NR509 EXAM FULLY SOLVED & UPDATED (LATEST VERSION VERIFIED FOR ACCURACY) (QUESTIONS + ANSWERS) SOLVED 100% CORRECT!!

NR509 EXAM FULLY SOLVED &
UPDATED 2026-2027 (LATEST VERSION
VERIFIED FOR ACCURACY)
(QUESTIONS + ANSWERS) SOLVED
100% CORRECT!!
1.RWhichRofRtheRfollowingRstatementsRbestRdescribesRaRdifferentialRdiagnosis

list?R-RCORRECTRANSWERItRisRaRlistRofRpotential/plausibleRdiagnosesRthatRmayRbeRcausingRthe

signsRandRsymptoms.



2.RAR66-year-oldRfemaleRpresentsRtoRtheRprimaryRcareRofficeRwithRcomplaints

ofRjawRpain,Rfatigue,RandRnauseaRforRtheRlastR48Rhours.RWhatRcourseRofRaction

isRappropriateRinRtheRtreatmentRofRthisRpatient?R-
RCORRECTRANSWERRecognizeRtheseRcouldRbeRatypicalRsymptomsRofRacuteRcoronary



syndromeRandRproceedRaccordingly.



3.RInRanRadultRoverRtheRageRofR40,RanRS3RassessmentRfindingRonRcardiac

auscultationRmayRbeRindicativeRofRwhat?RSelectRallRthatRapply.R-
RCORRECTRANSWERheartRfailure,RnormalRforRathletes,



ventricularRvolumeRoverloadRfromRaorticRorRmitralRregurgitation



4.RAR72-year-oldRmaleRisRadmittedRtoRintensiveRcareRfromRtheREmergency

RoomRforRtheRinitialRcomplaintRofRchestRpain.RAfterRtheRhistoryRandRphysical

examination,RtheRNPRdocumentsRtheRfollowingRcardiovascularRfindings:

JVPRisR5RcmRaboveRtheRsternalRangleRwithRtheRheadRofRtheRbedRelevatedRtoR50°.

CarotidRupstrokesRareRbrisk;RaRbruitRisRheardRoverRtheRleftRcarotidRartery.RThe

PMIRisRdiffuse,R3RcmRinRdiameter,RpalpatedRatRtheRanteriorRaxillaryRlineRinRthe

,fifthRandRsixthRintercostalRspaces.RS1RandRS2RareRsoft.RS3RisRpresentRatRthe

apex.RHigh-pitchedRharshR2/6RholosystolicRmurmurRbestRheardRatRtheRapex,

radiatingRtoRtheRaxilla.

WhichRofRtheRfollowingRpossibleRdiagnosesRisRbasedRonRtheRaccurate

interpretationRofRtheRassessmentRfindings?R-
RCORRECTRANSWERTheseRfindingsRsuggestRheartRfailure.




5.RAR76-year-oldRmaleRpresentsRtoRtheRofficeRforRaRroutineRphysical

examination.RTheRNPRdocumentsRtheRfollowingRskinRfindings:

DecreasedRelasticityRwithRmultipleRlentiginousRmaculesRonRhabituallyRsun-

exposedRskin.RMultiple,Rdiscrete,Rbrown,Rstuck-on,Rnon-indurated,Rverrucous

plaquesRonRtheRbackRandRabdomenRvaryingRfromR1-2Rcentimeters.

WhichRofRtheRfollowingRisRtheRmostRaccurateRinterpretationRofRtheseRfindings?R-
RCORRECTRANSWERTheseRfindingsRsuggestRseborrheicRkeratoses.




6.RAR14-year-oldRmaleRpresentsRtoRtheRclinicRwithRhisRgrandmotherRforRa

complaintRofRaRsoreRthroat.RTheRpatientRisRafebrileRandRdeniesRcough.RAfter

completingRtheRhistoryRandRphysicalRexamination,RtheRNPRdocumentedRthe

followingRpartialRassessmentRfindings:

ThroatROralRmucosaRpink,RdentalRcariesRinRlowerRmolars,RtongueRmidline,

uvula,RandRpharynxRerythematous,RbilateralRtonsilsRenlarged,RnoRexudates.

NeckRTracheaRmidline.RNeckRsupple;RthyroidRisthmusRmidline,Rlobes

palpableRbutRnotRenlarged.

LymphRNodesRSubmandibularRandRanteriorRcervicalRlymphRnodesRtender,R1

cmR×R1Rcm,RrubberyRandRmobile;RnoRposteriorRcervical,Repitrochlear,Raxillary,

orRinguinalRlymphadenopathy.

, WhichRofRtheRfollowingRisRtheRmostRaccurateRinterpretationRofRtheRfindings?R-
RCORRECTRANSWERTheseRfindingsRsuggestRpharyngitis.




7.RTheRNPRisRassumingRcareRforRaR56-year-oldRfemaleRresidentRofRaRlong-term

assistedRlivingRfacility.RTheRwomanRisRseatedRinRaRwheelchairRnextRtoRaRwindow

inRherRprivateRroom.RAfterRcompletingRtheRhistoryRandRphysicalRexamination,

theRNPRdocumentedRtheRfollowingRmentalRstatusRfindings:

TheRpatientRappearsRsadRandRfatigued;RclothesRareRwrinkled.RSpeechRisRslow

andRwordsRareRmumbled.RThoughtRprocessesRareRcoherent,RbutRinsightRinto

currentRlifeRreversesRisRlimited.RTheRpatientRisRorientedRtoRperson,Rplace,Rand

time.RDigitRspan,RserialR7s,RandRcalculationsRaccurate,RbutRresponsesRdelayed.

ClockRdrawingRisRgood.

WhichRofRtheRfollowingRisRtheRmostRaccurateRinterpretationRofRtheRfindings?R-
RCORRECTRANSWERTheseRfindingsRsuggestRdepression.




8.RTheRNPRconductedRaRphysicalRassessmentRonRaR74-year-oldRmaleRwithRa

complaintRofRshortnessRofRbreath.RHisRhistoryRisRsignificantRforRaR20Rpack-year

historyRofRsmoking.RHeRusesR2RinhalersRdailyR(medicationRunknown)RbutRdid

notRbringRthemRwithRhimRtoRhisRappointment.RTheRdocumentationRforRthe

respiratoryRfindingsRisRasRfollows:

ThoraxRsymmetricRwithRmoderateRkyphosisRandRincreasedRAPRdiameter,

decreasedRexpansion.RLungsRareRhyperresonant.RBreathRsoundsRdistantRwith

delayedRexpiratoryRphaseRandRscatteredRexpiratoryRwheezes.RFremitus

decreased;RnoRbronchophony,Regophony,RorRwhisperedRpectoriloquy.

DiaphragmsRdescendR2RcmRbilaterally.

WhichRofRtheRfollowingRisRtheRmostRaccurateRinterpretationRofRtheRfindings?R-
RCORRECTRANSWERTheseRfindingsRsuggestRCOPD.