NR509 Final Exam Chamberlain
A 35-year-old female with a history of migraines presents Take a further history and perform a very careful neurological exam
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?
A grandmother is accompanying her 9-year-old IV
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?
Primary prevention is defined as which of the following? Interventions designed to prevent disease
Based on the U.S. Preventive Services Task Force Mammography is recommended every 2 years for women aged 50-74 with
(USPSTF) recommendations, which of the following insufficient evidence for screening women over the age of 75.
statements is true about screening for breast cancer in
average-risk women?
Which of the following statements is true regarding Target blood pressure should be </= 150/90 mmHg but notes that if treatment
recommendations by the eighth Joint National Committee results in SBP <140 and is "well tolerated and without adverse effects to health or
(JNC8) for adults aged 60 and older? Select all that quality of live, treatment does not need to be adjusted."
apply.
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.
Which of the following is a useful strategy when examining Have the parent facilitate the exam (e.g., removing clothes, holding the child on
young children between the ages of 1 and 4? lap).
The NP is completing the review of systems on a 4-month- "It often takes the baby more than 30 minutes to finish a bottle."
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?
A 16-year-old male presents to the clinic with a history of a Oculomotor nerve- CNIII
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
Which cranial nerve (CN) innervates the muscles of the CN IX
pharynx and provides sensory fibers to portions of the
tympanic membrane, auditory canal, pharynx, and the
posterior third of the tongue?
The NP should suspect injury to which cranial nerve (CN) if CNIII
a patient presents with complaints of photosensitivity and
uneven pupils after being struck in the eye with a
baseball?
Which of the following statements is true regarding risks Obesity doubles the risk of stroke even without associated glucose intolerance
and rapid recognition of suspected stroke? Select all that
apply Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke
, NR509 Final Exam Chamberlain
The combination of both receptive and expressive aphasia Wernekie aphasia
is a characteristic of which type of speech disorder?
The NP is assessing a 42-year-old female who presents to Do you have any aura prior to the headaches?
the clinic with recurring headaches. What is an effective
question to ask the patient?
A 55-year-old female presents to the clinic with a The patient reports fever, night sweats, and thinks she lost weight.
headache. During the interview, which of the following
symptoms should prompt the NP to be concerned and
investigate further?
When grading muscle strength on a scale of 1 to 5, a Active movement against gravity
grade of 3 indicates which of the following?
Which musculoskeletal disorder is paired correctly with the Lyme disease and expanding erythematous targetoid patch in early illness
associated systemic manifestations?
A 62-year-old female has a diagnosis of rheumatoid Swelling of the synovial tissue in joints and tendon sheaths.
arthritis (RA). Which of the following are expected
assessment findings consistent with the diagnosis?
A 58-year-old male complains of pain in his knees, hips, Osteoarthritis
hands, wrists, neck, and lower back. Based on the joints
involved, the NP suspects that the patient most likely has
which condition?
A 55-year-old male has a diagnosis of lumbar spinal Flexed forward posture with lower extremity weakness
stenosis. Which sign should the NP expect to find on
examination that is most consistent with the diagnosis?
What is the action(s) of the erector spinae muscle group? Extension of the spine
A 17-year-old male presents to the clinic for a follow-up Compare the strength of the trapezius muscles
appointment. He fractured his left arm 8 weeks ago and
remains in a cast. Upon inspection, the NP finds that his
shoulder heights are unequal and there is winging of the
scapula. The NP suspects contralateral weakness and
muscle wasting as the etiology for the winged scapula.
Which of the following physical assessment maneuvers
should the NP perform to confirm the suspension?
A 31-year-old female presents to the clinic with a Torticollis
worsening stiff, painful neck. On inspection, the patient's
head is laterally deviated toward the shoulder and rotated.
Given this specific physical assessment finding, what
condition should the NP suspect as a differential
diagnosis?
During an evaluation of an athletic 30-year-old female, the Sacrospinalis
NP conducts an active range of motion evaluation at the
neck. All of the following muscles are being assessed
when the patient is asked to extend, flex, and rotate the
neck, EXCEPT?
