NR509 FINAL EXAM 88 QUESTIONS AND
ANSWERS 2025 !!UPDATE|| GUARANTEED
PASS.
1. A c 35-year-old c female c with c a c history c of c migraines c presents c to c the c clinic c with cworsening c symptoms
c for c the c past c few c weeks. c She c reports c waking c up c at c night c with c headaches c and c nausea. c Her c only
c medication c history c is c oral c contraceptive c pills c(OCPs). cOtherwise, cshe cstates cshe cis chealthy. cWhich cof cthe
cfollowing cactions c if ctaken cby cthe cNP cis cthe cbest cnext cstep?
ANS>> cTake ca cfurther chistory cand cperform ca cvery ccareful cneurological cexam
2. A cgrandmother cis caccompanying cher c9-year-old cgranddaughter cduring ca c routine c physical c examination. c She
c asks c you c privately c if c her c granddaughter chas cstarted cpuberty cyet. cDuring cthe cexamination, cthe cNP cnotes
casymmetric cprojection cof cthe careola cand cnipple cof cthe cright cchest cto cform ca csecondary c mound cabove cthe
clevel cof cthe cbreast. cThe cleft cbreast cis cunderdeveloped. cThese cassessment cfindings care cconsistent cwith cwhich
cTanner cStage cof cdevelopment?-
ANS>> Civ
3. Primary cprevention cis cdefined cas cwhich cof cthe cfollowing?
c c
,ANS>> cInterventions cdesigned cto cprevent cdisease
4. Based con cthe cU.S. cPreventive cServices cTask cForce c(USPSTF) crecommendations, cwhich c of c the c following
c statements c is c true c about c screening c for c breast c cancer
in c average-risk c women?
ANS>> c Mammography cis crecommended cevery c2 cyears cfor cwomen caged c50-74 cwith cinsuflcient cevidence cfor cscreening cwomen cover cthe cage cof
c75.
5. Which cof cthe cfollowing cstatements cis ctrue cregarding crecommendations cby cthe ceighth cJoint cNational cCommittee c(
cJNC8) cfor cadults caged c60 cand colder? cSelect call cthat c apply.
ANS>> c Target cblood cpressure cshould cbe c</= c150/90 cmmHg cbut cnotes cthat cif ctreatment cresults cin cSBP c<140 cand cis c"well ctolerated cand cwithout
cadverse cettects cto chealth cor cquality cof clive, ctreatment cdoes cnot cneed cto cbe cadjusted."
In cthose caged c80 cor colder, cblood cpressure ctargets cof c140 cto c<150/70 cto c80 cappear coptimal cfor cnotable creductions cin cstroke, ccardiovascular cevents, cand call-cause cmortality.
6. Which c of c the c following c is c a c useful c strategy c when c examining c young c children c between c the c ages c of c 1
c and c 4?
ANS>> c Have cthe cparent cfacilitate cthe cexam c(e.g., cremoving cclothes, cholding cthe cchild con clap).
7. The c NP c is c completing c the c review c of c systems c on c a c 4-month-old c female c during ca croutine cencounter.
cWhich cstatement cfrom cthe cparent cmay cindicate ca ccardiac
c c
, problem c in c the c infant c and c require c a c more c thorough c subjective c history?
ANS>> c "It coften ctakes cthe cbaby cmore cthan c30 cminutes cto cfinish ca cbottle."
8. A c16-year-old cmale cpresents cto cthe cclinic cwith ca chistory cof ca ccongenital cright cupper ceyelid cdrooping cas
crepresented cin cthis cimage. cHe chas cno cco mplaints and c
denies cinjury cor ctrauma. cWhich ccranial cnerve c(CN) cis cinvolved cin ct his condition?
c
Patient c with c eyelid c drooping
ANS>> c CNIII
9. Which ccranial cnerve c(CN) cinnervates cthe cmuscles cof cthe cpharynx cand cprovides csensory cfibers cto cportions cof
cthe ctympanic cmembrane, cauditory ccanal, cpharynx, cand cthe cposterior cthird cof cthe ctongue?
ANS>> cCN cIX
10. The cNP cshould csuspect cinjury cto cwhich ccranial cnerve c(CN) cif ca cpatient cpresents cwith ccomplaints cof
cphotosensitivity cand cuneven cpupils cafter cbeing cstruck cin cthe ceye cwith ca cbaseball?
ANS>> cCNIII
11. Which c of c the c following c statements c is c true c regarding c risks c and c rapid c recogni- c tion cof csuspected cstroke?
cSelect call cthat capply
ANS>> cObesity cdoubles cthe crisk cof cstroke ceven cwithout cassociated cglucose cintolerance
c c
ANSWERS 2025 !!UPDATE|| GUARANTEED
PASS.
