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NR509 FINAL EXAM STUDY GUIDE 2025/2026 | COMPLETE QUESTIONS | VERIFIED ANSWERS | GRADED A + | PASS GUARANTEED | RECENT EDITION

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NR509 FINAL EXAM STUDY GUIDE 2025/2026 | COMPLETE QUESTIONS | VERIFIED ANSWERS | GRADED A + | PASS GUARANTEED | RECENT EDITION Position of listening to heart sounds - ANSWER️ Aortic regurgitation -What position should the patient be in to auscultate -What sound will you hear - ANSWER️-Leaning forward -Soft diastolic decrescendo murmur Olfactory nerve: - ANSWER️1 Sense of smell. Optic nerve - ANSWER️2 : Ability to see. Oculomotor nerve: - ANSWER️3 Ability to move and blink your eyes. Trochlear nerve: - ANSWER️4 Ability to move your eyes up and down or back and forth Trigeminal nerve: - ANSWER️5 Sensations in your face and cheeks, taste and jaw movements. Abducens nerve: - ANSWER️6. Ability to move your eyes. Facial nerve: - ANSWER️7 Facial expressions and sense of taste. Auditory/vestibular nerve: - ANSWER️8 Sense of hearing and balance. ?? - ANSWER️9 Vagus nerve: - ANSWER️10 Digestion and heart rate. Accessory nerve (or spinal accessory nerve) - ANSWER️11 Shoulder and neck muscle movement. Hypoglossal nerve: - ANSWER️12 Ability to move your tongue. Optic nerve Optic neuritis - ANSWER️Central and peripheral vision (2) Optic neuritis: Sudden visual loss that is unilateral and can be painful, associated with multiple sclerosis FIFE - ANSWER️Helps to explore patient's perspective about health/illness Feelings, ideas, function, and expectations Silent patient - ANSWER️Silence can be therapeutic, reflection Differential diagnosis - ANSWER️List of possible diagnoses supported by problem list Pertinent negative - ANSWER️Absence of a sign or symptom that helps identify a patient's condition Pertinent positives - ANSWER️Specific symptoms that raise the physician's suspicion for a particular disease Chronic pain - ANSWER️Pain not associated with cancer or other medical conditions that persists for more than 3 to 6 months, pain lasting more than 1 month beyond the course of an acute illness or injury, or pain recurring at intervals of months or years. Chronic pain is the leading cause of disability and impaired performance at work. Inquire about the effects of pain on the patient's daily activities, mood, sleep, work, and sexual activity. Depressive, somatoform, and anxiety disorders affect the patient's coping strategies and have to be identified in order to effectively treat acute pain, in particular, chronic pain. Visual acuity 20/100 - ANSWER️Means that at 20 feet the patient can read a print that a person with normal vision could read at 100 ft, the larger the second number the worse the vision. First # indicates the distance from the chart. Funduscopic exam - ANSWER️The use of an ophthalmoscope to look through the pupil and examine the interior surface of the posterior eye Signs of increased intracranial pressure - ANSWER️•Papilledema of the optic disc leads to elevated ICP causes intraaxonal edema along the optic nerve leading to engorgement and swelling on the optic disc -Pink, hyperemic, loss of venous pulsations, disc more visible, disc swollen with blurred margins, physiologic cup not visible •Headache, blurred vision, feeling less alert than usual, vomiting, changes in behavior, weakness or problems with moving or talking, lack of energy or sleepiness Edema scale - ANSWER️• 1+ Mild pitting, slight indentation, no perceptible swelling of the leg • 2+ Moderate pitting, indentation, subsides rapidly • 3+ Deep pitting, indentation remains for a short time, leg looks swollen • 4+ Very deep pitting, indentation lasts a long time, leg is very swollen Macular degeneration - ANSWER️Macular degeneration is an important cause of poor central vision in older adults. Types include dry atrophic (more common but less severe) and wet exudative, or neovascular. Cellular debris, called drusen, may be "hard" and sharply defined or "soft" and confluent with altered pigmentation 6 EOMs - ANSWER️Ask the patient to follow your finger or pencil as you sweep through the six cardinal directions of gaze. Making a wide H in the air, lead the patient's gaze

