NR509 FINAL EXAM QUESTIONS WITH ACCURATE ANSWERS 100%
GUARANTEE PASS 2026/2027
1. What symptom is most commonly associated with biliary colic?
Positive McBurney point tenderness
Exacerbating factor includes alcohol intake
Associated right shoulder pain
Poorly localized periumbilical pain
Vomiting of bile
2. In a patient with pelvic inflammatory disease, where is purulent discharge
most likely to be observed during a speculum examination?
Bartholin gland opening
Skene gland opening
posterior fornix
cervical os
anterior fornix
3. During a musculoskeletal examination, the clinician instructs the patient to
look over one shoulder, and then the other shoulder. This action assesses the
movement of which muscle(s)?
Splenius cervicis
Splenius capitis
Prevertebral muscles
Scalenes
, Sternocleidomastoid (SCM)
4. What condition is indicated by heavy periods, pelvic pain, and a large midline
mass in a 45-year-old female?
Pregnancy
Uterine fibroids
Ovarian mass
Bartholin gland enlargement
5. Discuss the importance of calorie intake and weight gain during pregnancy
for a fitness instructor.
Weight gain is not important during pregnancy for fitness instructors.
Only protein intake matters during pregnancy.
Caloric intake and appropriate weight gain are crucial for fetal
development and maternal health, especially for a fitness instructor
who may have different energy needs.
Caloric intake should be reduced to maintain fitness levels.
6. In a clinical scenario, if a 65-year-old patient with rheumatoid arthritis
presents with increased joint swelling and pain, what would be the most
appropriate initial assessment focus?
Measure the patient's range of motion in all joints.
Evaluate the extent of synovial tissue swelling in affected joints.
Assess for the presence of tophi in the subcutaneous tissue.
Check for asymmetrical joint distribution.
,7. If a nurse observes facial edema in a pregnant patient during a routine check-
up, what should be the immediate course of action?
Document the finding and continue with the assessment.
Advise the patient to rest and hydrate.
Refer the patient for further evaluation of potential preeclampsia.
Schedule a follow-up appointment in two weeks.
8. A 54-year-old female dietician presents for a routine annual examination. On
review of systems, she reports that she has had many breast findings over
several years, including one biopsy with normal pathology. She feels that her
breasts have become far less lumpy since she underwent menopause 3 years
ago. Which of the following is true regarding changes in the breasts with
menopause?
Transformation of breasts to primarily fatty tissue with menopause
decreases the sensitivity and specificity of mammograms.
Estrogen in hormone replacement therapy (HRT) has no effect on
breast density after menopause.
Breast density has no genetic component and is entirely due to
estrogen dose from endogenous and exogenous sources over the
lifetime.
Mammography performs most poorly in the menopausal and
postmenopausal age group and should be limited for that reason.
Glandular tissue of the breast atrophies with menopause, primarily
due to decrease in the number of lobules.
9. Discuss why bacterial vaginosis does not present with cervical motion
tenderness or adnexal tenderness compared to other conditions listed.
, Bacterial vaginosis does not typically cause inflammation of the
reproductive organs, unlike the other conditions.
Bacterial vaginosis is an acute infection requiring immediate
intervention.
Bacterial vaginosis presents with significant fever and systemic
symptoms.
Bacterial vaginosis leads to severe pelvic pain and tenderness.
10. What are the three key areas that should be assessed in a 2-month-old
female with significantly edematous hands and feet?
The parents' understanding of developmental milestones, the infant's
feeding schedule, and the infant's weight gain.
The infant's respiratory rate, the parents' ability to administer
medications, and the infant's social interactions.
The parents understanding of nutrition, the infant's vaccination
schedule, and the infant's sleep patterns.
The infant's fluid gain or loss, the infant's ability to properly latch
during breastfeeding, and the infant's growth chart with concern
for height and length.
11. You have a patient presenting for lesions on their genitalia. You diagnose
condyloma acuminata. How would your documented description read?
