NR 509 Final Exam Bate's Interactive Question
Bank With Accurate & Verified Answers
(2026/2027 Update)
A clinician arrives at the hospital several hours after the birth of a full term infant. The infant is
rooming in with her parents and appears to be doing well. There were no problems with the
pregnancy, labor, or delivery. The nurse asks if the baby should be taken back to the nursery for
examination. What is the best response to the nurse?
a. State that it will be much more efficient to conduct the examination in the nursery.
b. Note that the infant already had an examination in the delivery room and does not need
another examination so soon.
c. State that the infant should be examined in the presence of the parents so they can be taught
about what their newborn can do.
d. Note that the lighting is better in the newborn nursery.
e. Refer the parents to a good book on newborns and wheel the infant back to the newborn
nursery to conduct the examination.
c. State that the infant should be examined in the presence of the parents so they can be taught
about what their newborn can do.
e. BSE is universally recommended because of very high sensitivity and specificity for finding
cancerous lesions.
b. This patient is more likely to find a fibroadenoma than a cancer on self examination.
past medical history is remarkable for atrial fibrillation but no other notable conditions. On
examination, her speech is verbose but poorly comprehensible and lacks meaning. She is unable
to follow simple commands. Which of the following best describes her speech disorder?
a. Dysphonia with expressive deficit
b. Dysarthria
c. Wernicke aphasia
,d. Global aphasia
e. Broca aphasia
c. Wernicke aphasia
The nurse in the newborn nursery reports that she is concerned about Baby Boy Jones, who was
born full term by cesarean section for failure to progress. The pregnancy was complicated only
by a maternal urinary tract infection in the first trimester. He had APGARs of 9 and 10 at 1 and 5
minutes, respectively, and had been doing well. However, now, on the fourth day of life, the
infant has developed a tremor. Which of the following factors would cause the most concern
about the tremor?
a. There is a history of benign tremor in elderly family members.
b. The infant also has asymmetric limb movements.
c. The infant's vital signs are normal.
d. The tremor is brief and only present when the infant is crying vigorously.
e. The infant lies in a symmetric position with limbs flexed when relaxed.
b. The infant also has asymmetric limb movements.
A 48 year old female psychologist presents to clinic with concerns about her breast cancer risk
after an age matched cousin was recently diagnosed with this disease. This cousin is the third
family member on her father's side in as many years to be diagnosed with breast cancer,
including the patient's own father, who had surgery and subsequent treatment 3 years ago for
breast cancer. The patient has little other knowledge of her family history, only that her
grandparents independently arrived from Eastern Europe near the end of World War II and
were among very few members of their family that survived the war. The patient has read about
testing for the breast cancer genes (BRCA1 and BRCA2) and desires further information about
whether this would be appropriate for her. Which of the following is true about this patient's
indications for BRCA testing?
a. Her familial lineage is irrelevant to her risk of BRCA genes and should be discounted in
assessing her risk for these genes.
,b. Breast cancer in a male relative does not add significant weight to the decision to test for the
BRCA genes in this patient.
c. The BRCAPRO calculator does not add any further clinical information to this patient's risk for
carrying the BRCA gene.
d. This patient carries several risk factors that together justify BRCA testing.
e. Even if this patient is BRCA positive, no changes in screening or treatment are recommended
for patients with this genetic mutation, so the test is not recommended.
d. This patient carries several risk factors that together justify BRCA testing.
A 68 year old former paleontologist presents to clinic with concerns about her breast cancer
risk. Her mother developed the disease in her 50s and died from it in her 60s. A younger cousin
developed the disease a few years ago before the age of 50 years, but this individual was not
tested for the BRCA1 and BRCA2 genes. In addition, the patient suffered from lymphoma in her
20s and had radiation to the chest. She did take hormone replacement therapy for a few years
before data emerged that this may contribute to breast cancer risk. She has had several
abnormal mammograms in her 50s for persistently dense breasts with subtle findings, but
follow up biopsies never showed any malignant pathology. Which of the following is true
regarding magnetic resonance imaging (MRI) screening of this patient?
a. No agency recommends breast MRI for a patient such as this one, who has moderately but
not extraordinary risk factors for breast cancer.
b. The U.S. Preventive Services Task Force (USPSTF) recommends against screening with MRI for
patients with such risk factors.
c. Regardless of recommendations, the high sensitivity of breast MRI comes at the expense of
markedly decreased specificity (i.e., the ability to rule out disease in healthy breasts).
d. Mammograms are not affected by breast density and thus density is not a factor in choosing
MRIs over mammograms in patients such as this individual.
e. History of chest radiation is not a risk factor for breast cancer and is thus not relevant to
deciding whether MRI is appropriate in this patient.
c. Regardless of recommendations, the high sensitivity of breast MRI comes at the expense of
markedly decreased specificity (i.e., the ability to rule out disease in healthy breasts).
