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NR 509 exam success pack(2026) .practice
questions and expert answers. Complete
study guide with verified answers, Exams of
Nursing
sources of joint pain - --ANS----If age <60 years, consider repetitive strain or overuse syndromes
like tendinitis or bursitis, crystalline arthritis (gout; crystalline pyrophosphate deposition disease
[CPPD]) (males), rheumatoid arthritis (RA), psoriatic arthritis and reactive (Reiter) arthritis (in
inflammatory bowel disease [IBD]), and infectious arthritis from gonorrhea, Lyme disease, or
viral or bacterial infections.
- If age >60 years, look for OA, gout and pseudogout, polymyalgia rheumatica (PMR),
osteoporotic fracture, and septic bacterial arthritis.
- congenital, inflammatory or infectious, immunologic, neoplastic, metabolic, nutritional,
degenerative, vascular, traumatic, and toxic?
CN 1-6 - --ANS---1) Olfactory- smell
2)Optic- visual acuity with eye chart & pupil response
3)Oculomotor- conjugate gaze with EOM
4)Trochlear- conjugate gaze with EOM
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5) Trigeminal- palpate masseter & touch face and have pt identify where
6) Abducens- Conjugate gaze with EOM
CN 7-12 - --ANS---7)Facial- Blow cheeks out, smile, frown, pucker lips
8)Vestibulocochlear (Acoustic)- Whisper test
9) Glossopharyngeal- Gag reflex
10)Vagus- say "ahhh". soft palate and uvula rise symmetrically
11) Accessory- shrug shoulders
12) Hypoglossal- Stick out tongue and move left to right
epistaxis causes - --ANS---nosebleed
- cause: trauma, inflammation, drying and crusting of the mucosa, tumors and foreign bodies
Vesicular lung sounds - --ANS---soft and low pitched. They are heard throughout inspiration,
continue without pause through expiration, and then fade away about one third of the way
through expiration.
Bronchovesicular sounds - --ANS---with inspiratory and expiratory sounds about equal in length,
at times separated by a silent interval. Detecting differences in pitch and intensity is often easier
during expiration.
Bronchial - --ANS---or louder, harsher and higher in pitch, with a short silence be-tween
inspiratory and expiratory sounds. Expiratory sounds last longer than inspiratory sounds.
NR 509 exam success pack(2026) .practice
questions and expert answers. Complete
study guide with verified answers, Exams of
Nursing
sources of joint pain - --ANS----If age <60 years, consider repetitive strain or overuse syndromes
like tendinitis or bursitis, crystalline arthritis (gout; crystalline pyrophosphate deposition disease
[CPPD]) (males), rheumatoid arthritis (RA), psoriatic arthritis and reactive (Reiter) arthritis (in
inflammatory bowel disease [IBD]), and infectious arthritis from gonorrhea, Lyme disease, or
viral or bacterial infections.
- If age >60 years, look for OA, gout and pseudogout, polymyalgia rheumatica (PMR),
osteoporotic fracture, and septic bacterial arthritis.
- congenital, inflammatory or infectious, immunologic, neoplastic, metabolic, nutritional,
degenerative, vascular, traumatic, and toxic?
CN 1-6 - --ANS---1) Olfactory- smell
2)Optic- visual acuity with eye chart & pupil response
3)Oculomotor- conjugate gaze with EOM
4)Trochlear- conjugate gaze with EOM
, 2|Page
5) Trigeminal- palpate masseter & touch face and have pt identify where
6) Abducens- Conjugate gaze with EOM
CN 7-12 - --ANS---7)Facial- Blow cheeks out, smile, frown, pucker lips
8)Vestibulocochlear (Acoustic)- Whisper test
9) Glossopharyngeal- Gag reflex
10)Vagus- say "ahhh". soft palate and uvula rise symmetrically
11) Accessory- shrug shoulders
12) Hypoglossal- Stick out tongue and move left to right
epistaxis causes - --ANS---nosebleed
- cause: trauma, inflammation, drying and crusting of the mucosa, tumors and foreign bodies
Vesicular lung sounds - --ANS---soft and low pitched. They are heard throughout inspiration,
continue without pause through expiration, and then fade away about one third of the way
through expiration.
Bronchovesicular sounds - --ANS---with inspiratory and expiratory sounds about equal in length,
at times separated by a silent interval. Detecting differences in pitch and intensity is often easier
during expiration.
Bronchial - --ANS---or louder, harsher and higher in pitch, with a short silence be-tween
inspiratory and expiratory sounds. Expiratory sounds last longer than inspiratory sounds.
