NR509 FINAL EXAM 88 QUESTIONS AND ANSWERS 2025
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1. A 35-year-old female with a history of migraines presents to the clinic with worsening symptoms for the past few
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w weeks. She reports waking up at night with headaches and nausea. Her only medication history is oral contraceptive
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w pills (OCPs). Otherwise, she states she is healthy. Which of the following actions if taken by the NP is the best next
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w step?
w answer>>>Take a further history and perform a very careful neurological exam
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2. A grandmother is accompanying her 9-year-old granddaughter during a routine physical examination. She asks
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w you privately if her granddaughter has started puberty yet. During the examination, the NP notes asymmetric
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w projection of the areola and nipple of the right chest to form a secondary mound above the level of the breast. The left
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breast is underdeveloped. These assessment findings are consistent with which Tanner Stage of develop- ment?
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ww answer>>> IV w
3. Primary prevention is defined as which of the following?
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ww answer>>> Interventions de- signed to prevent disease
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4. Based on the U.S. Preventive Services Task Force (USPSTF) recommenda- tions, which of the following statements
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w is true about screening for breast cancer in average-risk women?
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ww answer>>> Mammography is recommended every 2 years for women aged 50-74 with insufficient evidence for screening
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women over the age of 75.
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,5. Which of the following statements is true regarding recommendations by the eighth Joint National Committee
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w (JNC8) for adults aged 60 and older? Select all that apply.
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ww answer>>>Target blood pressure should be </= 150/90 mmHg but notes that if treatment results in SBP <140 and is "well
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tolerated and without adverse effects to health or quality of live, treatment does not need to be adjusted."
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In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear optimal for notable reductions in stroke,
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cardiovascular events, and all-cause mor- tality.
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6. Which of the following is a useful strategy when examining young children between the ages of 1 and 4?
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ww answer>>>Have the parent facilitate the exam (e.g., removing clothes, holding the child on lap).
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7. The NP is completing the review of systems on a 4-month-old female during a routine encounter. Which statement from
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w the parent may indicate a cardiac problem in the infant and require a more thorough subjective history?
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ww answer>>> "It often takes the baby more than 30 minutes to finish a bottle."
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8. A 16-year-old male presents to the clinic with a history of a congenital right upper eyelid drooping as represented in
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w this image. He has no complaints and denies injury or trauma. Which cranial nerve (CN) is involved in this
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, condition?
Patient with eyelid drooping
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w answer>>> CNIII w
9. Which cranial nerve (CN) innervates the muscles of the pharynx and pro- vides sensory fibers to portions of the
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w tympanic membrane, auditory canal, pharynx, and the posterior third of the tongue?
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w answer>>> CN IX w w
10. The NP should suspect injury to which cranial nerve (CN) if a patient presents with complaints of
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w photosensitivity and uneven pupils after being struck in the eye with a baseball?
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w answer>>> CNIII w
11. Which of the following statements is true regarding risks and rapid recog- nition of suspected stroke? Select all
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w that apply
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w answer>>>Obesity doubles the risk of stroke even without associated glucose intolerance
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Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke
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12. The combination of both receptive and expressive aphasia is a character- istic of which type of speech disorder?
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w
w answer>>> global aphasia
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13. The NP is assessing a 42-year-old female who presents to the clinic with recurring headaches. What is an
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w effective question to ask the patient?
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w answer>>>Do you have any aura prior to the headaches?
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1. A 35-year-old female with a history of migraines presents to the clinic with worsening symptoms for the past few
w w w w w w w w w w w w w w w w w w
w weeks. She reports waking up at night with headaches and nausea. Her only medication history is oral contraceptive
w w w w w w w w w w w w w w w w w
w pills (OCPs). Otherwise, she states she is healthy. Which of the following actions if taken by the NP is the best next
w w w w w w w w w w w w w w w w w w w w w
w step?
