NUR 507 - EXAM
NUR 507 EXAM 3: LEIK PRACTICE
QUESTIONS EXAM NEWEST 2025/2026
COMPLETE ALL 350 QUESTIONS AND
CORRECT DETAILED ANSWERS
|ALREADY GRADED A+||ALREADY
GRADED A+
The nurse practitioner who suspects that one of her hypertensive patients has Cushing's syndrome
would expect to find which of the following laboratory results?
A) Hyponatremia
B) Hypoglycemia
C) Elevated serum cortisol levels
D) Decreased urine 17-ketosteroids
C) Elevated serum cortisol levels
Elevated serum cortisol levels are seen in patients with Cushing's syndrome.
A 14-year-old girl who is sexually active is brought to the health clinic by her mother for an
immunization update. According to the mother, her daughter has had one dose of hepatitis B
vaccine. Which of the following vaccines would you administer at this visit?
A) Tdap, hepatitis B, and HPV vaccine
B) DTaP (diphtheria, tetanus, acellular pertussis) and hepatitis B
C) Hepatitis B only
D) MMR (measles, mumps, rubella), Td, and HPV vaccine
A) Tdap, hepatitis B, and HPV vaccine
There are two types of HPV vaccine. Gardasil can be used for both girls and boys, but Cervarix can
only be used for females. HPV vaccine is recommended for preteen boys and girls at age 11 or 12
years. Young women can get HPV vaccine until age 27 years and men can get the HPV vaccine until
age 22 years.
You would advise an 18-year-old female student who has been given a booster dose of MMR at the
college health clinic that:
A) She might have a low-grade fever during the first 24 to 48 hours
B) She should not get pregnant within the next 4 weeks
C) Her arm will be very sore at the injection site for 24 to 48 hours
D) Her arm will have some induration at the injection site in 24 to 48 hours
A+ TEST BANK 1
, NUR 507 - EXAM
B) She should not get pregnant within the next 4 weeks
MMR should not be administered to women known to be pregnant. In addition, women should be
counseled to avoid becoming pregnant for 28 days following vaccination.
A 14-year-old female adolescent is worried that she has not started to menstruate like most of her
friends. During the gynecological examination, the nurse practitioner tells the mother, who is in the
room with the patient, that her daughter is starting Tanner
stage II. What are the physical exam findings during this stage?
A) Breast buds and some straight pubic hair
B) Fully developed breasts and curly pubic hair
C) Breast tissue with the areola on a separate mound with curly pubic hair
D) No breast tissue and no pubic hair
A) Breast buds and some straight pubic hair
Tanner stage II in females is noted for breast and papilla elevated as a small mound and increased
areola diameter (breast buds). Tanner II pubic hair for females is sparse, lightly pigmented straight
hair along the medial border of the labia.
.!
All of the following agents are used to control the inflammatory changes seen in the lungs of
asthmatics except:
A) Albuterol inhaler (Proventil)
B) Triamcinolone (Azmacort)
C) Montelukast (Singulair)
D) Cromolyn sodium inhaler (Intal)
A) Albuterol inhaler (Proventil)
Albuterol is a short-acting bronchodilator that is used for immediate relief of shortness of breath in
patients with asthma. It works by opening the air passages but does not have any steroidal/anti-
inflammatory effect such as triamcinolone (Azmacort), nor an effect such as a leukotriene blocker
(Singulair). Steroids and leukotrienes help the inflamed channels to remain open and clear but take
longer to get into the system to work.
When evaluating the blood pressure on both the arms and legs of an infant who has a diagnosis of
coarctation of the aorta, which of the following is the correct finding?
A) The blood pressure is higher in the arms than in the legs
B) Only the diastolic blood pressure is higher in the legs than in the arms
C) The blood pressure is higher in the legs than the arms
D) The blood pressure is lower in both arms than in the legs
A+ TEST BANK 2
, NUR 507 - EXAM
A) The blood pressure is higher in the arms than in the legs
In coarctation of the aorta, blood pressure is higher in the arms than in the legs due to the narrowing
in the aorta. Blood pressure must rise to get adequate blood flow to the lower extremities;
therefore, the blood pressure above the coarctation rises to compensate for this.
.!
The following children are considered at higher risk for tuberculosis (TB) except:
A) A child who has recently been diagnosed with leukemia
B) An infant whose family is homeless
C) A child who was born in Japan
D) A Hispanic child with asthma who is using a steroid inhaler
C) A child who was born in Japan
Japan is not considered a high-risk country for tuberculosis (TB) infection; other Asian countries,
such as India, Bangladesh, Pakistan, China, and the Philippines, have a higher incidence. Other high-
risk areas are Africa, the Western Pacific, and Europe (Russia). Additional risk factors for TB are
immunocompromised status (HIV, steroid therapy), homelessness, injection drug users, and working
or residing with people at high risk for TB.
During a sports physical exam of a 14-year-old high school athlete, the nurse practitioner notices a
split of the S2 component of the heart sound during deep inspiration. She notes that it disappears
upon expiration. The heart rate is regular and no murmurs are auscultated. Which of the following is
correct?
