NR509 Final Exam 2024/25 100% solved -
Graded A+
Which of the following physical assessment findings regarding blood pressure is consistent with the
normal aging process and not a sign of cardiovascular disease?
A net increase in pulse pressure with an increase in systolic pressure and a decrease in diastolic pressure
Which of the following statements best demonstrates that the NP understands their role in caring for
the aging population?
I will evaluate geriatric conditions in terms of functionality and quality of life rather than via traditional
disease models.
A 25-year-old female presents to the clinic after a positive home pregnancy test. She confides in you
that her live-in, male partner has been verbally threatening her. She denies interest in involving law
enforcement. Additionally, she reports that she has a 3- year-old daughter who lives in the home. What
is the appropriate next step by the NP?
Ask open-ended questions, allow her to make decisions that she feels are best for herself given the
circumstance, and provide immediate or long-term referrals to domestic violence resources
.
A 42-year-old female is at 39-weeks gestation. She reports no major issues except swelling in her feet
and shortness of breath which she assumed is normal for pregnancy. On exam, the NP notes a diastolic
murmur. Which of the following is true about her presentation and the appropriate next step by the NP?
A diastolic murmur during pregnancy is likely pathological; further investigation and work-up is
warranted
,A 32-year-old primigravid woman is at 27 weeks gestation. She presents with nausea, vomiting, urinary
frequency, discomfort in the lower abdomen, tenderness over the suprapubic area, and severe
constipation. Which of the following is true regarding these pregnancy symptoms?
Iron supplementation, hormonal changes, slowed intestinal transit, physical pressure from the gravid
uterus, and increased blood volume all contribute to abdominal symptoms in pregnant women.
A 24-year-old female presents to the clinic concerned that she may be pregnant. Her LMP was 7-weeks
ago, and the urine human chorionic gonadotropin (HCG) test is positive. What can the NP expect to find
on physical examination, assuming a normal pregnancy? Select all that apply
an internal cervical os closed to the width of a fingertip
a bluish hue to the cervix
A 20-year-old female presents to the clinic with symptoms of fatigue, nausea, and an increase in
urination. She is sexually active, and her male partner uses condoms occasionally. A urine pregnancy test
is positive. Her last menstrual period was 3 months ago (6/20/2021). Using the Naegele rule, what is the
estimated date of delivery (EDD, or due date)?
3/27/22
The NP is conducting a physical assessment on a woman in her 26th week of pregnancy. Which of the
examination finding is worrisome for a potential, emergent condition?
Facial edema
The NP is documenting the obstetric history of a patient. Her history includes two spontaneous
miscarriages at 16- and 24-weeks' gestation, four living children (one set of twins) who were delivered at
term, and a current pregnancy. How would this be documented?
G6P3024
, An 11-month-old infant male is accompanied to the clinic by his father. The father is concerned about
the skin rash on this son's arms represented in this image. Family history is significant for a 4-year-old
sibling with atopic dermatitis and asthma. Which of the following is the best documentation of the
integument findings?
Erythematous, patches and plaques involving the extensor surfaces of the bilateral antecubital fossa.
Mild, secondary excoriations present with serous exudate. No streaking. Scant purulent drainage
.
A mother brings her 15-day-old female infant to the outpatient clinic for evaluation of a rash that
appeared suddenly after visiting family in Florida. It is August and the house did not have air
conditioning. The infant is afebrile, eating and drinking well, and does not appear to be in distress. The
physical assessment findings are represented in this image. Based on the history and examination
findings, what is the likely etiology? ADA Description: Infant with a red, facial rash.
miliaria rubra
The NP assesses for the Moro Reflex as part of an infant routine physical examination. The NP should
suspect a neurologic disease if the reflex has not disappeared by what specific timeframe?
16 weeks
A 2-month-old female is accompanied by her parents for her first visit to the practice. When reviewing
the hospital medical records of her birth, the NP notes documentation regarding significantly
edematous hands and feet present at birth. Upon physical examination of the infant, the NP finds skin
folds that run along the sides of the neck down to the shoulders. Which of the following should be
assessed and monitored by the NP and parents related to these findings? Select all that apply.
The infant's growth chart with concern for height and length.
The infant's ability to properly latch during breastfeeding.
