NR509 FINAL ACTUAL EXAM COMPLETE EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS
LATEST 2025, ALREADY GRADED A+
Pain in the right-lower quadrant (RLQ) during deep, even palpation of the left-lower
quadrant (LLQ) then quickly withdrawing your fingers indicates what positive
assessment finding?
Blumberg sign
The NP suspects a patient has appendicitis. Identify the physical examination
maneuver done by applying pressure halfway between the umbilicus and the anterior
spine of the ilium?
McBurney Sign
Which assessment finding would be most suggestive of a diagnosis of biliary colic?
Associated right shoulder pain
Which of the following physical assessment finding is most suggestive of peritonitis
secondary to a ruptured appendix?
Pressing down onto the abdomen firmly and quickly withdrawals the hand produces
pain
A 76-year-old female presents to the office for an annual physical. Upon reviewing her
history, she had a positive FOBT on one occasion at age 66 years. Subsequent
colonoscopy revealed internal hemorrhoids and sigmoid diverticuli only. She has no
firstdegree relatives with a history of colorectal cancer or adenomatous polyps. What is
the U.S. Preventive Services Task Force (USPSTF) screening recommendation for this
particular patient?
Do not screen routinely
,A 30-year-old male is admitted to the hospital for abdominal pain. He reports steady,
aching pain that began suddenly around his naval and now involves the lower
abdomen. He also reports a decreased appetite with nausea but no vomiting. After a
careful history and physical examination, the NP documents the following abdominal
findings: The abdomen is flat, firm, and rigid, with increased tenderness and guarding
in the right lower quadrant. No bowel sounds heard. Liver percusses to 7 cm in the
midclavicular line; edge not felt. Spleen and kidneys not felt. No palpable masses. No
CVA tenderness. Psoas sign positive. Blumberg sign positive. Which of the following is
the most accurate interpretation of these findings?
These findings suggest acute peritonitis
The NP student is precepting with a provider in a geriatric-based clinic. The provider
asks the student if he is familiar with the 10-Minute Geriatric Screener. Which of the
following statements best demonstrates that the NP understands this assessment
tool?
The tool assesses for functional deficits which are strong predictors of patient
outcomes in the elderly.
The NP conducted a physical assessment on a 79-year-old male who lives
independently in subsidized housing. The documentation for the Head, Eyes, Ears,
Nose, Throat (HEENT) findings are as follows: Scalp without lesions. Skull NC/AT.
Conjunctiva pink, sclera muddy. Pupils 2 mm constricting to 1 mm, round, regular,
equally reactive to light and accommodation. Extraocular movements intact. Disc
margins sharp, without hemorrhages or exudates. Mild arteriolar narrowing. TMs with
good cone of light. Weber midline. AC > BC. Nasal mucosa erythematous, septum
deviated to the right, turbinates mildly enlarged. No sinus tenderness. Oral mucosa
pink. Dentition fair. Caries present. Tongue midline, slight beefy redness. Pharynx is
mildly erythematous with cobblestoning. Which of the following is the most accurate
interpretation of the findings?
The patient has chronic allergies
The staff NP in a nursing home is conducting a physical assessment on an 84-year-old
male resident who is pleasant, active, and cooperative. The skin findings in this image
are observed during the examination. The staff and patient deny any known injury or
, trauma. The NP should document these findings as consistent with which of the
following?
ADA Description: Extensor surface of the right forearm with emphasis on well-
demarcated vividly purple macules and patches
Actinic purpura
An 80-year-old woman who lives alone at home presents with concerns about
maintaining her independent living status. She continues to drive and care for herself
and her pet dog but reports two falls over the past 4 months. During one fall, she
struck her head, causing a contusion over the right eye. She attributes these episodes
to environmental factors. Once she tripped over a rug, and once she misjudged the
depth of the curb while crossing the street. Which of the following would be the best
approach to this patient?
Perform a comprehensive assessment of fall risk and plan preventive interventions
.
Concerning alcohol consumption in older adults, which of the following is true?
The CAGE screening for alcohol abuse retains the same sensitivity and specificity it
has for younger populations
Which of the following statements are true about the presentation of pain and pain
assessment in the older adult? Select all that apply
Older patients are less likely to report pain symptoms than younger patients
The American Geriatrics Society (AGS) prefers the term "persistent pain" over the term
"chronic pain".
Which of the following physical assessment findings regarding blood pressure is
consistent with the normal aging process and not a sign of cardiovascular disease?
