NR509 FINAL EXAM SAMPLE QUESTIONS AND ANSWERS 2025

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 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. 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 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 be screened for two more years, and focus on the reason for the visit. E-Honor her request, perform the screening today, and inform her that if the results are negative, she will no longer require screening 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 E-remote history of anal pruritus 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 th