1|Page Chamberlain College of Nursing
NR 509 Week 8
Chamberlain College of Nursing NR 509 Week 8 Final Examination
Comprehensive Study Guide and Assessment Review (PDF Format)
NR 509 Week 8 Final Exam - Quick Overview
MAIN CONTENT AREAS
Neurological (15%)
- Cranial nerves, stroke, headaches, aphasia, reflexes, cerebellar function
Musculoskeletal (12%)
- Arthritis, joint disorders, muscle strength, spine, shoulder, knee
Cardiovascular (10%)
- Heart sounds, murmurs, hypertension (JNC8), peripheral vascular
Respiratory (8%)
- Lung sounds, COPD, pneumonia, pleural effusion
HEENT (8%)
- Eye/ear/nose/throat assessment, fundoscopy, hearing tests
Abdominal/GI (8%)
- Appendicitis, peritonitis, cholecystitis, hernias, liver/spleen
Genitourinary/Reproductive (8%)
- Prostate, breast, pelvic exams, STIs, testicular disorders
Pediatric (7%)
- Growth/development, Tanner stages, reflexes, rashes, congenital conditions
Geriatrics (7%)
- Fall risk, functional assessment, normal aging, polypharmacy
Obstetrics (7%)
- Pregnancy, prenatal care, preeclampsia, ectopic pregnancy
Dermatology (5%)
- Rashes, lesions, skin conditions, purpura, infections
Psychiatry/Mental Health (3%)
- Cognitive assessment, depression, dementia, substance abuse
Prevention/Screening (2%)
- USPSTF guidelines, vaccinations, cancer screening
,2|Page Chamberlain College of Nursing
NR 509 Week 8
KEY ASSESSMENT TESTS
- Weber, Rinne, Romberg, Babinski, Kernig, Brudzinski
- Murphy, McBurney, Psoas, Obturator, Rovsing
- Lachman, McMurray, Finkelstein, Phalen, Tinel
- Ortolani, Barlow, Trendelenburg
1. A 35-year-old female with a history of migraines presents to the clinic with worsening symptoms for the past few weeks,
reporting waking up at night with headaches and nausea, and her only medication history is oral contraceptive pills. Which action
taken by the NP is the best next step?
- A) Order an immediate MRI of the brain
- B) Discontinue the oral contraceptive pills
- C) Prescribe a stronger migraine medication
- D) Take a further history and perform a very careful neurological exam
- E) Refer to neurology for specialist consultation
✓ Correct Answer: D) Take a further history and perform a very careful neurological exam
Rationale: Waking at night with headaches and nausea in a patient on OCPs raises concern for increased intracranial pressure or
cerebrovascular events, necessitating thorough neurological assessment before any intervention.
2. A grandmother accompanying her 9-year-old granddaughter during a routine physical examination asks privately if her
granddaughter has started puberty yet. During examination, the NP notes asymmetric projection of the areola and nipple of the
right chest forming a secondary mound above the level of the breast while the left breast is underdeveloped. These assessment
findings are consistent with which Tanner Stage of development?
,3|Page Chamberlain College of Nursing
NR 509 Week 8
- A) Stage I
- B) Stage II
- C) Stage III
- D) Stage IV
- E) Stage V
✓ Correct Answer: D) Stage IV
Rationale: Tanner Stage IV is characterized by projection of the areola and nipple to form a secondary mound above the breast
level, with asymmetry being common during development.
3. Primary prevention is defined as which of the following?
- A) Interventions designed to detect disease early
- B) Interventions designed to prevent disease
- C) Interventions designed to treat established disease
- D) Interventions designed to rehabilitate after disease
- E) Interventions designed to manage chronic conditions
✓ Correct Answer: B) Interventions designed to prevent disease
Rationale: Primary prevention aims to prevent disease before it occurs through interventions such as immunizations, lifestyle
modifications, and health education.
, 4|Page Chamberlain College of Nursing
NR 509 Week 8
4. Based on the USPSTF recommendations, which statement is true about screening for breast cancer in average-risk women?
- A) Mammography is recommended annually for women aged 40-49
- B) Mammography is recommended every 2 years for women aged 50-74 with insufficient evidence for screening women over
age 75
- C) Mammography is not recommended for women over age 65
- D) Clinical breast examination is recommended instead of mammography
- E) Mammography should begin at age 30 for all women
✓ Correct Answer: B) Mammography is recommended every 2 years for women aged 50-74 with insufficient evidence
for screening women over age 75
Rationale: The USPSTF recommends biennial screening mammography for average-risk women aged 50-74, with insufficient
evidence to recommend for or against screening in women over 75.
5. Which statements are true regarding recommendations by the eighth Joint National Committee for adults aged 60 and older?
Select all that apply.
