NR 509 FINAL EXAM | COMPLETE QUESTIONS WITH EXPERT SOLUTIONS 2026 -
2027 LATEST UPDATED | GET A+
1. During a routine physical exam, a 28-year-old male patient is found to have a painless nodule on his testis. What is
the appropriate next step?: order a scrotal ultrasound and refer to urology for further evaluation
2. A 30-year-old female presents to the clinic with a malodorous vaginal discharge and mild vulvar itching that has
persisted for approximately three weeks. She denies dysuria or dyspareunia but notes that the odor worsens after
intercourse and during her recent menstrual period. Pelvic and rectal findings include: no erythema or lesions of the
external genitalia. Thin, white, homogeneous vaginal discharge with a mild fishy odor. vaginal pH >4.5. uterus
midline, no adnexal masses. rectal exam is unremarkable. based on clinical history and examination findings, which
of the following is the most accurate interpretation of these findings?: bacterial vaginosis
3. a 45-year-old female presents to the clinic for heavy periods and pelvic pain during her menses. Symptoms have
been ongoing for approximately 12 months and are worsening. She reached menarche at age 13 and her cycles have
remained regular when not pregnant. She is a G4P3, and her partner has had a vasectomy. her LMP was 1 week ago.
on bimanual exam, large mass is palpated which is located midline between the substernal notch and the umbilicus.
which is the most likely interpretation of these findings?: fundal uterine fibroids
4. when palpating the left lower quadrant, which of the following structures is most likely to be palpable if stool is
present?: sigmoid colon
5. a 35-year-old female with a known history of migraines presents with worsening symptoms. she reports waking up
at night with headaches and nausea, which is new. medications include progestin-only pill (POP) and a multivitamin.
she otherwise considers herself healthy and denies other medical conditions. which action by the NP is the most
appropriate next step?: refer for neuroimaging to evaluate secondary causes of headache
, 6. a 16-year-old male presents to the clinic for a history of a congenital right upper eyelid drooping as presented in the
image. he has no complaints and denies injury or trauma. which cranial nerve is involved in this condition:
oculomotor (CN III)
7. a 55-year-old male has a diagnosis of lumbar spinal stenosis. which sign
should the NP expect to find on examination that is most consistent with the diagnosis?: flexed forward posture with
lower extremity weakness
8. which characteristic is most associated with rheumatoid arthritis?: additive and progressive joint pain with symmetric
involvement
9. during the health history of a 72-year-old man, you ask about his urination
pattern. which of the following symptoms is most suggestive of benign pro-
static hyperplasia?: difficulty starting stream and frequent nighttime urination
10. which findings are most associated with hyperreflexia?: weakness, spasticity, and a positive babinski sign
11. during abdominal percussion, which finding is most suggestive of intestinal obstruction or paralytic ileus?:
tympany throughout a protuberant abdomen
12. which of the following physical assessment findings regarding blood pressure is consistent with the normal aging
process and not a sign of cardiovas-
cular disease?: a net increase in pulse pressure with an increase in systolic pressure and a decrease in diastolic pressure
13. a patient reports difficulty swallowing solid foods but denies difficulty with liquids. the clinician should suspect:
esophageal stricture
14. which of the following is the correct sequence for conducting a musculosketal exam?: inspection, palpation, range
of motion, special maneuvers
2027 LATEST UPDATED | GET A+
1. During a routine physical exam, a 28-year-old male patient is found to have a painless nodule on his testis. What is
the appropriate next step?: order a scrotal ultrasound and refer to urology for further evaluation
2. A 30-year-old female presents to the clinic with a malodorous vaginal discharge and mild vulvar itching that has
persisted for approximately three weeks. She denies dysuria or dyspareunia but notes that the odor worsens after
intercourse and during her recent menstrual period. Pelvic and rectal findings include: no erythema or lesions of the
external genitalia. Thin, white, homogeneous vaginal discharge with a mild fishy odor. vaginal pH >4.5. uterus
midline, no adnexal masses. rectal exam is unremarkable. based on clinical history and examination findings, which
of the following is the most accurate interpretation of these findings?: bacterial vaginosis
3. a 45-year-old female presents to the clinic for heavy periods and pelvic pain during her menses. Symptoms have
been ongoing for approximately 12 months and are worsening. She reached menarche at age 13 and her cycles have
remained regular when not pregnant. She is a G4P3, and her partner has had a vasectomy. her LMP was 1 week ago.
on bimanual exam, large mass is palpated which is located midline between the substernal notch and the umbilicus.
which is the most likely interpretation of these findings?: fundal uterine fibroids
4. when palpating the left lower quadrant, which of the following structures is most likely to be palpable if stool is
present?: sigmoid colon
5. a 35-year-old female with a known history of migraines presents with worsening symptoms. she reports waking up
at night with headaches and nausea, which is new. medications include progestin-only pill (POP) and a multivitamin.
she otherwise considers herself healthy and denies other medical conditions. which action by the NP is the most
appropriate next step?: refer for neuroimaging to evaluate secondary causes of headache
, 6. a 16-year-old male presents to the clinic for a history of a congenital right upper eyelid drooping as presented in the
image. he has no complaints and denies injury or trauma. which cranial nerve is involved in this condition:
oculomotor (CN III)
7. a 55-year-old male has a diagnosis of lumbar spinal stenosis. which sign
should the NP expect to find on examination that is most consistent with the diagnosis?: flexed forward posture with
lower extremity weakness
8. which characteristic is most associated with rheumatoid arthritis?: additive and progressive joint pain with symmetric
involvement
9. during the health history of a 72-year-old man, you ask about his urination
pattern. which of the following symptoms is most suggestive of benign pro-
static hyperplasia?: difficulty starting stream and frequent nighttime urination
10. which findings are most associated with hyperreflexia?: weakness, spasticity, and a positive babinski sign
11. during abdominal percussion, which finding is most suggestive of intestinal obstruction or paralytic ileus?:
tympany throughout a protuberant abdomen
12. which of the following physical assessment findings regarding blood pressure is consistent with the normal aging
process and not a sign of cardiovas-
cular disease?: a net increase in pulse pressure with an increase in systolic pressure and a decrease in diastolic pressure
13. a patient reports difficulty swallowing solid foods but denies difficulty with liquids. the clinician should suspect:
esophageal stricture
14. which of the following is the correct sequence for conducting a musculosketal exam?: inspection, palpation, range
of motion, special maneuvers
