NR509 Final Exam
A 35-yr-vintage female with a records of migraines affords to the clinic with worsening
symptoms for the past few weeks. She reviews waking up at night with headaches and nausea.
Her handiest medication records is oral contraceptive tablets (OCPs). Otherwise, she states she
is healthful. Which of the following movements if taken by means of the NP is the exceptional
subsequent step?
Take a similarly history and carry out a very cautious neurological examination
A grandmother is accompanying her 9-12 months-antique granddaughter at some stage in a
routine bodily exam. She asks you privately if her granddaughter has started out puberty but.
During the exam, the NP notes uneven projection of the areola and nipple of the proper chest to
shape a secondary mound above the extent of the breast. The left breast is underdeveloped.
These evaluation findings are steady with which Tanner Stage of improvement?
IV
Primary prevention is defined as which of the following?
Interventions designed to prevent sickness
Based at the U.S. Preventive Services Task Force (USPSTF) guidelines, which of the following
statements is proper approximately screening for breast cancer in common-risk ladies?
Mammography is usually recommended every 2 years for girls aged 50-seventy four with
insufficient proof for screening ladies over the age of 75.
Which of the subsequent statements is actual regarding suggestions by the eighth Joint
National Committee (JNC8) for adults aged 60 and older? Select all that observe.
Target blood strain need to be </= 150/ninety mmHg but notes that if treatment outcomes in
SBP <140 and is "nicely tolerated and with out negative results to fitness or first-class of live,
treatment does no longer need to be adjusted."
In those aged eighty or older, blood strain goals of 140 to <150/70 to 80 appear optimal for
notable reductions in stroke, cardiovascular events, and all-cause mortality.
Which of the following is a useful strategy when examining young children between the ages of
1 and 4?
Have the parent facilitate the exam (e.G., removing clothes, holding the child on lap).
,The NP is completing the review of systems 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?
"It often takes the baby more than 30 minutes to finish a bottle."
A 16-year-old male presents to the clinic 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
CNIII
Which cranial nerve (CN) innervates the muscles of the pharynx and provides sensory fibers to
portions of the tympanic membrane, auditory canal, pharynx, and the posterior third of the
tongue?
CN IX
The NP should suspect injury to which cranial nerve (CN) if a patient presents with complaints of
photosensitivity and uneven pupils after being struck in the eye with a baseball?
CNIII
Which of the following statements is true regarding risks and rapid recognition of suspected
stroke? Select all that apply
Obesity doubles the risk of stroke even without associated glucose intolerance
Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke
The combination of both receptive and expressive aphasia is a characteristic of which type of
speech disorder?
Global aphasia
The NP is assessing a 42-year-old female who presents to the clinic with recurring headaches.
What is an effective question to ask the patient?
Do you have any aura prior to the headaches?
, A 55-year-old female presents to the clinic with a headache. During the interview, which of the
following symptoms should prompt the NP to be concerned and investigate further?
The patient reports fever, night sweats, and thinks she lost weight.
When grading muscle strength on a scale of 1 to 5, a grade of 3 indicates which of the
following?
Active movement against gravity
Which musculoskeletal disorder is paired correctly with the associated systemic manifestations?
Lyme disease and expanding erythematous targetoid patch in early illness
A 62-year-old female has a diagnosis of rheumatoid arthritis (RA). Which of the following are
expected assessment findings consistent with the diagnosis?
Swelling of the synovial tissue in joints and tendon sheaths.
A 58-year-old male complains of pain in his knees, hips, hands, wrists, neck, and lower back.
Based on the joints involved, the NP suspects that the patient most likely has which condition?
Osteoarthritis
A 55-year-old male has a diagnosis of lumbar spinal stenosis. Which sign should the NP expect
to find on examination that is most consistent with the diagnosis?
Flexed forward posture with lower extremity weakness
What is the action(s) of the erector spinae muscle group?
Extension of the spine
A 17-year-old male presents to the clinic for 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?
Compare the strength of the trapezius muscles
A 31-year-old female presents to the clinic 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?
