2024 | NR509 Final Exam | 88 Detailed Questions
With Expert Answers
Of the following statements, which is accurate regarding growth and as-
sessment charts published by the National Center for Health Statistics?
Select all that apply.:
All charts include height, weight, and head circumference for children up to 36
months.
Growth charts are available for children with specific conditions such as Down
syndrome or Turner syndrome.
Growth charts are available for use in infants born prematurely.
A 25-year-old male presents to the clinic with a complaint of severe rectal
pain during defecation. The pain is so severe he waits several days before
having a bowel movement. He has a history of ulcerative colitis (UC). He also
reports being in an active sexual new relationship with a male partner. After
conducting a history and physical exam, the NP documents the following
anorectal findings: Perirectal area inflamed; no ulcerations, open sores, fis-
sures, or verruca. Scant, whiteyellow, mucoid, rectal discharge noted. Unable
to examine external sphincter, rectal vault, or prostate because of spasm
of the external sphincter and marked inflammation and tenderness of anal
canal. Which of the following is the most accurate interpretation of these
findings?: These findings suggest infectious proctitis
A 54-year-old female with a history of migraines since childhood presents to
,the clinic with chronic intermittent, progressive pulsatile headaches which
are similar in nature to prior attacks and precipitated by current life
stressors. The headaches are accompanied by nausea and vomiting. She
denies con- stitutional symptoms. On examination, she has elevated blood
pressure but otherwise a normal cardiovascular, neurologic, and
fundoscopic examination. Based on the history and physical examination
findings, which diagnoses are appropriate for the differential diagnosis (DDx)
list? Select all that apply.: Mi- graine
Tension
A 50-year-old female presents to the clinic for evaluation of neck stiffness
and aching pain. She was a restrained driver in a low-speed, rear-end, motor
vehicle collision 1 day ago. The pain started several hours after the accident.
, On physical examination, you note muscle spasms over the paraspinous
mus- cles on the left side of the neck, as well as pain reported during active
range of motion of the cervical spine. No neurological deficits are noted.
Which of the following is the most accurate interpretation of these findings?:
These findings suggest cervical strain
Which muscle(s) are being assessed during active rotation of the neck?: -
Sternocleidomastoid
A 34-year-old female presents to the office with left elbow pain following
rigorous training for a tennis match. Tenderness is noted with palpation in
the area on the image marked by the red circle. What correlative diagnosis
does this assessment finding indicate? ADA Description: Left elbow with
emphasis on the small, tuberculated eminence, curved a little forward, about
1 cm from the joint.: lateral epicondylitis
A 35-year-old male presents to the clinic for a routine physical examination.
His only complaint is a feeling of heaviness in his scrotum. He denies injury
or trauma. After conducting a history and physical, the NP documents the
following genitourinary (GU) findings: Uncircumcised penis; prepuce easily
retractable. No penile discharge or lesions. No scrotal swelling or discol-
oration. Testes descended bilaterally; right testicle smooth; 1 × 1 cm firm,
fixed, nontender, nodule on the left lateral testicle. Epididymis nontender. No
inguinal or femoral hernias. Negative CVA tenderness. Which of the following
is the most accurate interpretation of these findings?: These findings suggest
testicular cancer
A 26-year-old female presents to the Emergency Department with intense
abdominal pain for 6 hours, light-headedness, and a fainting episode that
With Expert Answers
Of the following statements, which is accurate regarding growth and as-
sessment charts published by the National Center for Health Statistics?
Select all that apply.:
All charts include height, weight, and head circumference for children up to 36
months.
Growth charts are available for children with specific conditions such as Down
syndrome or Turner syndrome.
Growth charts are available for use in infants born prematurely.
A 25-year-old male presents to the clinic with a complaint of severe rectal
pain during defecation. The pain is so severe he waits several days before
having a bowel movement. He has a history of ulcerative colitis (UC). He also
reports being in an active sexual new relationship with a male partner. After
conducting a history and physical exam, the NP documents the following
anorectal findings: Perirectal area inflamed; no ulcerations, open sores, fis-
sures, or verruca. Scant, whiteyellow, mucoid, rectal discharge noted. Unable
to examine external sphincter, rectal vault, or prostate because of spasm
of the external sphincter and marked inflammation and tenderness of anal
canal. Which of the following is the most accurate interpretation of these
findings?: These findings suggest infectious proctitis
A 54-year-old female with a history of migraines since childhood presents to
,the clinic with chronic intermittent, progressive pulsatile headaches which
are similar in nature to prior attacks and precipitated by current life
stressors. The headaches are accompanied by nausea and vomiting. She
denies con- stitutional symptoms. On examination, she has elevated blood
pressure but otherwise a normal cardiovascular, neurologic, and
fundoscopic examination. Based on the history and physical examination
findings, which diagnoses are appropriate for the differential diagnosis (DDx)
list? Select all that apply.: Mi- graine
Tension
A 50-year-old female presents to the clinic for evaluation of neck stiffness
and aching pain. She was a restrained driver in a low-speed, rear-end, motor
vehicle collision 1 day ago. The pain started several hours after the accident.
, On physical examination, you note muscle spasms over the paraspinous
mus- cles on the left side of the neck, as well as pain reported during active
range of motion of the cervical spine. No neurological deficits are noted.
Which of the following is the most accurate interpretation of these findings?:
These findings suggest cervical strain
Which muscle(s) are being assessed during active rotation of the neck?: -
Sternocleidomastoid
A 34-year-old female presents to the office with left elbow pain following
rigorous training for a tennis match. Tenderness is noted with palpation in
the area on the image marked by the red circle. What correlative diagnosis
does this assessment finding indicate? ADA Description: Left elbow with
emphasis on the small, tuberculated eminence, curved a little forward, about
1 cm from the joint.: lateral epicondylitis
A 35-year-old male presents to the clinic for a routine physical examination.
His only complaint is a feeling of heaviness in his scrotum. He denies injury
or trauma. After conducting a history and physical, the NP documents the
following genitourinary (GU) findings: Uncircumcised penis; prepuce easily
retractable. No penile discharge or lesions. No scrotal swelling or discol-
oration. Testes descended bilaterally; right testicle smooth; 1 × 1 cm firm,
fixed, nontender, nodule on the left lateral testicle. Epididymis nontender. No
inguinal or femoral hernias. Negative CVA tenderness. Which of the following
is the most accurate interpretation of these findings?: These findings suggest
testicular cancer
A 26-year-old female presents to the Emergency Department with intense
abdominal pain for 6 hours, light-headedness, and a fainting episode that
