NR509 Week 3&4 Exam
NR509 WEEK 3&4 EXAM NEWEST 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |BRAND NEW VERSION!!
A 19-year-old college student is brought to the emergency department with a
severe headache he describes as "like nothing I've ever had before." His
temperature is 104° F, and he has a stiff neck. The nurse looks for other signs and
symptoms of which problem?
a. Head injury
b. Cluster headache
c. Migraine headache
d. Meningeal inflammation
Meningeal inflammation
During an examination of a female patient, the nurse notes lymphadenopathy and
suspects an acute infection. Acutely infected lymph nodes would be
a. clumped.
b.unilateral.
c. firm but freely movable.
d. firm and nontender.
firm but freely movable.
A patient visits the clinic because he has recently noticed that the left side of his
mouth is paralyzed. He states that he cannot raise his eyebrow or whistle. The
nurse suspects that he has
a. Cushing's syndrome.
b. Parkinson disease.
c. Bell's palsy.
d. had a cerebrovascular accident (stroke).
had a cerebrovascular accident (stroke).
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, NR509 Week 3&4 Exam
A male patient with a history of AIDS has come in for an examination and he
states, "I think that I have the mumps." The nurse would begin by examining the
a. thyroid gland.
b. parotid gland.
c. cervical lymph nodes.
d. mouth and skin for lesions.
parotid gland
When examining the eye, the nurse notices that the patient's eyelid margins
approximate completely. The nurse recognizes that this assessment finding
a. is expected.
b. may indicate a problem with extraocular muscles.
c. may result in problems with tearing.
d. indicates increased intraocular pressure.
is expected
During an assessment, the nurse notices that an elderly patient has tears rolling
down his face from his left eye. Closer examination shows that the lower lid is
loose and rolling outward. The patient complains of his eye feeling "dry and itchy."
Which action by the nurse is correct?
a. Assess the eye for a possible foreign body.
b. Document the finding as ptosis.
c. Assess for other signs of ectropion.
d. Contact the prescriber because these are signs of basal cell carcinoma.
Assess for other signs of ectropion.
An ophthalmic examination reveals papilledema. The nurse is aware that this
finding indicates
a. retinal detachment.
b. diabetic retinopathy.
c. acute-angle glaucoma.
d. increased intracranial pressure.
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, NR509 Week 3&4 Exam
increased intracranial pressure.
The nurse is performing an eye assessment on an 80-year-old patient. Which of
these findings is considered abnormal?
a. A decrease in tear production
b. Unequal pupillary constriction in response to light
c. The presence of arcus senilis seen around the cornea
d. Loss of the outer hair on the eyebrows due to a decrease in hair follicles
Unequal pupillary constriction in response to light
A patient has been shown to have a sensorineural hearing loss. During the
assessment, it would be important for the nurse to
a. speak loudly so he can hear the questions
b. assess for middle ear infection as a possible cause.
c. ask the patient what medications he is currently taking.
d. look for the source of the obstruction in the external ear.
ask the patient what medications he is currently taking.
A patient has been admitted after an accident at work. During the assessment, the
patient is having trouble hearing and states, "I don't know what the matter is. All
of a sudden, I can't hear you out of my left ear!" What should the nurse do next?
a. Make note of this finding for report to the next shift.
b. Prepare to remove cerumen from the patient's ear.
c. Notify the patient's healthcare provider.
d. Irrigate the ear with rubbing alcohol.
Notify the patient's healthcare provider
An assessment of a 23-year-old patient reveals the following: an auricle that is
tender and reddish-blue in color with small vesicles. Additional information the
nurse would need to know includes which of these?
a. Any change in the ability to hear
b. Any recent drainage from the ear
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, NR509 Week 3&4 Exam
c. Recent history of trauma to the ear
d. Any prolonged exposure to extreme cold
Any prolonged exposure to extreme cold
The nurse is performing an ear examination of an 80-year-old patient. Which of
these would be considered a normal finding?
a. A high-tone frequency loss
b. Increased elasticity of the pinna
c. a thin, translucent membrane
d. A shiny, pink tympanic membrane
A high-tone frequency loss
The nurse is assessing a 3-year-old for "drainage from the nose." On assessment, it
is found that there is a purulent drainage from the left nares that has a very foul
odor and no drainage from the right nares. The child is afebrile with no other
symptoms. What should the nurse do next?
a. Refer to the physician for an antibiotic order.
b. Have the mother bring the child back in 1 week.
c. Perform an otoscopic examination of the left nares.
d. Tell the mother that this is normal for children of this age.
Perform an otoscopic examination of the left nares.
The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin,
lax, and dry. This finding would be related to which factor?
a. Increased vascularity of the skin in the elderly
b. Increased numbers of sweat and sebaceous glands in the elderly
c. An increase in elastin and a decrease in subcutaneous fat in the elderly
d. An increased loss of elastin and a decrease in subcutaneous fat in the elderly
An increased loss of elastin and a decrease in subcutaneous fat in the elderly
4|Page
NR509 WEEK 3&4 EXAM NEWEST 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |BRAND NEW VERSION!!