Pearly white with rolled borders
Honey crusted skin
Soft fleshy cauliflower like lesions
Raised and rough surface
GUARANTEE PASS 2026/2027
1. What symptom is most commonly associated with biliary colic?
Positive McBurney point tenderness
Exacerbating factor includes alcohol intake
Associated right shoulder pain
Poorly localized periumbilical pain
Vomiting of bile
2. In a patient with pelvic inflammatory disease, where is purulent discharge
most likely to be observed during a speculum examination?
Bartholin gland opening
Skene gland opening
posterior fornix
cervical os
anterior fornix
3. During a musculoskeletal examination, the clinician instructs the patient to
look over one shoulder, and then the other shoulder. This action assesses the
movement of which muscle(s)?
Splenius cervicis
Splenius capitis
Prevertebral muscles
Scalenes
, Sternocleidomastoid (SCM)
4. What condition is indicated by heavy periods, pelvic pain, and a large midline
mass in a 45-year-old female?
Pregnancy
Uterine fibroids
Ovarian mass
Bartholin gland enlargement
5. Discuss the importance of calorie intake and weight gain during pregnancy
for a fitness instructor.
Weight gain is not important during pregnancy for fitness instructors.
Only protein intake matters during pregnancy.
Caloric intake and appropriate weight gain are crucial for fetal
development and maternal health, especially for a fitness instructor
who may have different energy needs.
Caloric intake should be reduced to maintain fitness levels.
6. In a clinical scenario, if a 65-year-old patient with rheumatoid arthritis
presents with increased joint swelling and pain, what would be the most
appropriate initial assessment focus?
Measure the patient's range of motion in all joints.
Evaluate the extent of synovial tissue swelling in affected joints.
Assess for the presence of tophi in the subcutaneous tissue.
Check for asymmetrical joint distribution.
,7. If a nurse observes facial edema in a pregnant patient during a routine check-
up, what should be the immediate course of action?
Document the finding and continue with the assessment.
Advise the patient to rest and hydrate.
Refer the patient for further evaluation of potential preeclampsia.
Schedule a follow-up appointment in two weeks.
8. A 54-year-old female dietician presents for a routine annual examination. On
review of systems, she reports that she has had many breast findings over
several years, including one biopsy with normal pathology. She feels that her
breasts have become far less lumpy since she underwent menopause 3 years
ago. Which of the following is true regarding changes in the breasts with
menopause?
Transformation of breasts to primarily fatty tissue with menopause
decreases the sensitivity and specificity of mammograms.
Estrogen in hormone replacement therapy (HRT) has no effect on
breast density after menopause.
Breast density has no genetic component and is entirely due to
estrogen dose from endogenous and exogenous sources over the
lifetime.
Mammography performs most poorly in the menopausal and
postmenopausal age group and should be limited for that reason.
Glandular tissue of the breast atrophies with menopause, primarily
due to decrease in the number of lobules.
9. Discuss why bacterial vaginosis does not present with cervical motion
tenderness or adnexal tenderness compared to other conditions listed.
, Bacterial vaginosis does not typically cause inflammation of the
reproductive organs, unlike the other conditions.
Bacterial vaginosis is an acute infection requiring immediate
intervention.
Bacterial vaginosis presents with significant fever and systemic
symptoms.
Bacterial vaginosis leads to severe pelvic pain and tenderness.
10. What are the three key areas that should be assessed in a 2-month-old
female with significantly edematous hands and feet?
The parents' understanding of developmental milestones, the infant's
feeding schedule, and the infant's weight gain.
The infant's respiratory rate, the parents' ability to administer
medications, and the infant's social interactions.
The parents understanding of nutrition, the infant's vaccination
schedule, and the infant's sleep patterns.
The infant's fluid gain or loss, the infant's ability to properly latch
during breastfeeding, and the infant's growth chart with concern
for height and length.
11. You have a patient presenting for lesions on their genitalia. You diagnose
condyloma acuminata. How would your documented description read?
Pearly white with rolled borders
Honey crusted skin
Soft fleshy cauliflower like lesions
Raised and rough surface
