NR 509 FINAL EXAM
QUESTIONS AND CORRECT
ANSWERS 2022 GRADED A+
BY EXPERTS
A c35-year-old cfemale cwith ca chistory cof cmigraines cpresents cto cthe cclinic
cwith cworsening csymptoms cfor cthe cpast cfew cweeks. cShe creports cwaking
cup cat cnight cwith cheadaches cand cnausea. cHer conly cmedication chistory cis
coral ccontraceptive cpills c(OCPs). cOtherwise, cshe cstates cshe cis chealthy.
cWhich cof cthe cfollowing cactions cif ctaken cby cthe cNP cis cthe cbest cnext cstep?
Take ca cfurther chistory cand cperform ca cvery ccareful cneurological cexam
A cgrandmother cis caccompanying cher c9-year-old cgranddaughter cduring ca
croutine cphysical cexamination. cShe casks cyou cprivately cif cher
cgranddaughter chas cstarted cpuberty cyet. cDuring cthe cexamination, cthe cNP
cnotes casymmetric cprojection cof cthe careola cand cnipple cof cthe cright cchest
cto cform ca csecondary cmound cabove cthe clevel cof cthe cbreast. cThe cleft
cbreast cis cunderdeveloped. cThese cassessment cfindings care cconsistent
cwith cwhich cTanner cStage cof cdevelopment?
IV
Primary cprevention cis cdefined cas cwhich cof cthe
following?
c cInterventions c designed to
c c prevent
disease
c
Based con cthe cU.S. cPreventive cServices cTask cForce c(USPSTF)
crecommendations, cwhich cof cthe cfollowing cstatements cis ctrue cabout
cscreening cfor cbreast ccancer cin caverage-risk cwomen?
Mammography cis crecommended cevery c2 cyears cfor cwomen caged c50-74
cwith c insufficient cevidence cfor cscreening cwomen cover cthe cage cof c75.
Which cof cthe cfollowing cstatements cis ctrue cregarding crecommendations cby
cthe ceighth cJoint cNational cCommittee c(JNC8) cfor cadults caged c60 cand
colder? cSelect call cthat capply.
,Target cblood cpressure cshould cbe c</= c150/90 cmmHg cbut cnotes cthat cif
ctreatment cresults cin cSBP c<140 cand cis c“well ctolerated cand cwithout
cadverse ceffects cto chealth cor cquality cof clive, ctreatment cdoes cnot cneed cto
cbe cadjusted.”
In cthose caged c80 cor colder, cblood cpressure ctargets cof c140 cto c<150/70 cto
c80 cappear coptimal cfor cnotable creductions cin cstroke, ccardiovascular
cevents, cand call-cause cmortality.
Which cof cthe cfollowing cis ca cuseful cstrategy cwhen cexamining cyoung
cchildren cbetween cthe cages cof c1 cand c4?
, Have cthe cparent cfacilitate cthe cexam c(e.g., cremoving cclothes, cholding cthe
cchild con clap).
The cNP cis ccompleting cthe creview cof csystems con ca c4-month-old cfemale
cduring ca c routine cencounter. cWhich cstatement cfrom cthe cparent cmay
cindicate ca ccardiac cproblem cin cthe cinfant cand crequire ca cmore cthorough
csubjective chistory?
“It coften ctakes cthe cbaby cmore cthan c30 cminutes cto cfinish ca cbottle.”
A c16-year-old cmale cpresents cto cthe cclinic cwith ca chistory cof ca ccongenital
cright cupper ceyelid cdrooping cas crepresented cin cthis cimage. cHe chas cno
ccomplaints cand cdenies cinjury cor ctrauma. cWhich ccranial cnerve c(CN) cis
cinvolved cin cthis ccondition?
Patient cwith ceyelid cdrooping
CNIII
c
Which ccranial cnerve c(CN) cinnervates cthe cmuscles cof cthe cpharynx cand
cprovides csensory cfibers cto cportions cof cthe ctympanic cmembrane, cauditory
ccanal, cpharynx, cand cthe cposterior cthird cof cthe ctongue?
CN cIX
The cNP cshould csuspect cinjury cto cwhich ccranial cnerve c(CN) cif ca cpatient
cpresents cwith ccomplaints cof cphotosensitivity cand cuneven cpupils cafter
cbeing cstruck cin cthe ceye cwith ca cbaseball?
CNIII
Which cof cthe cfollowing cstatements cis ctrue cregarding crisks cand crapid
crecognition cof csuspected cstroke? cSelect call cthat capply
Obesity cdoubles cthe crisk cof cstroke ceven cwithout cassociated cglucose
intolerance cHypertension cis cthe cleading crisk cfactor cfor cboth cischemic cand
c
hemorrhagic cstroke
c
The ccombination cof cboth creceptive cand cexpressive caphasia cis ca
ccharacteristic cof cwhich ctype cof cspeech cdisorder?
global c aphasia
The cNP cis cassessing ca c42-year-old cfemale cwho cpresents cto cthe cclinic cwith
crecurring cheadaches. cWhat cis can ceffective cquestion cto cask cthe cpatient?
Do cyou chave cany caura cprior cto cthe cheadaches?
A c55-year-old cfemale cpresents cto cthe cclinic cwith ca cheadache. cDuring cthe
cinterview, cwhich cof cthe cfollowing csymptoms cshould cprompt cthe cNP cto cbe
cconcerned cand cinvestigate cfurther?
