NR509 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS
1. A 35-year-old female with a history of migraines presents to the clinic
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with worsening symptoms for the past few weeks. She reports waking up
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at night with headaches and nausea. Her only medication history is oral
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contraceptive pills (OCPs). Otherwise, she states she is healthy. Which of
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the following actions if taken by the NP is the best next step?: Take a
c c c c c c c c c c c c c c c
further history and perform a very careful neurological exam
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2. A grandmother is accompanying her 9-year-old granddaughter during a
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routine physical examination. She asks you privately if her granddaughter
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has started puberty yet. During the examination, the NP notes asymmetric
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projection of the areola and nipple of the right chest to form a secondary
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mound above the level of the breast. The left breast is underdeveloped.
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These assessment findings are consistent with which Tanner Stage of
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develop- ment?: IV
c c c
3. Primary prevention is defined as which of the following?: Interventions
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de- signed to prevent disease
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4. Based on the U.S. Preventive Services Task Force (USPSTF)
c c c c c c c c
recommenda- tions, which of the following statements is true about
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screening for breast cancer in average-risk women?: Mammography is
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recommended every 2 years for women aged 50-74 with insufficient
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evidence for screening women over the age of 75.
c c c c c c c c c
5. Which of the following statements is true regarding recommendations by
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the eighth Joint National Committee (JNC8) for adults aged 60 and older?
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Select all that apply.: Target blood pressure should be </= 150/90 mmHg
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but notes that if treatment results in SBP <140 and is "well tolerated
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and without adverse effects to health or quality of live, treatment does
c c c c c c c c c c c c
not need to be adjusted."
c c c c c
In those aged 80 or older, blood pressure targets of 140 to <150/70 to
c c c c c c c c c c c c c
c80 appear optimal for notable reductions in stroke, cardiovascular
c c c c c c c c
cevents, and all-cause mor- tality.
c c c c
6. Which of the following is a useful strategy when examining young
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cchildren between the ages of 1 and 4?: Have the parent facilitate the
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cexam (e.g., removing clothes, holding the child on lap).
c c c c c c c c
7. The NP is completing the review of systems on a 4-month-old female
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cduring a routine encounter. Which statement from the parent may indicate a
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ccardiac problem in the infant and require a more thorough subjective
c c c c c c c c c c
chistory?: "It often takes the baby more than 30 minutes to finish a
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1 c/
,bottle."
c
8. A 16-year-old male presents to the clinic with a history of a congenital
c c c c c c c c c c c c
right upper eyelid drooping as represented in this image. He has no
c c c c c c c c c c c c
complaints and denies injury or trauma. Which cranial nerve (CN) is involved
c c c c c c c c c c c c
in this condition?
c c c
2 c/
, Patient with eyelid drooping: CNIII
c c c c
9. Which cranial nerve (CN) innervates the muscles of the pharynx and
c c c c c c c c c c
pro- vides sensory fibers to portions of the tympanic membrane, auditory
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canal, pharynx, and the posterior third of the tongue?: CN IX
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10.The NP should suspect injury to which cranial nerve (CN) if a patient
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presents with complaints of photosensitivity and uneven pupils after
c c c c c c c c c
being struck in the eye with a baseball?: CNIII
c c c c c c c c c
11.Which of the following statements is true regarding risks and rapid
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recog- nition of suspected stroke? Select all that apply: Obesity doubles
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the risk of stroke even without associated glucose intolerance
c c c c c c c c c
Hypertension is the leading risk factor for both ischemic and c c c c c c c c c
hemorrhagic stroke
c c
12.The combination of both receptive and expressive aphasia is a
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character- istic of which type of speech disorder?: global aphasia
c c c c c c c c c c
13.The NP is assessing a 42-year-old female who presents to the clinic with
c c c c c c c c c c c c
recurring headaches. What is an effective question to ask the patient?: Do
c c c c c c c c c c c c
you have any aura prior to the headaches?
