NR509 Final Exam UPDATE VERIFIED
QUESTIONS & DETAILED
EXPLANATIONS GRADED A+
Professional Academic Assistance Services
A 35-year-old female with a history of migraines presents to the
clinic with worsening symptoms for the past few weeks. She
reports waking up at night with headaches and nausea. Her only
medication history is oral contraceptive pills (OCPs). Otherwise,
she states she is healthy. Which of the following actions if taken
by the NP is the best next step? - Answer: Take a further history
and perform a very careful neurological exam
A grandmother is accompanying her 9-year-old granddaughter
during a routine physical examination. She asks you privately if
her granddaughter has started puberty yet. During the
examination, the NP notes asymmetric projection of the areola
and nipple of the right chest to form a secondary mound above
the level of the breast. The left breast is underdeveloped. These
assessment findings are consistent with which Tanner Stage of
development? - Answer: IV
Primary prevention is defined as which of the following? -
Answer: Interventions designed to prevent disease
Based on the U.S. Preventive Services Task Force (USPSTF)
,recommendations, which of the following statements is true
about screening for breast cancer in average-risk women? -
Answer: Mammography is recommended every 2 years for
women aged 50-74 with insufficient evidence for screening
women over the age of 75.
Which of the following statements is true regarding
recommendations by the eighth Joint National Committee
(JNC8) for adults aged 60 and older? Select all that apply. -
Answer: Target blood pressure should be </= 150/90 mmHg but
notes that if treatment results in SBP <140 and is "well tolerated
and without adverse effects to health or quality of live,
treatment does not need to be adjusted."
In those aged 80 or older, blood pressure targets 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? - Answer: 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? - Answer: "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 - Answer: 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? - Answer: 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? - Answer:
CNIII
Which of the following statements is true regarding risks and
rapid recognition of suspected stroke? Select all that apply -
Answer: Obesity doubles the risk of stroke even without
associated glucose intolerance
Hypertension is the leading risk factor for both ischemic and
hemorrhagic stroke
QUESTIONS & DETAILED
EXPLANATIONS GRADED A+
Professional Academic Assistance Services
A 35-year-old female with a history of migraines presents to the
clinic with worsening symptoms for the past few weeks. She
reports waking up at night with headaches and nausea. Her only
medication history is oral contraceptive pills (OCPs). Otherwise,
she states she is healthy. Which of the following actions if taken
by the NP is the best next step? - Answer: Take a further history
and perform a very careful neurological exam
A grandmother is accompanying her 9-year-old granddaughter
during a routine physical examination. She asks you privately if
her granddaughter has started puberty yet. During the
examination, the NP notes asymmetric projection of the areola
and nipple of the right chest to form a secondary mound above
the level of the breast. The left breast is underdeveloped. These
assessment findings are consistent with which Tanner Stage of
development? - Answer: IV
Primary prevention is defined as which of the following? -
Answer: Interventions designed to prevent disease
Based on the U.S. Preventive Services Task Force (USPSTF)
,recommendations, which of the following statements is true
about screening for breast cancer in average-risk women? -
Answer: Mammography is recommended every 2 years for
women aged 50-74 with insufficient evidence for screening
women over the age of 75.
Which of the following statements is true regarding
recommendations by the eighth Joint National Committee
(JNC8) for adults aged 60 and older? Select all that apply. -
Answer: Target blood pressure should be </= 150/90 mmHg but
notes that if treatment results in SBP <140 and is "well tolerated
and without adverse effects to health or quality of live,
treatment does not need to be adjusted."
In those aged 80 or older, blood pressure targets 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? - Answer: 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? - Answer: "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 - Answer: 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? - Answer: 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? - Answer:
CNIII
Which of the following statements is true regarding risks and
rapid recognition of suspected stroke? Select all that apply -
Answer: Obesity doubles the risk of stroke even without
associated glucose intolerance
Hypertension is the leading risk factor for both ischemic and
hemorrhagic stroke
