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NR 506 Final Review – 350 Questions on Geriatrics, Pediatric Assessment, Reproductive Health & System-Based Physical Exam – 2026

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This document contains a comprehensive 350-question final exam review for NR 506, covering lifespan health assessment and system-based physical examination concepts. The material spans geriatric assessment (physiological aging changes, frailty, polypharmacy, geriatric syndromes, immunizations, cognitive screening tools such as Mini-Cog and GDS), pediatric and adolescent assessment (developmental stages, Tanner scale, growth measurements, pediatric vital signs, pain scales including FLACC, Oucher, and VAS), and detailed adult health assessment across all major body systems. Extensive content is included on reproductive and genitourinary health for both males and females, including menstrual cycle physiology, menopause and perimenopause, breast and prostate cancer screening guidelines, HPV vaccination recommendations, testicular self-examination, PSA testing, and culturally sensitive care considerations. The document also provides in-depth gastrointestinal, cardiovascular, respiratory, neurological, musculoskeletal, integumentary, head and neck assessments, along with key diagnostics such as ABGs, ECG, echocardiogram, colonoscopy, DEXA scan, CT scans, EEG, lumbar puncture, and cancer screening protocols. Clinical reasoning tools such as OPQRST, OLD CARTS, FAST stroke recognition, Glasgow Coma Scale, and detailed cranial nerve assessment (CN I–XII) are included. Abnormal findings, red flags, screening intervals, normal laboratory values, and documentation principles are thoroughly outlined to reinforce both theoretical understanding and clinical application. The content aligns closely with Jarvis’s Physical Examination & Health Assessment by Carolyn Jarvis, a commonly used textbook in advanced health assessment and nursing assessment courses. The structure reflects comprehensive head-to-toe examination frameworks and evidence-based screening guidelines typically emphasized in undergraduate and advanced nursing curricula. This document is particularly relevant for: Students enrolled in NR 506 BSN students completing Advanced Health Assessment RN-to-BSN students in lifespan assessment courses Nurse practitioner students reviewing system-based examinations Nursing students preparing for cumulative final exams or comprehensive assessment check-offs It serves as a detailed, exam-focused study guide designed to strengthen clinical judgment, documentation accuracy, and mastery of normal versus abnormal findings across the lifespan. Keywords: NR 506 final review, health assessment final exam, geriatric assessment nursing, pediatric physical assessment, reproductive health assessment, breast and prostate cancer screening, gastrointestinal assessment nursing, cardiovascular assessment exam, respiratory system assessment, neurological exam cranial nerves, Glasgow Coma Scale, FAST stroke mnemonic, musculoskeletal assessment nursing, integumentary system assessment, head and neck examination, lifespan development nursing, physical examination documentation, screening guidelines nursing

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NR 506 Final Review 2026 Exam
Questions and Correct Answers |
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What are the physiological changes in the skin and hair of older adults? - 🧠

ANSWER ✔✔Epidermis thins, leading to fragility; decreased gland function

causes dry skin; subcutaneous fat thins, increasing cold sensitivity; hair

changes include alopecia and greying.

,What happens to saliva production in older adults? - 🧠 ANSWER

✔✔Decreased saliva production causes dry mouth and increases the risk

of periodontal disease.


What is anosmia? - 🧠 ANSWER ✔✔Anosmia is the loss of the sense of

smell, often due to decreased olfactory epithelium surface area in older

adults.

What percentage of individuals aged 65-74 experience hearing loss? - 🧠

ANSWER ✔✔About 1/3 of individuals aged 65-74 experience hearing loss.


What visual changes occur in older adults? - 🧠 ANSWER ✔✔Changes

include decreased corneal curvature, slower pupillary reflexes, lens

clouding (cataracts), and potential loss of color discrimination.


How does aging affect the respiratory system? - 🧠 ANSWER ✔✔Bone

density loss reduces lung expansion; decreased alveoli impair gas

exchange; lungs lose recoil elasticity, increasing infection risk.


What cardiovascular changes occur with aging? - 🧠 ANSWER ✔✔Heart

muscle thins, valves stiffen, arterial stiffness elevates blood pressure, and

there is an increased incidence of arrhythmias.

,What are common signs of heart failure in older adults? - 🧠 ANSWER

✔✔Signs include S3 and S4 heart sounds, jugular vein distention, swollen

feet, and shortness of breath.

What happens to the immune system as people age? - 🧠 ANSWER

✔✔Lymph node numbers decrease, impairing immune response and

increasing the risk of autoimmune diseases.

What gastrointestinal changes are common in older adults? - 🧠 ANSWER

✔✔Increased abdominal fat, reduced gastric acidity, decreased intestinal

peristalsis, and declining liver mass affect nutrient absorption.


What are the four types of urinary incontinence? - 🧠 ANSWER ✔✔Stress,

urge, overflow, and functional incontinence.


What musculoskeletal changes occur with aging? - 🧠 ANSWER ✔✔Bone

density loss increases osteoporosis risk; muscle atrophy reduces strength,

and height loss may occur due to vertebral compression.

What cognitive disorders are commonly assessed in older adults? - 🧠

ANSWER ✔✔Dementia, delirium, and depression.




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, What is the Mini-Cog screening tool? - 🧠 ANSWER ✔✔A brief cognitive

screening that combines a three-item recall and a clock drawing test.


What does the AD8 Questionnaire assess? - 🧠 ANSWER ✔✔It is an

informant-based tool that distinguishes dementia presence, focusing on

memory, orientation, executive function, and interests.

What does a score of ≥ 5 on the Geriatric Depression Scale suggest? - 🧠

ANSWER ✔✔It suggests the presence of depression in older adults.


What are common reproductive system changes in older females? - 🧠

ANSWER ✔✔Breast tissue atrophy, vulvar shrinkage, vaginal dryness, and

possible uterine prolapse post-menopause.

What reproductive changes occur in older males? - 🧠 ANSWER

✔✔Thinning of the scrotum, testicular descent, penile size reduction,

erectile dysfunction, and benign prostatic hypertrophy.

What is the impact of aging on the neurological system? - 🧠 ANSWER

✔✔Loss of brain nerve cells and slower neural impulses contribute to

decreased sensation, reflexes, and cognitive slowing.

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