NR509 FINAL EXAM 88 QUESTIONS AND ANSWERS 2024/2025 UPDATE|| GUARANTEED PASS.

https://www.stuvia.com/user/17dollars t




NR509 FINAL EXAM 88 QUESTIONS AND t t t t t




t ANSWERS 2024/2025 UPDATE|| GUARANTEED t t t




PASS. t




1.A 35-year-old female with a history of migraines presents to the clinic with
t t t t t t t t t t t t




worsening symptoms for the past few weeks. She reports waking up at night
t t t t t t t t t t t t t




with headaches and nausea. Her only medication history is oral contraceptive
t t t t t t t t t t t




pills (OCPs). Otherwise, she states she is healthy. Which of the following
t t t t t t t t t t t t




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




ANS: Take a further history and perform a very careful neurological exam
t t t t t t t t t t t




2.A grandmother is accompanying her 9-year-old granddaughter during a
t t t t t t t t




routine physical examination. She asks you privately if her granddaughter has
t t t t t t t t t t t




started puberty yet. During the examination, the NP notes asymmetric
t t t t t t t t t t




projection of the areola and nipple of the right chest to form a secondary mound
t t t t t t t t t t t t t t t




above the level of the breast. The left breast is underdeveloped. These
t t t t t t t t t t t t




assessment findings are consistent with which Tanner Stage of develop- ment?
t t t t t t t t t t t




t ANS: IV t




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




ANS: Interventions de- signed to prevent disease
t t t t t t




4.Based on the U.S. Preventive Services Task Force (USPSTF) recommenda-
t t t t t t t t t




tions, which of the following statements is true about screening for breast
t t t t t t t t t t t t




cancer in average-risk women?
t t t t




t ANS: Mammography is recommended every 2 years for women aged 50-74
t t t t t t t t t t




t with insufficient evidence for screening women over the age of 75.
t t t t t t t t t t




5.Which of the following statements is true regarding recommendations by the
t t t t t t t t t t




eighth Joint National Committee (JNC8) for adults aged 60 and older? Select all
t t t t t t t t t t t t t



t t

,https://www.stuvia.com/user/17dollars t




t that apply. t




t ANS: Target blood pressure should be </= 150/90 mmHg but notes that if
t t t t t t t t t t t t




t treatment results in SBP <140 and is "well tolerated and without adverse t t t t t t t t t t t




t effects to health or quality of live, treatment does not need to be adjusted."
t t t t t t t t t t t t t




In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80
t t t t t t t t t t t t t t




appear optimal for notable reductions in stroke, cardiovascular events, and
t t t t t t t t t t




all-cause mor- tality.
t t t




6.Which of the following is a useful strategy when examining young children
t t t t t t t t t t t




between the ages of 1 and 4?
t t t t t t t t




ANS: Have the parent facilitate the exam (e.g., removing clothes, holding
t t t t t t t t t t




the child on lap).
t t t t




7.The NP is completing the review of systems on a 4-month-old female during a
t t t t t t t t t t t t t




routine encounter. Which statement from the parent may indicate a cardiac
t t t t t t t t t t t




problem in the infant and require a more thorough subjective history?
t t t t t t t t t t t t




ANS: "It often takes the baby more than 30 minutes to finish a bottle."
t t t t t t t t t t t t t




8.A 16-year-old male presents to the clinic with a history of a congenital right
t t t t t t t t t t t t t




upper eyelid drooping as represented in this image. He has no complaints and
t t t t t t t t t t t t t




denies injury or trauma. Which cranial nerve (CN) is involved in this
t t t t t t t t t t t t




https://www.stuvia.com/user/17dollars




t t

,https://www.stuvia.com/user/17dollars t




condition?
Patient with eyelid drooping t t t t




ANS: CNIII t




9.Which cranial nerve (CN) innervates the muscles of the pharynx and pro-
t t t t t t t t t t t




vides sensory fibers to portions of the tympanic membrane, auditory canal,
t t t t t t t t t t t




pharynx, and the posterior third of the tongue?
t t t t t t t t




t ANS: CN IX t t




10.The NP should suspect injury to which cranial nerve (CN) if a patient
t t t t t t t t t t t t




presents with complaints of photosensitivity and uneven pupils after being
t t t t t t t t t t




struck in the eye with a baseball?
t t t t t t t




t ANS: CNIII t




11.Which of the following statements is true regarding risks and rapid recog-
t t t t t t t t t t t




nition of suspected stroke? Select all that apply
t t t t t t t t




t ANS: Obesity doubles the risk of stroke even without associated glucose
t t t t t t t t t t




t intolerance

Hypertension is the leading risk factor for both ischemic and hemorrhag t t t t t t t t t t




stroke
t




12.The combination of both receptive and expressive aphasia is a character-
t t t t t t t t t t




istic of which type of speech disorder?
t t t t t t t




t ANS: global aphasia
t t




13.The NP is assessing a 42-year-old female who presents to the clinic with
t t t t t t t t t t t t




recurring headaches. What is an effective question to ask the patient?
t t t t t t t t t t t




t ANS: Do you have any aura prior to the headaches?
t t t t t t t t t




14.A 55-year-old female presents to the clinic with a headache. During the
t t t t t t t t t t t




interview, which of the following symptoms should prompt the NP to be
t t t t t t t t t t t t




concerned and investigate further?
t t t t t





t t