Nr-509 Final Exam with Graded
Answers for Chamberlain (2025)
A35-year-oldfemalewithahistoryofmigrainespresentstotheclinicwithworseningsymptoms for the
past few weeks. She reports waking up at night with headaches and nausea. Her only
medicationhistoryisoralcontraceptivepills(OCPs).Otherwise,shestates sheishealthy.Which of the
following actions if taken by the NP is the best next step?
Takea furtherhistory andperformavery careful neurologicalexam
A grandmother is accompanying her 9-year-old granddaughter during a routine physical
examination. She asks you privately if her granddaughter has started puberty yet. During the
examination, the NP notes asymmetric projection of the areola and nipple of the right chest to
formasecondarymoundabovethelevelofthebreast.Theleftbreastisunderdeveloped.These
assessment findings are consistent with which Tanner Stage of development?
IV
Primarypreventionisdefinedaswhichofthefollowing?
Interventions designed to prevent disease
BasedontheU.S.PreventiveServicesTaskForce(USPSTF)recommendations,whichofthe following
statements is true about screening for breast cancer in average-risk women?
Mammographyisrecommendedevery2yearsforwomenaged50-74withinsufficientevidence for
screening women over the age of 75.
WhichofthefollowingstatementsistrueregardingrecommendationsbytheeighthJoint National
Committee (JNC8) for adults aged 60 and older? Select all that apply.
Targetbloodpressureshouldbe</= 150/90mmHgbut notesthatif treatmentresultsin SBP
<140andis“welltoleratedandwithoutadverseeffectstohealthorqualityoflive,treatment does not
need to be adjusted.”
Inthoseaged80orolder,bloodpressuretargetsof140to<150/70to80appearoptimalfor notable
reductions in stroke, cardiovascular events, and all-cause mortality.
Whichofthefollowingisausefulstrategywhenexaminingyoungchildrenbetweentheagesof 1 and 4?
Havetheparentfacilitate theexam(e.g.,removingclothes,holdingthechildon lap).
, TheNPiscompletingthereviewofsystemsona4-month-oldfemaleduringaroutineencounter.
Whichstatementfromtheparentmayindicateacardiacproblemintheinfantandrequireamore thorough
subjective history?
“Itoftentakesthebabymorethan30 minutesto finishabottle.”
A 16-year-old male presents to the clinic with a history of a congenital right upper eyelid
droopingasrepresentedinthisimage.Hehasnocomplaintsanddeniesinjuryortrauma.Which cranial
nerve (CN) is involved in this condition?
Patientwitheyeliddrooping CNIII
Whichcranialnerve(CN)innervatesthemusclesofthepharynxandprovidessensoryfibersto portions
of the tympanic membrane, auditory canal, pharynx, and the posterior third of the tongue?
CN IX
TheNPshouldsuspectinjurytowhichcranialnerve(CN)ifapatientpresentswithcomplaints of
photosensitivity and uneven pupils after being struck in the eye with a baseball?
CNIII
Whichofthefollowingstatementsistrueregardingrisksandrapidrecognitionofsuspected stroke?
Select all that apply
Obesity doubles the risk of stroke even without associated glucose intolerance
Hypertensionistheleadingriskfactorforbothischemicandhemorrhagicstroke
Thecombinationofbothreceptiveandexpressiveaphasiaisacharacteristicofwhichtypeof speech
disorder?
globalaphasia
TheNPisassessinga42-year-oldfemalewhopresentstotheclinicwithrecurringheadaches. What is an
effective question to ask the patient?
Doyou haveanyauraprior to the headaches?
A55-year-oldfemalepresentstotheclinicwithaheadache.Duringtheinterview,whichofthe following
symptoms should prompt the NP to be concerned and investigate further?
Thepatientreports fever, night sweats,andthinks shelost weight.
Whengradingmusclestrengthonascaleof1to5,agradeof3indicateswhichofthefollowing? Active
movement against gravity
Whichmusculoskeletaldisorderis pairedcorrectlywith theassociatedsystemicmanifestations?
