NR509 Final TD Exam Questions With Accurate
Answers 2025\2026 A+ Grade
A young man feels something in his scrotum and comes to you for
clarification. On your examination, you note what feels like a "bag of worms"
in the left scrotum, superior to the testicles. Which of the following is most
likely?
A) Hydrocele of the spermatic cord
B) Varicocele
C) Testicular carcinoma
D) A normal vas deferens
- accurate answers-Varicocle
Varicoceles are common in normal men. They are often found in the left
scrotum or bilaterally and should normally resolve in the supine position. This
is because they represent varicosities within the scrotum. These require
further investigation if they occur only on the right side or do not resolve in
the supine position. They can contribute to infertility because the testicles are
unable to achieve a cool enough temperature for sperm production, due to
increased blood flow from the varicocele. A hydrocele would be a painless
mass on the spermatic cord and the vas deferens is palpated as part of the
spermatic cord. You should lightly pinch the scrotum medially and move
laterally until you feel the spermatic cord pass between your fingers.
Which of the following changes are expected in vision as part of the normal
aging process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision
- accurate answers-Ans: D
The lens loses its elasticity over time as part of the normal aging process, and
the eye is less able to accommodate and focus on near objects; therefore, the
patient will be expected to have blurring of near vision.
A 68-year-old mechanic presents to the emergency room for shortness of
breath. You are concerned about a cardiac cause and measure his jugular
venous pressure (JVP). It is elevated. Which one of the following conditions is
a potential cause of elevated JVP?
A) Left-sided heart failure
,B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm
- accurate answers-Constrictive pericarditis
Which of the following lymph node groups is most commonly involved in
breast cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central
- accurate answers-D.) Central
You are beginning the examination of the skin on a 25-year-old teacher. You
have previously elicited that she came to the office for evaluation of fatigue,
weight gain, and hair loss. You strongly suspect that she has hypothyroidism.
What is the expected moisture and texture of the skin of a patient with
hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough
- accurate answers-D) Dry and rough
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic
lupus erythematosus). She has noticed a raised, dark red rash on her legs.
When you press on the rash, it doesn't blanch. What would you tell her
regarding her rash?
A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
C) It is likely to be related to an allergic reaction.
D) It should not cause any problems.
- accurate answers-A. It is likely to be related to her lupus
You are palpating the abdomen and feel a small mass. Which of the following
would you do next?
A) Ultrasound
B) Examination with the abdominal muscles tensed
C) Surgery referral
, D) Determine size by percussion
- accurate answers-b) examination with the abdominal muscles tensed.
You are evaluating a 40-year-old banker for coronary heart disease risk
factors. He has a history of hypertension, which is well-controlled on his
current medications. He does not smoke; he does 45 minutes of aerobic
exercise five times weekly. You are calculating his 10-year coronary heart
disease risk. Which of the following conditions is considered to be a coronary
heart disease risk equivalent?
A) Hypertension
B) Peripheral arterial disease
C) Systemic lupus erythematosus
D) Chronic obstructive pulmonary disease (COPD)
- accurate answers-B) Peripheral Artery Disease
In obtaining a history, you note that a client uses the word "largely"
repeatedly, to the point of being a distraction to your task. Which word best
describes this speech pattern?
- accurate answers-Perserveration
A 40-year-old mother of two presents to your office for consultation. She is
interested in knowing what her relative risks are for developing breast cancer.
She is concerned because her sister had unilateral breast cancer 6 years ago at
age 38. The patient reports on her history that she began having periods at
age 11 and has been fairly regular ever since, except during her two
pregnancies. Her first child arrived when she was 26 and her second at age 28.
Otherwise she has had no health problems. Her father has high blood
pressure. Her mother had unilateral breast cancer in her 70s. The patient
denies tobacco, alcohol, or drug use. She is a family law attorney and is
married. Her examination is essentially unremarkable.Which risk factor of her
personal and family history most puts her in danger of getting breast cancer?
A) First-degree relative with premenopausal breast cancer
B) Age at menarche of less than 12
C) F
- accurate answers-1st degree relative
A 30-year-old paralegal analyst comes to your clinic, complaining of a bad-
smelling vaginal discharge with some mild itching, present for about 3 weeks.