The infant's fluid gain or loss.
Graded A+
Which of the following physical assessment findings regarding blood pressure is consistent with the
normal aging process and not a sign of cardiovascular disease?
A net increase in pulse pressure with an increase in systolic pressure and a decrease in diastolic pressure
Which of the following statements best demonstrates that the NP understands their role in caring for
the aging population?
I will evaluate geriatric conditions in terms of functionality and quality of life rather than via traditional
disease models.
A 25-year-old female presents to the clinic after a positive home pregnancy test. She confides in you
that her live-in, male partner has been verbally threatening her. She denies interest in involving law
enforcement. Additionally, she reports that she has a 3- year-old daughter who lives in the home. What
is the appropriate next step by the NP?
Ask open-ended questions, allow her to make decisions that she feels are best for herself given the
circumstance, and provide immediate or long-term referrals to domestic violence resources
.
A 42-year-old female is at 39-weeks gestation. She reports no major issues except swelling in her feet
and shortness of breath which she assumed is normal for pregnancy. On exam, the NP notes a diastolic
murmur. Which of the following is true about her presentation and the appropriate next step by the NP?
A diastolic murmur during pregnancy is likely pathological; further investigation and work-up is
warranted
,A 32-year-old primigravid woman is at 27 weeks gestation. She presents with nausea, vomiting, urinary
frequency, discomfort in the lower abdomen, tenderness over the suprapubic area, and severe
constipation. Which of the following is true regarding these pregnancy symptoms?
Iron supplementation, hormonal changes, slowed intestinal transit, physical pressure from the gravid
uterus, and increased blood volume all contribute to abdominal symptoms in pregnant women.
A 24-year-old female presents to the clinic concerned that she may be pregnant. Her LMP was 7-weeks
ago, and the urine human chorionic gonadotropin (HCG) test is positive. What can the NP expect to find
on physical examination, assuming a normal pregnancy? Select all that apply
an internal cervical os closed to the width of a fingertip
a bluish hue to the cervix
A 20-year-old female presents to the clinic with symptoms of fatigue, nausea, and an increase in
urination. She is sexually active, and her male partner uses condoms occasionally. A urine pregnancy test
is positive. Her last menstrual period was 3 months ago (6/20/2021). Using the Naegele rule, what is the
estimated date of delivery (EDD, or due date)?
3/27/22
The NP is conducting a physical assessment on a woman in her 26th week of pregnancy. Which of the
examination finding is worrisome for a potential, emergent condition?
Facial edema
The NP is documenting the obstetric history of a patient. Her history includes two spontaneous
miscarriages at 16- and 24-weeks' gestation, four living children (one set of twins) who were delivered at
term, and a current pregnancy. How would this be documented?
G6P3024
, An 11-month-old infant male is accompanied to the clinic by his father. The father is concerned about
the skin rash on this son's arms represented in this image. Family history is significant for a 4-year-old
sibling with atopic dermatitis and asthma. Which of the following is the best documentation of the
integument findings?
Erythematous, patches and plaques involving the extensor surfaces of the bilateral antecubital fossa.
Mild, secondary excoriations present with serous exudate. No streaking. Scant purulent drainage
.
A mother brings her 15-day-old female infant to the outpatient clinic for evaluation of a rash that
appeared suddenly after visiting family in Florida. It is August and the house did not have air
conditioning. The infant is afebrile, eating and drinking well, and does not appear to be in distress. The
physical assessment findings are represented in this image. Based on the history and examination
findings, what is the likely etiology? ADA Description: Infant with a red, facial rash.
miliaria rubra
The NP assesses for the Moro Reflex as part of an infant routine physical examination. The NP should
suspect a neurologic disease if the reflex has not disappeared by what specific timeframe?
16 weeks
A 2-month-old female is accompanied by her parents for her first visit to the practice. When reviewing
the hospital medical records of her birth, the NP notes documentation regarding significantly
edematous hands and feet present at birth. Upon physical examination of the infant, the NP finds skin
folds that run along the sides of the neck down to the shoulders. Which of the following should be
assessed and monitored by the NP and parents related to these findings? Select all that apply.
The infant's growth chart with concern for height and length.
The infant's ability to properly latch during breastfeeding.
The infant's fluid gain or loss.
