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NR509 FINAL EXAM: QUESTIONS AND
ANSWERS 2025
A 35-year-old female with a history of migraines presents 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?
Take a further history and perform a very careful neurological exam
A grandmother is accompanying her 9-year-old 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?
IV
pg. 1
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Primary prevention is defined as which of the following?
Interventions designed to prevent disease
Based on the U.S. Preventive Services Task Force (USPSTF)
recommendations, which of the following statements is true about
screening for breast cancer in average-risk women?
Mammography is recommended every 2 years for women aged 50-74 with
insufficient evidence for screening women over the age of 75.
Which of the following statements is true regarding recommendations by
the eighth Joint National Committee (JNC8) for adults aged 60 and older?
Select all that apply.
Target blood pressure should be </= 150/90 mmHg but notes that if
treatment results in SBP <140 and is "well tolerated and without adverse
effects to health or quality of live, treatment does not need to be adjusted."
pg. 2
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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 young children
between the ages of 1 and 4?
Have the parent facilitate the exam (e.g., removing clothes, holding the
child on lap).
The NP is completing the review of systems on a 4-month-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?
"It often takes the baby more than 30 minutes to finish a bottle."
A 16-year-old male presents to the clinic with a history of a congenital right
upper eyelid drooping as represented in this image. He has no complaints
pg. 3
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and denies injury or trauma. Which cranial nerve (CN) is involved in this
condition?
Patient with eyelid drooping
CNIII
Which cranial nerve (CN) innervates the muscles of the pharynx and
provides sensory fibers to portions of the tympanic membrane, auditory
canal, pharynx, and the posterior third of the tongue?
CN IX
The NP should suspect injury to which cranial nerve (CN) if a patient
presents with complaints of photosensitivity and uneven pupils after being
struck in the eye with a baseball?
CNIII
pg. 4
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NR509 FINAL EXAM: QUESTIONS AND
ANSWERS 2025
A 35-year-old female with a history of migraines presents 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?
Take a further history and perform a very careful neurological exam
A grandmother is accompanying her 9-year-old 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?
IV
pg. 1
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
,https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
Primary prevention is defined as which of the following?
Interventions designed to prevent disease
Based on the U.S. Preventive Services Task Force (USPSTF)
recommendations, which of the following statements is true about
screening for breast cancer in average-risk women?
Mammography is recommended every 2 years for women aged 50-74 with
insufficient evidence for screening women over the age of 75.
Which of the following statements is true regarding recommendations by
the eighth Joint National Committee (JNC8) for adults aged 60 and older?
Select all that apply.
Target blood pressure should be </= 150/90 mmHg but notes that if
treatment results in SBP <140 and is "well tolerated and without adverse
effects to health or quality of live, treatment does not need to be adjusted."
pg. 2
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
,https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
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 young children
between the ages of 1 and 4?
Have the parent facilitate the exam (e.g., removing clothes, holding the
child on lap).
The NP is completing the review of systems on a 4-month-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?
"It often takes the baby more than 30 minutes to finish a bottle."
A 16-year-old male presents to the clinic with a history of a congenital right
upper eyelid drooping as represented in this image. He has no complaints
pg. 3
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
, https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
and denies injury or trauma. Which cranial nerve (CN) is involved in this
condition?
Patient with eyelid drooping
CNIII
Which cranial nerve (CN) innervates the muscles of the pharynx and
provides sensory fibers to portions of the tympanic membrane, auditory
canal, pharynx, and the posterior third of the tongue?
CN IX
The NP should suspect injury to which cranial nerve (CN) if a patient
presents with complaints of photosensitivity and uneven pupils after being
struck in the eye with a baseball?
CNIII
pg. 4
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