4/4/25, 5:47 NR509 Final Exam |
PM
NR509 FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (88)
A 35-year-old female with a history Take a further history and perform a very careful neurological exam
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?
A grandmother is accompanying her IV
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?
Primary prevention is defined as which of Interventions designed to prevent disease
the following?
Based on the U.S. Preventive Mammography is recommended every 2 years for women aged 50-74 with
Services Task Force (USPSTF) insufficient evidence for screening women over the age of 75.
recommendations, which of the
following statements is true about
screening for breast cancer in
average-risk women?
Target blood pressure should be </= 150/90 mmHg but notes that if treatment
Which of the following statements is true results in SBP <140 and is "well tolerated and without adverse effects to health or
regarding recommendations by the quality of live, treatment does not need to be adjusted."
eighth Joint National Committee (JNC8)
for adults aged 60 and older? Select In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear
all that apply. optimal for notable reductions in stroke, cardiovascular events, and all-cause
mortality.
Which of the following is a useful Have the parent facilitate the exam (e.g., removing clothes, holding the child on
strategy when examining young children lap).
between the ages of 1 and 4?
The NP is completing the review of "It often takes the baby more than 30 minutes to finish a bottle."
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?
1/16
,4/4/25, 5:47 NR509 Final Exam |
PM
A 16-year-old male presents to the clinic CNIII
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
Which cranial nerve (CN) innervates the CN IX
muscles of the pharynx and provides
sensory fibers to portions of the tympanic
membrane, auditory canal, pharynx, and
the posterior third of the tongue?
The NP should suspect injury to which CNIII
cranial nerve (CN) if a patient presents
with complaints of photosensitivity and
uneven pupils after being struck in the
eye with a baseball?
Which of the following statements is true Obesity doubles the risk of stroke even without associated glucose intolerance
regarding risks and rapid recognition of
suspected stroke? Select all that apply Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke
The combination of both receptive and global aphasia
expressive aphasia is a characteristic of
which type of speech disorder?
The NP is assessing a 42-year-old female Do you have any aura prior to the headaches?
who presents to the clinic with recurring
headaches. What is an effective question
to ask the patient?
A 55-year-old female presents to the The patient reports fever, night sweats, and thinks she lost weight.
clinic with a headache. During the
interview, which of the following
symptoms should prompt the NP to be
concerned and investigate further?
When grading muscle strength on a scale Active movement against gravity
of 1 to 5, a grade of 3 indicates which
of the following?
Which musculoskeletal disorder is paired Lyme disease and expanding erythematous targetoid patch in early illness
correctly with the associated systemic
manifestations?
A 62-year-old female has a diagnosis of Swelling of the synovial tissue in joints and tendon sheaths.
rheumatoid arthritis (RA). Which of the
following are expected assessment
findings consistent with the diagnosis?
A 58-year-old male complains of pain in Osteoarthritis
his knees, hips, hands, wrists, neck, and
lower back. Based on the joints
involved, the NP suspects that the
patient most likely has which
condition?
2/16
, 4/4/25, 5:47 NR509 Final Exam |
PM
A 55-year-old male has a diagnosis of Flexed forward posture with lower extremity weakness
lumbar spinal stenosis. Which sign should
the NP expect to find on examination that
is most consistent with the diagnosis?
What is the action(s) of the erector Extension of the spine
spinae muscle group?
A 17-year-old male presents to the Compare the strength of the trapezius muscles
clinic for a follow-up appointment. He
fractured his left arm 8 weeks ago and
remains in a cast. Upon inspection, the
NP finds that his shoulder heights are
unequal and there is winging of the
scapula. The NP suspects contralateral
weakness and muscle wasting as the
etiology for the winged scapula.
Which of the following physical
assessment maneuvers should the NP
perform to confirm the
suspension?
A 31-year-old female presents to the Torticollis
clinic with a worsening stiff, painful neck.
On inspection, the patient's head is
laterally deviated toward the
shoulder and rotated. Given this
specific physical assessment finding,
what condition should the NP suspect
as a differential diagnosis?
During an evaluation of an athletic Sacrospinalis
30- year-old female, the NP conducts
an active range of motion evaluation
at the neck. All of the following
muscles are being assessed when the
patient is asked to extend, flex, and
rotate the neck, EXCEPT?
A 58-year-old male complains of ankylosing spondylitis
lower back pain for many years. He
denies a recent injury. On
examination, the NP finds that the
patient has tenderness to palpation
over the sacroiliac joint. Which of the
following conditions is most
consistent with this physical sign?
