NR509 Final Exam Practice Test
A 6-year-old female presents to the clinic with sore throat. The point of care test for Group A
Streptococcal infection is positive. Which of the following indicates the expected
lymphadenopathy presentation in this case? - Correct Answers-Bilateral, tender, mobile
anterior cervical lymphadenopathy
Which of the following changes are expected in vision as part of the normal aging process? -
Correct Answers-Blurring of near vision
Identify the anatomical structure in this image between both of the examiner's hands and
fingertips. - Correct Answers-Cricoid cartilage
A 19-year-old African-American female presents to the clinic with moderate to severe right
lower quadrant abdominal pain for the last 2 days. She has been experiencing nausea and
vomiting but unsure if she has had fever. Which of the following is a possible differential
diagnosis? - Correct Answers-Appendicitis
A 15-day old infant girl is brought to the outpatient clinic by her mother on a Monday morning.
The mother is concerned about a rash that seems to have appeared suddenly after she and her
infant daughter spent the previous weekend in Florida visiting family. The time of year is August
and the house did not have air conditioning. The infant is afebrile, eating and drinking well, and
does not appear to be in distress. You note scattered vesicles on an erythematous base
involving the infant's face and trunk. Based on the history and physical examination findings,
what is the likely diagnosis? - Correct Answers-Erythema Toxicum
A 48-year-old high school librarian comes to your clinic, complaining of 1 week of heavy
discharge causing severe itching. She is not presently sexually active and has had no burning
with urination. The symptoms started several days after her last period. She just finished a
course of antibiotics for a sinus infection. Her past medical history consists of type 2 diabetes
and high blood pressure. She is widowed and has three children. She denies tobacco, alcohol,
or drug use. Her mother has high blood pressure and her father died of diabetes complications.
On examination you see a healthy appearing woman. Her blood pressure is 130/80 and her
pulse is 70. Her head, eyes, ears, nose, throat, cardiac, lung, and abdominal examinations are
unremarkable. Palpation of the inguinal lymph nodes is unremarkable. On visualization of the
vulva, a thick, white, curdy discharge is seen at the introitus. On speculum examination ther -
Correct Answers-Candida vaginitis
, A 32-year-old female presents with a complaint of a singular breast mass. The nurse
practitioner collects a thorough history and physical examination of the client's breast and
related systems. Based on the characteristics of a soft, round, mobile, and tender mass, as well
at the client's age, select the most likely cause of the breast mass. - Correct Answers-Cyst
A 16-year-old female presents with the complaint of acne as represented in this image. When
documenting the assessment findings, what is the morphology of the predominant skin lesions?
- Correct Answers-Papules and pustules
You are observing an infant born at 42-weeks gestation who is able to pull to a stand, uses
"mama" and "dada" specifically, and indicates his wants by vocalization and pointing. Where
would you place this child's developmental age? - Correct Answers-8 months
Which of the following vaccinations are safe during pregnancy? - Correct Answers-Hep B
A 50- year-old Caucasian male presents to the clinic with left leg pain that increases with rest
and a feeling of warmth in the calf area. During your physical examination, you note erythema
and increased warm involving the left posterior lower leg as well as a palpable cord. What
diagnosis do you suspect? - Correct Answers-Thrombophlebitis
Upon physical examination of an 11-month-old infant, you note the skin findings represented in
this image. What is your initial assessment? - Correct Answers-Atopic dermatitis
Jim is a 60-year-old man who presents with vomiting. He denies seeing any blood with emesis,
which has been occurring for 2 days. He does note a dark, granular substance resembling the
coffee left in the filter after brewing. What do you suspect? - Correct Answers-Bleeding from a
peptic ulcer
A 57-year-old maintenance worker comes to your office for evaluation of pain in his legs. He
has smoked two packs per day since the age of 16, but he is otherwise healthy. You are
concerned that he may have peripheral vascular disease. Which of the following is part of
common or concerning symptoms for the peripheral vascular system? - Correct Answers-
Intermittent claudication
You note a painful ulcerative lesion near the medial malleolus, with accompanying
hyperpigmentation. Which of the following etiologies is most likely? - Correct Answers-Venous
insufficiency
Which is the proper sequence of examination for the abdomen? - Correct Answers-Inspection,
auscultation, percussion, palpation
A 6-year-old female presents to the clinic with sore throat. The point of care test for Group A
Streptococcal infection is positive. Which of the following indicates the expected
lymphadenopathy presentation in this case? - Correct Answers-Bilateral, tender, mobile
anterior cervical lymphadenopathy
Which of the following changes are expected in vision as part of the normal aging process? -
Correct Answers-Blurring of near vision
Identify the anatomical structure in this image between both of the examiner's hands and
fingertips. - Correct Answers-Cricoid cartilage
A 19-year-old African-American female presents to the clinic with moderate to severe right
lower quadrant abdominal pain for the last 2 days. She has been experiencing nausea and
vomiting but unsure if she has had fever. Which of the following is a possible differential
diagnosis? - Correct Answers-Appendicitis
A 15-day old infant girl is brought to the outpatient clinic by her mother on a Monday morning.
