NR509 FINAL EXAM 2025/2025
(ACTUAL QUESTIONS AND
VERIFIED ANSWERS) RATED A+
A 35-year-old female with a history of migraines presents to the clinic with
worsening symptoms for the past few weeks. She reports waking up at night
with headaches and nausea. Her only medica=on history is oral contracep=ve
pills (ocps). Otherwise, she states she is healthy. Which of the following ac=ons
if taken by the NP is the best next step?
Take a further history and perform a very careful neurological exam
A grandmother is accompanying her 9-year-old granddaughter during a rou=ne
physical examina=on. She asks you privately if her granddaughter has started
puberty yet. During the examina=on, the NP notes asymmetric projec=on of
the areola and nipple of the right chest to form a secondary mound above the
level of the breast. The leM breast is underdeveloped. These assessment
findings are consistent with which Tanner Stage of development?
IV
Primary preven=on is defined as which of the following?
Interven=ons designed to prevent disease
Based on the U.S. Preven=ve Services Task Force (USPSTF) recommenda=ons,
which of the following statements is true about screening for breast cancer in
average-risk women?
,Mammography is recommended every 2 years for women aged 50-74 with
insufficient evidence for screening women over the age of 75.
Which of the following statements is true regarding recommenda=ons by the
eighth Joint Na=onal Commi\ee (JNC8) for adults aged 60 and older? Select all
that apply.
Target blood pressure should be </= 150/90 mmhg but notes that if treatment
results in SBP <140 and is "well tolerated and without adverse effects to health
or quality of live, treatment does not need to be adjusted."
In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80
appear op=mal for notable reduc=ons in stroke, cardiovascular events, and all-
cause mortality.
Which of the following is a useful strategy when examining young children
between the ages of 1 and 4?
Have the parent facilitate the exam (e.g., removing clothes, holding the child on
lap).
The NP is comple=ng the review of systems on a 4-month-old female during a
rou=ne encounter. Which statement from the parent may indicate a cardiac
problem in the infant and require a more thorough subjec=ve history?
"It oMen takes the baby more than 30 minutes to finish a bo\le."
A 16-year-old male presents to the clinic with a history of a congenital right
upper eyelid drooping as represented in this image. He has no complaints and
denies injury or trauma. Which cranial nerve (CN) is involved in this condi=on?
Pa=ent with eyelid drooping
, CNIII
Which cranial nerve (CN) innervates the muscles of the pharynx and provides
sensory fibers to por=ons of the tympanic membrane, auditory canal, pharynx,
and the posterior third of the tongue?
CN IX
The NP should suspect injury to which cranial nerve (CN) if a pa=ent presents
with complaints of photosensi=vity and uneven pupils aMer being struck in the
eye with a baseball?
CNIII
Which of the following statements is true regarding risks and rapid recogni=on
of suspected stroke? Select all that apply
Obesity doubles the risk of stroke even without associated glucose intolerance
Hypertension is the leading risk factor for both ischemic and hemorrhagic
stroke
The combina=on of both recep=ve and expressive aphasia is a characteris=c of
which type of speech disorder?
Global aphasia
The NP is assessing a 42-year-old female who presents to the clinic with
recurring headaches. What is an effec=ve ques=on to ask the pa=ent?
Do you have any aura prior to the headaches?
A 55-year-old female presents to the clinic with a headache. During the
interview, which of the following symptoms should prompt the NP to be
concerned and inves=gate further?
The pa=ent reports fever, night sweats, and thinks she lost weight.
(ACTUAL QUESTIONS AND
VERIFIED ANSWERS) RATED A+
A 35-year-old female with a history of migraines presents to the clinic with
worsening symptoms for the past few weeks. She reports waking up at night
with headaches and nausea. Her only medica=on history is oral contracep=ve
pills (ocps). Otherwise, she states she is healthy. Which of the following ac=ons
if taken by the NP is the best next step?
Take a further history and perform a very careful neurological exam
A grandmother is accompanying her 9-year-old granddaughter during a rou=ne
physical examina=on. She asks you privately if her granddaughter has started
puberty yet. During the examina=on, the NP notes asymmetric projec=on of
the areola and nipple of the right chest to form a secondary mound above the
level of the breast. The leM breast is underdeveloped. These assessment
findings are consistent with which Tanner Stage of development?
IV
Primary preven=on is defined as which of the following?
Interven=ons designed to prevent disease
Based on the U.S. Preven=ve Services Task Force (USPSTF) recommenda=ons,
which of the following statements is true about screening for breast cancer in
average-risk women?
,Mammography is recommended every 2 years for women aged 50-74 with
insufficient evidence for screening women over the age of 75.
Which of the following statements is true regarding recommenda=ons by the
eighth Joint Na=onal Commi\ee (JNC8) for adults aged 60 and older? Select all
that apply.
Target blood pressure should be </= 150/90 mmhg but notes that if treatment
results in SBP <140 and is "well tolerated and without adverse effects to health
or quality of live, treatment does not need to be adjusted."
In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80
appear op=mal for notable reduc=ons in stroke, cardiovascular events, and all-
cause mortality.
Which of the following is a useful strategy when examining young children
between the ages of 1 and 4?
Have the parent facilitate the exam (e.g., removing clothes, holding the child on
lap).
The NP is comple=ng the review of systems on a 4-month-old female during a
rou=ne encounter. Which statement from the parent may indicate a cardiac
problem in the infant and require a more thorough subjec=ve history?
"It oMen takes the baby more than 30 minutes to finish a bo\le."
A 16-year-old male presents to the clinic with a history of a congenital right
upper eyelid drooping as represented in this image. He has no complaints and
denies injury or trauma. Which cranial nerve (CN) is involved in this condi=on?
Pa=ent with eyelid drooping
, CNIII
Which cranial nerve (CN) innervates the muscles of the pharynx and provides
sensory fibers to por=ons of the tympanic membrane, auditory canal, pharynx,
and the posterior third of the tongue?
CN IX
The NP should suspect injury to which cranial nerve (CN) if a pa=ent presents
with complaints of photosensi=vity and uneven pupils aMer being struck in the
eye with a baseball?
CNIII
Which of the following statements is true regarding risks and rapid recogni=on
of suspected stroke? Select all that apply
Obesity doubles the risk of stroke even without associated glucose intolerance
Hypertension is the leading risk factor for both ischemic and hemorrhagic
stroke
The combina=on of both recep=ve and expressive aphasia is a characteris=c of
which type of speech disorder?
Global aphasia
The NP is assessing a 42-year-old female who presents to the clinic with
recurring headaches. What is an effec=ve ques=on to ask the pa=ent?
Do you have any aura prior to the headaches?
A 55-year-old female presents to the clinic with a headache. During the
interview, which of the following symptoms should prompt the NP to be
concerned and inves=gate further?
The pa=ent reports fever, night sweats, and thinks she lost weight.