A) This is an abnormal finding and should be evaluated further by a cardiologist
B) A stress test should be ordered
C) This is a normal finding in some young athletes
D) An echocardiogram should be ordered
C) This is a normal finding in some young athletes
It is common to hear a split S2 heart sound over the pulmonic area of the heart with inspiration. As
long as it disappears with expiration, with no other abnormal symptoms, this is a normal finding. The
sound is caused by splitting of the aortic and pulmonic components.
.!
A+ TEST BANK 3
, NUR 507 - EXAM
A faun tail nevus is a sign of which of the following?
A) Down syndrome
B) Infantile scoliosis
C) Congenital heart disease
D) Spina bifida
D) Spina bifida
A faun tail nevus is an abnormal tuft of hair in the lumbosacral area, which can be a sign of spina
bifida. If found, order an ultrasound of the lesion to rule out an opening in the lower spine (spina
bifida).
All of the following pulmonary tests require the patient's voice to perform correctly except:
A) Egophony
B) Tactile fremitus
C) Whispered pectoriloquy
D) Auscultation
D) Auscultation
Auscultation is a technique used to evaluate lung sounds, whereas tactile maneuvers use the hands.
Fremitus occurs as a result of vibration of the chest wall when a person speaks and is heard through
a stethoscope. Tactile fremitus is a type of vocal fremitus found over the area of secretions. Tactile
fremitus is evaluated using the surface of both hands over the back/lungs. In bronchophony (the
ability to hear increased loudness of the spoken sounds), even a whisper can be heard through the
stethoscope.
While checking for the red reflex on a 3-year-old boy during a well-child visit, the nurse practitioner
notes a white reflection on the child's left pupil. Which of the following conditions should be ruled
out?
A) Unilateral strabismus
B) Unilateral cataracts
C) Retinoblastoma of the left eye
D) Color blindness of the left eye
C) Retinoblastoma of the left eye
Retinoblastoma is a congenital tumor of the retina. It
usually affects only one eye (rarely both eyes are involved). During infancy, the tumor is a small size
and it continues to grow with the child. This rare cancer is diagnosed by noting a pupil that appears
white or has white spots on it. One or both eyes may be affected. It is often first noted in
photographs, because a white glow is present in the eye instead of the usual "red eye" that results
from the flash.
During a sports physical, you note that the vision of an 18-year-old male athlete is 20/30 in both eyes.
Which of the following statements is true?
A+ TEST BANK 4
NUR 507 EXAM 3: LEIK PRACTICE
QUESTIONS EXAM NEWEST 2025/2026
COMPLETE ALL 350 QUESTIONS AND
CORRECT DETAILED ANSWERS
|ALREADY GRADED A+||ALREADY
GRADED A+
The nurse practitioner who suspects that one of her hypertensive patients has Cushing's syndrome
would expect to find which of the following laboratory results?
A) Hyponatremia
B) Hypoglycemia
C) Elevated serum cortisol levels
D) Decreased urine 17-ketosteroids
C) Elevated serum cortisol levels
Elevated serum cortisol levels are seen in patients with Cushing's syndrome.
A 14-year-old girl who is sexually active is brought to the health clinic by her mother for an
immunization update. According to the mother, her daughter has had one dose of hepatitis B
vaccine. Which of the following vaccines would you administer at this visit?
A) Tdap, hepatitis B, and HPV vaccine
B) DTaP (diphtheria, tetanus, acellular pertussis) and hepatitis B
C) Hepatitis B only
D) MMR (measles, mumps, rubella), Td, and HPV vaccine
A) Tdap, hepatitis B, and HPV vaccine
There are two types of HPV vaccine. Gardasil can be used for both girls and boys, but Cervarix can
only be used for females. HPV vaccine is recommended for preteen boys and girls at age 11 or 12
years. Young women can get HPV vaccine until age 27 years and men can get the HPV vaccine until
age 22 years.
You would advise an 18-year-old female student who has been given a booster dose of MMR at the
college health clinic that:
A) She might have a low-grade fever during the first 24 to 48 hours
B) She should not get pregnant within the next 4 weeks
C) Her arm will be very sore at the injection site for 24 to 48 hours
D) Her arm will have some induration at the injection site in 24 to 48 hours
A+ TEST BANK 1
, NUR 507 - EXAM
B) She should not get pregnant within the next 4 weeks
MMR should not be administered to women known to be pregnant. In addition, women should be
counseled to avoid becoming pregnant for 28 days following vaccination.
A 14-year-old female adolescent is worried that she has not started to menstruate like most of her
friends. During the gynecological examination, the nurse practitioner tells the mother, who is in the
room with the patient, that her daughter is starting Tanner
stage II. What are the physical exam findings during this stage?