The mother is concerned about a rash that seems to have appeared suddenly after she and her
infant daughter spent the previous weekend in Florida visiting family. The time of year is August
and the house did not have air conditioning. The infant is afebrile, eating and drinking well, and
does not appear to be in distress. You note scattered vesicles on an erythematous base
involving the infant's face and trunk. Based on the history and physical examination findings,
what is the likely diagnosis? - Correct Answers-Erythema Toxicum
A 48-year-old high school librarian comes to your clinic, complaining of 1 week of heavy
discharge causing severe itching. She is not presently sexually active and has had no burning
with urination. The symptoms started several days after her last period. She just finished a
course of antibiotics for a sinus infection. Her past medical history consists of type 2 diabetes
and high blood pressure. She is widowed and has three children. She denies tobacco, alcohol,
or drug use. Her mother has high blood pressure and her father died of diabetes complications.
On examination you see a healthy appearing woman. Her blood pressure is 130/80 and her
pulse is 70. Her head, eyes, ears, nose, throat, cardiac, lung, and abdominal examinations are
unremarkable. Palpation of the inguinal lymph nodes is unremarkable. On visualization of the
vulva, a thick, white, curdy discharge is seen at the introitus. On speculum examination ther -
Correct Answers-Candida vaginitis
, A 32-year-old female presents with a complaint of a singular breast mass. The nurse
practitioner collects a thorough history and physical examination of the client's breast and
related systems. Based on the characteristics of a soft, round, mobile, and tender mass, as well
at the client's age, select the most likely cause of the breast mass. - Correct Answers-Cyst
A 16-year-old female presents with the complaint of acne as represented in this image. When
documenting the assessment findings, what is the morphology of the predominant skin lesions?
- Correct Answers-Papules and pustules
You are observing an infant born at 42-weeks gestation who is able to pull to a stand, uses
"mama" and "dada" specifically, and indicates his wants by vocalization and pointing. Where
would you place this child's developmental age? - Correct Answers-8 months
Which of the following vaccinations are safe during pregnancy? - Correct Answers-Hep B
A 50- year-old Caucasian male presents to the clinic with left leg pain that increases with rest
and a feeling of warmth in the calf area. During your physical examination, you note erythema
and increased warm involving the left posterior lower leg as well as a palpable cord. What
diagnosis do you suspect? - Correct Answers-Thrombophlebitis
Upon physical examination of an 11-month-old infant, you note the skin findings represented in
this image. What is your initial assessment? - Correct Answers-Atopic dermatitis
Jim is a 60-year-old man who presents with vomiting. He denies seeing any blood with emesis,
which has been occurring for 2 days. He does note a dark, granular substance resembling the
coffee left in the filter after brewing. What do you suspect? - Correct Answers-Bleeding from a
peptic ulcer
A 57-year-old maintenance worker comes to your office for evaluation of pain in his legs. He
has smoked two packs per day since the age of 16, but he is otherwise healthy. You are
concerned that he may have peripheral vascular disease. Which of the following is part of
common or concerning symptoms for the peripheral vascular system? - Correct Answers-
Intermittent claudication
You note a painful ulcerative lesion near the medial malleolus, with accompanying
hyperpigmentation. Which of the following etiologies is most likely? - Correct Answers-Venous
insufficiency
Which is the proper sequence of examination for the abdomen? - Correct Answers-Inspection,
auscultation, percussion, palpation
