NR509 FINAL EXAM SAMPLE QUESTIONS
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1. A 31-year-old female presents to the clinic with a wors- A
ening stiff, painful neck. On inspection, the patients
head is laterally deviated toward the shoulder and ro- Torticollis
tated. 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
2. A 62-year-old female has a diagnosis of rheumatoid A
arthritis (RA). Which of the following are expected as-
sessment findings consistent with the diagnosis? Swelling of the synovial tis-
sue in joints and tendon
A-Swelling of the synovial tissue in joints and tendon sheaths
sheaths
B-The first metatarsophalangeal joint is frequently in-
volved.
C-Asymmetrical joint distribution.
D-Tophi present in the subcutaneous tissue
E-Stiffness follows joint activity.
3. A 66-year-old female presents to the office for a C
focused visit to discuss hypertension management
strategies. During the interview, the patient asks the Deny her request, inform
MP if she could be screened today for cervical can- the patient that she has
cer/HPV. Review of her medical record reveals she was had three negative screen-
screened at ages 57, 60, and 63, with no abnormal find- ings in the last 10 years
ings, and no history of cancer. What is the best action and no longer requires
, NR509 FINAL EXAM SAMPLE QUESTIONS
Study online at https://quizlet.com/_d714fc
the NP should take regarding the patients request for screening, and focus on
screening? the reason
for the visit.
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
4. A 45-year-old female presents to the primary care clin- A
ic. She complains of recently experiencing a change
in the patterns of her bowel movements. Her PMH is recent onset of small-cal-
significant for bleeding ulcers as well as Crohns dis- iber stools
ease. 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?
, NR509 FINAL EXAM SAMPLE QUESTIONS
Study online at https://quizlet.com/_d714fc
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
5. Which of the following physical assessment finding is D
most suggestive of peritonitis secondary to a ruptured
appendix? pressing down onto the
abdomen firmly and
A pain with internal rotation of the right hip quickly withdraws the
hand produces pain
B abdominal pain that increases with hip flexion
C localized pain over McBurney point, which lies 2 inch-
es from the anterior superior iliac spinous process
on a line drawn from the umbilicus
D pressing down onto the abdomen firmly and quickly
withdraws the hand produces pain
E voluntary contraction of the abdominal wall that per-
sists over several examinations
6. A-21year -old female presents for her first annual E
exam. She reports concern because her female part-
ner was recently diagnosed with condyloma acumina- raised friable or lobed le-
ta and wonders if she could also be infected. If true sions
what physical assessment findings would the NP ex-
pect to find during the speculum examination
A several shallow ulcers with a red base
, NR509 FINAL EXAM SAMPLE QUESTIONS
Study online at https://quizlet.com/_d714fc
B translucent nodules
C bright red, soft lesions arising from the cervical canal
D small red granular spots or petechiae on the cervix
E - raised friable or lobed lesions
7. A 35-year-old female with a history of migraines pre- D
sents to the clinic with worsening symptoms for the
past few weeks. She reports waking up at night with Take a further history and
headaches and nausea. Her only medication history perform a very careful
is oral contraceptive pills (OPs). Otherwise, she states neurological examination.
she is
healthy. Which of the following actions if taken by the
NP is the best next step?
A Reassure her that this is a common pattern with
migraines
B Evaluate her for possible sinus infection.
C Order studies to evaluate potential transient is-
chemic attacks (TIAs) because she is on OCPs.
D Take a further history and perform a very careful
neurological examination.
E Prescribe a strong medication for her migraines.
8. The NP is observing a full-term infant male. He can A
pull to a stand, use "mama" or "dada" specifically, and
indicates his wants by vocalization and pointing. Based 12 MONTHS
on your
observations, determine his developmental age
Study online at https://quizlet.com/_d714fc
1. A 31-year-old female presents to the clinic with a wors- A
ening stiff, painful neck. On inspection, the patients
head is laterally deviated toward the shoulder and ro- Torticollis
tated. 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
2. A 62-year-old female has a diagnosis of rheumatoid A
arthritis (RA). Which of the following are expected as-
sessment findings consistent with the diagnosis? Swelling of the synovial tis-
sue in joints and tendon
A-Swelling of the synovial tissue in joints and tendon sheaths
sheaths
B-The first metatarsophalangeal joint is frequently in-
volved.
C-Asymmetrical joint distribution.
D-Tophi present in the subcutaneous tissue
E-Stiffness follows joint activity.
3. A 66-year-old female presents to the office for a C
focused visit to discuss hypertension management
strategies. During the interview, the patient asks the Deny her request, inform
MP if she could be screened today for cervical can- the patient that she has
cer/HPV. Review of her medical record reveals she was had three negative screen-
screened at ages 57, 60, and 63, with no abnormal find- ings in the last 10 years
ings, and no history of cancer. What is the best action and no longer requires
, NR509 FINAL EXAM SAMPLE QUESTIONS
Study online at https://quizlet.com/_d714fc
the NP should take regarding the patients request for screening, and focus on
screening? the reason
for the visit.
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
4. A 45-year-old female presents to the primary care clin- A
ic. She complains of recently experiencing a change
in the patterns of her bowel movements. Her PMH is recent onset of small-cal-
significant for bleeding ulcers as well as Crohns dis- iber stools
ease. 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?
, NR509 FINAL EXAM SAMPLE QUESTIONS
Study online at https://quizlet.com/_d714fc
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
5. Which of the following physical assessment finding is D
most suggestive of peritonitis secondary to a ruptured
appendix? pressing down onto the
abdomen firmly and
A pain with internal rotation of the right hip quickly withdraws the
hand produces pain
B abdominal pain that increases with hip flexion
C localized pain over McBurney point, which lies 2 inch-
es from the anterior superior iliac spinous process
on a line drawn from the umbilicus
D pressing down onto the abdomen firmly and quickly
withdraws the hand produces pain
E voluntary contraction of the abdominal wall that per-
sists over several examinations
6. A-21year -old female presents for her first annual E
exam. She reports concern because her female part-
ner was recently diagnosed with condyloma acumina- raised friable or lobed le-
ta and wonders if she could also be infected. If true sions
what physical assessment findings would the NP ex-
pect to find during the speculum examination
A several shallow ulcers with a red base
, NR509 FINAL EXAM SAMPLE QUESTIONS
Study online at https://quizlet.com/_d714fc
B translucent nodules
C bright red, soft lesions arising from the cervical canal
D small red granular spots or petechiae on the cervix
E - raised friable or lobed lesions
7. A 35-year-old female with a history of migraines pre- D
sents to the clinic with worsening symptoms for the
past few weeks. She reports waking up at night with Take a further history and
headaches and nausea. Her only medication history perform a very careful
is oral contraceptive pills (OPs). Otherwise, she states neurological examination.
she is
healthy. Which of the following actions if taken by the
NP is the best next step?
A Reassure her that this is a common pattern with
migraines
B Evaluate her for possible sinus infection.
C Order studies to evaluate potential transient is-
chemic attacks (TIAs) because she is on OCPs.
D Take a further history and perform a very careful
neurological examination.
E Prescribe a strong medication for her migraines.
8. The NP is observing a full-term infant male. He can A
pull to a stand, use "mama" or "dada" specifically, and
indicates his wants by vocalization and pointing. Based 12 MONTHS
on your
observations, determine his developmental age
