NR509 FINAL EXAM SAMPLE
UPDATE VERIFIED QUESTIONS &
DETAILED EXPLANATIONS GRADED
A+
Professional Academic Assistance Services
A 31-year-old female presents to the clinic with a worsening
stiff, painful neck. On inspection, the patients 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?
A-torticollis
B-ankylosing spondylitis
C-osteoarthritis (OA)
D-spondylolisthesis
E-thoracic kyphosis - Answer: A
Torticollis
A 62-year-old female has a diagnosis of rheumatoid arthritis
(RA). Which of the following are expected assessment findings
consistent with the diagnosis?
,A-Swelling of the synovial tissue in joints and tendon sheaths
B-The first metatarsophalangeal joint is frequently involved.
C-Asymmetrical joint distribution.
D-Tophi present in the subcutaneous tissue
E-Stiffness follows joint activity. - Answer: A
Swelling of the synovial tissue in joints and tendon sheaths
A 66-year-old female presents to the office for a focused visit to
discuss hypertension management strategies. During the
interview, the patient asks the MP if she could be screened
today for cervical cancer/HPV. Review of her medical record
reveals she was screened at ages 57, 60, and 63, with no
abnormal findings, and no history of cancer. What is the best
action the NP should take regarding the patients request for
screening?
A-Deny her request, inform her that she is past due for cervical
cancer/HPV screening, and
schedule another visit in 6 months.
B-Honor her request, perform the screening today, and
reschedule the appointment to discuss
,hypertension management strategies.
C-Deny her request, inform the patient that she has had three
negative screenings in the last 10 years
and no longer requires screening, and focus on the reason
for the visit.
D-Deny her request, inform the patient she is not due to -
Answer: C
Deny her request, inform the patient that she has had three
negative screenings in the last 10 years
and no longer requires screening, and focus on the reason
for the visit.
A 45-year-old female presents to the primary care clinic. She
complains of recently experiencing a change in the patterns of
her bowel movements. Her PMH is significant for bleeding ulcers
as well as Crohns disease. Her family medical history includes a
maternal aunt who died of colon cancer at age 49 years. Which
of the following historical elements would be most concerning
for colon cancer in this patient?
A-recent onset of small-caliber stools
, B-new-onset anal fissures
C-recent history of black, tarry stools
D-long-term history of hemorrhoids
E-remote history of anal pruritus - Answer: A
recent onset of small-caliber stools
Which of the following physical assessment finding is most
suggestive of peritonitis secondary to a ruptured appendix?
A pain with internal rotation of the right hip
B abdominal pain that increases with hip flexion
C localized pain over McBurney point, which lies 2 inches from
the anterior superior iliac spinous process
on a line drawn from the umbilicus
D pressing down onto the abdomen firmly and quickly
withdraws the hand produces pain
E voluntary contraction of the abdominal wall that persists over
several examinations - Answer: D
UPDATE VERIFIED QUESTIONS &
DETAILED EXPLANATIONS GRADED
A+
Professional Academic Assistance Services
A 31-year-old female presents to the clinic with a worsening
stiff, painful neck. On inspection, the patients 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?
A-torticollis
B-ankylosing spondylitis
C-osteoarthritis (OA)
D-spondylolisthesis
E-thoracic kyphosis - Answer: A
Torticollis
A 62-year-old female has a diagnosis of rheumatoid arthritis
(RA). Which of the following are expected assessment findings
consistent with the diagnosis?
,A-Swelling of the synovial tissue in joints and tendon sheaths
B-The first metatarsophalangeal joint is frequently involved.
C-Asymmetrical joint distribution.
D-Tophi present in the subcutaneous tissue
E-Stiffness follows joint activity. - Answer: A
Swelling of the synovial tissue in joints and tendon sheaths
A 66-year-old female presents to the office for a focused visit to
discuss hypertension management strategies. During the
interview, the patient asks the MP if she could be screened
today for cervical cancer/HPV. Review of her medical record
reveals she was screened at ages 57, 60, and 63, with no
abnormal findings, and no history of cancer. What is the best
action the NP should take regarding the patients request for
screening?
A-Deny her request, inform her that she is past due for cervical
cancer/HPV screening, and
schedule another visit in 6 months.
B-Honor her request, perform the screening today, and
reschedule the appointment to discuss
,hypertension management strategies.
C-Deny her request, inform the patient that she has had three
negative screenings in the last 10 years
and no longer requires screening, and focus on the reason
for the visit.
D-Deny her request, inform the patient she is not due to -
Answer: C
Deny her request, inform the patient that she has had three
negative screenings in the last 10 years
and no longer requires screening, and focus on the reason
for the visit.
A 45-year-old female presents to the primary care clinic. She
complains of recently experiencing a change in the patterns of
her bowel movements. Her PMH is significant for bleeding ulcers
as well as Crohns disease. Her family medical history includes a
maternal aunt who died of colon cancer at age 49 years. Which
of the following historical elements would be most concerning
for colon cancer in this patient?
A-recent onset of small-caliber stools
, B-new-onset anal fissures
C-recent history of black, tarry stools
D-long-term history of hemorrhoids
E-remote history of anal pruritus - Answer: A
recent onset of small-caliber stools
Which of the following physical assessment finding is most
suggestive of peritonitis secondary to a ruptured appendix?
A pain with internal rotation of the right hip
B abdominal pain that increases with hip flexion
C localized pain over McBurney point, which lies 2 inches from
the anterior superior iliac spinous process
on a line drawn from the umbilicus
D pressing down onto the abdomen firmly and quickly
withdraws the hand produces pain
E voluntary contraction of the abdominal wall that persists over
several examinations - Answer: D