- A) Target blood pressure should be less than 120/80 mmHg for all adults
- B) Target blood pressure should be ≤150/90 mmHg but if treatment results in SBP <140 and is well tolerated, treatment does not
need adjustment
- C) In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear optimal for reductions in stroke and
cardiovascular events
NR 509 Week 8
Chamberlain College of Nursing NR 509 Week 8 Final Examination
Comprehensive Study Guide and Assessment Review (PDF Format)
NR 509 Week 8 Final Exam - Quick Overview
MAIN CONTENT AREAS
Neurological (15%)
- Cranial nerves, stroke, headaches, aphasia, reflexes, cerebellar function
Musculoskeletal (12%)
- Arthritis, joint disorders, muscle strength, spine, shoulder, knee
Cardiovascular (10%)
- Heart sounds, murmurs, hypertension (JNC8), peripheral vascular
Respiratory (8%)
- Lung sounds, COPD, pneumonia, pleural effusion
HEENT (8%)
- Eye/ear/nose/throat assessment, fundoscopy, hearing tests
Abdominal/GI (8%)
- Appendicitis, peritonitis, cholecystitis, hernias, liver/spleen
Genitourinary/Reproductive (8%)
- Prostate, breast, pelvic exams, STIs, testicular disorders
Pediatric (7%)
- Growth/development, Tanner stages, reflexes, rashes, congenital conditions
Geriatrics (7%)
- Fall risk, functional assessment, normal aging, polypharmacy
Obstetrics (7%)
- Pregnancy, prenatal care, preeclampsia, ectopic pregnancy
Dermatology (5%)
- Rashes, lesions, skin conditions, purpura, infections
Psychiatry/Mental Health (3%)
- Cognitive assessment, depression, dementia, substance abuse
Prevention/Screening (2%)
- USPSTF guidelines, vaccinations, cancer screening
,2|Page Chamberlain College of Nursing
NR 509 Week 8
KEY ASSESSMENT TESTS
- Weber, Rinne, Romberg, Babinski, Kernig, Brudzinski
- Murphy, McBurney, Psoas, Obturator, Rovsing
- Lachman, McMurray, Finkelstein, Phalen, Tinel
- Ortolani, Barlow, Trendelenburg
1. A 35-year-old female with a history of migraines presents to the clinic with worsening symptoms for the past few weeks,
reporting waking up at night with headaches and nausea, and her only medication history is oral contraceptive pills. Which action
taken by the NP is the best next step?
- A) Order an immediate MRI of the brain
- B) Discontinue the oral contraceptive pills
- C) Prescribe a stronger migraine medication
- D) Take a further history and perform a very careful neurological exam
- E) Refer to neurology for specialist consultation
✓ Correct Answer: D) Take a further history and perform a very careful neurological exam
Rationale: Waking at night with headaches and nausea in a patient on OCPs raises concern for increased intracranial pressure or
cerebrovascular events, necessitating thorough neurological assessment before any intervention.
2. A grandmother accompanying her 9-year-old granddaughter during a routine physical examination asks privately if her
granddaughter has started puberty yet. During examination, the NP notes asymmetric projection of the areola and nipple of the
right chest forming a secondary mound above the level of the breast while the left breast is underdeveloped. These assessment
findings are consistent with which Tanner Stage of development?
,3|Page Chamberlain College of Nursing
NR 509 Week 8
- A) Stage I
- B) Stage II
- C) Stage III
- D) Stage IV
- E) Stage V
✓ Correct Answer: D) Stage IV
Rationale: Tanner Stage IV is characterized by projection of the areola and nipple to form a secondary mound above the breast
level, with asymmetry being common during development.
3. Primary prevention is defined as which of the following?
- A) Interventions designed to detect disease early
- B) Interventions designed to prevent disease
- C) Interventions designed to treat established disease
- D) Interventions designed to rehabilitate after disease
- E) Interventions designed to manage chronic conditions
✓ Correct Answer: B) Interventions designed to prevent disease
Rationale: Primary prevention aims to prevent disease before it occurs through interventions such as immunizations, lifestyle
modifications, and health education.
, 4|Page Chamberlain College of Nursing
NR 509 Week 8
4. Based on the USPSTF recommendations, which statement is true about screening for breast cancer in average-risk women?
- A) Mammography is recommended annually for women aged 40-49
- B) Mammography is recommended every 2 years for women aged 50-74 with insufficient evidence for screening women over
age 75
- C) Mammography is not recommended for women over age 65
- D) Clinical breast examination is recommended instead of mammography
- E) Mammography should begin at age 30 for all women
✓ Correct Answer: B) Mammography is recommended every 2 years for women aged 50-74 with insufficient evidence
for screening women over age 75
Rationale: The USPSTF recommends biennial screening mammography for average-risk women aged 50-74, with insufficient
evidence to recommend for or against screening in women over 75.
5. Which statements are true regarding recommendations by the eighth Joint National Committee for adults aged 60 and older?
Select all that apply.
- A) Target blood pressure should be less than 120/80 mmHg for all adults
- B) Target blood pressure should be ≤150/90 mmHg but if treatment results in SBP <140 and is well tolerated, treatment does not
need adjustment
- C) In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear optimal for reductions in stroke and
cardiovascular events