A 19-year-old college student is brought to the emergency department with a
severe headache he describes as "like nothing I've ever had before." His
temperature is 104° F, and he has a stiff neck. The nurse looks for other signs and
symptoms of which problem?
a. Head injury
b. Cluster headache
c. Migraine headache
d. Meningeal inflammation
Meningeal inflammation
During an examination of a female patient, the nurse notes lymphadenopathy and
suspects an acute infection. Acutely infected lymph nodes would be
a. clumped.
b.unilateral.
c. firm but freely movable.
d. firm and nontender.
firm but freely movable.
A patient visits the clinic because he has recently noticed that the left side of his
mouth is paralyzed. He states that he cannot raise his eyebrow or whistle. The
nurse suspects that he has
a. Cushing's syndrome.
b. Parkinson disease.
c. Bell's palsy.
d. had a cerebrovascular accident (stroke).
had a cerebrovascular accident (stroke).
1|Page
, NR509 Week 3&4 Exam
A male patient with a history of AIDS has come in for an examination and he
states, "I think that I have the mumps." The nurse would begin by examining the
a. thyroid gland.
b. parotid gland.
c. cervical lymph nodes.
d. mouth and skin for lesions.
parotid gland
When examining the eye, the nurse notices that the patient's eyelid margins
approximate completely. The nurse recognizes that this assessment finding
a. is expected.
b. may indicate a problem with extraocular muscles.
c. may result in problems with tearing.
d. indicates increased intraocular pressure.
is expected
During an assessment, the nurse notices that an elderly patient has tears rolling
down his face from his left eye. Closer examination shows that the lower lid is
loose and rolling outward. The patient complains of his eye feeling "dry and itchy."
Which action by the nurse is correct?
a. Assess the eye for a possible foreign body.
b. Document the finding as ptosis.
c. Assess for other signs of ectropion.
d. Contact the prescriber because these are signs of basal cell carcinoma.
Assess for other signs of ectropion.
An ophthalmic examination reveals papilledema. The nurse is aware that this
finding indicates
a. retinal detachment.
b. diabetic retinopathy.
c. acute-angle glaucoma.
d. increased intracranial pressure.
2|Page
, NR509 Week 3&4 Exam
increased intracranial pressure.
The nurse is performing an eye assessment on an 80-year-old patient. Which of
these findings is considered abnormal?
a. A decrease in tear production
b. Unequal pupillary constriction in response to light
c. The presence of arcus senilis seen around the cornea
d. Loss of the outer hair on the eyebrows due to a decrease in hair follicles
Unequal pupillary constriction in response to light
A patient has been shown to have a sensorineural hearing loss. During the
assessment, it would be important for the nurse to
a. speak loudly so he can hear the questions
b. assess for middle ear infection as a possible cause.
c. ask the patient what medications he is currently taking.
d. look for the source of the obstruction in the external ear.
ask the patient what medications he is currently taking.
A patient has been admitted after an accident at work. During the assessment, the
patient is having trouble hearing and states, "I don't know what the matter is. All
of a sudden, I can't hear you out of my left ear!" What should the nurse do next?
a. Make note of this finding for report to the next shift.
b. Prepare to remove cerumen from the patient's ear.
c. Notify the patient's healthcare provider.
d. Irrigate the ear with rubbing alcohol.
Notify the patient's healthcare provider
An assessment of a 23-year-old patient reveals the following: an auricle that is
tender and reddish-blue in color with small vesicles. Additional information the
nurse would need to know includes which of these?
a. Any change in the ability to hear
b. Any recent drainage from the ear
3|Page
, NR509 Week 3&4 Exam
c. Recent history of trauma to the ear
d. Any prolonged exposure to extreme cold
Any prolonged exposure to extreme cold
The nurse is performing an ear examination of an 80-year-old patient. Which of
these would be considered a normal finding?
a. A high-tone frequency loss
b. Increased elasticity of the pinna
c. a thin, translucent membrane
d. A shiny, pink tympanic membrane
A high-tone frequency loss
The nurse is assessing a 3-year-old for "drainage from the nose." On assessment, it
is found that there is a purulent drainage from the left nares that has a very foul
odor and no drainage from the right nares. The child is afebrile with no other
symptoms. What should the nurse do next?
a. Refer to the physician for an antibiotic order.
b. Have the mother bring the child back in 1 week.
c. Perform an otoscopic examination of the left nares.
d. Tell the mother that this is normal for children of this age.
Perform an otoscopic examination of the left nares.
The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin,
lax, and dry. This finding would be related to which factor?
a. Increased vascularity of the skin in the elderly
b. Increased numbers of sweat and sebaceous glands in the elderly
c. An increase in elastin and a decrease in subcutaneous fat in the elderly
d. An increased loss of elastin and a decrease in subcutaneous fat in the elderly
An increased loss of elastin and a decrease in subcutaneous fat in the elderly
4|Page
