Nr509 Final Exam 88 Questions And Answers 2024

NR509 Final Exam 88 QUESTIONS AND
ANSWERS 2024
1. A 35-year-old female with a history of migraines presents to the clinic with worsening symptoms for
f f f f f f f f f f f f f f f




f the past few weeks. She reports waking up at night withheadaches and nausea.Her onlymedication
f f f f f f f f f f f f f f f f




historyis oral contraceptive pills (OCPs). Otherwise, she states she is healthy.Which of the following
f f f f f f f f f f f f f f f f




f actions if taken by the NP is the best next step?
f f f f f f f f f f




..ANSWER>>> Take a further history and perform a very careful neurological exam f f f f f f f f f f f




2. A grandmother is accompanying her 9-year-old granddaughter during a routine physical
f f f f f f f f f f




f examination. She asks you privately if her granddaughter has started puberty yet. During the
f f f f f f f f f f f f f




f examination, the NP notes asymmetric projection of the areola and nipple of the right chest to form a
f f f f f f f f f f f f f f f f f




f secondary mound above the level of the breast.The left breast is underdeveloped.These assessment
f f f f f f f f f f f f f f




f findings are consistent with whichTanner Stage of develop- ment?
f f f f f f f f f




..ANSWER>>> iv F




3. Primary prevention is defined as which of the following?
f f f f f f f f




..ANSWER>>> Interventions de- signed to prevent disease f f f f f f




4. Based on the U.S. Preventive ServicesTask Force (USPSTF) recommenda- tions, which of the
f f f f f f f f f f f f f




f following statements is true about screening for breast cancer in average-risk women?
f f f f f f f f f f f




..ANSWER>>> Mammography is recommended every 2 years for women aged 50-74 with insufficient evidence
f f f f f f f f f f f f f




for screening women over the age of 75.
f f f f f f f f




5. Which of the following statements is true regarding recommendations by the eighth Joint National
f f f f f f f f f f f f f




f Committee (JNC8) for adults aged 60 and older? Selectallthatapply
f f f f f f f f f f f




..ANSWER>>> Targetbloodpressureshouldbe</=150/90mmHgbutnotes that if treatment results in SBP <140 f f f f f f f f f f f f f f f f




f and is "well tolerated and without adverse effects to health or quality of live, treatment does not need to be
f f f f f f f f f f f f f f f f f f f




f adjusted."

1 f/ f16

,In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear optimal for notable reductions in
f f f f f f f f f f f f f f f f f f f f




stroke, cardiovascular events, and all-cause mor- tality.
f f f f f f f




6. Which of the following is a useful strategy when examining young children between the ages of 1 and 4?
f f f f f f f f f f f f f f f f f f




..ANSWER>>> Have the parent facilitate the exam (e.g., removing clothes, holding the child on lap).
f f f f f f f f f f f f f f




7. The NP is completing the review of systems on a 4-month-old female during a routine encounter. Which
f f f f f f f f f f f f f f f f




f statement from the parent may indicate a cardiac problem in the infant and require a more thorough
f f f f f f f f f f f f f f f f




subjective history? ..ANSWER>>> "It often takes the baby more than 30 minutes to finish a bottle."
f f f f f f f f f f f f f f f




8. A 16-year-old male presents to the clinic with a history of a congenital right upper eyelid drooping as
f f f f f f f f f f f f f f f f f




f represented in this image. He has no complaints and denies injury or trauma.Which cranial nerve (CN) is
f f f f f f f f f f f f f f f f f




f involved in this f f




2 f/ f16

, condition?

Patient with eyelid drooping
f f f




..ANSWER>>> CNIII




9. Which cranial nerve (CN) innervates the muscles of the pharynx and pro- vides sensory fibers to
f f f f f f f f f f f f f f f




f portions of the tympanic membrane, auditory canal, pharynx, and the posterior third of the tongue?
f f f f f f f f f f f f f f f




..ANSWER>>> CN IX f




10. The NP should suspect injury to which cranial nerve (CN) if a patient presents with complaints of
f f f f f f f f f f f f f f f f




f photosensitivity and uneven pupils after being struck in the eye with a baseball? f f f f f f f f f f f f




..ANSWER>>> CNIII


11. Which of the following statements is true regarding risks and rapid recog- nition of suspected stroke?
f f f f f f f f f f f f f f f




f Select all that apply
f f f




..ANSWER>>> Obesity doubles the risk of stroke even without associated glucose intolerance
f f f f f f f f f f f




Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke
f f f f f f f f f f f




12. The combination of both receptive and expressive aphasia is a character- istic of which type of
f f f f f f f f f f f f f f f




f speech disorder? f




..ANSWER>>> global aphasia f f




13. The NP is assessing a 42-year-old female who presents to the clinic with recurring headaches.What
f f f f f f f f f f f f f f f




fis an effective question to ask the patient
f f f f f f f




..ANSWER>>>?Do you have any aura prior to the headaches? f f f f f f f f




14. A 55-year-old female presents to the clinic with a headache. During the interview, which of the
f f f f f f f f f f f f f f f




f following symptoms should prompt the NP to be concerned and investigate further?
f f f f f f f f f f f




..ANSWER>>> The patient reports fever, night sweats, and thinks she lost weight. f f f f f f f f f f




3 f/ f16