c c c c c c c c
14.A 55-year-old female presents to the clinic with a headache. During the
c c c c c c c c c c c
interview, which of the following symptoms should prompt the NP to be
c c c c c c c c c c c c
concerned and investigate further?: The patient reports fever, night
c c c c c c c c c
sweats, and thinks she lost weight.
c c c c c c
15.When grading muscle strength on a scale of 1 to 5, a grade of 3
c c c c c c c c c c c c c c
indicates which of the following?: Active movement against gravity
c c c c c c c c c
16.Which musculoskeletal disorder is paired correctly with the associated
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systemic manifestations?: Lyme disease and expanding erythematous
c c c c c c c
targetoid patch in early illness
c c c c c
17.A 62-year-old female has a diagnosis of rheumatoid arthritis (RA).
c c c c c c c c c
Which of the following are expected assessment findings consistent with
c c c c c c c c c c
the diag- nosis?: Swelling of the synovial tissue in joints and tendon
c c c c c c c c c c c c
sheaths.
c
18.A 58-year-old male complains of pain in his knees, hips, hands, wrists,
c c c c c c c c c c c
neck, and lower back. Based on the joints involved, the NP suspects that
c c c c c c c c c c c c c
the patient most likely has which condition?: Osteoarthritis
c c c c c c c c
19.A 55-year-old male has a diagnosis of lumbar spinal stenosis. Which
c c c c c c c c c c
sign should the NP expect to find on examination that is most consistent
c c c c c c c c c c c c c
with the diagnosis?: Flexed forward posture with lower extremity
c c c c c c c c c
weakness
c
3 c/
1. A 35-year-old female with a history of migraines presents to the clinic
c c c c c c c c c c c
with worsening symptoms for the past few weeks. She reports waking up
c c c c c c c c c c c c
at night with headaches and nausea. Her only medication history is oral
c c c c c c c c c c c c
contraceptive pills (OCPs). Otherwise, she states she is healthy. Which of
c c c c c c c c c c c
the following actions if taken by the NP is the best next step?: Take a
c c c c c c c c c c c c c c c
further history and perform a very careful neurological exam
c c c c c c c c c
2. A grandmother is accompanying her 9-year-old granddaughter during a
c c c c c c c c
routine physical examination. She asks you privately if her granddaughter
c c c c c c c c c c
has started puberty yet. During the examination, the NP notes asymmetric
c c c c c c c c c c c
projection of the areola and nipple of the right chest to form a secondary
c c c c c c c c c c c c c c
mound above the level of the breast. The left breast is underdeveloped.
c c c c c c c c c c c c
These assessment findings are consistent with which Tanner Stage of
c c c c c c c c c c
develop- ment?: IV
c c c
3. Primary prevention is defined as which of the following?: Interventions
c c c c c c c c c
de- signed to prevent disease
c c c c c
4. Based on the U.S. Preventive Services Task Force (USPSTF)
c c c c c c c c
recommenda- tions, which of the following statements is true about
c c c c c c c c c c
screening for breast cancer in average-risk women?: Mammography is
c c c c c c c c c
recommended every 2 years for women aged 50-74 with insufficient
c c c c c c c c c c
evidence for screening women over the age of 75.
c c c c c c c c c
5. Which of the following statements is true regarding recommendations by
c c c c c c c c c
the eighth Joint National Committee (JNC8) for adults aged 60 and older?
c c c c c c c c c c c c
Select all that apply.: Target blood pressure should be </= 150/90 mmHg
c c c c c c c c c c c c
but notes that if treatment results in SBP <140 and is "well tolerated
c c c c c c c c c c c c c
and without adverse effects to health or quality of live, treatment does
c c c c c c c c c c c c
not need to be adjusted."
c c c c c
In those aged 80 or older, blood pressure targets of 140 to <150/70 to
c c c c c c c c c c c c c
c80 appear optimal for notable reductions in stroke, cardiovascular
c c c c c c c c
cevents, and all-cause mor- tality.
