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“NR509 EXAM CHAMBERLAIN “ NEWEST UPDATED
EXAM 2025 – 2026 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
Which of the following statements is true regarding changes in the breasts
associated with menopause? Select all that apply.
A lifetime Breast density is affected by several factors, among which is a
genetic contribution as well as estrogen
from endogenous and exogenous sources over the
B Estrogen in hormone replacement therapy (HRT) has no effect on breast
density after menopause
C Glandular tissue of the breast atrophies with menopause, primarily due to a
decrease in the number of
lobules.
D The transformation to primarily fatty tissue with menopause increases the
utility of mammograms.
E Mammography performs most poorly in the menopausal and
postmenopausal age group and should
be limited for that reason.
A
lifetime Breast density is affected by several factors, among which is a genetic
contribution as well as estrogen
from endogenous and exogenous sources over the
C
Glandular tissue of the breast atrophies with menopause, primarily due to a
decrease in the number of
lobules.
D
The transformation to primarily fatty tissue with menopause increases the utility of
mammograms.
A 48-year-old female presents to the clinic with complaints of heavy vaginal
discharge and severe itching for 1 week. On visualization of the vulva, a thick,
white, curdy discharge is seen at the introitus. On speculum examination,
there is a copious amount of this discharge. The pH of the discharge is 4.1 and
the KOH whiff test is negative, with no unusual smell. Wet prep shows budding
hyphae. Which of the following js the most accurate interpretation of
these findings?
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A These findings suggest bacterial vaginosis.
B These findings suggest chlamydia trachomatis.
C These findings suggest atrophic vaginitis
D These findings suggest trichomonas vaginitis.
E These findings suggest candida vaginitis.
E
These findings suggest candida vaginitis.
A 2-month-old female is accompanied by her parents for her first visit to the
practice. When reviewing the hospital medical records of her birth, the NP
notes documentation regarding significantly edematous hands and feet
present at birth. Upon physical examination of the infant, the NP finds skin
folds that run along the sides of the neck down to the shoulders. Which of the
following should be assessed and monitored by the NP and parents related to
these findings? Select all that apply.
A The infants fluid gain or loss.
B The parents understanding and adherence to the vaccination schedule.
C The infants ability to properly latch during breastfeeding.
D The parents ability to administer nebulizer treatments at home.
E The infants growth chart with concern for height and length.
A
The infants fluid gain or loss.
C
The infants ability to properly latch during breastfeeding.
E
The infants growth chart with concern for height and length.
23. A 45-year-old female presents to the clinic for heavy periods and pelvic
pain during her menses. She reached menarche at age 13 years and has had
regular periods except during her pregnancies. She is a G4P3013 and does not
use birth control as her husband has had a vasectomy. She states this has
been going on for about a year but seems to be getting worse. Her LMP was 1
week ago. On a bimanual exam, a large midline mass halfway to the umbilicus
is palpated. Each adnexal area is nonpalpable. Her rectal exam is normal. Her
body mass index (BMI) is 27. Which of the following is the most likely
interpretation of these findings?
A These findings suggest Bartholin gland enlargement.
B These findings suggest pregnancy
C These findings suggest ovarian mass
D These findings suggest large colonic stool
E These findings suggest uterine fibroids.
E
These findings suggest uterine fibroids.
Which assessment finding would be most suggestive of a diagnosis of biliary
colic?
A associated right shoulder pain
B vomiting of bile
C positive McBurney point tenderness
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D exacerbating factor includes alcohol intake
E poorly localized periumbilical pain
A
Associated right shoulder pain
Which of the following statements best demonstrates that the NP understands
their role in
caring for the aging population?
A I will employ the same disease models used to treat younger patients with
chronic disease.
B I will evaluate geriatric conditions in terms of functionality and quality of life
rather than via traditional
disease models
C I will counsel all persons over the age of 65 for the eventuality that they will
become frail.
D I understand that the older population is generally homogenous with little
variation in needs.
E I will assure that all elders complete an annual physical examination.
B
I will evaluate geriatric conditions in terms of functionality and quality of life rather
than via traditional
disease models
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 first-degree 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?
A repeat colonoscopy this year
B do not screen routinely
C continue annual FOBT screening until age 80 years
D sigmoidoscopy every 5 years with FOBT every 3 years
E continue annual FOBT screening until age 85 years
B
Do not screen routinely
Which of the following statements are true about the presentation of pain and
pain assessment in the older adult? Select all that apply.
A Pain is often over-treated in the aging population due to over reporting and
exaggeration of symptoms.
B Older patients are less likely to report pain symptoms than younger patients.
