NR 509 FINAL EXAM 2025 UPDATE QUESTIONS AND
CORRECT VERIFIED ANSWERS ALREADY GRADED A+
(BRAND NEW VISION)
preservation - answerspersistent repetition of words or ideas
pancreatitis pain - answersEpigastric, may radiate straight to the back or other areas of the
abdomen; 20% with severe sequelae of organ failure
Mongolian spots - answersareas of deep bluish-gray pigmentation most commonly on the
sacral aspect of a newborn.
3 year old development - answers-pedals tricycle, jumps in place.
-balance on 1 foot at 4yo
Lateral epicondylitis (Tennis elbow) - answersFollows repetitive extension of the wrist or
pronation-supination of the forearm. Pain and tenderness develop 1 cm distal to the lateral
epicondyle and possibly in the extensor muscles close to it. When the patient tries to extend
the wrist against resistance, pain increases.
Miliaria rubra - answersScattered vesicles on an erythematous base, usually on the face and
trunk, result from obstruction of the sweat gland ducts; this condition disappears
spontaneously within weeks.
atopic dermatitis (eczema) - answersErythema, scaling, dry skin, and intense itching
, Peritonitis s/s - answersEarly voluntary guarding may be replaced by involuntary muscular
rigidity and signs of peritoneal inflammation. There may also be RLQ pain on quick
withdrawal or deferred rebound tenderness.
Diverticulitis pain - answers-LLQ
-cramping at first, then steady
- gradual onset
- tx: analgesia, bowel rest, abx
- sx: fever, constipation, n/v
Appendicitis pain - answersRLQ pain or pain that migrates from the periumbilical region,
combined with abdominal wall rigidity on palpation
If you feel an abdominal mass with palpation - answersAsk the patient either to raise the head
and shoulders or to strain down, thus tightening the abdominal muscles. Feel for the mass
again.
-intraabdominal mass is obscured by muscle contraction
Abdomen assessment sequence - answersInspect, auscultate, and percuss the abdomen.
Palpate lightly, then deeply. Assess the liver and spleen by percussion and then palpation. Try
to palpate the kidneys. Palpate the aorta and its pulsations. If you suspect kidney infection,
percuss posteriorly over the costovertebral angles.
Epigastric pain - answersEpigastric pain occurs with GERD, pancreatitis, and perforated ulcers.
RUQ and upper abdominal pain are common in cholecystitis and cholangitis
Causes of dk. bloody emesis - answersHematemesis may accompany esophageal or gastric
varices, Mallory-Weiss tears, or peptic ulcer disease.
CORRECT VERIFIED ANSWERS ALREADY GRADED A+
(BRAND NEW VISION)
preservation - answerspersistent repetition of words or ideas
pancreatitis pain - answersEpigastric, may radiate straight to the back or other areas of the
abdomen; 20% with severe sequelae of organ failure
Mongolian spots - answersareas of deep bluish-gray pigmentation most commonly on the
sacral aspect of a newborn.
3 year old development - answers-pedals tricycle, jumps in place.
-balance on 1 foot at 4yo
Lateral epicondylitis (Tennis elbow) - answersFollows repetitive extension of the wrist or
pronation-supination of the forearm. Pain and tenderness develop 1 cm distal to the lateral
epicondyle and possibly in the extensor muscles close to it. When the patient tries to extend
the wrist against resistance, pain increases.
Miliaria rubra - answersScattered vesicles on an erythematous base, usually on the face and
trunk, result from obstruction of the sweat gland ducts; this condition disappears
spontaneously within weeks.
atopic dermatitis (eczema) - answersErythema, scaling, dry skin, and intense itching
, Peritonitis s/s - answersEarly voluntary guarding may be replaced by involuntary muscular
rigidity and signs of peritoneal inflammation. There may also be RLQ pain on quick
withdrawal or deferred rebound tenderness.
Diverticulitis pain - answers-LLQ
-cramping at first, then steady
- gradual onset
- tx: analgesia, bowel rest, abx
- sx: fever, constipation, n/v
Appendicitis pain - answersRLQ pain or pain that migrates from the periumbilical region,
combined with abdominal wall rigidity on palpation
If you feel an abdominal mass with palpation - answersAsk the patient either to raise the head
and shoulders or to strain down, thus tightening the abdominal muscles. Feel for the mass
again.
-intraabdominal mass is obscured by muscle contraction
Abdomen assessment sequence - answersInspect, auscultate, and percuss the abdomen.
Palpate lightly, then deeply. Assess the liver and spleen by percussion and then palpation. Try
to palpate the kidneys. Palpate the aorta and its pulsations. If you suspect kidney infection,
percuss posteriorly over the costovertebral angles.
Epigastric pain - answersEpigastric pain occurs with GERD, pancreatitis, and perforated ulcers.
RUQ and upper abdominal pain are common in cholecystitis and cholangitis
Causes of dk. bloody emesis - answersHematemesis may accompany esophageal or gastric
varices, Mallory-Weiss tears, or peptic ulcer disease.
