NR509 FINAL EXAM SAMPLE
QUESTIONS and 89 correct solutions.
NR509 FINAL EXAM SAMPLE
QUESTIONS and 89 correct solutions.
A 31-year-old female presents to the clinic with a worsening stiff, painful neck. On inspection, the
patients head is laterally deviated toward the shoulder and rotated. Given this specific physical
assessment finding, what condition should the NP suspect as a differential diagnosis?
A-torticollis
B-ankylosing spondylitis
C-osteoarthritis (OA)
D-spondylolisthesis
E-thoracic kyphosis - ANSWER A
Torticollis
A 62-year-old female has a diagnosis of rheumatoid arthritis (RA). Which of the following are expected
assessment findings consistent with the diagnosis?
A-Swelling of the synovial tissue in joints and tendon sheaths
B-The first metatarsophalangeal joint is frequently involved.
C-Asymmetrical joint distribution.
D-Tophi present in the subcutaneous tissue
E-Stiffness follows joint activity. - ANSWER A
Swelling of the synovial tissue in joints and tendon sheaths
A 66-year-old female presents to the office for a focused visit to discuss hypertension management
strategies. During the interview, the patient asks the MP if she could be screened today for cervical
cancer/HPV. Review of her medical record reveals she was screened at ages 57, 60, and 63, with no
,NR509 FINAL EXAM SAMPLE
QUESTIONS and 89 correct solutions.
abnormal findings, and no history of cancer. What is the best action the NP should take regarding the
patients request for screening?
A-Deny her request, inform her that she is past due for cervical cancer/HPV screening, and
schedule another visit in 6 months.
B-Honor her request, perform the screening today, and reschedule the appointment to discuss
hypertension management strategies.
C-Deny her request, inform the patient that she has had three negative screenings in the last 10 years
and no longer requires screening, and focus on the reason
for the visit.
D-Deny her request, inform the patient she is not due to - ANSWER C
Deny her request, inform the patient that she has had three negative screenings in the last 10 years
and no longer requires screening, and focus on the reason
for the visit.
A 45-year-old female presents to the primary care clinic. She complains of recently experiencing a
change in the patterns of her bowel movements. Her PMH is significant for bleeding ulcers as well as
Crohns disease. Her family medical history includes a maternal aunt who died of colon cancer at age 49
years. Which of the following historical elements would be most concerning for colon cancer in this
patient?
A-recent onset of small-caliber stools
B-new-onset anal fissures
C-recent history of black, tarry stools
D-long-term history of hemorrhoids
,NR509 FINAL EXAM SAMPLE
QUESTIONS and 89 correct solutions.
E-remote history of anal pruritus - ANSWER A
recent onset of small-caliber stools
Which of the following physical assessment finding is most suggestive of peritonitis secondary to a
ruptured appendix?
A pain with internal rotation of the right hip
B abdominal pain that increases with hip flexion
C localized pain over McBurney point, which lies 2 inches from the anterior superior iliac spinous process
on a line drawn from the umbilicus
D pressing down onto the abdomen firmly and quickly withdraws the hand produces pain
E voluntary contraction of the abdominal wall that persists over several examinations - ANSWER D
pressing down onto the abdomen firmly and quickly withdraws the hand produces pain
A-21year -old female presents for her first annual exam. She reports concern because her female
partner was recently diagnosed with condyloma acuminata and wonders if she could also be infected. If
true what physical assessment findings would the NP expect to find during the speculum examination
A several shallow ulcers with a red base
B translucent nodules
C bright red, soft lesions arising from the cervical canal
D small red granular spots or petechiae on the cervix
, NR509 FINAL EXAM SAMPLE
QUESTIONS and 89 correct solutions.
E - raised friable or lobed lesions - ANSWER E
raised friable or lobed lesions
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 (OPs). Otherwise, she states she is
healthy. Which of the following actions if taken by the NP is the best next step?
A Reassure her that this is a common pattern with migraines
B Evaluate her for possible sinus infection.
C Order studies to evaluate potential transient ischemic attacks (TIAs) because she is on OCPs.
D Take a further history and perform a very careful neurological examination.
E Prescribe a strong medication for her migraines. - ANSWER D
Take a further history and perform a very careful neurological examination.
The NP is observing a full-term infant male. He can pull to a stand, use "mama" or "dada" specifically,
and indicates his wants by vocalization and pointing. Based on your
observations, determine his developmental age
A 12 months
B 4 months
C 8 months
QUESTIONS and 89 correct solutions.