QUESTIONS AND CORRECT
ANSWERS 2022 GRADED A+
BY EXPERTS
A c35-year-old cfemale cwith ca chistory cof cmigraines cpresents cto cthe cclinic
cwith cworsening csymptoms cfor cthe cpast cfew cweeks. cShe creports cwaking
cup cat cnight cwith cheadaches cand cnausea. cHer conly cmedication chistory cis
coral ccontraceptive cpills c(OCPs). cOtherwise, cshe cstates cshe cis chealthy.
cWhich cof cthe cfollowing cactions cif ctaken cby cthe cNP cis cthe cbest cnext cstep?
Take ca cfurther chistory cand cperform ca cvery ccareful cneurological cexam
A cgrandmother cis caccompanying cher c9-year-old cgranddaughter cduring ca
croutine cphysical cexamination. cShe casks cyou cprivately cif cher
cgranddaughter chas cstarted cpuberty cyet. cDuring cthe cexamination, cthe cNP
cnotes casymmetric cprojection cof cthe careola cand cnipple cof cthe cright cchest
cto cform ca csecondary cmound cabove cthe clevel cof cthe cbreast. cThe cleft
cbreast cis cunderdeveloped. cThese cassessment cfindings care cconsistent
cwith cwhich cTanner cStage cof cdevelopment?
IV
Primary cprevention cis cdefined cas cwhich cof cthe
following?
c cInterventions c designed to
c c prevent
disease
c
Based con cthe cU.S. cPreventive cServices cTask cForce c(USPSTF)
crecommendations, cwhich cof cthe cfollowing cstatements cis ctrue cabout
cscreening cfor cbreast ccancer cin caverage-risk cwomen?
Mammography cis crecommended cevery c2 cyears cfor cwomen caged c50-74
cwith c insufficient cevidence cfor cscreening cwomen cover cthe cage cof c75.
Which cof cthe cfollowing cstatements cis ctrue cregarding crecommendations cby
cthe ceighth cJoint cNational cCommittee c(JNC8) cfor cadults caged c60 cand
colder? cSelect call cthat capply.
,Target cblood cpressure cshould cbe c</= c150/90 cmmHg cbut cnotes cthat cif
ctreatment cresults cin cSBP c<140 cand cis c“well ctolerated cand cwithout
cadverse ceffects cto chealth cor cquality cof clive, ctreatment cdoes cnot cneed cto
cbe cadjusted.”
In cthose caged c80 cor colder, cblood cpressure ctargets cof c140 cto c<150/70 cto
c80 cappear coptimal cfor cnotable creductions cin cstroke, ccardiovascular
cevents, cand call-cause cmortality.
Which cof cthe cfollowing cis ca cuseful cstrategy cwhen cexamining cyoung
cchildren cbetween cthe cages cof c1 cand c4?
, Have cthe cparent cfacilitate cthe cexam c(e.g., cremoving cclothes, cholding cthe
cchild con clap).
The cNP cis ccompleting cthe creview cof csystems con ca c4-month-old cfemale
cduring ca c routine cencounter. cWhich cstatement cfrom cthe cparent cmay
cindicate ca ccardiac cproblem cin cthe cinfant cand crequire ca cmore cthorough
csubjective chistory?
“It coften ctakes cthe cbaby cmore cthan c30 cminutes cto cfinish ca cbottle.”
A c16-year-old cmale cpresents cto cthe cclinic cwith ca chistory cof ca ccongenital
cright cupper ceyelid cdrooping cas crepresented cin cthis cimage. cHe chas cno
ccomplaints cand cdenies cinjury cor ctrauma. cWhich ccranial cnerve c(CN) cis
cinvolved cin cthis ccondition?
Patient cwith ceyelid cdrooping
CNIII
c
Which ccranial cnerve c(CN) cinnervates cthe cmuscles cof cthe cpharynx cand
cprovides csensory cfibers cto cportions cof cthe ctympanic cmembrane, cauditory
ccanal, cpharynx, cand cthe cposterior cthird cof cthe ctongue?
CN cIX
The cNP cshould csuspect cinjury cto cwhich ccranial cnerve c(CN) cif ca cpatient
cpresents cwith ccomplaints cof cphotosensitivity cand cuneven cpupils cafter
cbeing cstruck cin cthe ceye cwith ca cbaseball?
CNIII
Which cof cthe cfollowing cstatements cis ctrue cregarding crisks cand crapid
crecognition cof csuspected cstroke? cSelect call cthat capply
Obesity cdoubles cthe crisk cof cstroke ceven cwithout cassociated cglucose
intolerance cHypertension cis cthe cleading crisk cfactor cfor cboth cischemic cand
c
hemorrhagic cstroke
c
The ccombination cof cboth creceptive cand cexpressive caphasia cis ca
ccharacteristic cof cwhich ctype cof cspeech cdisorder?
global c aphasia
The cNP cis cassessing ca c42-year-old cfemale cwho cpresents cto cthe cclinic cwith
crecurring cheadaches. cWhat cis can ceffective cquestion cto cask cthe cpatient?
Do cyou chave cany caura cprior cto cthe cheadaches?
A c55-year-old cfemale cpresents cto cthe cclinic cwith ca cheadache. cDuring cthe
cinterview, cwhich cof cthe cfollowing csymptoms cshould cprompt cthe cNP cto cbe
cconcerned cand cinvestigate cfurther?