A 35-yr-vintage female with a records of migraines affords to the clinic with worsening
symptoms for the past few weeks. She reviews waking up at night with headaches and nausea.
Her handiest medication records is oral contraceptive tablets (OCPs). Otherwise, she states she
is healthful. Which of the following movements if taken by means of the NP is the exceptional
subsequent step?
Take a similarly history and carry out a very cautious neurological examination
A grandmother is accompanying her 9-12 months-antique granddaughter at some stage in a
routine bodily exam. She asks you privately if her granddaughter has started out puberty but.
During the exam, the NP notes uneven projection of the areola and nipple of the proper chest to
shape a secondary mound above the extent of the breast. The left breast is underdeveloped.
These evaluation findings are steady with which Tanner Stage of improvement?
IV
Primary prevention is defined as which of the following?
Interventions designed to prevent sickness
Based at the U.S. Preventive Services Task Force (USPSTF) guidelines, which of the following
statements is proper approximately screening for breast cancer in common-risk ladies?
Mammography is usually recommended every 2 years for girls aged 50-seventy four with
insufficient proof for screening ladies over the age of 75.
Which of the subsequent statements is actual regarding suggestions by the eighth Joint
National Committee (JNC8) for adults aged 60 and older? Select all that observe.
Target blood strain need to be </= 150/ninety mmHg but notes that if treatment outcomes in
SBP <140 and is "nicely tolerated and with out negative results to fitness or first-class of live,
treatment does no longer need to be adjusted."
In those aged eighty or older, blood strain goals of 140 to <150/70 to 80 appear optimal for
notable reductions in stroke, cardiovascular events, and all-cause mortality.
Which of the following is a useful strategy when examining young children between the ages of
1 and 4?
Have the parent facilitate the exam (e.G., removing clothes, holding the child on lap).
,The NP is completing the review of systems 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?
"It often takes the baby more than 30 minutes to finish a bottle."
A 16-year-old male presents to the clinic 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
CNIII
Which cranial nerve (CN) innervates the muscles of the pharynx and provides sensory fibers to
portions of the tympanic membrane, auditory canal, pharynx, and the posterior third of the
tongue?
CN IX
The NP should suspect injury to which cranial nerve (CN) if a patient presents with complaints of
photosensitivity and uneven pupils after being struck in the eye with a baseball?
CNIII
Which of the following statements is true regarding risks and rapid recognition of suspected
stroke? Select all that apply
Obesity doubles the risk of stroke even without associated glucose intolerance
Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke
The combination of both receptive and expressive aphasia is a characteristic of which type of
speech disorder?
Global aphasia
The NP is assessing a 42-year-old female who presents to the clinic with recurring headaches.
What is an effective question to ask the patient?
Do you have any aura prior to the headaches?
, A 55-year-old female presents to the clinic with a headache. During the interview, which of the
following symptoms should prompt the NP to be concerned and investigate further?
The patient reports fever, night sweats, and thinks she lost weight.
When grading muscle strength on a scale of 1 to 5, a grade of 3 indicates which of the
following?
Active movement against gravity
Which musculoskeletal disorder is paired correctly with the associated systemic manifestations?
Lyme disease and expanding erythematous targetoid patch in early illness
A 62-year-old female has a diagnosis of rheumatoid arthritis (RA). Which of the following are
expected assessment findings consistent with the diagnosis?
Swelling of the synovial tissue in joints and tendon sheaths.
A 58-year-old male complains of pain in his knees, hips, hands, wrists, neck, and lower back.
Based on the joints involved, the NP suspects that the patient most likely has which condition?
Osteoarthritis
A 55-year-old male has a diagnosis of lumbar spinal stenosis. Which sign should the NP expect
to find on examination that is most consistent with the diagnosis?
Flexed forward posture with lower extremity weakness
What is the action(s) of the erector spinae muscle group?
Extension of the spine
A 17-year-old male presents to the clinic for 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?
Compare the strength of the trapezius muscles
A 31-year-old female presents to the clinic 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?
