Nr509 Final Exam 88 Questions And Answers 2024

NR509 Final Exam 88 QUESTIONS AND f f f f f




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1. A 35-year-old female with a history of migraines presents to the clinic with worsening symptoms
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ff for the past few weeks. She reports waking up at night withheadaches and nausea.Her only medication
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history is oral contraceptive pills (OCPs). Otherwise, she states she is healthy.Which of the following
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ff actions if taken by the NP is the best next step?
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..ANSWER>>> Take a further history and perform a very careful neurological exam ff ff ff ff ff ff ff ff ff ff ff




2. A grandmother is accompanying her 9-year-old granddaughter during a routine physical
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ff examination. She asks you privately if her granddaughter has started puberty yet. During the
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ff examination, the NP notes asymmetric projection of the areola and nipple of the right chest to form
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ff a secondary mound above the level of the breast.The left breast is underdeveloped.These assessment
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ff findings are consistent with whichTanner Stage of develop- ment?
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..ANSWER>>> iv f fF




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




..ANSWER>>> Interventions de- signed to prevent disease fff ff ff ff ff ff




4. Based on the U.S. Preventive ServicesTask Force (USPSTF) recommenda- tions, which of the
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ff following statements is true about screening for breast cancer in average-risk women?
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f ..ANSWER>>> Mammography is recommended every 2 years for women aged 50-74 with insufficient
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evidence for screening 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
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ff Committee (JNC8) for adults aged 60 and older? Selectall that apply
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..ANSWER>>> Targetbloodpressureshouldbe</=150/90mmHgbutnotes that if treatment results in SBP <140
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ff and is "well tolerated and without adverse effects to health or quality of live, treatment does not need to be
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ff 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
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stroke, 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
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4? ..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
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ff statement from the parent may indicate a cardiac problem in the infant and require a more thorough
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subjective history? ..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
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ff represented in this image. He has no complaints and denies injury or trauma.Which cranial nerve
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ff (CN) is involved in this
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, condition?

Patient with eyelid drooping
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..ANSWER>>> CNIII f




9. Which cranial nerve (CN) innervates the muscles of the pharynx and pro- vides sensory fibers to
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ff portions of the tympanic membrane, auditory canal, pharynx, and the posterior third of the tongue?
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..ANSWER>>> CN IX f ff




10. The NP should suspect injury to which cranial nerve (CN) if a patient presents with complaints
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ff of photosensitivity and uneven pupils after being struck in the eye with a baseball?
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f ..ANSWER>>> CNIII f




11. Which of the following statements is true regarding risks and rapid recog- nition of suspected
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ff stroke? Select all that apply
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..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
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ff speech disorder? ff




f ..ANSWER>>> global aphasia ff ff




13. The NP is assessing a 42-year-old female who presents to the clinic with recurring
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fheadaches.What is an effective question to ask the patient
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..ANSWER>>>?Do you have any aura prior to the headaches? f ff ff ff ff ff ff ff




14. A 55-year-old female presents to the clinic with a headache. During the interview, which of the
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ff following symptoms should prompt the NP to be concerned and investigate further?
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f ..ANSWER>>> The patient reports fever, night sweats, and thinks she lost weight.
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