1. A c 35-year-old c female c with c a c history c of c migraines c presents c to c the c clinic c with cworsening c symptoms
c for c the c past c few c weeks. c She c reports c waking c up c at c night c with c headaches c and c nausea. c Her c only
c medication c history c is c oral c contraceptive c pills c(OCPs). cOtherwise, cshe cstates cshe cis chealthy. cWhich cof cthe
cfollowing cactions c if ctaken cby cthe cNP cis cthe cbest cnext cstep?
ANS>> cTake ca cfurther chistory cand cperform ca cvery ccareful cneurological cexam
2. A cgrandmother cis caccompanying cher c9-year-old cgranddaughter cduring ca c routine c physical c examination. c She
c asks c you c privately c if c her c granddaughter chas cstarted cpuberty cyet. cDuring cthe cexamination, cthe cNP cnotes
casymmetric cprojection cof cthe careola cand cnipple cof cthe cright cchest cto cform ca csecondary c mound cabove cthe
clevel cof cthe cbreast. cThe cleft cbreast cis cunderdeveloped. cThese cassessment cfindings care cconsistent cwith cwhich
cTanner cStage cof cdevelopment?-
ANS>> Civ
3. Primary cprevention cis cdefined cas cwhich cof cthe cfollowing?
c c
,ANS>> cInterventions cdesigned cto cprevent cdisease
4. Based con cthe cU.S. cPreventive cServices cTask cForce c(USPSTF) crecommendations, cwhich c of c the c following
c statements c is c true c about c screening c for c breast c cancer
in c average-risk c women?
ANS>> c Mammography cis crecommended cevery c2 cyears cfor cwomen caged c50-74 cwith cinsuflcient cevidence cfor cscreening cwomen cover cthe cage cof
c75.
5. Which cof cthe cfollowing cstatements cis ctrue cregarding crecommendations cby cthe ceighth cJoint cNational cCommittee c(
cJNC8) cfor cadults caged c60 cand colder? cSelect call cthat c apply.
ANS>> c Target cblood cpressure cshould cbe c</= c150/90 cmmHg cbut cnotes cthat cif ctreatment cresults cin cSBP c<140 cand cis c"well ctolerated cand cwithout
cadverse cettects cto chealth cor cquality cof clive, ctreatment cdoes cnot cneed cto cbe cadjusted."
In cthose caged c80 cor colder, cblood cpressure ctargets cof c140 cto c<150/70 cto c80 cappear coptimal cfor cnotable creductions cin cstroke, ccardiovascular cevents, cand call-cause cmortality.
6. Which c of c the c following c is c a c useful c strategy c when c examining c young c children c between c the c ages c of c 1
c and c 4?
ANS>> c Have cthe cparent cfacilitate cthe cexam c(e.g., cremoving cclothes, cholding cthe cchild con clap).
7. The c NP c is c completing c the c review c of c systems c on c a c 4-month-old c female c during ca croutine cencounter.
cWhich cstatement cfrom cthe cparent cmay cindicate ca ccardiac
c c
, problem c in c the c infant c and c require c a c more c thorough c subjective c history?
ANS>> c "It coften ctakes cthe cbaby cmore cthan c30 cminutes cto cfinish ca cbottle."
8. A c16-year-old cmale cpresents cto cthe cclinic cwith ca chistory cof ca ccongenital cright cupper ceyelid cdrooping cas
crepresented cin cthis cimage. cHe chas cno cco mplaints and c
denies cinjury cor ctrauma. cWhich ccranial cnerve c(CN) cis cinvolved cin ct his condition?
c
Patient c with c eyelid c drooping
ANS>> c CNIII
9. Which ccranial cnerve c(CN) cinnervates cthe cmuscles cof cthe cpharynx cand cprovides csensory cfibers cto cportions cof
cthe ctympanic cmembrane, cauditory ccanal, cpharynx, cand cthe cposterior cthird cof cthe ctongue?
ANS>> cCN cIX
10. The cNP cshould csuspect cinjury cto cwhich ccranial cnerve c(CN) cif ca cpatient cpresents cwith ccomplaints cof
cphotosensitivity cand cuneven cpupils cafter cbeing cstruck cin cthe ceye cwith ca cbaseball?
ANS>> cCNIII
11. Which c of c the c following c statements c is c true c regarding c risks c and c rapid c recogni- c tion cof csuspected cstroke?
cSelect call cthat capply
ANS>> cObesity cdoubles cthe crisk cof cstroke ceven cwithout cassociated cglucose cintolerance
c c
