NR 509 FINAL EXAM REVISION QUESTIONS AND ANSWERS COMPLETE RATED
A CHAMBERLAIN UNIVERSITY
1. A 35-year-old female with a history of migraines pre- Take a further his-
sents to the clinic with worsening symptoms for the tory and perform a
past few weeks. She reports waking up at night with very careful neuro-
headaches and nausea. Her only medication history is logical exam
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?
2. A grandmother is accompanying her 9-year-old grand- IV
daughter 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?
3. Primary prevention is defined as which of the follow- Interventions de-
ing? signed to prevent
disease
4. Based on the U.S. Preventive Services Task Force Mammography is
(USPSTF) recommendations, which of the following recommended
statements is true about screening for breast cancer every 2 years for
in average-risk women? women aged
50-74 with
insufficient
evidence for
screening women
over the age of 75.
5. Which of the following statements is true regarding Target blood pres-
recommendations by the eighth Joint National Com- sure should be
mittee (JNC8) for adults aged 60 and older? Select all </= 150/90 mmHg
that apply. but notes that if
treatment results
in SBP <140 and
is "well tolerated
,NR 509 FINAL EXAM REVISION QUESTIONS AND ANSWERS COMPLETE RATED
A CHAMBERLAIN UNIVERSITY
and without ad-
verse 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 no-
table reductions in
stroke, cardiovas-
cular events, and
all-cause mortality.
6. Which of the following is a useful strategy when ex- Have the par-
amining young children between the ages of 1 and 4? ent facilitate the
exam (e.g., remov-
ing clothes, hold-
ing the child on
lap).
7. The NP is completing the review of systems on a "It often takes the
4-month-old female during a routine encounter. Which baby more than 30
statement from the parent may indicate a cardiac minutes to finish a
problem in the infant and require a more thorough bottle."
subjective history?
8. A 16-year-old male presents to the clinic with a history CNIII
of a congenital right upper eyelid drooping as repre-
sented 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
9. CN IX
, NR 509 FINAL EXAM REVISION QUESTIONS AND ANSWERS COMPLETE RATED
A CHAMBERLAIN UNIVERSITY
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?
10. The NP should suspect injury to which cranial nerve CNIII
(CN) if a patient presents with complaints of photo-
sensitivity and uneven pupils after being struck in the
eye with a baseball?
11. Which of the following statements is true regarding Obesity doubles
risks and rapid recognition of suspected stroke? Se- the risk of stroke
lect all that apply even without asso-
ciated glucose in-
tolerance
Hypertension is
the leading risk
factor for both is-
chemic and hem-
orrhagic stroke
12. The combination of both receptive and expressive global aphasia
aphasia is a characteristic of which type of speech
disorder?
13. The NP is assessing a 42-year-old female who pre- Do you have any
sents to the clinic with recurring headaches. What is aura prior to the
an effective question to ask the patient? headaches?
14. A 55-year-old female presents to the clinic with a The patient re-
headache. During the interview, which of the following ports fever, night
symptoms should prompt the NP to be concerned and sweats, and thinks
investigate further? she lost weight.
15. When grading muscle strength on a scale of 1 to 5, a Active movement
grade of 3 indicates which of the following? against gravity
16. Which musculoskeletal disorder is paired correctly Lyme disease and
with the associated systemic manifestations? expanding erythe-
A CHAMBERLAIN UNIVERSITY
1. A 35-year-old female with a history of migraines pre- Take a further his-
sents to the clinic with worsening symptoms for the tory and perform a
past few weeks. She reports waking up at night with very careful neuro-
headaches and nausea. Her only medication history is logical exam
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?
2. A grandmother is accompanying her 9-year-old grand- IV
daughter 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?
3. Primary prevention is defined as which of the follow- Interventions de-
ing? signed to prevent
disease
4. Based on the U.S. Preventive Services Task Force Mammography is
(USPSTF) recommendations, which of the following recommended
statements is true about screening for breast cancer every 2 years for
in average-risk women? women aged
50-74 with
insufficient
evidence for
screening women
over the age of 75.
5. Which of the following statements is true regarding Target blood pres-
recommendations by the eighth Joint National Com- sure should be
mittee (JNC8) for adults aged 60 and older? Select all </= 150/90 mmHg
that apply. but notes that if
treatment results
in SBP <140 and
is "well tolerated
,NR 509 FINAL EXAM REVISION QUESTIONS AND ANSWERS COMPLETE RATED
A CHAMBERLAIN UNIVERSITY
and without ad-
verse 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 no-
table reductions in
stroke, cardiovas-
cular events, and
all-cause mortality.
6. Which of the following is a useful strategy when ex- Have the par-
amining young children between the ages of 1 and 4? ent facilitate the
exam (e.g., remov-
ing clothes, hold-
ing the child on
lap).
7. The NP is completing the review of systems on a "It often takes the
4-month-old female during a routine encounter. Which baby more than 30
statement from the parent may indicate a cardiac minutes to finish a
problem in the infant and require a more thorough bottle."
subjective history?
8. A 16-year-old male presents to the clinic with a history CNIII
of a congenital right upper eyelid drooping as repre-
sented 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
9. CN IX
, NR 509 FINAL EXAM REVISION QUESTIONS AND ANSWERS COMPLETE RATED
A CHAMBERLAIN UNIVERSITY
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?
10. The NP should suspect injury to which cranial nerve CNIII
(CN) if a patient presents with complaints of photo-
sensitivity and uneven pupils after being struck in the
eye with a baseball?
11. Which of the following statements is true regarding Obesity doubles
risks and rapid recognition of suspected stroke? Se- the risk of stroke
lect all that apply even without asso-
ciated glucose in-
tolerance
Hypertension is
the leading risk
factor for both is-
chemic and hem-
orrhagic stroke
12. The combination of both receptive and expressive global aphasia
aphasia is a characteristic of which type of speech
disorder?
13. The NP is assessing a 42-year-old female who pre- Do you have any
sents to the clinic with recurring headaches. What is aura prior to the
an effective question to ask the patient? headaches?
14. A 55-year-old female presents to the clinic with a The patient re-
headache. During the interview, which of the following ports fever, night
symptoms should prompt the NP to be concerned and sweats, and thinks
investigate further? she lost weight.
15. When grading muscle strength on a scale of 1 to 5, a Active movement
grade of 3 indicates which of the following? against gravity
16. Which musculoskeletal disorder is paired correctly Lyme disease and
with the associated systemic manifestations? expanding erythe-
