NR 509 Final
NR 509 Final – UPDATED Questions with 100% Verified Answers
Chamberlain University-Illinois
NR 509
NR 509 Final
Q1 Know that in a 47-year-old man ED is usually ___________ rather than testosterone
A psychologic
Q2 Erectile dysfunction may be from psychogenic causes, especially if
A early morning erection is preserved. it may also reflect decreased testosterone, decreased
blood flow in the hypogastric arterial system, impaired neural innervation, and diabetes
Q3 When performing a breast exam, know what abnormal masses should do when the arm
A may be fixed to skin or underlying tissues (may cause dimpling of skin or retraction when
arms are lifted over head or hands are pressed against hips)
Q4 Fibroadenoma and cysts mobility
A very mobile/mobile
Q5 Know that a high proportion of breast masses are noted during ________
A BSE
Q6 Breast stage 1
A preadolescent- elevation of nipple only
Q7 Breast stage 2
A breast bud stage- elevation of breast and nipple as a small mound; enlargement of areolar
diameter
Q8 breast stage 3
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,NR 509 Final
A further enlargement of elevation of breast and areola, with no separation of their contours
Q9 breast stage 4
A projection of areola and nipple to form a secondary mound above the level of breast
Q10 breast stage 5
A mature stage- projection of nipple only; areola has receded to general contour of the breast
(although in some individuals the areola continues to form a secondary mound)
Q11 Know where pain is located with pancreatitis: acute
A epigastric, may radiation straight to the back of other areas of the abdomen; 20% with
severe sequelae of organ failure
Q12 Know where pain is located with pancreatitis: chronic
A epigastric, radiating to back
Q13 Know how hepatitis A is transmitted
A Transmitted through fecal-oral route. Fecal shedding followed by poor handwashing
contaminates water and foods leading to infection of household and sexual contacts
Q14 Stress incontinence
A the urethral sphincter is weakened so that transient increases in intra-abdominal pressure
raise the bladder pressure to levels that exceed urethral resistance. Causes include
childbirth and surgery, postmenopausal atrophy of the mucosa, and urethral infection. May
follow prostate surgery in men.
Q15 urge incontinence
A detrusor contractions are stronger than normal and overcome the normal urethral
resistance. The bladder is typically small. Mechanisms: Decreased cortical inhibition of
detrusor contractions from stroke, brain tumor, dementia, and lesions of the spinal cord
above sacral level. Also hyperexcitability of sensory pathways ie: bladder infections, tumors,
and fecal impaction. Deconditioning of voiding reflexes ie: frequent voluntary voiding at low
bladder volumes.
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, NR 509 Final
Q16 overflow incontinence
A detrusor contractions are insufficient to overcome urethral resistance, causing urinary
retention. The bladder is typically flaccid and large, even after an effort to void.
Mechanisms: obstruction of the bladder outlet ie: BPH or tumor. Weakness of the detrusor
muscle associated with peripheral nerve disease at S2-4 level. Impaired bladder sensation
that interrupts the reflex arc ie: diabetic neuropathy.
Q17 functional incontinence
A the patient is functionally able to reach the toilet in time because of impaired health or
environmental conditions. Mechanism: problems in mobility resulting from weakness,
arthritis, poor vision, or other conditions. Also environmental factors such as an unfamiliar
setting, distant bathroom facilities, bed rails, or physical restraints.
Q18 Incontinence secondary to medications
A drugs may contribute to any type of incontinence listed. Ex: sedatives, tranquilizers,
anticholinergics, sympathetic blockers, and potent diuretics
Q19 Know where lymph nodes should be with strep
A · Strep throat àstreptococcal pharyngitis, bacterial infection that may cause a sore, scratchy
throat · Common childhood infection has a classic presentation of erythema of the posterior
pharynx and palatal petechiae · Enlarged swollen cervical lymph nodes -> superficial
cervical lymph nodes Superficial cervical -> superficial to the sternocleidomastoid
Q20 What vaccines are safe during pregnancy
A tdap, flu, Pneumococcal, meningococcal, Hepatitis B, rho gam *NOT MMR, polio, or varicella
Q21 Know what to be concerned about if you note an irregular rectal mass
A Any masses with irregular borders suspicious for rectal cancer A tender purulent reddened
mass with fever or chills suggests an anal abscess. Abscesses tunneling to the skin surface
from the anus or rectum may form a clogged or draining ano-rectal fistula. Fistulas may ooze
blood, pus, or feculent mucus. Consider anoscopy or sigmoidoscopy for better visualization.