, A 66 year old female museum curator presents for a routine annual examination. On
examination, a notably enlarged supraclavicular lymph node is appreciated on the right side.
The lymph node is nontender and feels firm and rubbery. She denies any localized or systemic
symptoms such as breast lumps, fevers, or night sweats. She has been taking conjugated
estrogen tablets for 9 years since menopause, though she has not taken progestin compounds
since she had a hysterectomy for heavy bleeding at age 45 years. Which of the following is true
about this presentation of lymphadenopathy?
a. Breast cancer always presents with axillary lymphadenopathy because the lymphatics of the
breast uniformly drain into the axilla.
b. Supraclavicular nodes are generally considered benign and require no further evaluation or
follow up.
c. Supraclavicular nodes are found along the anterior edge of the trapezius muscle in the neck.
d. Firm, rubbery lymph nodes are generally considered to be benign.
e. Metastatic breast cancer cells may spread directly into the infraclavicular and then
supraclavicular nodes without first causing notable changes in the axillary nodes.
e. Metastatic breast cancer cells may spread directly into the infraclavicular and then
supraclavicular nodes without first causing notable changes in the axillary nodes.
A 24 year old graphic designer presents to clinic with a concern for a breast mass. A rubbery,
mobile, nontender mass is palpated in the right breast as described by the patient, which is
consistent with a firbroadenoma. In describing the location of the mass, the examiner notes
that it is 3 cm proximal to and 3 cm to the left of the nipple. Which of the following would be
the most appropriate way to report this finding?
a. "Rubbery, mobile, nontender mass located in right breast, in the 10:30 position from the
nipple"
b. "Rubbery, mobile, nontender mass located in right breast, in the lower outer quadrant"
Bank With Accurate & Verified Answers
(2026/2027 Update)
A clinician arrives at the hospital several hours after the birth of a full term infant. The infant is
rooming in with her parents and appears to be doing well. There were no problems with the
pregnancy, labor, or delivery. The nurse asks if the baby should be taken back to the nursery for
examination. What is the best response to the nurse?
a. State that it will be much more efficient to conduct the examination in the nursery.
b. Note that the infant already had an examination in the delivery room and does not need
another examination so soon.
c. State that the infant should be examined in the presence of the parents so they can be taught
about what their newborn can do.
d. Note that the lighting is better in the newborn nursery.
e. Refer the parents to a good book on newborns and wheel the infant back to the newborn
nursery to conduct the examination.
c. State that the infant should be examined in the presence of the parents so they can be taught
about what their newborn can do.
e. BSE is universally recommended because of very high sensitivity and specificity for finding
cancerous lesions.
b. This patient is more likely to find a fibroadenoma than a cancer on self examination.
past medical history is remarkable for atrial fibrillation but no other notable conditions. On
examination, her speech is verbose but poorly comprehensible and lacks meaning. She is unable
to follow simple commands. Which of the following best describes her speech disorder?
a. Dysphonia with expressive deficit
b. Dysarthria
c. Wernicke aphasia
,d. Global aphasia
e. Broca aphasia
c. Wernicke aphasia
The nurse in the newborn nursery reports that she is concerned about Baby Boy Jones, who was
born full term by cesarean section for failure to progress. The pregnancy was complicated only
by a maternal urinary tract infection in the first trimester. He had APGARs of 9 and 10 at 1 and 5
minutes, respectively, and had been doing well. However, now, on the fourth day of life, the
infant has developed a tremor. Which of the following factors would cause the most concern
about the tremor?
a. There is a history of benign tremor in elderly family members.
b. The infant also has asymmetric limb movements.
c. The infant's vital signs are normal.
d. The tremor is brief and only present when the infant is crying vigorously.
e. The infant lies in a symmetric position with limbs flexed when relaxed.
b. The infant also has asymmetric limb movements.
