NR 509 LATEST 2026 TEST PAPER QUESTIONS AND
ANSWERS GRADED A+
✔✔A patient's vision is reported as 20/80 in each eye. The FNP interprets this finding to
mean that - ✔✔The patient has poor vision
✔✔When performing the corneal light reflex assessment, the FNP notes that the light is
reflected at 2
o'clock in each eye. The FNP should - ✔✔Consider this a normal finding
✔✔The FNP is performing the diagnostic positions test. Normal findings would be which
of these
results? - ✔✔Parallel movement of both eyes
✔✔During an assessment of the sclera of an African-American patient, the FNP would
consider
which of these an expected finding? - ✔✔The presence of small brown macules on the
sclera
✔✔A 60-year-old man is at the clinic for an examination. The FNP suspects that he has
ptosis of one
eye. How should the FNP check for this? - ✔✔Observe the distance between the
palpebral fissures
✔✔The FNP is doing an assessment on a 21-year-old patient and notices that his nasal
mucosa
appears pale gray and swollen. What would be the most appropriate question to ask the
patient? - ✔✔Are you aware of having any allergies
✔✔The FNP is palpating the sinus areas. If the findings are normal, then the patient
should report
which sensation? - ✔✔Firm pressure
✔✔During an oral assessment of a 30-year-old African-American patient, the FNP
notices bluish lips
and a dark line along the gingival margin. What would the FNP do in response to these
findings - ✔✔Proceed with assessment knowing that this is a normal finding
✔✔During an assessment of a 20-year-old patient with a three day history of nausea
and vomiting
the FNP notices dry mucous and deep vertical fissures on the tongue. These findings
are
reflective of: - ✔✔Dehydration
, ✔✔The FNP is reviewing the technique of palpating for tactile fremitus with a new
graduate. Which
statement by the graduate FNP reflects a correct understanding of tactile fremitus?
Tactile fremitus: - ✔✔It's caused by sounds generated from the larynx
✔✔The FNP student is reviewing physical assessment findings of the HEENT system
associated
with pregnancy. Which statement by the graduate FNP reflects a correct understanding
of
expected HEENT changes associated with pregnancy? During pregnancy: - ✔✔Nasal
stuffiness may occur as a result of decreased vascularity in upper respiratory tract
✔✔A patient tells the FNP that he is very nervous, that he is nauseated, and that he
"feels hot". This type
of data would be: - ✔✔Subjective
✔✔The patient's record, laboratory studies, objective data, and subjective data combine
to form the: - ✔✔Data base
✔✔The FNP is reviewing information about evidence-based practice. Which statement
best reflects evidence-based practice? - ✔✔EBP emphasizes the use of best evidence
with the clinicians experience
✔✔A 59-year-old patient tells the FNP that he has
ulcerative colitis. He has been having black stools
stools for the last 24 hours. How would the FNP best
document his reason for seeking care? - ✔✔J. M. Is a 59-year-old male here for having
black
stools for the past 24 hours
✔✔A 29-year-old woman tells the FNP that she has excruciating pain in her back.
Which would be an appropriate response by the FNP to the woman's statement? -
✔✔How would you say the pain affects your ability to do your daily activities?
✔✔In recording the childhood illnesses of a patient who denies having had any, which
note by the FNP would be most accurate? - ✔✔Patient denies measles mumps, rubella,
chickenpox, pertussis and strep throat
✔✔If a female patient tells the FNP that she has had six pregnancies, with four live
births at term and two spontaneous abortions. Her four children are still living. How
would the FNP record this information? - ✔✔Gravida 6, Para 4, (S) AB 2, living 4
ANSWERS GRADED A+
✔✔A patient's vision is reported as 20/80 in each eye. The FNP interprets this finding to
mean that - ✔✔The patient has poor vision
✔✔When performing the corneal light reflex assessment, the FNP notes that the light is
reflected at 2
o'clock in each eye. The FNP should - ✔✔Consider this a normal finding
✔✔The FNP is performing the diagnostic positions test. Normal findings would be which
of these
results? - ✔✔Parallel movement of both eyes
✔✔During an assessment of the sclera of an African-American patient, the FNP would
consider
which of these an expected finding? - ✔✔The presence of small brown macules on the
sclera
✔✔A 60-year-old man is at the clinic for an examination. The FNP suspects that he has
ptosis of one
eye. How should the FNP check for this? - ✔✔Observe the distance between the
palpebral fissures
✔✔The FNP is doing an assessment on a 21-year-old patient and notices that his nasal
mucosa
appears pale gray and swollen. What would be the most appropriate question to ask the
patient? - ✔✔Are you aware of having any allergies
✔✔The FNP is palpating the sinus areas. If the findings are normal, then the patient
should report
which sensation? - ✔✔Firm pressure
✔✔During an oral assessment of a 30-year-old African-American patient, the FNP
notices bluish lips
and a dark line along the gingival margin. What would the FNP do in response to these
findings - ✔✔Proceed with assessment knowing that this is a normal finding
✔✔During an assessment of a 20-year-old patient with a three day history of nausea
and vomiting
the FNP notices dry mucous and deep vertical fissures on the tongue. These findings
are
reflective of: - ✔✔Dehydration
, ✔✔The FNP is reviewing the technique of palpating for tactile fremitus with a new
graduate. Which
statement by the graduate FNP reflects a correct understanding of tactile fremitus?
Tactile fremitus: - ✔✔It's caused by sounds generated from the larynx
✔✔The FNP student is reviewing physical assessment findings of the HEENT system
associated
with pregnancy. Which statement by the graduate FNP reflects a correct understanding
of
expected HEENT changes associated with pregnancy? During pregnancy: - ✔✔Nasal
stuffiness may occur as a result of decreased vascularity in upper respiratory tract
✔✔A patient tells the FNP that he is very nervous, that he is nauseated, and that he
"feels hot". This type
of data would be: - ✔✔Subjective
✔✔The patient's record, laboratory studies, objective data, and subjective data combine
to form the: - ✔✔Data base
✔✔The FNP is reviewing information about evidence-based practice. Which statement
best reflects evidence-based practice? - ✔✔EBP emphasizes the use of best evidence
with the clinicians experience
✔✔A 59-year-old patient tells the FNP that he has
ulcerative colitis. He has been having black stools
stools for the last 24 hours. How would the FNP best
document his reason for seeking care? - ✔✔J. M. Is a 59-year-old male here for having
black
stools for the past 24 hours
✔✔A 29-year-old woman tells the FNP that she has excruciating pain in her back.
Which would be an appropriate response by the FNP to the woman's statement? -
✔✔How would you say the pain affects your ability to do your daily activities?
✔✔In recording the childhood illnesses of a patient who denies having had any, which
note by the FNP would be most accurate? - ✔✔Patient denies measles mumps, rubella,
chickenpox, pertussis and strep throat
✔✔If a female patient tells the FNP that she has had six pregnancies, with four live
births at term and two spontaneous abortions. Her four children are still living. How
would the FNP record this information? - ✔✔Gravida 6, Para 4, (S) AB 2, living 4
