NR 509 Final Exam Advanced
Physical Assessment
Questions and Answers
(Verified Answers 2024/2025)
problems. This is especially important in subjects like proof-based mathematics.Calculation and Accuracy: Mathematical exams test a student’s ability to perform accurate calculations and apply mathematical principles in
correct sequence to reach a solution.Understanding of Concepts: Beyond solving problems, mathematics exams test students’ conceptual understanding of core topics, such as algebra, geometry, calc
NR 509 Final Exam
1. A 35-year-old female with a history of migraines 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
ANS Take a further history and perform a very careful neurological exam
2. 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 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 develop- ment
ANS IV
3. Primary prevention is defined as which of the following
, ANS Interventions de- signed to prevent disease
4. Based on the U.S. Preventive Services Task Force (USPSTF) recommenda- tions,
which of the following statements is true about screening for breast cancer in average-
risk women
problems. This is especially important in subjects like proof-based mathematics.Calculation and Accuracy: Mathematical exams test a student’s ability to perform accurate calculations and apply mathematical
principles in the correct sequence to reach a solution.Understanding of Concepts: Beyond solving problems, mathematics exams test students’ conceptual understanding of core topics, such as algebra, geom
calc
ANS Mammography is recommended every 2 years for women aged 50-74 with insufficient
evidence for screening women over the age of 75.
5. Which of the following statements is true regarding recommendations by the eighth
Joint National Committee (JNC8) for adults aged 60 and older? Select all that apply.
: Target blood pressure should be </= 150/90 mmHg but notes that if treatment results in SBP
<140 and is "well tolerated and without adverse effects to health or quality of live, treatment do
not need to be adjusted."
In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear optimal for
notable reductions in stroke, cardiovascular events, and all-cause mor- tality.
6. Which of the following is a useful strategy when examining young children between
the ages of 1 and 4
, ANS Have the parent facilitate the exam (e.g., removing clothes, holding the child on lap).
7. The NP is completing the review of systems on a 4-month-old female during a routine
encounter. Which statement from the parent may indicate a cardiac problem in the
infant and require a more thorough subjective history
problems. This is especially important in subjects like proof-based mathematics.Calculation and Accuracy: Mathematical exams test a student’s ability to perform accurate calculations and apply mathematical
principles in the correct sequence to reach a solution.Understanding of Concepts: Beyond solving problems, mathematics exams test students’ conceptual understanding of core topics, such as algebra, geom
calc
ANS "It often takes the baby more than 30 minutes to finish a bottle."
8. A 16-year-old male presents to the clinic with a history of a congenital right upper
eyelid drooping as represented in this image. He has no complaints and denies injury or
trauma. Which cranial nerve (CN) is involved in this condition?
Patient with eyelid drooping
: CNIII
9. Which cranial nerve (CN) innervates the muscles of the pharynx and pro- vides
sensory fibers to portions of the tympanic membrane, auditory canal, pharynx, and
the posterior third of the tongue
ANS CN IX
10. The NP should suspect injury to which cranial nerve (CN) if a patient presents
with complaints of photosensitivity and uneven pupils after being struck in the
eye with a baseball
ANS CNIII
11. Which of the following statements is true regarding risks and rapid recog-
Physical Assessment
Questions and Answers
(Verified Answers 2024/2025)
problems. This is especially important in subjects like proof-based mathematics.Calculation and Accuracy: Mathematical exams test a student’s ability to perform accurate calculations and apply mathematical principles in
correct sequence to reach a solution.Understanding of Concepts: Beyond solving problems, mathematics exams test students’ conceptual understanding of core topics, such as algebra, geometry, calc
NR 509 Final Exam
1. A 35-year-old female with a history of migraines 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
ANS Take a further history and perform a very careful neurological exam
2. 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 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 develop- ment
ANS IV
3. Primary prevention is defined as which of the following
, ANS Interventions de- signed to prevent disease
4. Based on the U.S. Preventive Services Task Force (USPSTF) recommenda- tions,
which of the following statements is true about screening for breast cancer in average-
risk women
problems. This is especially important in subjects like proof-based mathematics.Calculation and Accuracy: Mathematical exams test a student’s ability to perform accurate calculations and apply mathematical
principles in the correct sequence to reach a solution.Understanding of Concepts: Beyond solving problems, mathematics exams test students’ conceptual understanding of core topics, such as algebra, geom
calc
ANS Mammography is recommended every 2 years for women aged 50-74 with insufficient
evidence for screening women over the age of 75.
5. Which of the following statements is true regarding recommendations by the eighth
Joint National Committee (JNC8) for adults aged 60 and older? Select all that apply.
: Target blood pressure should be </= 150/90 mmHg but notes that if treatment results in SBP
<140 and is "well tolerated and without adverse effects to health or quality of live, treatment do
not need to be adjusted."
In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear optimal for
notable reductions in stroke, cardiovascular events, and all-cause mor- tality.
6. Which of the following is a useful strategy when examining young children between
the ages of 1 and 4
, ANS Have the parent facilitate the exam (e.g., removing clothes, holding the child on lap).
7. The NP is completing the review of systems on a 4-month-old female during a routine
encounter. Which statement from the parent may indicate a cardiac problem in the
infant and require a more thorough subjective history
problems. This is especially important in subjects like proof-based mathematics.Calculation and Accuracy: Mathematical exams test a student’s ability to perform accurate calculations and apply mathematical
principles in the correct sequence to reach a solution.Understanding of Concepts: Beyond solving problems, mathematics exams test students’ conceptual understanding of core topics, such as algebra, geom
calc
ANS "It often takes the baby more than 30 minutes to finish a bottle."
8. A 16-year-old male presents to the clinic with a history of a congenital right upper
eyelid drooping as represented in this image. He has no complaints and denies injury or
trauma. Which cranial nerve (CN) is involved in this condition?
Patient with eyelid drooping
: CNIII
9. Which cranial nerve (CN) innervates the muscles of the pharynx and pro- vides
sensory fibers to portions of the tympanic membrane, auditory canal, pharynx, and
the posterior third of the tongue
ANS CN IX
10. The NP should suspect injury to which cranial nerve (CN) if a patient presents
with complaints of photosensitivity and uneven pupils after being struck in the
eye with a baseball
ANS CNIII
11. Which of the following statements is true regarding risks and rapid recog-
