4/4/25, 5:44 NR 509 Flashcards |
PM
NR 509 EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++
1. Which of the following Ans: D
changes are expected in vision as The lens loses its elasticity over time as part of the normal aging process, and
part of the normal aging process? the eye is less able to accommodate and focus on near objects; therefore, the
A) Cataracts patient will be expected to have blurring of near vision.
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision
2. A 72-year-old retired Ans: A
truck driver comes to the clinic Human speech is considered to be a middle-range sound. During the aging
with his wife for process there is a loss of acuity, starting with high-pitched sounds but extending
evaluation of hearing loss. He has noticed to the middle range and then into the low range.
some decreased ability to hear what
his wife and grandchildren are saying to
him. He admits to lip-reading more. He
has a history of noise exposure in his
young
adult years: He worked as a sound
engineer at a local arena and had to
attend a lot of concerts. Based on this
information, what is the most likely finding
regarding his hearing acuity?
A) Loss of acuity for middle-range sounds
B) Increase of acuity for low-range
sounds
C) Loss of acuity for high-range sounds
D) Increase of acuity for high-range
sounds
3.A 79-year-old retired banker comes Ans: C
to your office for evaluation of difficulty This is the expected physical examination finding in benign prostatic hyperplasia
with urination; he gets up five to six (BPH).
times per night to urinate and has to go
at least that often in the daytime. He
does not feel as if his bladder empties
completely; the
strength of the urinary stream is
diminished. He denies dysuria or
hematuria. This problem has been present
for several years but has worsened
over the last 8 months. You palpate
his
prostate. What is your expected physical
examination finding, based on this
description?
A) Normal size, smooth
B) Normal size, boggy
C) Enlarged size, smooth
D) Enlarged size, boggy
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8
, 4/4/25, 5:44 NR 509 Flashcards |
PM
4.A 70-year-old retired auto mechanic Ans: D
comes to your office because his The patient has symptoms of depression: His wife died, he has no real social
neighbor is concerned about his memory. support system, and he has isolated himself from his usual activities. He also drinks
The patient himself admits to a considerable amount of alcohol on a daily basis, which can further depress
misplacing his keys more often and his mood. Depression can masquerade as dementia in the elderly and must
forgets what he is supposed to buy from be
the grocery store and where he has considered in a patient with memory loss.
parked the car. He denies getting lost
in familiar places.
Upon further questioning, he states
that his wife of 40 years died 8 months
ago; his three children live in three
different states; and he has limited his
activities because the people he
interacted with were "his wife's friends,
not his." He drinks a six-pack of beer
daily; he does not smoke or use illicit
drugs. You perform a mini-mental state
examination and obtain a total score of
24 out of 28. Based on this information,
what is your most likely
diagnosis?
A) Benign forgetfulness
B) Dementia
C) Meningitis
D) Depression
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8
PM
NR 509 EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++
1. Which of the following Ans: D
changes are expected in vision as The lens loses its elasticity over time as part of the normal aging process, and
part of the normal aging process? the eye is less able to accommodate and focus on near objects; therefore, the
A) Cataracts patient will be expected to have blurring of near vision.
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision
2. A 72-year-old retired Ans: A
truck driver comes to the clinic Human speech is considered to be a middle-range sound. During the aging
with his wife for process there is a loss of acuity, starting with high-pitched sounds but extending
evaluation of hearing loss. He has noticed to the middle range and then into the low range.
some decreased ability to hear what
his wife and grandchildren are saying to
him. He admits to lip-reading more. He
has a history of noise exposure in his
young
adult years: He worked as a sound
engineer at a local arena and had to
attend a lot of concerts. Based on this
information, what is the most likely finding
regarding his hearing acuity?
A) Loss of acuity for middle-range sounds
B) Increase of acuity for low-range
sounds
C) Loss of acuity for high-range sounds
D) Increase of acuity for high-range
sounds
3.A 79-year-old retired banker comes Ans: C
to your office for evaluation of difficulty This is the expected physical examination finding in benign prostatic hyperplasia
with urination; he gets up five to six (BPH).
times per night to urinate and has to go
at least that often in the daytime. He
does not feel as if his bladder empties
completely; the
strength of the urinary stream is
diminished. He denies dysuria or
hematuria. This problem has been present
for several years but has worsened
over the last 8 months. You palpate
his
prostate. What is your expected physical
examination finding, based on this
description?
A) Normal size, smooth
B) Normal size, boggy
C) Enlarged size, smooth
D) Enlarged size, boggy
1/
8
, 4/4/25, 5:44 NR 509 Flashcards |
PM
4.A 70-year-old retired auto mechanic Ans: D
comes to your office because his The patient has symptoms of depression: His wife died, he has no real social
neighbor is concerned about his memory. support system, and he has isolated himself from his usual activities. He also drinks
The patient himself admits to a considerable amount of alcohol on a daily basis, which can further depress
misplacing his keys more often and his mood. Depression can masquerade as dementia in the elderly and must
forgets what he is supposed to buy from be
the grocery store and where he has considered in a patient with memory loss.
parked the car. He denies getting lost
in familiar places.
Upon further questioning, he states
that his wife of 40 years died 8 months
ago; his three children live in three
different states; and he has limited his
activities because the people he
interacted with were "his wife's friends,
not his." He drinks a six-pack of beer
daily; he does not smoke or use illicit
drugs. You perform a mini-mental state
examination and obtain a total score of
24 out of 28. Based on this information,
what is your most likely
diagnosis?
A) Benign forgetfulness
B) Dementia
C) Meningitis
D) Depression
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8
