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NR509 Final Exam

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NR509 Final Exam Study online at 1. 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 medication history is oral contraceptive pills (OCPs). Otherwise, she states she is healthy. Which of the following actions if taken by the NP is the best next step? Take a further history and per- form a very care- ful neurological exam 2. A grandmother is accompanying her 9-year-old grand- daughter

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November 17, 2024
Number of pages
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Written in
2024/2025
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NR509 Final Exam
Study online at https://quizlet.com/_bq5grw

1. Take a further A 35-year-old female with a history of migraines presents
history and per- to the clinic with worsening symptoms for the past few
form a very care- weeks. She reports waking up at night with headaches and
ful neurological nausea. Her only medication history is oral contraceptive
exam pills (OCPs). Otherwise, she states she is healthy. Which
of the following actions if taken by the NP is the best next
step?

2. IV A grandmother is accompanying her 9-year-old grand-
daughter during a routine physical examination. She asks
you privately if her granddaughter has started puberty
yet. During the examination, the NP notes asymmetric
projection of the areola and nipple of the right chest to form
a secondary mound above the level of the breast. The left
breast is underdeveloped. These assessment findings are
consistent with which Tanner Stage of development?

3. Interventions de- Primary prevention is defined as which of the following?
signed to prevent
disease

4. Mammography Based on the U.S. Preventive Services Task Force (USP-
is recommended STF) recommendations, which of the following statements
every 2 years for is true about screening for breast cancer in average-risk
women aged women?
50-74 with
insufficient
evidence for
screening
women over the
age of 75.

5. Target blood Which of the following statements is true regarding rec-
pressure should ommendations by the eighth Joint National Committee
be </= 150/90 (JNC8) for adults aged 60 and older? Select all that apply.
mmHg but notes
that if treat-
ment results in
SBP <140 and


, NR509 Final Exam
Study online at https://quizlet.com/_bq5grw
is "well tolerated
and without ad-
verse 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
optimal for no-
table reductions
in stroke, cardio-
vascular events,
and all-cause
mortality.

6. Have the par- Which of the following is a useful strategy when examining
ent facilitate the young children between the ages of 1 and 4?
exam (e.g., re-
moving clothes,
holding the child
on lap).

7. "It often takes the The NP is completing the review of systems on a
baby more than 4-month-old female during a routine encounter. Which
30 minutes to fin- statement from the parent may indicate a cardiac problem
ish a bottle." in the infant and require a more thorough subjective histo-
ry?

8. CNIII 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
condition?




, NR509 Final Exam
Study online at https://quizlet.com/_bq5grw


Patient with eyelid drooping

9. CN IX Which cranial nerve (CN) innervates the muscles of the
pharynx and provides sensory fibers to portions of the
tympanic membrane, auditory canal, pharynx, and the
posterior third of the tongue?

10. CNIII The NP should suspect injury to which cranial nerve (CN)
if a patient presents with complaints of photosensitivity
and uneven pupils after being struck in the eye with a
baseball?

11. Obesity doubles Which of the following statements is true regarding risks
the risk of stroke and rapid recognition of suspected stroke? Select all that
even without as- apply
sociated glucose
intolerance

Hypertension is
the leading risk
factor for both is-
chemic and hem-
orrhagic stroke

12. global aphasia The combination of both receptive and expressive aphasia
is a characteristic of which type of speech disorder?

13. Do you have any The NP is assessing a 42-year-old female who presents
aura prior to the to the clinic with recurring headaches. What is an effective
headaches? question to ask the patient?

14. The patient re- A 55-year-old female presents to the clinic with a
ports fever, night headache. During the interview, which of the following
sweats, and symptoms should prompt the NP to be concerned and
thinks she lost investigate further?
weight.

15. Active movement When grading muscle strength on a scale of 1 to 5, a grade
against gravity of 3 indicates which of the following?
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