w answer>>>Take a further history and perform a very careful neurological exam
w w w w w w w w w w
2. A grandmother is accompanying her 9-year-old granddaughter during a routine physical examination. She asks
w w w w w w w w w w w w w
w you privately if her granddaughter has started puberty yet. During the examination, the NP notes asymmetric
w w w w w w w w w w w w w w w
w projection of the areola and nipple of the right chest to form a secondary mound above the level of the breast. The left
w w w w w w w w w w w w w w w w w w w w w w
breast is underdeveloped. These assessment findings are consistent with which Tanner Stage of develop- ment?
w w w w w w w w w w w w w w w
ww answer>>> IV w
3. Primary prevention is defined as which of the following?
w w w w w w w w
ww answer>>> Interventions de- signed to prevent disease
w w w w w w
4. Based on the U.S. Preventive Services Task Force (USPSTF) recommenda- tions, which of the following statements
w w w w w w w w w w w w w w w
w is true about screening for breast cancer in average-risk women?
w w w w w w w w w
ww answer>>> Mammography is recommended every 2 years for women aged 50-74 with insufficient evidence for screening
w w w w w w w w w w w w w w w
women over the age of 75.
w w w w w w
,5. Which of the following statements is true regarding recommendations by the eighth Joint National Committee
w w w w w w w w w w w w w w
w (JNC8) for adults aged 60 and older? Select all that apply.
w w w w w w w w w w
ww answer>>>Target blood pressure should be </= 150/90 mmHg but notes that if treatment results in SBP <140 and is "well
w w w w w w w w w w w w w w w w w w w
tolerated and without adverse effects to health or quality of live, treatment does not need to be adjusted."
w w w w w w w w w w w w w w w w w w
In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear optimal for notable reductions in stroke,
w w w w w w w w w w w w w w w w w w w w w
cardiovascular events, and all-cause mor- tality.
w w w w w w
6. Which of the following is a useful strategy when examining young children between the ages of 1 and 4?
w w w w w w w w w w w w w w w w w w
ww answer>>>Have the parent facilitate the exam (e.g., removing clothes, holding the child on lap).
w w w w w w w w w w w w w
7. The NP is completing the review of systems on a 4-month-old female during a routine encounter. Which statement from
w w w w w w w w w w w w w w w w w w
w the parent may indicate a cardiac problem in the infant and require a more thorough subjective history?
w w w w w w w w w w w w w w w w
ww answer>>> "It often takes the baby more than 30 minutes to finish a bottle."
w w w w w w w w w w w w w
8. A 16-year-old male presents to the clinic with a history of a congenital right upper eyelid drooping as represented in
w w w w w w w w w w w w w w w w w w w
w this image. He has no complaints and denies injury or trauma. Which cranial nerve (CN) is involved in this
w w w w w w w w w w w w w w w w w w
, condition?
Patient with eyelid drooping
w w w
w answer>>> CNIII w
9. Which cranial nerve (CN) innervates the muscles of the pharynx and pro- vides sensory fibers to portions of the
w w w w w w w w w w w w w w w w w w
w tympanic membrane, auditory canal, pharynx, and the posterior third of the tongue?
w w w w w w w w w w w
w answer>>> CN IX w w
10. The NP should suspect injury to which cranial nerve (CN) if a patient presents with complaints of
w w w w w w w w w w w w w w w w
w photosensitivity and uneven pupils after being struck in the eye with a baseball?
w w w w w w w w w w w w w
w answer>>> CNIII w
11. Which of the following statements is true regarding risks and rapid recog- nition of suspected stroke? Select all
w w w w w w w w w w w w w w w w w
w that apply
w w
w answer>>>Obesity doubles the risk of stroke even without associated glucose intolerance
w w w w w w w w w w
Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke
w w w w w w w w w w w
12. The combination of both receptive and expressive aphasia is a character- istic of which type of speech disorder?
w w w w w w w w w w w w w w w w w
w
w answer>>> global aphasia
w w
13. The NP is assessing a 42-year-old female who presents to the clinic with recurring headaches. What is an
w w w w w w w w w w w w w w w w w
w effective question to ask the patient?
w w w w w w
w answer>>>Do you have any aura prior to the headaches?
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