NR509 Final Exam
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Endocrine Patho Nutrition Exam 2 RAD 202 FINAL FILL IN
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A 35-year-old female with a history of Take a further history and perform a very careful neurological exam
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- IV
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 Interventions designed to prevent disease
the following?
Based on the U.S. Preventive Services Task Mammography is recommended every 2 years for women aged 50-74 with
Force (USPSTF) recommendations, which insufficient evidence for screening women over the age of 75.
of the following statements is true about
screening for breast cancer in average-risk
women?
, Target blood pressure should be </= 150/90 mmHg but notes that if treatment results
in SBP <140 and is "well tolerated and without adverse effects to health or quality of
Which of the following statements is true
live, treatment does not need to be adjusted."
regarding recommendations by the eighth
Joint National Committee (JNC8) for adults
In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear
aged 60 and older? Select all that apply.
optimal for notable reductions in stroke, cardiovascular events, and all-cause
mortality.
Which of the following is a useful strategy Have the parent facilitate the exam (e.g., removing clothes, holding the child on lap).
when examining young children between
the ages of 1 and 4?
The NP is completing the review of systems "It often takes the baby more than 30 minutes to finish a bottle."
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 CNIII
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 CN IX
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 CNIII
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 statements is true Obesity doubles the risk of stroke even without associated glucose intolerance
regarding risks and rapid recognition of
suspected stroke? Select all that apply Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke
The combination of both receptive and global aphasia
expressive aphasia is a characteristic of
which type of speech disorder?
The NP is assessing a 42-year-old female Do you have any aura prior to the headaches?
who presents to the clinic with recurring
headaches. What is an effective question to
ask the patient?
A 55-year-old female presents to the clinic The patient reports fever, night sweats, and thinks she lost weight.
with a headache. During the interview,
which of the following symptoms should
prompt the NP to be concerned and
investigate further?
, When grading muscle strength on a scale Active movement against gravity
of 1 to 5, a grade of 3 indicates which of the
following?
Which musculoskeletal disorder is paired Lyme disease and expanding erythematous targetoid patch in early illness
correctly with the associated systemic
manifestations?
A 62-year-old female has a diagnosis of Swelling of the synovial tissue in joints and tendon sheaths.
rheumatoid arthritis (RA). Which of the
following are expected assessment
findings consistent with the diagnosis?
A 58-year-old male complains of pain in his Osteoarthritis
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 diagnosis of Flexed forward posture with lower extremity weakness
lumbar spinal stenosis. Which sign should
the NP expect to find on examination that
is most consistent with the diagnosis?
What is the action(s) of the erector spinae Extension of the spine
muscle group?
A 17-year-old male presents to the clinic for Compare the strength of the trapezius muscles
a follow-up appointment. He fractured his
left arm 8 weeks ago and remains in a cast.
Upon inspection, the NP finds that his
shoulder heights are unequal and there is
winging of the scapula. The NP suspects
contralateral weakness and muscle wasting
as the etiology for the winged scapula.
Which of the following physical assessment
maneuvers should the NP perform to
confirm the suspension?
A 31-year-old female presents to the clinic Torticollis
with a worsening stiff, painful neck. On
inspection, the patient's head is laterally
deviated toward the shoulder and rotated.
Given this specific physical assessment
finding, what condition should the NP
suspect as a differential diagnosis?
During an evaluation of an athletic 30-year- Sacrospinalis
old female, the NP conducts an active
range of motion evaluation at the neck. All
of the following muscles are being
assessed when the patient is asked to
extend, flex, and rotate the neck, EXCEPT?