c c c c
6. Which of the following is a useful strategy when examining young
c c c c c c c c c c
cchildren between the ages of 1 and 4?: Have the parent facilitate the
c c c c c c c c c c c c
cexam (e.g., removing clothes, holding the child on lap).
c c c c c c c c
7. The NP is completing the review of systems on a 4-month-old female
c c c c c c c c c c c
cduring a routine encounter. Which statement from the parent may indicate a
c c c c c c c c c c c
ccardiac problem in the infant and require a more thorough subjective
c c c c c c c c c c
chistory?: "It often takes the baby more than 30 minutes to finish a
c c c c c c c c c c c c
1 c/
,bottle."
c
8. A 16-year-old male presents to the clinic with a history of a congenital
c c c c c c c c c c c c
right upper eyelid drooping as represented in this image. He has no
c c c c c c c c c c c c
complaints and denies injury or trauma. Which cranial nerve (CN) is involved
c c c c c c c c c c c c
in this condition?
c c c
2 c/
, Patient with eyelid drooping: CNIII
c c c c
9. Which cranial nerve (CN) innervates the muscles of the pharynx and
c c c c c c c c c c
pro- vides sensory fibers to portions of the tympanic membrane, auditory
c c c c c c c c c c c
canal, pharynx, and the posterior third of the tongue?: CN IX
c c c c c c c c c c c
10.The NP should suspect injury to which cranial nerve (CN) if a patient
c c c c c c c c c c c c
presents with complaints of photosensitivity and uneven pupils after
c c c c c c c c c
being struck in the eye with a baseball?: CNIII
c c c c c c c c c
11.Which of the following statements is true regarding risks and rapid
c c c c c c c c c c
recog- nition of suspected stroke? Select all that apply: Obesity doubles
c c c c c c c c c c c
the risk of stroke even without associated glucose intolerance
c c c c c c c c c
Hypertension is the leading risk factor for both ischemic and c c c c c c c c c
hemorrhagic stroke
c c
12.The combination of both receptive and expressive aphasia is a
c c c c c c c c c
character- istic of which type of speech disorder?: global aphasia
c c c c c c c c c c
13.The NP is assessing a 42-year-old female who presents to the clinic with
c c c c c c c c c c c c
recurring headaches. What is an effective question to ask the patient?: Do
c c c c c c c c c c c c
you have any aura prior to the headaches?
c c c c c c c c
14.A 55-year-old female presents to the clinic with a headache. During the
c c c c c c c c c c c
interview, which of the following symptoms should prompt the NP to be
c c c c c c c c c c c c
concerned and investigate further?: The patient reports fever, night
c c c c c c c c c
sweats, and thinks she lost weight.
c c c c c c
15.When grading muscle strength on a scale of 1 to 5, a grade of 3
c c c c c c c c c c c c c c
indicates which of the following?: Active movement against gravity
c c c c c c c c c
16.Which musculoskeletal disorder is paired correctly with the associated
c c c c c c c c
systemic manifestations?: Lyme disease and expanding erythematous
c c c c c c c
targetoid patch in early illness
c c c c c
17.A 62-year-old female has a diagnosis of rheumatoid arthritis (RA).
c c c c c c c c c
Which of the following are expected assessment findings consistent with
c c c c c c c c c c
the diag- nosis?: Swelling of the synovial tissue in joints and tendon
c c c c c c c c c c c c
sheaths.
c
18.A 58-year-old male complains of pain in his knees, hips, hands, wrists,
c c c c c c c c c c c
neck, and lower back. Based on the joints involved, the NP suspects that
c c c c c c c c c c c c c
the patient most likely has which condition?: Osteoarthritis
c c c c c c c c
19.A 55-year-old male has a diagnosis of lumbar spinal stenosis. Which
c c c c c c c c c c
sign should the NP expect to find on examination that is most consistent
c c c c c c c c c c c c c
with the diagnosis?: Flexed forward posture with lower extremity
c c c c c c c c c
weakness
c
3 c/