NR509 FINAL EXAM SAMPLE
QUESTIONS and 89 correct solutions.
A 31-year-old female presents to the clinic with a worsening stiff, painful neck. On inspection, the
patients head is laterally deviated toward the shoulder and rotated. Given this specific physical
assessment finding, what condition should the NP suspect as a differential diagnosis?
A-torticollis
B-ankylosing spondylitis
C-osteoarthritis (OA)
D-spondylolisthesis
E-thoracic kyphosis - ANSWER A
Torticollis
A 62-year-old female has a diagnosis of rheumatoid arthritis (RA). Which of the following are expected
assessment findings consistent with the diagnosis?
A-Swelling of the synovial tissue in joints and tendon sheaths
B-The first metatarsophalangeal joint is frequently involved.
C-Asymmetrical joint distribution.
D-Tophi present in the subcutaneous tissue
E-Stiffness follows joint activity. - ANSWER A
Swelling of the synovial tissue in joints and tendon sheaths
A 66-year-old female presents to the office for a focused visit to discuss hypertension management
strategies. During the interview, the patient asks the MP if she could be screened today for cervical
cancer/HPV. Review of her medical record reveals she was screened at ages 57, 60, and 63, with no
,NR509 FINAL EXAM SAMPLE
QUESTIONS and 89 correct solutions.
abnormal findings, and no history of cancer. What is the best action the NP should take regarding the
patients request for screening?
A-Deny her request, inform her that she is past due for cervical cancer/HPV screening, and
schedule another visit in 6 months.
B-Honor her request, perform the screening today, and reschedule the appointment to discuss
hypertension management strategies.
C-Deny her request, inform the patient that she has had three negative screenings in the last 10 years
and no longer requires screening, and focus on the reason
for the visit.
D-Deny her request, inform the patient she is not due to - ANSWER C
Deny her request, inform the patient that she has had three negative screenings in the last 10 years
and no longer requires screening, and focus on the reason
for the visit.
A 45-year-old female presents to the primary care clinic. She complains of recently experiencing a
change in the patterns of her bowel movements. Her PMH is significant for bleeding ulcers as well as
Crohns disease. Her family medical history includes a maternal aunt who died of colon cancer at age 49
years. Which of the following historical elements would be most concerning for colon cancer in this
patient?
A-recent onset of small-caliber stools
B-new-onset anal fissures
C-recent history of black, tarry stools
D-long-term history of hemorrhoids
,NR509 FINAL EXAM SAMPLE
QUESTIONS and 89 correct solutions.
E-remote history of anal pruritus - ANSWER A
recent onset of small-caliber stools
Which of the following physical assessment finding is most suggestive of peritonitis secondary to a
ruptured appendix?
A pain with internal rotation of the right hip
B abdominal pain that increases with hip flexion
C localized pain over McBurney point, which lies 2 inches from the anterior superior iliac spinous process
on a line drawn from the umbilicus
D pressing down onto the abdomen firmly and quickly withdraws the hand produces pain
E voluntary contraction of the abdominal wall that persists over several examinations - ANSWER D
pressing down onto the abdomen firmly and quickly withdraws the hand produces pain
A-21year -old female presents for her first annual exam. She reports concern because her female
partner was recently diagnosed with condyloma acuminata and wonders if she could also be infected. If
true what physical assessment findings would the NP expect to find during the speculum examination
A several shallow ulcers with a red base
B translucent nodules
C bright red, soft lesions arising from the cervical canal
D small red granular spots or petechiae on the cervix
, NR509 FINAL EXAM SAMPLE
QUESTIONS and 89 correct solutions.
E - raised friable or lobed lesions - ANSWER E
raised friable or lobed lesions
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 (OPs). Otherwise, she states she is
healthy. Which of the following actions if taken by the NP is the best next step?
A Reassure her that this is a common pattern with migraines
B Evaluate her for possible sinus infection.
C Order studies to evaluate potential transient ischemic attacks (TIAs) because she is on OCPs.
D Take a further history and perform a very careful neurological examination.
E Prescribe a strong medication for her migraines. - ANSWER D
Take a further history and perform a very careful neurological examination.
The NP is observing a full-term infant male. He can pull to a stand, use "mama" or "dada" specifically,
and indicates his wants by vocalization and pointing. Based on your
observations, determine his developmental age
A 12 months
B 4 months
C 8 months
