NR509 Final Exam Solution Guide 2025
, A 35-year-old female with a history 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 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 the following?
Based on the U.S. Preventive Services Task Force (USPSTF) recommendations, which of the following
statements is true about screening for breast cancer in average-risk women?
Which of the following statements is true regarding recommendations by the eighth Joint National
Committee (JNC8) for adults aged 60 and older? Select all that apply. -
In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear optimal for notable
reductions in stroke, cardiovascular events, and all-cause mortality.
Which of the following is a useful strategy when examining young children between the ages of 1 and 4?
The NP is completing the review 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 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) 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 which cranial nerve (CN) if a patient presents with complaints of
photosensitivity and uneven pupils after being struck in the eye with a baseball?
, A 35-year-old female with a history 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 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 the following?
Based on the U.S. Preventive Services Task Force (USPSTF) recommendations, which of the following
statements is true about screening for breast cancer in average-risk women?
Which of the following statements is true regarding recommendations by the eighth Joint National
Committee (JNC8) for adults aged 60 and older? Select all that apply. -
In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear optimal for notable
reductions in stroke, cardiovascular events, and all-cause mortality.
Which of the following is a useful strategy when examining young children between the ages of 1 and 4?
The NP is completing the review 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 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) 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 which cranial nerve (CN) if a patient presents with complaints of
photosensitivity and uneven pupils after being struck in the eye with a baseball?
