NR509 Final Exam
Study online at https://quizlet.com/_bq5grw
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
perform a very careful neurological exam
2. A grandmother is accompanying her 9-year-old granddaughter 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 develop-
ment?: IV
3. Primary prevention is defined as which of the following?: Interventions de-
signed to prevent disease
4. Based on the U.S. Preventive Services Task Force (USPSTF) recommenda-
tions, 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.
5. Which of the following statements is true regarding recommendations by
the eighth Joint National Committee (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
optimal for notable reductions in stroke, cardiovascular events, and all-cause mor-
tality.
6. 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).
7. The NP is completing the review of systems on a 4-month-old female during
a routine encounter. Which statement from the parent may indicate a cardiac
problem in the infant and require a more thorough subjective history?: "It often
takes the baby more than 30 minutes to finish a bottle."
8. 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
, NR509 Final Exam
Study online at https://quizlet.com/_bq5grw
condition?
Patient with eyelid drooping: CNIII
9. Which cranial nerve (CN) innervates the muscles of the pharynx and pro-
vides sensory fibers to portions of the tympanic membrane, auditory canal,
pharynx, and the posterior third of the tongue?: CN IX
10. 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?: CNIII
11. Which of the following statements is true regarding risks and rapid recog-
nition 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
12. The combination of both receptive and expressive aphasia is a character-
istic of which type of speech disorder?: global aphasia
13. The NP is assessing a 42-year-old female who presents to the clinic with
recurring headaches. What is an effective question to ask the patient?: Do you
have any aura prior to the headaches?
14. 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 investigate further?: The patient reports fever, night sweats, and
thinks she lost weight.
15. When grading muscle strength on a scale of 1 to 5, a grade of 3 indicates
which of the following?: Active movement against gravity
16. Which musculoskeletal disorder is paired correctly with the associated
systemic manifestations?: Lyme disease and expanding erythematous targetoid
patch in early illness
17. A 62-year-old female has a diagnosis of rheumatoid arthritis (RA). Which
of the following are expected assessment findings consistent with the diag-
nosis?: Swelling of the synovial tissue in joints and tendon sheaths.
18. A 58-year-old male complains of pain in his knees, hips, hands, wrists,
neck, and lower back. Based on the joints involved, the NP suspects that the
patient most likely has which condition?: Osteoarthritis
19. A 55-year-old male has a diagnosis of lumbar spinal stenosis. Which sign
should the NP expect to find on examination that is most consistent with the
diagnosis?: Flexed forward posture with lower extremity weakness
20. What is the action(s) of the erector spinae muscle group?: Extension of the
spine
Study online at https://quizlet.com/_bq5grw
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
perform a very careful neurological exam
2. A grandmother is accompanying her 9-year-old granddaughter 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 develop-
ment?: IV
3. Primary prevention is defined as which of the following?: Interventions de-
signed to prevent disease
4. Based on the U.S. Preventive Services Task Force (USPSTF) recommenda-
tions, 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.
5. Which of the following statements is true regarding recommendations by
the eighth Joint National Committee (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
optimal for notable reductions in stroke, cardiovascular events, and all-cause mor-
tality.
6. 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).
7. The NP is completing the review of systems on a 4-month-old female during
a routine encounter. Which statement from the parent may indicate a cardiac
problem in the infant and require a more thorough subjective history?: "It often
takes the baby more than 30 minutes to finish a bottle."
8. 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
, NR509 Final Exam
Study online at https://quizlet.com/_bq5grw
condition?
Patient with eyelid drooping: CNIII
9. Which cranial nerve (CN) innervates the muscles of the pharynx and pro-
vides sensory fibers to portions of the tympanic membrane, auditory canal,
pharynx, and the posterior third of the tongue?: CN IX
10. 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?: CNIII
11. Which of the following statements is true regarding risks and rapid recog-
nition 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
12. The combination of both receptive and expressive aphasia is a character-
istic of which type of speech disorder?: global aphasia
13. The NP is assessing a 42-year-old female who presents to the clinic with
recurring headaches. What is an effective question to ask the patient?: Do you
have any aura prior to the headaches?
14. 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 investigate further?: The patient reports fever, night sweats, and
thinks she lost weight.
15. When grading muscle strength on a scale of 1 to 5, a grade of 3 indicates
which of the following?: Active movement against gravity
16. Which musculoskeletal disorder is paired correctly with the associated
systemic manifestations?: Lyme disease and expanding erythematous targetoid
patch in early illness
17. A 62-year-old female has a diagnosis of rheumatoid arthritis (RA). Which
of the following are expected assessment findings consistent with the diag-
nosis?: Swelling of the synovial tissue in joints and tendon sheaths.
18. A 58-year-old male complains of pain in his knees, hips, hands, wrists,
neck, and lower back. Based on the joints involved, the NP suspects that the
patient most likely has which condition?: Osteoarthritis
19. A 55-year-old male has a diagnosis of lumbar spinal stenosis. Which sign
should the NP expect to find on examination that is most consistent with the
diagnosis?: Flexed forward posture with lower extremity weakness
20. What is the action(s) of the erector spinae muscle group?: Extension of the
spine