A 35-year-old female with a history of migraines presents Take a further history and perform a very careful neurological exam
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?
A grandmother is accompanying her 9-year-old IV
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?
Primary prevention is defined as which of the following? Interventions designed to prevent disease
Based on the U.S. Preventive Services Task Force Mammography is recommended every 2 years for women aged 50-74 with
(USPSTF) recommendations, which of the following insufficient evidence for screening women over the age of 75.
statements is true about screening for breast cancer in
average-risk women?
Which of the following statements is true regarding Target blood pressure should be </= 150/90 mmHg but notes that if treatment
recommendations by the eighth Joint National Committee results in SBP <140 and is "well tolerated and without adverse effects to health or
(JNC8) for adults aged 60 and older? Select all that quality of live, treatment does not need to be adjusted."
apply.
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.
Which of the following is a useful strategy when examining Have the parent facilitate the exam (e.g., removing clothes, holding the child on
young children between the ages of 1 and 4? lap).
The NP is completing the review of systems on a 4-month- "It often takes the baby more than 30 minutes to finish a bottle."
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?
A 16-year-old male presents to the clinic with a history of a Oculomotor nerve- CNIII
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
Which cranial nerve (CN) innervates the muscles of the CN IX
pharynx and provides sensory fibers to portions of the
tympanic membrane, auditory canal, pharynx, and the
posterior third of the tongue?
The NP should suspect injury to which cranial nerve (CN) if CNIII
a patient presents with complaints of photosensitivity and
uneven pupils after being struck in the eye with a
baseball?
Which of the following statements is true regarding risks Obesity doubles the risk of stroke even without associated glucose intolerance
and rapid recognition of suspected stroke? Select all that
apply Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke
, NR509 Final Exam Chamberlain
The combination of both receptive and expressive aphasia Wernekie aphasia
is a characteristic of which type of speech disorder?
The NP is assessing a 42-year-old female who presents to Do you have any aura prior to the headaches?
the clinic with recurring headaches. What is an effective
question to ask the patient?
A 55-year-old female presents to the clinic with a The patient reports fever, night sweats, and thinks she lost weight.
headache. During the interview, which of the following
symptoms should prompt the NP to be concerned and
investigate further?
When grading muscle strength on a scale of 1 to 5, a Active movement against gravity
grade of 3 indicates which of the following?
Which musculoskeletal disorder is paired correctly with the Lyme disease and expanding erythematous targetoid patch in early illness
associated systemic manifestations?
A 62-year-old female has a diagnosis of rheumatoid Swelling of the synovial tissue in joints and tendon sheaths.
arthritis (RA). Which of the following are expected
assessment findings consistent with the diagnosis?
A 58-year-old male complains of pain in his knees, hips, Osteoarthritis
hands, wrists, neck, and lower back. Based on the joints
involved, the NP suspects that the patient most likely has
which condition?
A 55-year-old male has a diagnosis of lumbar spinal Flexed forward posture with lower extremity weakness
stenosis. Which sign should the NP expect to find on
examination that is most consistent with the diagnosis?
What is the action(s) of the erector spinae muscle group? Extension of the spine
A 17-year-old male presents to the clinic for a follow-up Compare the strength of the trapezius muscles
appointment. He fractured his left arm 8 weeks ago and
remains in a cast. Upon inspection, the NP finds that his
shoulder heights are unequal and there is winging of the
scapula. The NP suspects contralateral weakness and
muscle wasting as the etiology for the winged scapula.
Which of the following physical assessment maneuvers
should the NP perform to confirm the suspension?
A 31-year-old female presents to the clinic with a Torticollis
worsening stiff, painful neck. On inspection, the patient's
head is laterally deviated toward the shoulder and rotated.
Given this specific physical assessment finding, what
condition should the NP suspect as a differential
diagnosis?
During an evaluation of an athletic 30-year-old female, the Sacrospinalis
NP conducts an active range of motion evaluation at the
neck. All of the following muscles are being assessed
when the patient is asked to extend, flex, and rotate the
neck, EXCEPT?