She tried douching but it did not help. She has had no pain with urination or
Answers 2025\2026 A+ Grade
A young man feels something in his scrotum and comes to you for
clarification. On your examination, you note what feels like a "bag of worms"
in the left scrotum, superior to the testicles. Which of the following is most
likely?
A) Hydrocele of the spermatic cord
B) Varicocele
C) Testicular carcinoma
D) A normal vas deferens
- accurate answers-Varicocle
Varicoceles are common in normal men. They are often found in the left
scrotum or bilaterally and should normally resolve in the supine position. This
is because they represent varicosities within the scrotum. These require
further investigation if they occur only on the right side or do not resolve in
the supine position. They can contribute to infertility because the testicles are
unable to achieve a cool enough temperature for sperm production, due to
increased blood flow from the varicocele. A hydrocele would be a painless
mass on the spermatic cord and the vas deferens is palpated as part of the
spermatic cord. You should lightly pinch the scrotum medially and move
laterally until you feel the spermatic cord pass between your fingers.
Which of the following changes are expected in vision as part of the normal
aging process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision
- accurate answers-Ans: D
The lens loses its elasticity over time as part of the normal aging process, and
the eye is less able to accommodate and focus on near objects; therefore, the
patient will be expected to have blurring of near vision.
A 68-year-old mechanic presents to the emergency room for shortness of
breath. You are concerned about a cardiac cause and measure his jugular
venous pressure (JVP). It is elevated. Which one of the following conditions is
a potential cause of elevated JVP?
A) Left-sided heart failure
,B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm
- accurate answers-Constrictive pericarditis
Which of the following lymph node groups is most commonly involved in
breast cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central
- accurate answers-D.) Central
You are beginning the examination of the skin on a 25-year-old teacher. You
have previously elicited that she came to the office for evaluation of fatigue,
weight gain, and hair loss. You strongly suspect that she has hypothyroidism.
What is the expected moisture and texture of the skin of a patient with
hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough
- accurate answers-D) Dry and rough
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic
lupus erythematosus). She has noticed a raised, dark red rash on her legs.
When you press on the rash, it doesn't blanch. What would you tell her
regarding her rash?
A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
C) It is likely to be related to an allergic reaction.
D) It should not cause any problems.
- accurate answers-A. It is likely to be related to her lupus
You are palpating the abdomen and feel a small mass. Which of the following
would you do next?
A) Ultrasound
B) Examination with the abdominal muscles tensed
C) Surgery referral
, D) Determine size by percussion
- accurate answers-b) examination with the abdominal muscles tensed.
You are evaluating a 40-year-old banker for coronary heart disease risk
factors. He has a history of hypertension, which is well-controlled on his
current medications. He does not smoke; he does 45 minutes of aerobic
exercise five times weekly. You are calculating his 10-year coronary heart
disease risk. Which of the following conditions is considered to be a coronary
heart disease risk equivalent?
A) Hypertension
B) Peripheral arterial disease
C) Systemic lupus erythematosus
D) Chronic obstructive pulmonary disease (COPD)
- accurate answers-B) Peripheral Artery Disease
In obtaining a history, you note that a client uses the word "largely"
repeatedly, to the point of being a distraction to your task. Which word best
describes this speech pattern?
- accurate answers-Perserveration
A 40-year-old mother of two presents to your office for consultation. She is
interested in knowing what her relative risks are for developing breast cancer.
She is concerned because her sister had unilateral breast cancer 6 years ago at
age 38. The patient reports on her history that she began having periods at
age 11 and has been fairly regular ever since, except during her two
pregnancies. Her first child arrived when she was 26 and her second at age 28.
Otherwise she has had no health problems. Her father has high blood
pressure. Her mother had unilateral breast cancer in her 70s. The patient
denies tobacco, alcohol, or drug use. She is a family law attorney and is
married. Her examination is essentially unremarkable.Which risk factor of her
personal and family history most puts her in danger of getting breast cancer?
A) First-degree relative with premenopausal breast cancer
B) Age at menarche of less than 12
C) F
- accurate answers-1st degree relative
A 30-year-old paralegal analyst comes to your clinic, complaining of a bad-
smelling vaginal discharge with some mild itching, present for about 3 weeks.
She tried douching but it did not help. She has had no pain with urination or
