Scheduled maintenance: 17 May 2025 from 07:00 to 10:00
Title
NR 509 - Final Exam 2025/26
Description
NR 509 Final Exam 2025, NR 509 Test Bank, Adult and Geriatric Primary Care, NR 509 Questions and Answers,
Chamberlain NR 509, NR 509 Study Guide, Nurse Practitioner Exam Prep
Import Add diagram Create from notes
1
A 44-year-old female mathematician presents to clinic c. This patient was in compliance with the
Image
with a complaint of a mass in the right breast. Her U.S. Preventive Services Task Force
partner noticed this mass 2 days ago, and the patient (USPSTF) recommendations for her age
feels guilty because she has only had one mammogram group and risk factors prior to her
and does not engage in breast self-examination (BSE) current complaint.
on any regular basis. She has no family history of breast
DEFINITION
cancer, and her prior mammogram was ordered as a
routine screening test at age 43 years after a brief
,discussion with her primary care provider. After a
thorough investigation reveals a benign cyst, what
advice should be given to this patient about screening
for breast cancer in her age group?
a. BSE is well evidenced, and all recommending
agencies agree that it should be taught and reinforced.
b. Clinical breast examination (CBE) is superior to BSE
and should be a routine part of annual examinations
starting at age 30 years.
c. This patient was in compliance with the U.S.
Preventive Services Task F
TERM
2
A 42-year-old female website developer presents for b. Sensitivity of screening for breast
Image
an annual preventive examination with questions about cancer increases with breast MRI at the
breast cancer screening. She is concerned about the expense of specificity.
radiation exposure associated with mammography and
DEFINITION
is interested in magnetic resonance imaging (MRI) as a
possible alternative for routine screening. She is
otherwise healthy with no family history of breast,
ovarian, or colon cancer. Which of the following is true
about MRI as a screening modality for breast cancer in
the general population?
,a. Breast cancer screening by MRI has been well
studied in the general population.
b. Sensitivity of screening for breast cancer increases
with breast MRI at the expense of specificity.
c. This patient is an ideal candidate for screening via
breast MRI based on current evidence.
d. Women at low lifetime risk of breast cancer (<20%)
are recommended to undergo screening MRI.
e. Known BRCA1 or BRCA2 mutation is insufficient c
TERM
3
A 35-year-old G0P0 woman presents to clinic with a e. Prolactinoma
Image
complaint of bilateral nipple discharge. This discharge
DEFINITION
started several weeks ago and has occurred at irregular
intervals since that time. She does not complain of local
tenderness, redness, fever, or any other systemic
symptoms aside from slightly irregular periods over the
last few months. On examination, she is able to express
a small amount of discharge, which is sent to the
laboratory and found to be consistent with breast milk
but without any signs of blood or pus. Screening
laboratories are also sent, which reveal a normal blood
count, metabolic panel, thyroid-stimulating hormone,
and human chorionic gonadotropin (HCG) level.
, Further laboratories are still pending. Which of the
following is the most likely diagnosis?
a. Mastitis
b. Ductal carcinoma in situ
c. Paget disease of the breast
d. Occult pregnancy
e. Prolactinoma
TERM
4
A 22-year-old G0P0 undergraduate student presents to b. This patient is more likely to find a
Image
clinic after finding a breast mass on breast self- fibroadenoma than a cancer on self-
examination (BSE) at home. The mass is nontender examination.
without skin changes, erythema, or overlying swelling.
DEFINITION
She has heard that most breast cancers are found by
patients themselves, and she is very concerned that she
may have breast cancer. Which of the following is true
about BSE and self-detection of breast cancer?
a. Most masses that women find at home and bring to a
provider's attention turn out to be malignant.
b. This patient is more likely to find a fibroadenoma than
a cancer on self-examination.
c. The most likely breast mass this patient is likely to find
in herself is an abscess complicating underlying mastitis.
Title
NR 509 - Final Exam 2025/26
Description
NR 509 Final Exam 2025, NR 509 Test Bank, Adult and Geriatric Primary Care, NR 509 Questions and Answers,
Chamberlain NR 509, NR 509 Study Guide, Nurse Practitioner Exam Prep
Import Add diagram Create from notes
1
A 44-year-old female mathematician presents to clinic c. This patient was in compliance with the
Image
with a complaint of a mass in the right breast. Her U.S. Preventive Services Task Force
partner noticed this mass 2 days ago, and the patient (USPSTF) recommendations for her age
feels guilty because she has only had one mammogram group and risk factors prior to her
and does not engage in breast self-examination (BSE) current complaint.
on any regular basis. She has no family history of breast
DEFINITION
cancer, and her prior mammogram was ordered as a
routine screening test at age 43 years after a brief
,discussion with her primary care provider. After a
thorough investigation reveals a benign cyst, what
advice should be given to this patient about screening
for breast cancer in her age group?
a. BSE is well evidenced, and all recommending
agencies agree that it should be taught and reinforced.
b. Clinical breast examination (CBE) is superior to BSE
and should be a routine part of annual examinations
starting at age 30 years.
c. This patient was in compliance with the U.S.
Preventive Services Task F
TERM
2
A 42-year-old female website developer presents for b. Sensitivity of screening for breast
Image
an annual preventive examination with questions about cancer increases with breast MRI at the
breast cancer screening. She is concerned about the expense of specificity.
radiation exposure associated with mammography and
DEFINITION
is interested in magnetic resonance imaging (MRI) as a
possible alternative for routine screening. She is
otherwise healthy with no family history of breast,
ovarian, or colon cancer. Which of the following is true
about MRI as a screening modality for breast cancer in
the general population?
,a. Breast cancer screening by MRI has been well
studied in the general population.
b. Sensitivity of screening for breast cancer increases
with breast MRI at the expense of specificity.
c. This patient is an ideal candidate for screening via
breast MRI based on current evidence.
d. Women at low lifetime risk of breast cancer (<20%)
are recommended to undergo screening MRI.
e. Known BRCA1 or BRCA2 mutation is insufficient c
TERM
3
A 35-year-old G0P0 woman presents to clinic with a e. Prolactinoma
Image
complaint of bilateral nipple discharge. This discharge
DEFINITION
started several weeks ago and has occurred at irregular
intervals since that time. She does not complain of local
tenderness, redness, fever, or any other systemic
symptoms aside from slightly irregular periods over the
last few months. On examination, she is able to express
a small amount of discharge, which is sent to the
laboratory and found to be consistent with breast milk
but without any signs of blood or pus. Screening
laboratories are also sent, which reveal a normal blood
count, metabolic panel, thyroid-stimulating hormone,
and human chorionic gonadotropin (HCG) level.
, Further laboratories are still pending. Which of the
following is the most likely diagnosis?
a. Mastitis
b. Ductal carcinoma in situ
c. Paget disease of the breast
d. Occult pregnancy
e. Prolactinoma
TERM
4
A 22-year-old G0P0 undergraduate student presents to b. This patient is more likely to find a
Image
clinic after finding a breast mass on breast self- fibroadenoma than a cancer on self-
examination (BSE) at home. The mass is nontender examination.
without skin changes, erythema, or overlying swelling.
DEFINITION
She has heard that most breast cancers are found by
patients themselves, and she is very concerned that she
may have breast cancer. Which of the following is true
about BSE and self-detection of breast cancer?
a. Most masses that women find at home and bring to a
provider's attention turn out to be malignant.
b. This patient is more likely to find a fibroadenoma than
a cancer on self-examination.
c. The most likely breast mass this patient is likely to find
in herself is an abscess complicating underlying mastitis.
