NR509 Final Exam 2026 \NEWEST VERSION WITH
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS \VERIFIED 100% ALREADY GRADED A+
\LATEST UPDATE
A 35-year-old female with a Take a further history and perform a very careful
history of migraines neurological exam
presents to the clinic with
worsening symptoms for the
past few weeks. She reports
waking up at night with
headaches and nausea. Her
only medication history is
oral contraceptive pills
(OCPs). Otherwise, she
states she is healthy. Which
of the following actions if
taken by the NP is the best
next step?
A grandmother is IV
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 form a
secondary mound above the
,level of the breast. The left
breast is underdeveloped.
These assessment findings
are consistent with which
Tanner Stage of
development?
A 58-year-old male Osteoarthritis
complains of pain in his
knees, hips, hands, wrists,
neck, and lower back.
Based on the joints
involved, the NP suspects
that the patient most likely
has which condition?
A 55-year-old male has a Flexed forward posture with lower extremity weakness
diagnosis of lumbar spinal
stenosis. Which sign should
the NP expect to find on
examination that is most
consistent with the
diagnosis?
A 17-year-old male presents Compare the strength of the trapezius muscles
to the clinic for a follow-up
appointment. He fractured
his left arm 8 weeks ago and
remains in a cast. Upon
inspection, the NP finds
that his shoulder heights
are unequal and there is
winging of the scapula.
The NP suspects
contralateral weakness and
muscle wasting as the
etiology for the winged
scapula.
Which of the following
physical assessment
,maneuvers should the NP
perform to confirm the
suspension?
A 31-year-old female Torticollis
presents to the clinic with a
worsening stiff, painful
neck. On inspection, the
patient's head is laterally
deviated toward the
shoulder and rotated. Given
this specific physical
assessment finding, what
condition should the NP
suspect as a differential
diagnosis?
During an evaluation of an Sacrospinalis
athletic 30-year- old
female, the NP conducts
an active range of motion
evaluation at the neck. All
of the following muscles
are being assessed when
the patient is asked to
extend, flex, and rotate the
neck, EXCEPT?
What is the action(s) of the Extension of the spine
erector spinae muscle
group?
, A 58-year-old male ankylosing spondylitis
complains of lower back
pain for many years. He
denies a recent injury. On
examination, the NP finds that
the patient has tenderness to
palpation over the sacroiliac
joint. Which of the following
conditions is most consistent
with this physical sign?
Which of the following Setting normal cut-offs for prostate-specific antigen
statements is true (PSA) testing relies on balancing
regarding prostate cancer
screening?
A 53-year-old African This patient is at an elevated risk of prostate cancer due
American male presents to his family history; thus, screening modalities should
for discussion of his be discussed between the patient and provider.
prostate cancer risk and
possible screening for this
disease. His father was
diagnosed at age 82 years
with prostate cancer but
died recently at age 87
years from a myocardial
infarction before the
disease progressed. Family
history also reveals that his
mother died of ovarian
cancer when he was age 10
years, and two of his
maternal aunts had breast
cancer. Which of the
following is true about
prostate cancer risk for
this patient and
subsequent screening?
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS \VERIFIED 100% ALREADY GRADED A+
\LATEST UPDATE
A 35-year-old female with a Take a further history and perform a very careful
history of migraines neurological exam
presents to the clinic with
worsening symptoms for the
past few weeks. She reports
waking up at night with
headaches and nausea. Her
only medication history is
oral contraceptive pills
(OCPs). Otherwise, she
states she is healthy. Which
of the following actions if
taken by the NP is the best
next step?
A grandmother is IV
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 form a
secondary mound above the
,level of the breast. The left
breast is underdeveloped.
These assessment findings
are consistent with which
Tanner Stage of
development?
A 58-year-old male Osteoarthritis
complains of pain in his
knees, hips, hands, wrists,
neck, and lower back.
Based on the joints
involved, the NP suspects
that the patient most likely
has which condition?
A 55-year-old male has a Flexed forward posture with lower extremity weakness
diagnosis of lumbar spinal
stenosis. Which sign should
the NP expect to find on
examination that is most
consistent with the
diagnosis?
A 17-year-old male presents Compare the strength of the trapezius muscles
to the clinic for a follow-up
appointment. He fractured
his left arm 8 weeks ago and
remains in a cast. Upon
inspection, the NP finds
that his shoulder heights
are unequal and there is
winging of the scapula.
The NP suspects
contralateral weakness and
muscle wasting as the
etiology for the winged
scapula.
Which of the following
physical assessment
,maneuvers should the NP
perform to confirm the
suspension?
A 31-year-old female Torticollis
presents to the clinic with a
worsening stiff, painful
neck. On inspection, the
patient's head is laterally
deviated toward the
shoulder and rotated. Given
this specific physical
assessment finding, what
condition should the NP
suspect as a differential
diagnosis?
During an evaluation of an Sacrospinalis
athletic 30-year- old
female, the NP conducts
an active range of motion
evaluation at the neck. All
of the following muscles
are being assessed when
the patient is asked to
extend, flex, and rotate the
neck, EXCEPT?
What is the action(s) of the Extension of the spine
erector spinae muscle
group?
, A 58-year-old male ankylosing spondylitis
complains of lower back
pain for many years. He
denies a recent injury. On
examination, the NP finds that
the patient has tenderness to
palpation over the sacroiliac
joint. Which of the following
conditions is most consistent
with this physical sign?
Which of the following Setting normal cut-offs for prostate-specific antigen
statements is true (PSA) testing relies on balancing
regarding prostate cancer
screening?
A 53-year-old African This patient is at an elevated risk of prostate cancer due
American male presents to his family history; thus, screening modalities should
for discussion of his be discussed between the patient and provider.
prostate cancer risk and
possible screening for this
disease. His father was
diagnosed at age 82 years
with prostate cancer but
died recently at age 87
years from a myocardial
infarction before the
disease progressed. Family
history also reveals that his
mother died of ovarian
cancer when he was age 10
years, and two of his
maternal aunts had breast
cancer. Which of the
following is true about
prostate cancer risk for
this patient and
subsequent screening?