QUESTIONS AND CORRECT VERIFIED ANSWERS
LATEST 2025, ALREADY GRADED A+
Pain in the right-lower quadrant (RLQ) during deep, even palpation of the left-lower
quadrant (LLQ) then quickly withdrawing your fingers indicates what positive
assessment finding?
Blumberg sign
The NP suspects a patient has appendicitis. Identify the physical examination
maneuver done by applying pressure halfway between the umbilicus and the anterior
spine of the ilium?
McBurney Sign
Which assessment finding would be most suggestive of a diagnosis of biliary colic?
Associated right shoulder pain
Which of the following physical assessment finding is most suggestive of peritonitis
secondary to a ruptured appendix?
Pressing down onto the abdomen firmly and quickly withdrawals the hand produces
pain
A 76-year-old female presents to the office for an annual physical. Upon reviewing her
history, she had a positive FOBT on one occasion at age 66 years. Subsequent
colonoscopy revealed internal hemorrhoids and sigmoid diverticuli only. She has no
firstdegree relatives with a history of colorectal cancer or adenomatous polyps. What is
the U.S. Preventive Services Task Force (USPSTF) screening recommendation for this
particular patient?
Do not screen routinely
,A 30-year-old male is admitted to the hospital for abdominal pain. He reports steady,
aching pain that began suddenly around his naval and now involves the lower
abdomen. He also reports a decreased appetite with nausea but no vomiting. After a
careful history and physical examination, the NP documents the following abdominal
findings: The abdomen is flat, firm, and rigid, with increased tenderness and guarding
in the right lower quadrant. No bowel sounds heard. Liver percusses to 7 cm in the
midclavicular line; edge not felt. Spleen and kidneys not felt. No palpable masses. No
CVA tenderness. Psoas sign positive. Blumberg sign positive. Which of the following is
the most accurate interpretation of these findings?
These findings suggest acute peritonitis
The NP student is precepting with a provider in a geriatric-based clinic. The provider
asks the student if he is familiar with the 10-Minute Geriatric Screener. Which of the
following statements best demonstrates that the NP understands this assessment
tool?
The tool assesses for functional deficits which are strong predictors of patient
outcomes in the elderly.
The NP conducted a physical assessment on a 79-year-old male who lives
independently in subsidized housing. The documentation for the Head, Eyes, Ears,
Nose, Throat (HEENT) findings are as follows: Scalp without lesions. Skull NC/AT.
Conjunctiva pink, sclera muddy. Pupils 2 mm constricting to 1 mm, round, regular,
equally reactive to light and accommodation. Extraocular movements intact. Disc
margins sharp, without hemorrhages or exudates. Mild arteriolar narrowing. TMs with
good cone of light. Weber midline. AC > BC. Nasal mucosa erythematous, septum
deviated to the right, turbinates mildly enlarged. No sinus tenderness. Oral mucosa
pink. Dentition fair. Caries present. Tongue midline, slight beefy redness. Pharynx is
mildly erythematous with cobblestoning. Which of the following is the most accurate
interpretation of the findings?
The patient has chronic allergies
The staff NP in a nursing home is conducting a physical assessment on an 84-year-old
male resident who is pleasant, active, and cooperative. The skin findings in this image
are observed during the examination. The staff and patient deny any known injury or
, trauma. The NP should document these findings as consistent with which of the
following?
ADA Description: Extensor surface of the right forearm with emphasis on well-
demarcated vividly purple macules and patches
Actinic purpura
An 80-year-old woman who lives alone at home presents with concerns about
maintaining her independent living status. She continues to drive and care for herself
and her pet dog but reports two falls over the past 4 months. During one fall, she
struck her head, causing a contusion over the right eye. She attributes these episodes
to environmental factors. Once she tripped over a rug, and once she misjudged the
depth of the curb while crossing the street. Which of the following would be the best
approach to this patient?
Perform a comprehensive assessment of fall risk and plan preventive interventions
.
Concerning alcohol consumption in older adults, which of the following is true?
The CAGE screening for alcohol abuse retains the same sensitivity and specificity it
has for younger populations
Which of the following statements are true about the presentation of pain and pain
assessment in the older adult? Select all that apply
Older patients are less likely to report pain symptoms than younger patients
The American Geriatrics Society (AGS) prefers the term "persistent pain" over the term
"chronic pain".
Which of the following physical assessment findings regarding blood pressure is
consistent with the normal aging process and not a sign of cardiovascular disease?
