NUR 507 Exam 3: Leik Practice Questions Exam
NUR 507 EXAM 3: LEIK PRACTICE QUESTIONS EXAM NEWEST
2025/2026 COMPLETE ALL 200 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+||ALREADY GRADED A+
A 10-year-old boy has type 1 diabetes. His late afternoon blood sugars over the
past 2 weeks have ranged between 210 mg/dL and 230 mg/dL. He currently
injects 10 units of regular insulin and 25 units of NPH in the morning and 15 units
of regular insulin and 10 units of NPH insulin in the evening. Which of the
following is the best treatment plan for this patient?
A) Increase both types of the morning dose
B) Increase only the NPH insulin in the morning
C) Decrease the afternoon dose of NPH insulin
D) Decrease both NPH and regular insulin doses in the morning - ANSWER-B)
Increase only the NPH insulin in the morning
Regular insulin is rapid/short-acting insulin. Depending on the type of regular
insulin, the onset is 10 to 15 minutes and peaks within an average of 1.5 hours,
with a duration of 3 to 5 hours. NPH insulin is an intermediate-acting insulin.
Depending on the type of NPH insulin, the onset is 1.5 to 3 hours. NPH peaks in 4
to 12 hours, and the duration is from 18 to 24 hours. By increasing the morning
NPH, the peak will occur in the afternoon, bringing down the blood glucose.
The mother of a 13-year-old boy with Down syndrome is in the family nurse
practitioner's office and wants to schedule a sports physical for her son. She
reports that he wants to join the football team at his school. You would tell the
mother that her son:
A) Can play a regular football game as long as he wears maximum protective
football gear
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, NUR 507 Exam 3: Leik Practice Questions Exam
B) Cannot play some contact sports because of an increased risk of cervical spine
injury
C) Can play certain contact sports after he has been checked for cervical instability
D) None of the above - ANSWER-C) Her son can participate in some sports after he
has been checked for cervical instability
Atlantoaxial instability (AAI) denotes increased mobility at the articulation of the
first and second cervical vertebrae (atlantoaxial joint). The American Academy of
Pediatrics issued a position statement in 1984 on AAI and Down syndrome (DS):
All children with DS who wish to participate in sports should have cervical spine x-
rays. Repeated x-rays are not indicated for children with DS who have had a
previously normal neck x-ray. Persons with DS who have no evidence of AAI may
participate in all sports.
Which of the following cranial nerves (CNs) is evaluated when a wisp of cotton is
lightly
brushed against the corner of the eye?
A) CN II
B) CN III
C) CN IV
D) CN V - ANSWER-D) CN V
Cranial nerves (CNs) are assessed as follows: CN II (optic)—distance vision, near
vision; CNs III, IV, VI (oculomotor, trochlear, abducens)—extraocular movements
(EOMs), visual fields of gaze; CN V (trigeminal; three branches are V1
[ophthalmic], V2 [maxillary], V3 [mandibular])—motor portion, clench jaws;
sensory portion, corneal reflex/facial sensation. The procedure to test CN V
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, NUR 507 Exam 3: Leik Practice Questions Exam
includes inspection for muscle atrophy and tremors, palpation of jaw muscles for
tone and strength when the patient clenches teeth, testing of superficial pain and
touch sensation in each branch, and testing of temperature sensation if there are
unexpected findings to pain or touch. A wisp of cotton is used to test the corneal
reflex.
The S1 heart sound is caused by:
A) Closure of the atrioventricular valves
B) Closure of the semilunar valves
C) Opening of the atrioventricular valves
D) Opening of the semilunar valves - ANSWER-A) Closure of the atrioventricular
valves
A heart valve normally allows blood to flow in only one direction. A heart valve
opens or closes incumbent upon differential blood pressure on each side. A form
of heart disease occurs when a valve malfunctions and allows some blood to flow
in the wrong direction. The S1 heart sound is caused by turbulence caused by the
closure of mitral and tricuspid valves at the start of systole.
Patients with Down syndrome are at higher risk for all of the following except:
A) Atlantoaxial instability
B) Congenital heart disease
C) Early onset of Alzheimer's disease
D) Melanoma - ANSWER-D) Melanoma
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, NUR 507 Exam 3: Leik Practice Questions Exam
Patients with Down syndrome are at higher risk for atlantoaxial instability,
congenital heart defects, and early onset of Alzheimer's disease. Children with
Down syndrome who participate in certain sports activities must be carefully
examined for an unstable neck and heart disease prior to participation to prevent
injury.
A patient who is complaining of a new onset of severe headache is being
examined. The patient is instructed to lie down on the examining table while the
nurse practitioner flexes his head and neck forward to his chest. The patient reacts
by quickly flexing his hip and knee. What is the name of this positive finding?
A) Kernig's sign
B) Brudzinski's sign
C) Rovsing's sign
D) Drawer's sign - ANSWER-B) Brudzinski's sign
Brudzinski's sign is positive for meningitis when a patient spontaneously flexes his
or her hips and knees after lying down and having his or her head and neck flexed
forward to the chest.
During a sports physical exam, a 16-year-old patient is noted to have a few beats
of horizontal nystagmus on extreme lateral gaze that disappear when the eyes
move back toward midline. Which statement best describes this clinical finding?
