NR 509 Final exam with 70+ questions & correct answers
Which of the following changes are expected in vision as part of the normal aging
process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision
Ans: D
The lens loses its elasticity over time as part of the normal aging process, and the
eye is less able to accommodate and focus on near objects; therefore, the patient
will be expected to have blurring of near vision.
A 68-year-old mechanic presents to the emergency room for shortness of breath.
You are concerned about a cardiac cause and measure his jugular venous pressure
(JVP). It is elevated. Which one of the following conditions is a potential cause of
elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm
Constrictive pericarditis
Which of the following lymph node groups is most commonly involved in breast
cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central
D.) Central
You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight
gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the
,expected moisture and texture of the skin of a patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough
D) Dry and rough
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
erythematosus). She has noticed a raised, dark red rash on her legs. When you
press on the rash, it doesn't blanch. What would you tell her regarding her rash?
A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
C) It is likely to be related to an allergic reaction.
D) It should not cause any problems.
A. It is likely to be related to her lupus
You are palpating the abdomen and feel a small mass. Which of the following
would you do next?
A) Ultrasound
B) Examination with the abdominal muscles tensed
C) Surgery referral
D) Determine size by percussion
b) examination with the abdominal muscles tensed.
You are evaluating a 40-year-old banker for coronary heart disease risk factors. He
has a history of hypertension, which is well-controlled on his current medications.
He does not smoke; he does 45 minutes of aerobic exercise five times weekly. You
are calculating his 10-year coronary heart disease risk. Which of the following
conditions is considered to be a coronary heart disease risk equivalent?
A) Hypertension
B) Peripheral arterial disease
, C) Systemic lupus erythematosus
D) Chronic obstructive pulmonary disease (COPD)
B) Peripheral Artery Disease
In obtaining a history, you note that a client uses the word "largely" repeatedly, to
the point of being a distraction to your task. Which word best describes this speech
pattern?
Perserveration
A 40-year-old mother of two presents to your office for consultation. She is
interested in knowing what her relative risks are for developing breast cancer. She
is concerned because her sister had unilateral breast cancer 6 years ago at age 38.
The patient reports on her history that she began having periods at age 11 and has
been fairly regular ever since, except during her two pregnancies. Her first child
arrived when she was 26 and her second at age 28. Otherwise she has had no health
problems. Her father has high blood pressure. Her mother had unilateral breast
cancer in her 70s. The patient denies tobacco, alcohol, or drug use. She is a family
law attorney and is married. Her examination is essentially unremarkable.Which
risk factor of her personal and family history most puts her in danger of getting
breast cancer?
A) First-degree relative with premenopausal breast cancer
B) Age at menarche of less than 12
C) First live birth between the ages of 25 and 29
D) First-degree relative with postmenopausal breast cancer
1st degree relative
A 30-year-old paralegal analyst comes to your clinic, complaining of a bad-
smelling vaginal discharge with some mild itching, present for about 3 weeks. She
tried douching but it did not help. She has had no pain with urination or with
sexual intercourse. She has noticed the smell increased after intercourse and during
her period last week. She denies any upper respiratory, gastrointestinal, cardiac, or
pulmonary symptoms. Her past medical history consists of one spontaneous
vaginal delivery. She is married and has one child. She denies tobacco, alcohol, or
drug use. Her mother has high blood pressure and her father died from a heart
Which of the following changes are expected in vision as part of the normal aging
process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision
Ans: D
The lens loses its elasticity over time as part of the normal aging process, and the
eye is less able to accommodate and focus on near objects; therefore, the patient
will be expected to have blurring of near vision.
A 68-year-old mechanic presents to the emergency room for shortness of breath.
You are concerned about a cardiac cause and measure his jugular venous pressure
(JVP). It is elevated. Which one of the following conditions is a potential cause of
elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm
Constrictive pericarditis
Which of the following lymph node groups is most commonly involved in breast
cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central
D.) Central
You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight
gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the
,expected moisture and texture of the skin of a patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough
D) Dry and rough
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
erythematosus). She has noticed a raised, dark red rash on her legs. When you
press on the rash, it doesn't blanch. What would you tell her regarding her rash?
A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
C) It is likely to be related to an allergic reaction.
D) It should not cause any problems.
A. It is likely to be related to her lupus
You are palpating the abdomen and feel a small mass. Which of the following
would you do next?
A) Ultrasound
B) Examination with the abdominal muscles tensed
C) Surgery referral
D) Determine size by percussion
b) examination with the abdominal muscles tensed.
You are evaluating a 40-year-old banker for coronary heart disease risk factors. He
has a history of hypertension, which is well-controlled on his current medications.
He does not smoke; he does 45 minutes of aerobic exercise five times weekly. You
are calculating his 10-year coronary heart disease risk. Which of the following
conditions is considered to be a coronary heart disease risk equivalent?
A) Hypertension
B) Peripheral arterial disease
, C) Systemic lupus erythematosus
D) Chronic obstructive pulmonary disease (COPD)
B) Peripheral Artery Disease
In obtaining a history, you note that a client uses the word "largely" repeatedly, to
the point of being a distraction to your task. Which word best describes this speech
pattern?
Perserveration
A 40-year-old mother of two presents to your office for consultation. She is
interested in knowing what her relative risks are for developing breast cancer. She
is concerned because her sister had unilateral breast cancer 6 years ago at age 38.
The patient reports on her history that she began having periods at age 11 and has
been fairly regular ever since, except during her two pregnancies. Her first child
arrived when she was 26 and her second at age 28. Otherwise she has had no health
problems. Her father has high blood pressure. Her mother had unilateral breast
cancer in her 70s. The patient denies tobacco, alcohol, or drug use. She is a family
law attorney and is married. Her examination is essentially unremarkable.Which
risk factor of her personal and family history most puts her in danger of getting
breast cancer?
A) First-degree relative with premenopausal breast cancer
B) Age at menarche of less than 12
C) First live birth between the ages of 25 and 29
D) First-degree relative with postmenopausal breast cancer
1st degree relative
A 30-year-old paralegal analyst comes to your clinic, complaining of a bad-
smelling vaginal discharge with some mild itching, present for about 3 weeks. She
tried douching but it did not help. She has had no pain with urination or with
sexual intercourse. She has noticed the smell increased after intercourse and during
her period last week. She denies any upper respiratory, gastrointestinal, cardiac, or
pulmonary symptoms. Her past medical history consists of one spontaneous
vaginal delivery. She is married and has one child. She denies tobacco, alcohol, or
drug use. Her mother has high blood pressure and her father died from a heart