Which of the following statements is true Setting normal cut-offs for prostate-specific antigen (PSA) testing relies on
regarding prostate cancer screening? balancing
3/16
PM
NR509 FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (88)
A 35-year-old female with a history Take a further history and perform a very careful neurological exam
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?
A grandmother is accompanying her IV
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?
Primary prevention is defined as which of Interventions designed to prevent disease
the following?
Based on the U.S. Preventive Mammography is recommended every 2 years for women aged 50-74 with
Services Task Force (USPSTF) insufficient evidence for screening women over the age of 75.
recommendations, which of the
following statements is true about
screening for breast cancer in
average-risk women?
Target blood pressure should be </= 150/90 mmHg but notes that if treatment
Which of the following statements is true results in SBP <140 and is "well tolerated and without adverse effects to health or
regarding recommendations by the quality of live, treatment does not need to be adjusted."
eighth Joint National Committee (JNC8)
for adults aged 60 and older? Select In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear
all that apply. optimal for notable reductions in stroke, cardiovascular events, and all-cause
mortality.
Which of the following is a useful Have the parent facilitate the exam (e.g., removing clothes, holding the child on
strategy when examining young children lap).
between the ages of 1 and 4?
The NP is completing the review of "It often takes the baby more than 30 minutes to finish a bottle."
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?
1/16
,4/4/25, 5:47 NR509 Final Exam |
PM
A 16-year-old male presents to the clinic CNIII
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
Which cranial nerve (CN) innervates the CN IX
muscles of the pharynx and provides
sensory fibers to portions of the tympanic
membrane, auditory canal, pharynx, and
the posterior third of the tongue?
The NP should suspect injury to which CNIII
cranial nerve (CN) if a patient presents
with complaints of photosensitivity and
uneven pupils after being struck in the
eye with a baseball?
Which of the following statements is true Obesity doubles the risk of stroke even without associated glucose intolerance
regarding risks and rapid recognition of
suspected stroke? Select all that apply Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke
The combination of both receptive and global aphasia
expressive aphasia is a characteristic of
which type of speech disorder?
The NP is assessing a 42-year-old female Do you have any aura prior to the headaches?
who presents to the clinic with recurring
headaches. What is an effective question
to ask the patient?
A 55-year-old female presents to the The patient reports fever, night sweats, and thinks she lost weight.
clinic with a headache. During the
interview, which of the following
symptoms should prompt the NP to be
concerned and investigate further?
When grading muscle strength on a scale Active movement against gravity
of 1 to 5, a grade of 3 indicates which
of the following?
Which musculoskeletal disorder is paired Lyme disease and expanding erythematous targetoid patch in early illness
correctly with the associated systemic
manifestations?
A 62-year-old female has a diagnosis of Swelling of the synovial tissue in joints and tendon sheaths.
rheumatoid arthritis (RA). Which of the
following are expected assessment
findings consistent with the diagnosis?
A 58-year-old male complains of pain in Osteoarthritis
his knees, hips, hands, wrists, neck, and
lower back. Based on the joints
involved, the NP suspects that the
patient most likely has which
condition?
2/16
, 4/4/25, 5:47 NR509 Final Exam |
PM
A 55-year-old male has a diagnosis of Flexed forward posture with lower extremity weakness
lumbar spinal stenosis. Which sign should
the NP expect to find on examination that
is most consistent with the diagnosis?
What is the action(s) of the erector Extension of the spine
spinae muscle group?
A 17-year-old male presents to the Compare the strength of the trapezius muscles
clinic for a follow-up appointment. He
fractured his left arm 8 weeks ago and
remains in a cast. Upon inspection, the
NP finds that his shoulder heights are
unequal and there is winging of the
scapula. The NP suspects contralateral
weakness and muscle wasting as the
etiology for the winged scapula.
Which of the following physical
assessment maneuvers should the NP
perform to confirm the
suspension?
A 31-year-old female presents to the Torticollis
clinic with a worsening stiff, painful neck.
On inspection, the patient's head is
laterally deviated toward the
shoulder and rotated. Given this
specific physical assessment finding,
what condition should the NP suspect
as a differential diagnosis?
During an evaluation of an athletic Sacrospinalis
30- year-old female, the NP conducts
an active range of motion evaluation
at the neck. All of the following
muscles are being assessed when the
patient is asked to extend, flex, and
rotate the neck, EXCEPT?
A 58-year-old male complains of ankylosing spondylitis
lower back pain for many years. He
denies a recent injury. On
examination, the NP finds that the
patient has tenderness to palpation
over the sacroiliac joint. Which of the
following conditions is most
consistent with this physical sign?
Which of the following statements is true Setting normal cut-offs for prostate-specific antigen (PSA) testing relies on
regarding prostate cancer screening? balancing
3/16