A) Breast buds and some straight pubic hair
B) Fully developed breasts and curly pubic hair
C) Breast tissue with the areola on a separate mound with curly pubic hair
D) No breast tissue and no pubic hair
A) Breast buds and some straight pubic hair
Tanner stage II in females is noted for breast and papilla elevated as a small mound and increased
areola diameter (breast buds). Tanner II pubic hair for females is sparse, lightly pigmented straight
hair along the medial border of the labia.
.!
All of the following agents are used to control the inflammatory changes seen in the lungs of
asthmatics except:
A) Albuterol inhaler (Proventil)
B) Triamcinolone (Azmacort)
C) Montelukast (Singulair)
D) Cromolyn sodium inhaler (Intal)
A) Albuterol inhaler (Proventil)
Albuterol is a short-acting bronchodilator that is used for immediate relief of shortness of breath in
patients with asthma. It works by opening the air passages but does not have any steroidal/anti-
inflammatory effect such as triamcinolone (Azmacort), nor an effect such as a leukotriene blocker
(Singulair). Steroids and leukotrienes help the inflamed channels to remain open and clear but take
longer to get into the system to work.
When evaluating the blood pressure on both the arms and legs of an infant who has a diagnosis of
coarctation of the aorta, which of the following is the correct finding?
A) The blood pressure is higher in the arms than in the legs
B) Only the diastolic blood pressure is higher in the legs than in the arms
C) The blood pressure is higher in the legs than the arms
D) The blood pressure is lower in both arms than in the legs
A+ TEST BANK 2
, NUR 507 - EXAM
A) The blood pressure is higher in the arms than in the legs
In coarctation of the aorta, blood pressure is higher in the arms than in the legs due to the narrowing
in the aorta. Blood pressure must rise to get adequate blood flow to the lower extremities;
therefore, the blood pressure above the coarctation rises to compensate for this.
.!
The following children are considered at higher risk for tuberculosis (TB) except:
A) A child who has recently been diagnosed with leukemia
B) An infant whose family is homeless
C) A child who was born in Japan
D) A Hispanic child with asthma who is using a steroid inhaler
C) A child who was born in Japan
Japan is not considered a high-risk country for tuberculosis (TB) infection; other Asian countries,
such as India, Bangladesh, Pakistan, China, and the Philippines, have a higher incidence. Other high-
risk areas are Africa, the Western Pacific, and Europe (Russia). Additional risk factors for TB are
immunocompromised status (HIV, steroid therapy), homelessness, injection drug users, and working
or residing with people at high risk for TB.
During a sports physical exam of a 14-year-old high school athlete, the nurse practitioner notices a
split of the S2 component of the heart sound during deep inspiration. She notes that it disappears
upon expiration. The heart rate is regular and no murmurs are auscultated. Which of the following is
correct?
A) This is an abnormal finding and should be evaluated further by a cardiologist
B) A stress test should be ordered
C) This is a normal finding in some young athletes
D) An echocardiogram should be ordered
C) This is a normal finding in some young athletes
It is common to hear a split S2 heart sound over the pulmonic area of the heart with inspiration. As
long as it disappears with expiration, with no other abnormal symptoms, this is a normal finding. The
sound is caused by splitting of the aortic and pulmonic components.
.!
A+ TEST BANK 3
, NUR 507 - EXAM
A faun tail nevus is a sign of which of the following?
A) Down syndrome
B) Infantile scoliosis
C) Congenital heart disease
D) Spina bifida
D) Spina bifida
A faun tail nevus is an abnormal tuft of hair in the lumbosacral area, which can be a sign of spina
bifida. If found, order an ultrasound of the lesion to rule out an opening in the lower spine (spina
bifida).
All of the following pulmonary tests require the patient's voice to perform correctly except:
A) Egophony
B) Tactile fremitus
C) Whispered pectoriloquy
D) Auscultation
D) Auscultation
Auscultation is a technique used to evaluate lung sounds, whereas tactile maneuvers use the hands.
Fremitus occurs as a result of vibration of the chest wall when a person speaks and is heard through
a stethoscope. Tactile fremitus is a type of vocal fremitus found over the area of secretions. Tactile
fremitus is evaluated using the surface of both hands over the back/lungs. In bronchophony (the
ability to hear increased loudness of the spoken sounds), even a whisper can be heard through the
stethoscope.
While checking for the red reflex on a 3-year-old boy during a well-child visit, the nurse practitioner
notes a white reflection on the child's left pupil. Which of the following conditions should be ruled
out?
A) Unilateral strabismus
B) Unilateral cataracts
C) Retinoblastoma of the left eye
D) Color blindness of the left eye
C) Retinoblastoma of the left eye
Retinoblastoma is a congenital tumor of the retina. It
usually affects only one eye (rarely both eyes are involved). During infancy, the tumor is a small size
and it continues to grow with the child. This rare cancer is diagnosed by noting a pupil that appears
white or has white spots on it. One or both eyes may be affected. It is often first noted in
photographs, because a white glow is present in the eye instead of the usual "red eye" that results
from the flash.
During a sports physical, you note that the vision of an 18-year-old male athlete is 20/30 in both eyes.
Which of the following statements is true?
A+ TEST BANK 4
