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NR509 FINAL EXAM SAMPLE
QUESTIONS AND ANSWERS 2025
A 31-year-old female presents to the clinic with a worsening stiff, painful
neck. On inspection, the patients 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-torticollis
B-ankylosing spondylitis
C-osteoarthritis (OA)
D-spondylolisthesis
E-thoracic kyphosis
A
Torticollis
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A 62-year-old female has a diagnosis of rheumatoid arthritis (RA). Which of
the following are expected assessment findings consistent with the
diagnosis?
A-Swelling of the synovial tissue in joints and tendon sheaths
B-The first metatarsophalangeal joint is frequently involved.
C-Asymmetrical joint distribution.
D-Tophi present in the subcutaneous tissue
E-Stiffness follows joint activity.
A
Swelling of the synovial tissue in joints and tendon sheaths
A 66-year-old female presents to the office for a focused visit to discuss
hypertension management strategies. During the interview, the patient asks
the MP if she could be screened today for cervical cancer/HPV. Review of
her medical record reveals she was screened at ages 57, 60, and 63, with
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no abnormal findings, and no history of cancer. What is the best action the
NP should take regarding the patients request for screening?
A-Deny her request, inform her that she is past due for cervical cancer/HPV
screening, and
schedule another visit in 6 months.
B-Honor her request, perform the screening today, and reschedule the
appointment to discuss
hypertension management strategies.
C-Deny her request, inform the patient that she has had three negative
screenings in the last 10 years
and no longer requires screening, and focus on the reason
for the visit.
D-Deny her request, inform the patient she is not due to be screened for
two more years, and focus on
the reason for the visit.
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E-Honor her request, perform the screening today, and inform her that if
the results are negative, she
will no longer require screening
C
Deny her request, inform the patient that she has had three negative
screenings in the last 10 years
and no longer requires screening, and focus on the reason
for the visit.
A 45-year-old female presents to the primary care clinic. She complains of
recently experiencing a change in the patterns of her bowel movements.
Her PMH is significant for bleeding ulcers as well as Crohns disease. Her
family medical history includes a maternal aunt who died of colon cancer at
age 49 years. Which of the following historical elements would be most
concerning for colon cancer in this patient?
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NR509 FINAL EXAM SAMPLE
QUESTIONS AND ANSWERS 2025
A 31-year-old female presents to the clinic with a worsening stiff, painful
neck. On inspection, the patients 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-torticollis
B-ankylosing spondylitis
C-osteoarthritis (OA)
D-spondylolisthesis
E-thoracic kyphosis
A
Torticollis
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,https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
A 62-year-old female has a diagnosis of rheumatoid arthritis (RA). Which of
the following are expected assessment findings consistent with the
diagnosis?
A-Swelling of the synovial tissue in joints and tendon sheaths
B-The first metatarsophalangeal joint is frequently involved.
C-Asymmetrical joint distribution.
D-Tophi present in the subcutaneous tissue
E-Stiffness follows joint activity.
A
Swelling of the synovial tissue in joints and tendon sheaths
A 66-year-old female presents to the office for a focused visit to discuss
hypertension management strategies. During the interview, the patient asks
the MP if she could be screened today for cervical cancer/HPV. Review of
her medical record reveals she was screened at ages 57, 60, and 63, with
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,https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
no abnormal findings, and no history of cancer. What is the best action the
NP should take regarding the patients request for screening?
A-Deny her request, inform her that she is past due for cervical cancer/HPV
screening, and
schedule another visit in 6 months.
B-Honor her request, perform the screening today, and reschedule the
appointment to discuss
hypertension management strategies.
C-Deny her request, inform the patient that she has had three negative
screenings in the last 10 years
and no longer requires screening, and focus on the reason
for the visit.
D-Deny her request, inform the patient she is not due to be screened for
two more years, and focus on
the reason for the visit.
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E-Honor her request, perform the screening today, and inform her that if
the results are negative, she
will no longer require screening
C
Deny her request, inform the patient that she has had three negative
screenings in the last 10 years
and no longer requires screening, and focus on the reason
for the visit.
A 45-year-old female presents to the primary care clinic. She complains of
recently experiencing a change in the patterns of her bowel movements.
Her PMH is significant for bleeding ulcers as well as Crohns disease. Her
family medical history includes a maternal aunt who died of colon cancer at
age 49 years. Which of the following historical elements would be most
concerning for colon cancer in this patient?
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