1|Page
NR 509 Final Exam/2026-2027 NEWEST EXAM WITH
COMPLETE QUESTIONS AND 100% CORRECT
DETAILED ANSWERS|ALREADY GRADED A+|BRAND
NEW!!
A 54-year-old male with a strong family history of breast
and prostate cancer presents to his primary care provider
to discuss prostate screening. His father died at age 73
years from prostate cancer that was not detected on
routine digital rectal examinations (DREs), and he would
like to minimize his chance of a similar occurrence. Which
of the following is true regarding the anatomy and
screening of the prostate by DRE?
a. All three lobes of the prostate are palpable on DRE.
b. The seminal vesicles are palpable distal to the prostate
on DRE.
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c. The median lobe of the prostate is located anterior to
the urethra and is not palpable on DRE.
d. The median sulcus divides the lateral lobes from the
median lobe and is palpable on DRE.
e. A prostate of 5 cm diameter without palpable nodes or
masses represents a normal prostate examination. -
ANSWER-c. The median lobe of the prostate is located
anterior to the urethra and is not palpable on DRE.
Rationale: Due to its location at the anterior aspect of the
urethra, the median lobe of the prostate is not palpable on
DRE, nor are small tumors in this area
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
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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.
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d. Firm, r - ANSWER-e. Metastatic breast cancer cells
may spread directly into the infraclavicular and then
supraclavicular nodes without first causing notable
changes in the axillary nodes.
Rationale: Metastatic breast cancer cells may spread
directly into the infraclavicular and then supraclavicular
nodes without first causing notable changes in the axillary
nodes. Though axillary lymphadenopathy should be
evaluated with age-appropriate imaging to rule out breast
cancer, cells that are metastasizing from the breasts can
pass directly to the infraclavicular, then supraclavicular
nodes.
NR 509 Final Exam/2026-2027 NEWEST EXAM WITH
COMPLETE QUESTIONS AND 100% CORRECT
DETAILED ANSWERS|ALREADY GRADED A+|BRAND
NEW!!
A 54-year-old male with a strong family history of breast
and prostate cancer presents to his primary care provider
to discuss prostate screening. His father died at age 73
years from prostate cancer that was not detected on
routine digital rectal examinations (DREs), and he would
like to minimize his chance of a similar occurrence. Which
of the following is true regarding the anatomy and
screening of the prostate by DRE?
a. All three lobes of the prostate are palpable on DRE.
b. The seminal vesicles are palpable distal to the prostate
on DRE.
,2|Page
c. The median lobe of the prostate is located anterior to
the urethra and is not palpable on DRE.
d. The median sulcus divides the lateral lobes from the
median lobe and is palpable on DRE.
e. A prostate of 5 cm diameter without palpable nodes or
masses represents a normal prostate examination. -
ANSWER-c. The median lobe of the prostate is located
anterior to the urethra and is not palpable on DRE.
Rationale: Due to its location at the anterior aspect of the
urethra, the median lobe of the prostate is not palpable on
DRE, nor are small tumors in this area
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
,3|Page
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.
, 4|Page
d. Firm, r - ANSWER-e. Metastatic breast cancer cells
may spread directly into the infraclavicular and then
supraclavicular nodes without first causing notable
changes in the axillary nodes.
Rationale: Metastatic breast cancer cells may spread
directly into the infraclavicular and then supraclavicular
nodes without first causing notable changes in the axillary
nodes. Though axillary lymphadenopathy should be
evaluated with age-appropriate imaging to rule out breast
cancer, cells that are metastasizing from the breasts can
pass directly to the infraclavicular, then supraclavicular
nodes.