A) It is caused by occult bleeding of the retinal artery
B) This is a normal finding
C) It is a sign of a possible brain mass
D) This is a borderline result and requires further evaluation - ANSWER-B) This is a
normal finding
4|Page
NUR 507 EXAM 3: LEIK PRACTICE QUESTIONS EXAM NEWEST
2025/2026 COMPLETE ALL 200 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+||ALREADY GRADED A+
A 10-year-old boy has type 1 diabetes. His late afternoon blood sugars over the
past 2 weeks have ranged between 210 mg/dL and 230 mg/dL. He currently
injects 10 units of regular insulin and 25 units of NPH in the morning and 15 units
of regular insulin and 10 units of NPH insulin in the evening. Which of the
following is the best treatment plan for this patient?
A) Increase both types of the morning dose
B) Increase only the NPH insulin in the morning
C) Decrease the afternoon dose of NPH insulin
D) Decrease both NPH and regular insulin doses in the morning - ANSWER-B)
Increase only the NPH insulin in the morning
Regular insulin is rapid/short-acting insulin. Depending on the type of regular
insulin, the onset is 10 to 15 minutes and peaks within an average of 1.5 hours,
with a duration of 3 to 5 hours. NPH insulin is an intermediate-acting insulin.
Depending on the type of NPH insulin, the onset is 1.5 to 3 hours. NPH peaks in 4
to 12 hours, and the duration is from 18 to 24 hours. By increasing the morning
NPH, the peak will occur in the afternoon, bringing down the blood glucose.
The mother of a 13-year-old boy with Down syndrome is in the family nurse
practitioner's office and wants to schedule a sports physical for her son. She
reports that he wants to join the football team at his school. You would tell the
mother that her son:
A) Can play a regular football game as long as he wears maximum protective
football gear
1|Page
, NUR 507 Exam 3: Leik Practice Questions Exam
B) Cannot play some contact sports because of an increased risk of cervical spine
injury
C) Can play certain contact sports after he has been checked for cervical instability
D) None of the above - ANSWER-C) Her son can participate in some sports after he
has been checked for cervical instability
Atlantoaxial instability (AAI) denotes increased mobility at the articulation of the
first and second cervical vertebrae (atlantoaxial joint). The American Academy of
Pediatrics issued a position statement in 1984 on AAI and Down syndrome (DS):
All children with DS who wish to participate in sports should have cervical spine x-
rays. Repeated x-rays are not indicated for children with DS who have had a
previously normal neck x-ray. Persons with DS who have no evidence of AAI may
participate in all sports.
Which of the following cranial nerves (CNs) is evaluated when a wisp of cotton is
lightly
brushed against the corner of the eye?
A) CN II
B) CN III
C) CN IV
D) CN V - ANSWER-D) CN V
Cranial nerves (CNs) are assessed as follows: CN II (optic)—distance vision, near
vision; CNs III, IV, VI (oculomotor, trochlear, abducens)—extraocular movements
(EOMs), visual fields of gaze; CN V (trigeminal; three branches are V1
[ophthalmic], V2 [maxillary], V3 [mandibular])—motor portion, clench jaws;
sensory portion, corneal reflex/facial sensation. The procedure to test CN V
2|Page
, NUR 507 Exam 3: Leik Practice Questions Exam
includes inspection for muscle atrophy and tremors, palpation of jaw muscles for
tone and strength when the patient clenches teeth, testing of superficial pain and
touch sensation in each branch, and testing of temperature sensation if there are
unexpected findings to pain or touch. A wisp of cotton is used to test the corneal
reflex.
The S1 heart sound is caused by:
A) Closure of the atrioventricular valves
B) Closure of the semilunar valves
C) Opening of the atrioventricular valves
D) Opening of the semilunar valves - ANSWER-A) Closure of the atrioventricular
valves
A heart valve normally allows blood to flow in only one direction. A heart valve
opens or closes incumbent upon differential blood pressure on each side. A form
of heart disease occurs when a valve malfunctions and allows some blood to flow
in the wrong direction. The S1 heart sound is caused by turbulence caused by the
closure of mitral and tricuspid valves at the start of systole.
Patients with Down syndrome are at higher risk for all of the following except:
A) Atlantoaxial instability
B) Congenital heart disease
C) Early onset of Alzheimer's disease
D) Melanoma - ANSWER-D) Melanoma
3|Page
, NUR 507 Exam 3: Leik Practice Questions Exam
Patients with Down syndrome are at higher risk for atlantoaxial instability,
congenital heart defects, and early onset of Alzheimer's disease. Children with
Down syndrome who participate in certain sports activities must be carefully
examined for an unstable neck and heart disease prior to participation to prevent
injury.
A patient who is complaining of a new onset of severe headache is being
examined. The patient is instructed to lie down on the examining table while the
nurse practitioner flexes his head and neck forward to his chest. The patient reacts
by quickly flexing his hip and knee. What is the name of this positive finding?
A) Kernig's sign
B) Brudzinski's sign
C) Rovsing's sign
D) Drawer's sign - ANSWER-B) Brudzinski's sign
Brudzinski's sign is positive for meningitis when a patient spontaneously flexes his
or her hips and knees after lying down and having his or her head and neck flexed
forward to the chest.
During a sports physical exam, a 16-year-old patient is noted to have a few beats
of horizontal nystagmus on extreme lateral gaze that disappear when the eyes
move back toward midline. Which statement best describes this clinical finding?
A) It is caused by occult bleeding of the retinal artery
B) This is a normal finding
C) It is a sign of a possible brain mass
D) This is a borderline result and requires further evaluation - ANSWER-B) This is a
normal finding
4|Page