Answers for Chamberlain (2025)
A35-year-oldfemalewithahistoryofmigrainespresentstotheclinicwithworseningsymptoms for the
past few weeks. She reports waking up at night with headaches and nausea. Her only
medicationhistoryisoralcontraceptivepills(OCPs).Otherwise,shestates sheishealthy.Which of the
following actions if taken by the NP is the best next step?
Takea furtherhistory andperformavery careful neurologicalexam
A grandmother is accompanying her 9-year-old granddaughter during a routine physical
examination. She asks you privately if her granddaughter has started puberty yet. During the
examination, the NP notes asymmetric projection of the areola and nipple of the right chest to
formasecondarymoundabovethelevelofthebreast.Theleftbreastisunderdeveloped.These
assessment findings are consistent with which Tanner Stage of development?
IV
Primarypreventionisdefinedaswhichofthefollowing?
Interventions designed to prevent disease
BasedontheU.S.PreventiveServicesTaskForce(USPSTF)recommendations,whichofthe following
statements is true about screening for breast cancer in average-risk women?
Mammographyisrecommendedevery2yearsforwomenaged50-74withinsufficientevidence for
screening women over the age of 75.
WhichofthefollowingstatementsistrueregardingrecommendationsbytheeighthJoint National
Committee (JNC8) for adults aged 60 and older? Select all that apply.
Targetbloodpressureshouldbe</= 150/90mmHgbut notesthatif treatmentresultsin SBP
<140andis“welltoleratedandwithoutadverseeffectstohealthorqualityoflive,treatment does not
need to be adjusted.”
Inthoseaged80orolder,bloodpressuretargetsof140to<150/70to80appearoptimalfor notable
reductions in stroke, cardiovascular events, and all-cause mortality.
Whichofthefollowingisausefulstrategywhenexaminingyoungchildrenbetweentheagesof 1 and 4?
Havetheparentfacilitate theexam(e.g.,removingclothes,holdingthechildon lap).
, TheNPiscompletingthereviewofsystemsona4-month-oldfemaleduringaroutineencounter.
Whichstatementfromtheparentmayindicateacardiacproblemintheinfantandrequireamore thorough
subjective history?
“Itoftentakesthebabymorethan30 minutesto finishabottle.”
A 16-year-old male presents to the clinic with a history of a congenital right upper eyelid
droopingasrepresentedinthisimage.Hehasnocomplaintsanddeniesinjuryortrauma.Which cranial
nerve (CN) is involved in this condition?
Patientwitheyeliddrooping CNIII
Whichcranialnerve(CN)innervatesthemusclesofthepharynxandprovidessensoryfibersto portions
of the tympanic membrane, auditory canal, pharynx, and the posterior third of the tongue?
CN IX
TheNPshouldsuspectinjurytowhichcranialnerve(CN)ifapatientpresentswithcomplaints of
photosensitivity and uneven pupils after being struck in the eye with a baseball?
CNIII
Whichofthefollowingstatementsistrueregardingrisksandrapidrecognitionofsuspected stroke?
Select all that apply
Obesity doubles the risk of stroke even without associated glucose intolerance
Hypertensionistheleadingriskfactorforbothischemicandhemorrhagicstroke
Thecombinationofbothreceptiveandexpressiveaphasiaisacharacteristicofwhichtypeof speech
disorder?
globalaphasia
TheNPisassessinga42-year-oldfemalewhopresentstotheclinicwithrecurringheadaches. What is an
effective question to ask the patient?
Doyou haveanyauraprior to the headaches?
A55-year-oldfemalepresentstotheclinicwithaheadache.Duringtheinterview,whichofthe following
symptoms should prompt the NP to be concerned and investigate further?
Thepatientreports fever, night sweats,andthinks shelost weight.
Whengradingmusclestrengthonascaleof1to5,agradeof3indicateswhichofthefollowing? Active
movement against gravity
Whichmusculoskeletaldisorderis pairedcorrectlywith theassociatedsystemicmanifestations?