A 48 year old female psychologist presents to clinic with concerns about her breast cancer risk
after an age matched cousin was recently diagnosed with this disease. This cousin is the third
family member on her father's side in as many years to be diagnosed with breast cancer,
including the patient's own father, who had surgery and subsequent treatment 3 years ago for
breast cancer. The patient has little other knowledge of her family history, only that her
grandparents independently arrived from Eastern Europe near the end of World War II and
were among very few members of their family that survived the war. The patient has read about
testing for the breast cancer genes (BRCA1 and BRCA2) and desires further information about
whether this would be appropriate for her. Which of the following is true about this patient's
indications for BRCA testing?
a. Her familial lineage is irrelevant to her risk of BRCA genes and should be discounted in
assessing her risk for these genes.
,b. Breast cancer in a male relative does not add significant weight to the decision to test for the
BRCA genes in this patient.
c. The BRCAPRO calculator does not add any further clinical information to this patient's risk for
carrying the BRCA gene.
d. This patient carries several risk factors that together justify BRCA testing.
e. Even if this patient is BRCA positive, no changes in screening or treatment are recommended
for patients with this genetic mutation, so the test is not recommended.
d. This patient carries several risk factors that together justify BRCA testing.
A 68 year old former paleontologist presents to clinic with concerns about her breast cancer
risk. Her mother developed the disease in her 50s and died from it in her 60s. A younger cousin
developed the disease a few years ago before the age of 50 years, but this individual was not
tested for the BRCA1 and BRCA2 genes. In addition, the patient suffered from lymphoma in her
20s and had radiation to the chest. She did take hormone replacement therapy for a few years
before data emerged that this may contribute to breast cancer risk. She has had several
abnormal mammograms in her 50s for persistently dense breasts with subtle findings, but
follow up biopsies never showed any malignant pathology. Which of the following is true
regarding magnetic resonance imaging (MRI) screening of this patient?
a. No agency recommends breast MRI for a patient such as this one, who has moderately but
not extraordinary risk factors for breast cancer.
b. The U.S. Preventive Services Task Force (USPSTF) recommends against screening with MRI for
patients with such risk factors.
c. Regardless of recommendations, the high sensitivity of breast MRI comes at the expense of
markedly decreased specificity (i.e., the ability to rule out disease in healthy breasts).
d. Mammograms are not affected by breast density and thus density is not a factor in choosing
MRIs over mammograms in patients such as this individual.
e. History of chest radiation is not a risk factor for breast cancer and is thus not relevant to
deciding whether MRI is appropriate in this patient.
c. Regardless of recommendations, the high sensitivity of breast MRI comes at the expense of
markedly decreased specificity (i.e., the ability to rule out disease in healthy breasts).
, A 66 year old female museum curator presents for a routine annual examination. On
examination, a notably enlarged supraclavicular lymph node is appreciated on the right side.
The lymph node is nontender and feels firm and rubbery. She denies any localized or systemic
symptoms such as breast lumps, fevers, or night sweats. She has been taking conjugated
estrogen tablets for 9 years since menopause, though she has not taken progestin compounds
since she had a hysterectomy for heavy bleeding at age 45 years. Which of the following is true
about this presentation of lymphadenopathy?
a. Breast cancer always presents with axillary lymphadenopathy because the lymphatics of the
breast uniformly drain into the axilla.
b. Supraclavicular nodes are generally considered benign and require no further evaluation or
follow up.
c. Supraclavicular nodes are found along the anterior edge of the trapezius muscle in the neck.
d. Firm, rubbery lymph nodes are generally considered to be benign.
e. Metastatic breast cancer cells may spread directly into the infraclavicular and then
supraclavicular nodes without first causing notable changes in the axillary nodes.
e. Metastatic breast cancer cells may spread directly into the infraclavicular and then
supraclavicular nodes without first causing notable changes in the axillary nodes.
A 24 year old graphic designer presents to clinic with a concern for a breast mass. A rubbery,
mobile, nontender mass is palpated in the right breast as described by the patient, which is
consistent with a firbroadenoma. In describing the location of the mass, the examiner notes
that it is 3 cm proximal to and 3 cm to the left of the nipple. Which of the following would be
the most appropriate way to report this finding?
a. "Rubbery, mobile, nontender mass located in right breast, in the 10:30 position from the
nipple"
b. "Rubbery, mobile, nontender mass located in right breast, in the lower outer quadrant"
