NR509 NP Final Exam
You are palpating the abdomen and feel a small mass. Which of the following would you do
next? - Correct Answers-examination with the abdominal muscles tensed
24 y.o female presents to your office with jaundice. She denies IV drugs use, blood transfusion,
and travel and has not been sexually active for the past 10 months. Which of the following type
of hepatitis is most likely? - Correct Answers-Hepatitis A
A 44 y.o female presents with nausea and pain in the right upper quadrant. The NP notices the
patient winces in pain and there is a cessation of inspiration with palpitation of the right upper
quadrant. The nurse practitioner would document which of the following as a exam finding for
this patient? - Correct Answers-Murphy sign
Dawn is a 55 y.o women who comes in today for her annual wellness examination. You carefully
perform the rectal examination in the lithotomy position and feel an irregular mass against the
bowel wall which is firm and immobile. Which of the following is most likely? - Correct Answers-
rectal cancer
A 19 y.o black female presents to the clinic with moderate to severe right lower quadrant
abdominal pain for the past 2 days. She has been experiencing nausea and vomiting but unsure
if she had fever. Which of the following is a possible differential diagnosis? - Correct Answers-
appendicitis
A 47 y.o male presents with complaints of chills, fever, pelvic pain, and difficulty emptying his
bladder. The nurse practitioner suspects acute prostatitis and will avoid which of the following
assessment techniques? - Correct Answers-deep abdominal pain (?)
Which is the most effective pattern of palpating the lateral portion of the breast? - Correct
Answers-examine the lines resembling the back and forth pattern of mowing a lawn
A 48 y.o high school librarian comes to your clinic, complaining of 1 week of heavy discharge
causing severe itching. she is not presently sexually active and has no burning with urination.
The symptoms started several days after her last period. She just finished a course of abx for.a
sinus infection. Her past medical hx is T2D and HTN. She denies tobacco, alcohol, drug use.
Exam is unremarkable. Vulva thick white curdy discharge is seen at introitus. On speculum exam
there is a copious amount of discharge. PH of discharge 4.1 and KOH whiff test negative with no
unusual smell. Wet prep shows budding hyphae. What vaginitis does the patient have? -
You are palpating the abdomen and feel a small mass. Which of the following would you do
next? - Correct Answers-examination with the abdominal muscles tensed
24 y.o female presents to your office with jaundice. She denies IV drugs use, blood transfusion,
and travel and has not been sexually active for the past 10 months. Which of the following type
of hepatitis is most likely? - Correct Answers-Hepatitis A
A 44 y.o female presents with nausea and pain in the right upper quadrant. The NP notices the
patient winces in pain and there is a cessation of inspiration with palpitation of the right upper
quadrant. The nurse practitioner would document which of the following as a exam finding for
this patient? - Correct Answers-Murphy sign
Dawn is a 55 y.o women who comes in today for her annual wellness examination. You carefully
perform the rectal examination in the lithotomy position and feel an irregular mass against the
bowel wall which is firm and immobile. Which of the following is most likely? - Correct Answers-
rectal cancer
A 19 y.o black female presents to the clinic with moderate to severe right lower quadrant
abdominal pain for the past 2 days. She has been experiencing nausea and vomiting but unsure
if she had fever. Which of the following is a possible differential diagnosis? - Correct Answers-
appendicitis
A 47 y.o male presents with complaints of chills, fever, pelvic pain, and difficulty emptying his
bladder. The nurse practitioner suspects acute prostatitis and will avoid which of the following
assessment techniques? - Correct Answers-deep abdominal pain (?)
Which is the most effective pattern of palpating the lateral portion of the breast? - Correct
Answers-examine the lines resembling the back and forth pattern of mowing a lawn
A 48 y.o high school librarian comes to your clinic, complaining of 1 week of heavy discharge
causing severe itching. she is not presently sexually active and has no burning with urination.
The symptoms started several days after her last period. She just finished a course of abx for.a
sinus infection. Her past medical hx is T2D and HTN. She denies tobacco, alcohol, drug use.
Exam is unremarkable. Vulva thick white curdy discharge is seen at introitus. On speculum exam
there is a copious amount of discharge. PH of discharge 4.1 and KOH whiff test negative with no
unusual smell. Wet prep shows budding hyphae. What vaginitis does the patient have? -
