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Exam (elaborations)

NR 509 Advanced Physical Assessment – Final Exam with Verified Questions and Correct Answers

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This document provides the complete set of verified questions and correct answers for the NR 509 Advanced Physical Assessment Final Exam. It covers essential clinical assessment topics including cardiovascular, respiratory, abdominal, neurological, musculoskeletal, dermatological, and HEENT systems. Additional content includes diagnostic reasoning, differential diagnoses, SOAP note structure, health history, and physical exam techniques. Designed as a thorough study resource, it ensures students are well-prepared for success in advanced nursing practice.

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Uploaded on
September 15, 2025
Number of pages
215
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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NURS 6660N Final Exam-2 Versions 150
Questions & Answers Latest Update 2022/2

• Question 1
1 out of 1 points
Conventional antipsychotics are not first-line interventions in early-onset
schizophrenia due to the risk of dystonic reactions. However, when children are not
responsive to first-line therapy with atypical antipsychotics, which of the following is
the most appropriate conventional choice?


Selected D.
Answer: Chlorpromaz
ine

• Question 2
1 out of 1 points
The therapeutic outcomes for children with disorders of written expression are
most favorable when they are characterized by:


Selecte Intensive, continuous administration of individually tailored, one-on-
d one expressive and creative writing therapy
Answer:




NURS 6660N Final Exam-2 Versions 150
Questions & Answers Latest Update
2022/2023

,• Question 3
1 out of 1 points
Linda is a 5-year-old girl who has persistent pica; she was finally referred for care
when her kindergarten teacher became alarmed by her eating of potentially toxic
nonfood substances. Linda’s mother admits during the history that Linda has been
doing this for years, but thought it was not a big deal since Linda didn’t eat anything
dangerous.
Linda’s mother must work two jobs and essentially did not bother to pursue Linda’s
unusual symptom because it didn’t seem unsafe. While discussing management
strategies with Linda’s mother, the PMHNP counsels that the most rapidly
successful treatment strategy appears to be:


Selected A.
Answer: Aversio
n
therapy

• Question 4
0 out of 1 points
Rumination is a feeding disorder most commonly seen in infants, but it can occur at
anypoint in the lifespan. Characteristic findings in infants include:


Selected C.
Answer: Failure
tothrive

• Question 5
1 out of 1 points
Katelyn is a16-year-old girl who presents for therapy with her mother and father.
Katelyn was born with male genitalia but has felt like a female “all of her life.” She
says she knew something was different as far back as she can remember. She always
wanted to wear her mother’s clothes and makeup and play with other girls. Katelyn
started dressing and openly identifying as a girl when she was 13 years old, and her
parents are trying to be supportive but they are struggling. Most recently Katelyn
has developed an intimate partner relationship with Jennifer, a 15-year-old girl who
was gender-assigned female at birth and identifies as a female. Katelyn’s father does
not understand the relationship.
The PMHNP explains that Katelyn:




NURS 6660N Final Exam-2 Versions 150
Questions & Answers Latest Update
2022/2023

, Selected C.
Answer: Is a transgender female who identifies
as lesbian

• Question 6
1 out of 1 points
All the following are true with respect to making a diagnosis of major depressive
disorder in children except:


Selected C.
Answer: There must be somatic or psychomotor
complaints.

• Question 7
1 out of 1 points
Donna is a 16-year-old transgender female who has been through extensive
individual and family counseling and is ready to start hormone therapy with
estrogen, progesterone, and testosterone-blocking agents. When counseling her
specifically about the risks, benefits, and required monitoring of hormonal therapy,
the PMHNP advises Donna that:




NURS 6660N Final Exam-2 Versions 150
Questions & Answers Latest Update
2022/2023

, Selected C.
Answer: Sterility is a probable
consequence of hormone therapy

• Question 8
1 out of 1 points
The leading cause of death in youths living in juvenile residential facilities is:


Selected A.
Answer: Suicid
e

• Question 9
1 out of 1 points
The PMHNP is working with a pediatrician colleague on a journal article to increase
awareness and improve diagnostic strategies for early-onset bipolar disorder. Based
upon a review of the longitudinal research on this disorder, the literature review of
this article should include all the following except:


Selecte C.
d Higher socioeconomic status and lifetime psychosis are predictors of
Answer: more rapid cycling in early-onset bipolar disorder

• Question 10
1 out of 1 points
Tiana is a 10-year-old girl who is being referred for evaluation because her school
performance is appreciably below what is expected at her age. Historically she has
been a very happy child, likes school, and looks forward to going. However, over the
last several months her teacher reports that she is much slower than her peers in
reading, and she appears to be upset and withdrawn when asked to read in class.
The PMHNP would expect additional report from the teacher to include all the
following except:


Selected A.
Answer: Inability to copy correctly from
aprinted text

• Question 11
1 out of 1 points




NURS 6660N Final Exam-2 Versions 150
Questions & Answers Latest Update
2022/2023

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