C The American Geriatrics Society (AGS) prefers the term "persistent pain"
over the term "chronic pain"
“NR509 EXAM CHAMBERLAIN “ NEWEST UPDATED
EXAM 2025 – 2026 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
Which of the following statements is true regarding changes in the breasts
associated with menopause? Select all that apply.
A lifetime Breast density is affected by several factors, among which is a
genetic contribution as well as estrogen
from endogenous and exogenous sources over the
B Estrogen in hormone replacement therapy (HRT) has no effect on breast
density after menopause
C Glandular tissue of the breast atrophies with menopause, primarily due to a
decrease in the number of
lobules.
D The transformation to primarily fatty tissue with menopause increases the
utility of mammograms.
E Mammography performs most poorly in the menopausal and
postmenopausal age group and should
be limited for that reason.
A
lifetime Breast density is affected by several factors, among which is a genetic
contribution as well as estrogen
from endogenous and exogenous sources over the
C
Glandular tissue of the breast atrophies with menopause, primarily due to a
decrease in the number of
lobules.
D
The transformation to primarily fatty tissue with menopause increases the utility of
mammograms.
A 48-year-old female presents to the clinic with complaints of heavy vaginal
discharge and severe itching for 1 week. On visualization of the vulva, a thick,
white, curdy discharge is seen at the introitus. On speculum examination,
there is a copious amount of this discharge. The pH of the discharge is 4.1 and
the KOH whiff test is negative, with no unusual smell. Wet prep shows budding
hyphae. Which of the following js the most accurate interpretation of
these findings?
, Page 2 of 29
A These findings suggest bacterial vaginosis.
B These findings suggest chlamydia trachomatis.
C These findings suggest atrophic vaginitis
D These findings suggest trichomonas vaginitis.
E These findings suggest candida vaginitis.
E
These findings suggest candida vaginitis.
A 2-month-old female is accompanied by her parents for her first visit to the
practice. When reviewing the hospital medical records of her birth, the NP
notes documentation regarding significantly edematous hands and feet
present at birth. Upon physical examination of the infant, the NP finds skin
folds that run along the sides of the neck down to the shoulders. Which of the
following should be assessed and monitored by the NP and parents related to
these findings? Select all that apply.
A The infants fluid gain or loss.
B The parents understanding and adherence to the vaccination schedule.
C The infants ability to properly latch during breastfeeding.
D The parents ability to administer nebulizer treatments at home.
E The infants growth chart with concern for height and length.
A
The infants fluid gain or loss.
C
The infants ability to properly latch during breastfeeding.
E
The infants growth chart with concern for height and length.
23. A 45-year-old female presents to the clinic for heavy periods and pelvic
pain during her menses. She reached menarche at age 13 years and has had
regular periods except during her pregnancies. She is a G4P3013 and does not
use birth control as her husband has had a vasectomy. She states this has
been going on for about a year but seems to be getting worse. Her LMP was 1
week ago. On a bimanual exam, a large midline mass halfway to the umbilicus
is palpated. Each adnexal area is nonpalpable. Her rectal exam is normal. Her
body mass index (BMI) is 27. Which of the following is the most likely
interpretation of these findings?
A These findings suggest Bartholin gland enlargement.
B These findings suggest pregnancy
C These findings suggest ovarian mass
D These findings suggest large colonic stool
E These findings suggest uterine fibroids.
E
These findings suggest uterine fibroids.
Which assessment finding would be most suggestive of a diagnosis of biliary
colic?
A associated right shoulder pain
B vomiting of bile
C positive McBurney point tenderness
, Page 3 of 29
D exacerbating factor includes alcohol intake
E poorly localized periumbilical pain
A
Associated right shoulder pain
Which of the following statements best demonstrates that the NP understands
their role in
caring for the aging population?
A I will employ the same disease models used to treat younger patients with
chronic disease.
B I will evaluate geriatric conditions in terms of functionality and quality of life
rather than via traditional
disease models
C I will counsel all persons over the age of 65 for the eventuality that they will
become frail.
D I understand that the older population is generally homogenous with little
variation in needs.
E I will assure that all elders complete an annual physical examination.
B
I will evaluate geriatric conditions in terms of functionality and quality of life rather
than via traditional
disease models
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 first-degree 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?
A repeat colonoscopy this year
B do not screen routinely
C continue annual FOBT screening until age 80 years
D sigmoidoscopy every 5 years with FOBT every 3 years
E continue annual FOBT screening until age 85 years
B
Do not screen routinely
Which of the following statements are true about the presentation of pain and
pain assessment in the older adult? Select all that apply.
A Pain is often over-treated in the aging population due to over reporting and
exaggeration of symptoms.
B Older patients are less likely to report pain symptoms than younger patients.
C The American Geriatrics Society (AGS) prefers the term "persistent pain"
over the term "chronic pain"
