NR509 Final Exam
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CEA Prep: Full Practice Exam 667 Med-Surg Math
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A 35-year-old female with a Take a further history and perform a very careful neurological
history of migraines presents to exam
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 IV
her 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 Interventions designed to prevent disease
which of the following?
,Based on the U.S. Preventive Mammography is recommended every 2 years for women aged
Services Task Force (USPSTF) 50-74 with insufficient evidence for screening women over the
recommendations, which of the age of 75.
following statements is true
about screening for breast
cancer in average-risk women?
Target blood pressure should be </= 150/90 mmHg but notes
Which of the following that if treatment results in SBP <140 and is "well tolerated and
statements is true regarding without adverse effects to health or quality of live, treatment
recommendations by the eighth does not need to be adjusted."
Joint National Committee (JNC8)
for adults aged 60 and older? In those aged 80 or older, blood pressure targets of 140 to
Select all that apply. <150/70 to 80 appear optimal for notable reductions in stroke,
cardiovascular events, and all-cause mortality.
Which of the following is a Have the parent facilitate the exam (e.g., removing clothes,
useful strategy when examining holding the child on lap).
young children between the
ages of 1 and 4?
The NP is completing the review "It often takes the baby more than 30 minutes to finish a bottle."
of 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?
A 16-year-old male presents to CNIII
the clinic 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) CN IX
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?
The NP should suspect injury to CNIII
which 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 Obesity doubles the risk of stroke even without associated
statements is true regarding glucose intolerance
risks and rapid recognition of
suspected stroke? Select all that Hypertension is the leading risk factor for both ischemic and
apply hemorrhagic stroke
The combination of both global aphasia
receptive and expressive
aphasia is a characteristic of
which type of speech disorder?
The NP is assessing a 42-year- Do you have any aura prior to the headaches?
old female who presents to the
clinic with recurring headaches.
What is an effective question to
ask the patient?
A 55-year-old female presents The patient reports fever, night sweats, and thinks she lost
to the clinic with a headache. weight.
During the interview, which of
the following symptoms should
prompt the NP to be concerned
and investigate further?
When grading muscle strength Active movement against gravity
on a scale of 1 to 5, a grade of 3
indicates which of the following?
Which musculoskeletal disorder Lyme disease and expanding erythematous targetoid patch in
is paired correctly with the early illness
associated systemic
manifestations?
See an expert-written answer!
A 62-year-old female has a Swelling of the synovial tissue in joints and tendon sheaths.
diagnosis of rheumatoid arthritis
(RA). Which of the following are
expected assessment findings
consistent with the diagnosis?
A 58-year-old male complains Osteoarthritis
of pain in 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?
A 55-year-old male has a Flexed forward posture with lower extremity weakness
diagnosis of lumbar spinal
stenosis. Which sign should the
NP expect to find on
examination that is most
consistent with the diagnosis?
See an expert-written answer!
What is the action(s) of the Extension of the spine
erector spinae muscle group?