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NR509 FINAL PRACTICE EXAM 2026 ALL QUESTIONS AND
CORRECT DETAILED ANSWERS ALREADY A GRADED WITH
EXPERT FEEDBACK|NEW AND REVISED
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?: 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 development?-
: IV
3. Primary prevention is defined as which of the following?: Interventions designed 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?: Mammography is recommended every 2 years for women aged 50-74 with insuflcient 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 ettects to health or quality of live, treatment does 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 mortality.
6. Which of the following is a useful strategy when examining young children between the
ages of 1 and 4?: 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
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routine encounter. Which statement from the parent may indicate a cardiac
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problem in the infant and require a more thorough subjective history?: "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?: CN IX
10. The NP should suspect injury to which cranial nerve (CN) if a patient pre-sents
with complaints of photosensitivity and uneven pupils after being struck in the eye
with a baseball?: CNIII
11. Which of the following statements is true regarding risks and rapid recogni-tion of
suspected stroke? Select all that apply: Obesity doubles the risk of stroke even without associated glucose
intolerance
Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke
12. The combination of both receptive and expressive aphasia is a characteris-tic of
which type of speech disorder?: global aphasia
13. The NP is assessing a 42-year-old female who presents to the clinic with
recurring headaches. What is an effective question to ask the patient?: Do you have any
aura prior to the headaches?
14. A 55-year-old female presents to the clinic with a headache. During the
interview, which of the following symptoms should prompt the NP to be concerned
and investigate further?: The patient reports fever, night sweats, and thinks she lost weight.
15. When grading muscle strength on a scale of 1 to 5, a grade of 3 indicates which of
the following?: Active movement against gravity
16. Which musculoskeletal disorder is paired correctly with the associated sys-temic
manifestations?: Lyme disease and expanding erythematous targetoid patch in early illness
NR509 FINAL PRACTICE EXAM 2026 ALL QUESTIONS AND
CORRECT DETAILED ANSWERS ALREADY A GRADED WITH
EXPERT FEEDBACK|NEW AND REVISED
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?: 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 development?-
: IV
3. Primary prevention is defined as which of the following?: Interventions designed 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?: Mammography is recommended every 2 years for women aged 50-74 with insuflcient 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 ettects to health or quality of live, treatment does 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 mortality.
6. Which of the following is a useful strategy when examining young children between the
ages of 1 and 4?: 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
,2|Page
routine encounter. Which statement from the parent may indicate a cardiac
,3|Page
problem in the infant and require a more thorough subjective history?: "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?: CN IX
10. The NP should suspect injury to which cranial nerve (CN) if a patient pre-sents
with complaints of photosensitivity and uneven pupils after being struck in the eye
with a baseball?: CNIII
11. Which of the following statements is true regarding risks and rapid recogni-tion of
suspected stroke? Select all that apply: Obesity doubles the risk of stroke even without associated glucose
intolerance
Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke
12. The combination of both receptive and expressive aphasia is a characteris-tic of
which type of speech disorder?: global aphasia
13. The NP is assessing a 42-year-old female who presents to the clinic with
recurring headaches. What is an effective question to ask the patient?: Do you have any
aura prior to the headaches?
14. A 55-year-old female presents to the clinic with a headache. During the
interview, which of the following symptoms should prompt the NP to be concerned
and investigate further?: The patient reports fever, night sweats, and thinks she lost weight.
15. When grading muscle strength on a scale of 1 to 5, a grade of 3 indicates which of
the following?: Active movement against gravity
16. Which musculoskeletal disorder is paired correctly with the associated sys-temic
manifestations?: Lyme disease and expanding erythematous targetoid patch in early illness
