1
NR 509/ NR509
NR 509/ NR509 Final Exam Chamberlain: Advanced
Physical Assessment | Q/A | Grade A| 100% Correct
(Verified Answers) (2026/ 2027) -
1. Question:
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?
Answer:
Take a further history and perform a very careful neurological exam
Rationale:
New onset or worsening of headaches, especially waking the patient at
night, requires a thorough neurological assessment to rule out serious
causes such as increased intracranial pressure, tumor, or secondary
headache disorders.
2. Question:
A grandmother is accompanying her 9-year-old granddaughter during a
NR 509/ NR509
, 2
NR 509/ NR509
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?
Answer:
IV
Rationale:
Tanner Stage IV is characterized by the areola and papilla forming a
secondary mound above the level of the breast, with development often
being asymmetric initially.
3. Question:
Primary prevention is defined as which of the following?
Answer:
Interventions designed to prevent disease
Rationale:
Primary prevention aims to prevent the onset of disease before it occurs,
through interventions such as vaccinations, health education, and lifestyle
modifications.
NR 509/ NR509
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NR 509/ NR509
4. Question:
Based on the U.S. Preventive Services Task Force (USPSTF)
recommendations, which of the following statements is true about
screening for breast cancer in average-risk women?
Answer:
Mammography is recommended every 2 years for women aged 50-74 with
insufficient evidence for screening women over the age of 75.
Rationale:
USPSTF guidelines recommend biennial mammography for women aged
50–74 and state that evidence is insufficient for women ≥75 years.
5. Question:
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.
Answer:
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 life, treatment does not
need to be adjusted.”
NR 509/ NR509
, 4
NR 509/ NR509
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 mortality.
Rationale:
JNC8 recommends less stringent BP targets for older adults to balance
benefits and risks, especially in the very elderly.
6. Question:
Which of the following is a useful strategy when examining young children
between the ages of 1 and 4?
Answer:
Have the parent facilitate the exam (e.g., removing clothes, holding the child
on lap).
Rationale:
Involving the parent reduces anxiety, increases cooperation, and facilitates
a smoother examination in young children.
7. Question:
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
NR 509/ NR509
NR 509/ NR509
NR 509/ NR509 Final Exam Chamberlain: Advanced
Physical Assessment | Q/A | Grade A| 100% Correct
(Verified Answers) (2026/ 2027) -
1. Question:
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?
Answer:
Take a further history and perform a very careful neurological exam
Rationale:
New onset or worsening of headaches, especially waking the patient at
night, requires a thorough neurological assessment to rule out serious
causes such as increased intracranial pressure, tumor, or secondary
headache disorders.
2. Question:
A grandmother is accompanying her 9-year-old granddaughter during a
NR 509/ NR509
, 2
NR 509/ NR509
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?
Answer:
IV
Rationale:
Tanner Stage IV is characterized by the areola and papilla forming a
secondary mound above the level of the breast, with development often
being asymmetric initially.
3. Question:
Primary prevention is defined as which of the following?
Answer:
Interventions designed to prevent disease
Rationale:
Primary prevention aims to prevent the onset of disease before it occurs,
through interventions such as vaccinations, health education, and lifestyle
modifications.
NR 509/ NR509
, 3
NR 509/ NR509
4. Question:
Based on the U.S. Preventive Services Task Force (USPSTF)
recommendations, which of the following statements is true about
screening for breast cancer in average-risk women?
Answer:
Mammography is recommended every 2 years for women aged 50-74 with
insufficient evidence for screening women over the age of 75.
Rationale:
USPSTF guidelines recommend biennial mammography for women aged
50–74 and state that evidence is insufficient for women ≥75 years.
5. Question:
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.
Answer:
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 life, treatment does not
need to be adjusted.”
NR 509/ NR509
, 4
NR 509/ NR509
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 mortality.
Rationale:
JNC8 recommends less stringent BP targets for older adults to balance
benefits and risks, especially in the very elderly.
6. Question:
Which of the following is a useful strategy when examining young children
between the ages of 1 and 4?
Answer:
Have the parent facilitate the exam (e.g., removing clothes, holding the child
on lap).
Rationale:
Involving the parent reduces anxiety, increases cooperation, and facilitates
a smoother examination in young children.
7. Question:
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
NR 509/ NR509
