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NR 509 Questions and Correct Answers
1. Which of the following changes are expected in vision as part of the normal
aging process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision
Ans✅✅: Ans: D
The lens loses its elasticity over time as part of the normal aging
process, and the eye is less able to accommodate and focus on near
objects; therefore, the patient will be expected to have blurring of near
vision.
2. A 72-year-old retired truck driver comes to the clinic with his wife for
evaluation of hearing loss. He has noticed some decreased ability to hear what
his wife and grandchildren are saying to him. He admits to lip-reading more. He
has a history of noise exposure in his young adult years: He worked as a sound
engineer at a local arena and had to attend a lot of concerts. Based on this
information, what is the most likely finding regarding his hearing acuity?
A) Loss of acuity for middle-range sounds
B) Increase of acuity for low-range sounds
C) Loss of acuity for high-range sounds
D) Increase of acuity for high-range sounds
Ans✅✅: Ans: A
Human speech is considered to be a middle-range sound. During the aging
process there is a loss of acuity, starting with high-pitched sounds but
extending to the middle range and then into the low range.
3. A 79-year-old retired banker comes to your office for evaluation of difficulty
with urination; he gets up five to six times per night to urinate and has to go at
Pretest - Stuvia US
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least that often in the daytime. He does not feel as if his bladder empties
completely; the strength of the urinary stream is diminished. He denies dysuria
or hematuria. This problem has been present for several years but has
worsened over the last 8 months. You palpate his prostate. What is your
expected physical examination finding, based on this description?
A) Normal size, smooth
B) Normal size, boggy
C) Enlarged size, smooth
D) Enlarged size, boggy
Ans✅✅: Ans: C
This is the expected physical examination finding in benign prostatic
hyperplasia (BPH).
4. A 70-year-old retired auto mechanic comes to your office because his
neighbor is concerned about his memory. The patient himself admits to
misplacing his keys more often and forgets what he is supposed to buy from
the grocery store and where he has parked the car. He denies getting lost in
familiar places. Upon further questioning, he states that his wife of 40 years
died 8 months ago; his three children live in three different states; and he has
limited his activities because the people he interacted with were "his wife's
friends, not his." He drinks a six-pack of beer daily; he does not smoke or use
illicit drugs. You perform a mini-mental state examination and obtain a total
score of 24 out of 28. Based on this information, what is your most likely
diagnosis?
A) Benign forgetfulness
B) Dementia
C) Meningitis
D) Depression
Pretest - Stuvia US
NR 509 Questions and Correct Answers
1. Which of the following changes are expected in vision as part of the normal
aging process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision
Ans✅✅: Ans: D
The lens loses its elasticity over time as part of the normal aging
process, and the eye is less able to accommodate and focus on near
objects; therefore, the patient will be expected to have blurring of near
vision.
2. A 72-year-old retired truck driver comes to the clinic with his wife for
evaluation of hearing loss. He has noticed some decreased ability to hear what
his wife and grandchildren are saying to him. He admits to lip-reading more. He
has a history of noise exposure in his young adult years: He worked as a sound
engineer at a local arena and had to attend a lot of concerts. Based on this
information, what is the most likely finding regarding his hearing acuity?
A) Loss of acuity for middle-range sounds
B) Increase of acuity for low-range sounds
C) Loss of acuity for high-range sounds
D) Increase of acuity for high-range sounds
Ans✅✅: Ans: A
Human speech is considered to be a middle-range sound. During the aging
process there is a loss of acuity, starting with high-pitched sounds but
extending to the middle range and then into the low range.
3. A 79-year-old retired banker comes to your office for evaluation of difficulty
with urination; he gets up five to six times per night to urinate and has to go at
Pretest - Stuvia US
, 2
least that often in the daytime. He does not feel as if his bladder empties
completely; the strength of the urinary stream is diminished. He denies dysuria
or hematuria. This problem has been present for several years but has
worsened over the last 8 months. You palpate his prostate. What is your
expected physical examination finding, based on this description?
A) Normal size, smooth
B) Normal size, boggy
C) Enlarged size, smooth
D) Enlarged size, boggy
Ans✅✅: Ans: C
This is the expected physical examination finding in benign prostatic
hyperplasia (BPH).
4. A 70-year-old retired auto mechanic comes to your office because his
neighbor is concerned about his memory. The patient himself admits to
misplacing his keys more often and forgets what he is supposed to buy from
the grocery store and where he has parked the car. He denies getting lost in
familiar places. Upon further questioning, he states that his wife of 40 years
died 8 months ago; his three children live in three different states; and he has
limited his activities because the people he interacted with were "his wife's
friends, not his." He drinks a six-pack of beer daily; he does not smoke or use
illicit drugs. You perform a mini-mental state examination and obtain a total
score of 24 out of 28. Based on this information, what is your most likely
diagnosis?
A) Benign forgetfulness
B) Dementia
C) Meningitis
D) Depression
Pretest - Stuvia US