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NR509 FINAL EXAM STUDY GUIDE
2025/2026 | COMPLETE QUESTIONS |
VERIFIED ANSWERS | GRADED A + | PASS
GUARANTEED | RECENT EDITION


Position of listening to heart sounds -
ANSWER https://medizzy.com/feed/31152359


Aortic regurgitation
-What position should the patient be in to auscultate

-What sound will you hear - ANSWER -Leaning forward
-Soft diastolic decrescendo murmur


Olfactory nerve: - ANSWER 1 Sense of smell.



Optic nerve - ANSWER 2 : Ability to see.



Oculomotor nerve: - ANSWER 3 Ability to move and blink your eyes.



Trochlear nerve: - ANSWER 4 Ability to move your eyes up and down or back
and forth

, Trigeminal nerve: - ANSWER 5 Sensations in your face and cheeks, taste and
jaw movements.


Abducens nerve: - ANSWER 6. Ability to move your eyes.



Facial nerve: - ANSWER 7 Facial expressions and sense of taste.



Auditory/vestibular nerve: - ANSWER 8 Sense of hearing and balance.


?? - ANSWER 9



Vagus nerve: - ANSWER 10 Digestion and heart rate.



Accessory nerve (or spinal accessory nerve) - ANSWER 11 Shoulder and neck
muscle movement.


Hypoglossal nerve: - ANSWER 12 Ability to move your tongue.


Optic nerve

Optic neuritis - ANSWER Central and peripheral vision (2)
Optic neuritis: Sudden visual loss that is unilateral and can be painful, associated
with multiple sclerosis


FIFE - ANSWER Helps to explore patient's perspective about health/illness

,Feelings, ideas, function, and expectations


Silent patient - ANSWER Silence can be therapeutic, reflection



Differential diagnosis - ANSWER List of possible diagnoses supported by
problem list


Pertinent negative - ANSWER Absence of a sign or symptom that helps
identify a patient's condition


Pertinent positives - ANSWER Specific symptoms that raise the physician's
suspicion for a particular disease


Chronic pain - ANSWER Pain not associated with cancer or other medical
conditions that persists for more than 3 to 6 months, pain lasting more than 1
month beyond the course of an acute illness or injury, or pain recurring at intervals
of months or years.


Chronic pain is the leading cause of disability and impaired performance at work.
Inquire about the effects of pain on the patient's daily activities, mood, sleep, work,
and sexual activity.


Depressive, somatoform, and anxiety disorders affect the patient's coping strategies
and have to be identified in order to effectively treat acute pain, in particular,
chronic pain.

, Visual acuity 20/100 - ANSWER Means that at 20 feet the patient can read a
print that a person with normal vision could read at 100 ft, the larger the second
number the worse the vision.


First # indicates the distance from the chart.


Funduscopic exam - ANSWER The use of an ophthalmoscope to look through
the pupil and examine the interior surface of the posterior eye


Signs of increased intracranial pressure - ANSWER •Papilledema of the optic
disc leads to elevated ICP causes intraaxonal edema along the optic nerve leading
to engorgement and swelling on the optic disc
-Pink, hyperemic, loss of venous pulsations, disc more visible, disc swollen with
blurred margins, physiologic cup not visible


•Headache, blurred vision, feeling less alert than usual, vomiting, changes in
behavior, weakness or problems with moving or talking, lack of energy or
sleepiness


Edema scale - ANSWER • 1+ Mild pitting, slight indentation, no perceptible
swelling of the leg
• 2+ Moderate pitting, indentation, subsides rapidly
• 3+ Deep pitting, indentation remains for a short time, leg looks swollen
• 4+ Very deep pitting, indentation lasts a long time, leg is very swollen


Macular degeneration - ANSWER Macular degeneration is an important cause
of poor central vision in older adults.

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