NR509 Final Exam
100 QUESTIONS AND
ANSWERS 2024.
WHAT TO FIND IN THIS EXAM
❖ CASE STUDIES NGN STYLE QUESTIONS
❖ BUTTERFLY QUESTION WITH ANSWERS
❖ WELL, EXPLAINED ANSWER
,What is the best next step for a 35-year-old female with worsening migraines, nausea, and
nighttime headaches, who is only taking OCPs
Take a further history and perform a very careful neurological exam
A 9-year-old girl has asymmetric breast development with secondary mound formation on
one side. What Tanner stage does this represent
Tanner Stage IV
Primary prevention is defined as
Interventions designed to prevent disease
According to the USPSTF, the true statement about breast cancer screening for average-risk
women is
Mammography is recommended every 2 years for women aged 50-74 with insufficient
evidence for screening women over the age of 75
The following are true based on JNC8 recommendations for adults aged 60 and older (Select
all that apply)
Target blood pressure should be ≤150/90 mmHg, but if treatment results in SBP <140 and
is well tolerated, treatment does not need to be adjusted
In those aged 80 or older, BP targets of 140-150/70-80 are optimal for reducing stroke and
mortality
A useful strategy when examining young children aged 1–4 is
Have the parent facilitate the exam (e.g., removing clothes, holding the child on lap)
During a well visit, the parent of a 4-month-old reports feeding takes over 30 minutes. This
may indicate
, A cardiac problem in the infant and requires more thorough assessment
A 16-year-old boy with congenital right upper eyelid drooping likely has involvement of
Cranial Nerve III (Oculomotor)
The cranial nerve that innervates the pharyngeal muscles and provides sensory fibers to the
posterior third of the tongue is
Cranial Nerve IX (Glossopharyngeal)
After an eye injury with a baseball, a patient develops photosensitivity and uneven pupils.
The NP should suspect damage to
Cranial Nerve III (Oculomotor)
True statements regarding stroke risks and recognition include (Select all that apply)
Obesity doubles the risk of stroke even without associated glucose intolerance
Hypertension is the leading risk factor for both ischemic and hemorrhagic strokes
The combination of receptive and expressive aphasia is characteristic of
Global aphasia
An effective question to ask a 42-year-old female with recurring headaches is
"Do you have any aura prior to the headaches?"
A 55-year-old female with headache reports fever, night sweats, and unintentional weight
loss. The NP should
Be concerned and investigate further
100 QUESTIONS AND
ANSWERS 2024.
WHAT TO FIND IN THIS EXAM
❖ CASE STUDIES NGN STYLE QUESTIONS
❖ BUTTERFLY QUESTION WITH ANSWERS
❖ WELL, EXPLAINED ANSWER
,What is the best next step for a 35-year-old female with worsening migraines, nausea, and
nighttime headaches, who is only taking OCPs
Take a further history and perform a very careful neurological exam
A 9-year-old girl has asymmetric breast development with secondary mound formation on
one side. What Tanner stage does this represent
Tanner Stage IV
Primary prevention is defined as
Interventions designed to prevent disease
According to the USPSTF, the true statement about breast cancer screening for average-risk
women is
Mammography is recommended every 2 years for women aged 50-74 with insufficient
evidence for screening women over the age of 75
The following are true based on JNC8 recommendations for adults aged 60 and older (Select
all that apply)
Target blood pressure should be ≤150/90 mmHg, but if treatment results in SBP <140 and
is well tolerated, treatment does not need to be adjusted
In those aged 80 or older, BP targets of 140-150/70-80 are optimal for reducing stroke and
mortality
A useful strategy when examining young children aged 1–4 is
Have the parent facilitate the exam (e.g., removing clothes, holding the child on lap)
During a well visit, the parent of a 4-month-old reports feeding takes over 30 minutes. This
may indicate
, A cardiac problem in the infant and requires more thorough assessment
A 16-year-old boy with congenital right upper eyelid drooping likely has involvement of
Cranial Nerve III (Oculomotor)
The cranial nerve that innervates the pharyngeal muscles and provides sensory fibers to the
posterior third of the tongue is
Cranial Nerve IX (Glossopharyngeal)
After an eye injury with a baseball, a patient develops photosensitivity and uneven pupils.
The NP should suspect damage to
Cranial Nerve III (Oculomotor)
True statements regarding stroke risks and recognition include (Select all that apply)
Obesity doubles the risk of stroke even without associated glucose intolerance
Hypertension is the leading risk factor for both ischemic and hemorrhagic strokes
The combination of receptive and expressive aphasia is characteristic of
Global aphasia
An effective question to ask a 42-year-old female with recurring headaches is
"Do you have any aura prior to the headaches?"
A 55-year-old female with headache reports fever, night sweats, and unintentional weight
loss. The NP should
Be concerned and investigate further
