NR 509 FINAL EXAM NEWEST 2024
NR 509 FINAL EXAM NEWEST 2024
NR 509 FINAL EXAM NEWEST 2024
,NR 509 FINAL EXAM NEWEST 2024
1) Question 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?
-Take a further history and perform a very careful neurological exam
2) Question 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?
- IV
3) Question Primary prevention is defined as which of the following?
- Interventions designed to prevent disease
4) Question 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?
- Mammography is recommended every 2 years for women aged 50-74 with insufficient evidence
for screening women over the age of 75.
5) Question 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.
- 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.
6) Question Which of the following is a useful strategy when examining young children between
the ages of 1 and 4?
- Have the parent facilitate the exam (e.g., removing clothes, holding the child on lap).
7) Question 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?
- "It often takes the baby more than 30 minutes to finish a bottle."
NR 509 FINAL EXAM NEWEST 2024
, NR 509 FINAL EXAM NEWEST 2024
8) Question 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
- CNIII
9) Question 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?
- CN IX
10) Question 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?
- CNIII
11) Question Which of the following statements is true regarding risks and rapid recognition of
suspected stroke? Select all that apply
- Obesity doubles the risk of stroke even without associated glucose intolerance Hypertension is
the leading risk factor for both ischemic and hemorrhagic stroke
12) Question The combination of both receptive and expressive aphasia is a characteristic of which
type of speech disorder?
- global aphasia
13) Question The NP is assessing a 42-year-old female who presents to the clinic with recurring
headaches. What is an effective question to ask the patient?
- Do you have any aura prior to the headaches?
14) Question A 55-year-old female presents to the clinic with a headache. During the interview,
which of the following symptoms should prompt the NP to be concerned and investigate further?
- The patient reports fever, night sweats, and thinks she lost weight.
15) Question When grading muscle strength on a scale of 1 to 5, a grade of 3 indicates which of the
following?
- Active movement against gravity
16) Question Which musculoskeletal disorder is paired correctly with the associated systemic
manifestations?
- Lyme disease and expanding erythematous targetoid patch in early illness
NR 509 FINAL EXAM NEWEST 2024
NR 509 FINAL EXAM NEWEST 2024
NR 509 FINAL EXAM NEWEST 2024
,NR 509 FINAL EXAM NEWEST 2024
1) Question 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?
-Take a further history and perform a very careful neurological exam
2) Question 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?
- IV
3) Question Primary prevention is defined as which of the following?
- Interventions designed to prevent disease
4) Question 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?
- Mammography is recommended every 2 years for women aged 50-74 with insufficient evidence
for screening women over the age of 75.
5) Question 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.
- 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.
6) Question Which of the following is a useful strategy when examining young children between
the ages of 1 and 4?
- Have the parent facilitate the exam (e.g., removing clothes, holding the child on lap).
7) Question 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?
- "It often takes the baby more than 30 minutes to finish a bottle."
NR 509 FINAL EXAM NEWEST 2024
, NR 509 FINAL EXAM NEWEST 2024
8) Question 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
- CNIII
9) Question 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?
- CN IX
10) Question 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?
- CNIII
11) Question Which of the following statements is true regarding risks and rapid recognition of
suspected stroke? Select all that apply
- Obesity doubles the risk of stroke even without associated glucose intolerance Hypertension is
the leading risk factor for both ischemic and hemorrhagic stroke
12) Question The combination of both receptive and expressive aphasia is a characteristic of which
type of speech disorder?
- global aphasia
13) Question The NP is assessing a 42-year-old female who presents to the clinic with recurring
headaches. What is an effective question to ask the patient?
- Do you have any aura prior to the headaches?
14) Question A 55-year-old female presents to the clinic with a headache. During the interview,
which of the following symptoms should prompt the NP to be concerned and investigate further?
- The patient reports fever, night sweats, and thinks she lost weight.
15) Question When grading muscle strength on a scale of 1 to 5, a grade of 3 indicates which of the
following?
- Active movement against gravity
16) Question Which musculoskeletal disorder is paired correctly with the associated systemic
manifestations?
- Lyme disease and expanding erythematous targetoid patch in early illness
NR 509 FINAL EXAM NEWEST 2024