Q22 Know what HPV Vac protects against
Page 3
NR 509 Final – UPDATED Questions with 100% Verified Answers
Chamberlain University-Illinois
NR 509
NR 509 Final
Q1 Know that in a 47-year-old man ED is usually ___________ rather than testosterone
A psychologic
Q2 Erectile dysfunction may be from psychogenic causes, especially if
A early morning erection is preserved. it may also reflect decreased testosterone, decreased
blood flow in the hypogastric arterial system, impaired neural innervation, and diabetes
Q3 When performing a breast exam, know what abnormal masses should do when the arm
A may be fixed to skin or underlying tissues (may cause dimpling of skin or retraction when
arms are lifted over head or hands are pressed against hips)
Q4 Fibroadenoma and cysts mobility
A very mobile/mobile
Q5 Know that a high proportion of breast masses are noted during ________
A BSE
Q6 Breast stage 1
A preadolescent- elevation of nipple only
Q7 Breast stage 2
A breast bud stage- elevation of breast and nipple as a small mound; enlargement of areolar
diameter
Q8 breast stage 3
Page 1
,NR 509 Final
A further enlargement of elevation of breast and areola, with no separation of their contours
Q9 breast stage 4
A projection of areola and nipple to form a secondary mound above the level of breast
Q10 breast stage 5
A mature stage- projection of nipple only; areola has receded to general contour of the breast
(although in some individuals the areola continues to form a secondary mound)
Q11 Know where pain is located with pancreatitis: acute
A epigastric, may radiation straight to the back of other areas of the abdomen; 20% with
severe sequelae of organ failure
Q12 Know where pain is located with pancreatitis: chronic
A epigastric, radiating to back
Q13 Know how hepatitis A is transmitted
A Transmitted through fecal-oral route. Fecal shedding followed by poor handwashing
contaminates water and foods leading to infection of household and sexual contacts
Q14 Stress incontinence
A the urethral sphincter is weakened so that transient increases in intra-abdominal pressure
raise the bladder pressure to levels that exceed urethral resistance. Causes include
childbirth and surgery, postmenopausal atrophy of the mucosa, and urethral infection. May
follow prostate surgery in men.
Q15 urge incontinence
A detrusor contractions are stronger than normal and overcome the normal urethral
resistance. The bladder is typically small. Mechanisms: Decreased cortical inhibition of
detrusor contractions from stroke, brain tumor, dementia, and lesions of the spinal cord
above sacral level. Also hyperexcitability of sensory pathways ie: bladder infections, tumors,
and fecal impaction. Deconditioning of voiding reflexes ie: frequent voluntary voiding at low
bladder volumes.
Page 2
, NR 509 Final
Q16 overflow incontinence
A detrusor contractions are insufficient to overcome urethral resistance, causing urinary
retention. The bladder is typically flaccid and large, even after an effort to void.
Mechanisms: obstruction of the bladder outlet ie: BPH or tumor. Weakness of the detrusor
muscle associated with peripheral nerve disease at S2-4 level. Impaired bladder sensation
that interrupts the reflex arc ie: diabetic neuropathy.
Q17 functional incontinence
A the patient is functionally able to reach the toilet in time because of impaired health or
environmental conditions. Mechanism: problems in mobility resulting from weakness,
arthritis, poor vision, or other conditions. Also environmental factors such as an unfamiliar
setting, distant bathroom facilities, bed rails, or physical restraints.
Q18 Incontinence secondary to medications
A drugs may contribute to any type of incontinence listed. Ex: sedatives, tranquilizers,
anticholinergics, sympathetic blockers, and potent diuretics
Q19 Know where lymph nodes should be with strep
A · Strep throat àstreptococcal pharyngitis, bacterial infection that may cause a sore, scratchy
throat · Common childhood infection has a classic presentation of erythema of the posterior
pharynx and palatal petechiae · Enlarged swollen cervical lymph nodes -> superficial
cervical lymph nodes Superficial cervical -> superficial to the sternocleidomastoid
Q20 What vaccines are safe during pregnancy
A tdap, flu, Pneumococcal, meningococcal, Hepatitis B, rho gam *NOT MMR, polio, or varicella
Q21 Know what to be concerned about if you note an irregular rectal mass
A Any masses with irregular borders suspicious for rectal cancer A tender purulent reddened
mass with fever or chills suggests an anal abscess. Abscesses tunneling to the skin surface
from the anus or rectum may form a clogged or draining ano-rectal fistula. Fistulas may ooze
blood, pus, or feculent mucus. Consider anoscopy or sigmoidoscopy for better visualization.
Q22 Know what HPV Vac protects against
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