structure in this image between both of the examiner's
hands and fingertips.
Cricoid cartilage
A 19-year-old African-American female presents to the clinic with moderate to
severe right lower quadrant abdominal pain for the last 2 days. She has been
experiencing nausea and vomiting but unsure if she has had fever. Which of the
following is a possible differential diagnosis?
Appendicitis
A 15-day old infant girl is brought to the outpatient clinic by her mother on a
Monday morning. The mother is concerned about a rash that seems to have
appeared suddenly after she and her infant daughter spent the previous weekend
in Florida visiting family. The time of year is August and the house did not have
air conditioning. The infant is afebrile, eating and drinking well, and does not
appear to be in distress. You note scattered vesicles on an erythematous base
involving the infant's face and trunk. Based on the history and physical
examination findings, what is the likely diagnosis?
Erythema Toxicum
A 48-year-old high school librarian comes to your clinic, complaining of 1 week of
heavy discharge causing severe itching. She is not presently sexually active and
has had no burning with urination. The symptoms started several days after her
last period. She just finished a course of antibiotics for a sinus infection. Her past
medical history consists of type 2 diabetes and high blood pressure. She is
widowed and has three children. She denies tobacco, alcohol, or drug use. Her
mother has high blood pressure and her father died of diabetes complications.
On examination you see a healthy appearing woman. Her blood pressure is
130/80 and her pulse is 70. Her head, eyes, ears, nose, throat, cardiac, lung, and
abdominal examinations are unremarkable. Palpation of the inguinal lymph nodes
is unremarkable. On visualization of the vulva, a thick, white, curdy discharge is
seen at the introitus. On speculum examination there is a copious amount of this
discharge. The pH of the discharge is 4.1 and the KOH whiff test is negative, with
no unusual smell. Wet prep shows budding hyphae. What vaginitis does this
patient most likely have?
Candida vaginitis
A 32-year-old female presents with a complaint of a singular breast mass. The
nurse practitioner collects a thorough history and physical examination of the
client's breast and related systems. Based on the characteristics of a soft, round,
, mobile, and tender mass, as well at the client's age, select the most likely cause
of the breast mass.
Cyst
A 16-year-old female presents with the complaint of acne as represented in this
image. When documenting the assessment findings, what is the morphology of
the predominant skin lesions?
Papules and pustules
You are observing an infant born at 42-weeks gestation who is able to pull to a
stand, uses "mama" and "dada" specifically, and indicates his wants by
vocalization and pointing. Where would you place this child's developmental
age?
8 months
Which of the following vaccinations are safe during pregnancy?
Hep B
A 50- year-old Caucasian male presents to the clinic with left leg pain that
increases with rest and a feeling of warmth in the calf area. During your physical
examination, you note erythema and increased warm involving the left posterior
lower leg as well as a palpable cord. What diagnosis do you suspect?
Thrombophlebitis
Upon physical examination of an 11-month-old infant, you note the skin findings
represented in this image. What is your initial assessment?
Atopic dermatitis
Jim is a 60-year-old man who presents with vomiting. He denies seeing any blood
with emesis, which has been occurring for 2 days. He does note a dark, granular
substance resembling the coffee left in the filter after brewing. What do you
suspect?
Bleeding from a peptic ulcer
A 57-year-old maintenance worker comes to your office for evaluation of pain in
his legs. He has smoked two packs per day since the age of 16, but he is
otherwise healthy. You are concerned that he may have peripheral vascular
disease. Which of the following is part of common or concerning symptoms for
the peripheral vascular system?
Intermittent claudication
You note a painful ulcerative lesion near the medial malleolus, with
accompanying hyperpigmentation. Which of the following etiologies is most
likely?
Venous insufficiency
Which is the proper sequence of examination for the abdomen?
Inspection, auscultation, percussion, palpation
An elderly woman with dementia is brought in by her daughter for a "rectal
mass." On examination you notice a moist pink mass protruding from the anus,
which is non-tender. It is soft and does not have any associated bleeding. Which
of the following is most likely?
Rectal prolapse
Which of the following is true of the human papilloma virus (HPV) vaccine?
It can protect against anogenital lesions.
