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

NR509 FINAL EXAM 88 QUESTIONS AND
ANSWERS 2024/2025 UPDATE|| GUARANTEED
NR509 FINAL EXAM 88 QUESTIONS AND ANSWERSPASS.
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1. A 35-year-old female with a history of migraines presents to the clinic with
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worsening symptoms for the past few weeks.She reports waking up at night
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withheadachesandnausea.Heronlymedicationhistoryisoralcontraceptive
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pills (OCPs). Otherwise, she states she is healthy.Which of the following
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actions if taken by the NP is the best next step?
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ANS Take a further history and perform a very careful neurological exam
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2. A grandmother is accompanying her 9-year-old granddaughter during a
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routine physical examination. She asks you privately if her granddaughter has
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started puberty yet. During the examination, the NP notes asymmetric
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projection of the areola and nipple of the right chest to form a secondary mound
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above the level ofthe breast.The left breast is underdeveloped.These
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assessment findings are consistent with whichTanner Stage of develop- ment?
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ANS: IV j0




3. Primary prevention is defined as which of the following j0 j0 j0 j0 j0 j0 j0 j0




j0 ANS:Interventions de- signed to prevent disease
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4. Based on the U.S.Preventive ServicesTask Force (USPSTF) recommenda-
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tions, which of the following statements is true about screening for breast
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cancer in average-risk women?
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j0 ANS: Mammography is recommended every 2 years for women aged 50-74 with
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, insufficient evidence for screening women over the age of 75.
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5. Which of the following statements is true regarding recommendations by the
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eighth Joint National Committee (JNC8) for adults aged 60 and older? Selectall
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thatapply.
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j0 ANS:Targetbloodpressureshouldbe</=150/90mmHgbutnotes that if treatment
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j0 results in SBP <140 and is "well tolerated and without adverse effects to health or
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j0 quality of live, treatment does not need to be adjusted."
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In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear optima
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for notable reductions in stroke, cardiovascular events, and all-cause mor- tality.
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6. Which of the following is a useful strategy when examining young children
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betweenthe ages of1 and4?
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j0 ANS:Have the parentfacilitate the exam (e.g., removing clothes, holding the child on
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j0 lap).
7. The NP is completing the review of systems on a 4-month-old female during a
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routine encounter. Which statement from the parent may indicate a cardiac
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problemintheinfantandrequireamorethoroughsubjectivehistory?
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j0 ANS: "Itoften takes the baby more than 30 minutes to finish a bottle."
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8. A 16-year-oldmalepresents to the clinic with a history ofa congenitalright
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upper eyelid drooping as represented in this image. He has no complaints and
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denies injury or trauma.Which cranial nerve (CN) is involved in this
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, condition?
Patient with eyelid drooping j0 j0 j0 j0




ANS:CNIII j0




9. Which cranial nerve (CN) innervates the muscles of the pharynx and pro-
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vides sensory fibers to portions of the tympanic membrane, auditory canal,
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pharynx, and the posterior third of the tongue?
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j0 ANS: CN IX j0 j0




10. The NP should suspect injury to which cranial nerve (CN) if a patient
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presents with complaints of photosensitivity and uneven pupils after being
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struck in the eye with a baseball?
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ANS: CNIII j0




11. Whichofthefollowing statementsistrue regardingrisksandrapidrecog- j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0




nition of suspected stroke? Select all that apply
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ANS: Obesity doubles the risk of stroke even without associated glucose intolerance
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12. The combination of both receptive and expressive aphasia is a character-
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istic of which type of speech disorder?
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j0 ANS: global aphasia j0 j0




13. The NP is assessing a 42-year-old female who presents to the clinic with
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recurringheadaches.What isaneffectivequestiontoaskthepatient?
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j0 ANS:Doyou have any aura prior to the headaches?
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14. A 55-year-old female presents to the clinic with a headache. During the
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interview, which of the following symptoms should prompt the NP to be
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concernedand investigate further?
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ANS:The patient reports fever, nightsweats, and thinks she lost weight.
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