NR509 MIDTERM EXAM PREP 2025/2026
QUESTIONS BANK AND CORRECT
DETAILED ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS
<LATEST VERSION>
1. Cause of saddle numbness and urinary retention - ANSWER ✔ Cauda
equina syndrome
2. Presentation of retinal detachment - ANSWER ✔ If sudden visual loss is
unilateral and painless,
3. Obtunded - ANSWER ✔ patient opens the eyes and looks at you but
responds slowly and is somewhat confused. Alertness and interest in the
environment are decreased.
4. Cranial nerve for lateral gaze - ANSWER ✔ CN6: Abducens
5. Adult Illnesses - ANSWER ✔ Medical: Illnesses such as diabetes,
hypertension, hepatitis, asthma, and human immunodeficiency virus (HIV);
hospitalizations; number and gender of sexual partners; and risk-taking
sexual practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods of
contraception, and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and
treatments
6. Present Illness - ANSWER ✔ chronologic description of the problems
prompting the patient's visit, including the onset of the problem, the setting
in which it developed, its manifestations, and any treatments to date.Each
problem/symptom needs: (1) location; (2) quality; (3) quantity or severity;
, (4) timing, including onset, duration, and frequency; (5) the setting in which
it occurs; (6) factors that have aggravated
-meds, allergies, tobacco use, ETOH and drug use
7. Absence of red reflex - ANSWER ✔ an opacity of the lens (cataract) or,
possibly, the vitreous (or even an artificial eye). Less commonly, a detached
retina or, in children, a retinoblastoma may obscure this reflex.
8. S/S of seasonal allergies - ANSWER ✔ Itching, watery eyes, sneezing, ear
congestion, postnasal drainage
9. Presentation of optic neuritis - ANSWER ✔ Enlarged blind spot, vision loss
in 1 eye, loss of color vision, hole in center of vision, trouble seeing to the
side, eye pain
10.pityriasis rosea - ANSWER ✔ Multiple round to oval scaling violaceous
plaques on abdomen and back
11.Acromion - ANSWER ✔ tip of shoulder
12.What to do for + finding on physical exam, but - workup - ANSWER ✔
continue using test, but less lab and diagnostics
13.Cause of falsely high BP - ANSWER ✔ -too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
14.A teenage girl has arrived complaining of pain in her left wrist. She was
playing basketball when
she fell and landed on her left hand. The FNP examined her hand and will
expect a fracture if the
girl complains: - ANSWER ✔ Of sharp pain that increases with movement
15.A patient has been diagnosed with osteoporosis and asked the FNP "what is
osteoporosis?" The
FNP explains to the patient that osteoporosis is defined as: - ANSWER ✔
Loss of bone density
,16.Patient states, "I can hear a crunching or grating sound when I kneel". She
also states "that it is
very difficult to get out of bed in the morning because of stiffness and pain
in my joints". The FNP
should assess for signs of what problem? - ANSWER ✔ Crepitation
17.When taking the history on a patient with a seizure disorder the FNP
assesses whether the
patient has an aura. Which of these would be the best question for obtaining
this information? - ANSWER ✔ Do you have any warning sign before you
receive your starts?
18.The FNP is teaching a class on osteoporosis prevention to a group of post
menopausal women. A
participant shows that she needs more instruction when she states I will: -
ANSWER ✔ " Start swimming to increase my weight bearing exercise"
19.The FNP is performing a neurological assessment on a 41-year-old woman
with a history of
diabetes. When testing her ability to feel the vibrations of a tuning fork the
FNP notices that the
patient is unable to feel vibrations on the great toe or ankle bilaterally, but
she is able to feel
vibrations on both patella. Given this information what would the FNP
suspect? - ANSWER ✔ Peripheral neuropathy
20.And 80-year-old woman is visiting the clinic for a check up. She states "I
can't walk as much as I
used to". The FNP is observing from motor dysfunction in her hip and
should have her: - ANSWER ✔ Abduct her hip while she is lying on her
back
21.A 16-year-old male high school student presents with a primary concern of
acne. He relates a history of 2 years of moderate mild acne and closed
comedones (whiteheads), which have recently worsened such that a
classmate started calling him a pirate due to a large pustule that developed at
the tip of his nose. He has increasing outbreaks of cyst-like acne as well as a
generally poor complexion with pitting and scarring from prior outbreaks.
, Which of the following best describes this condition in the adolescent
population?
a. Acne vulgaris affects <50% of the adolescent population.
b. Acne vulgaris is associated with an identified virus for which
there is no definitive treatment.
c. Acne vulgaris is associated with blockage of sebaceous
glands, stress, humidity, and heavy sweating as well as other
contributory factors
d. The primary hormonal stimulus for acne vulgaris is estrogen, causing
preferentially worse cases in - ANSWER ✔ c. Acne vulgaris is associated
with blockage of sebaceous glands, stress, humidity, and heavy sweating as
well as other
contributory factors
22.A 72-year-old woman presents with concerns about several ruby-red spots
on her chest and abdomen. She reports that these are growing in both size
and number over time. On examination, the provider notes a number of
cherry angiomas at the locations indicated by the patient. No other
abnormalities are noted. Which of the following best describes the clinical
characteristics and significance of a cherry angioma?
a. Cherry angiomas never show blanching under pressure.
b. Cherry angiomas are associated with liver disease and B
vitamin deficiencies.
c. Cherry angiomas are benign and may increase in size and
number with aging.
d. Cherry angiomas rarely occur on the trunk and are most often
noted on the legs near veins.
e. Cherry angiomas are a marker for underlying pathology that
requires additional evaluation. - ANSWER ✔ c. Cherry
angiomas are benign and may increase in size and number
with aging.
23.A 28-year-old male business executive presents to a primary care provider
with concerns about hair loss. He is otherwise healthy without chronic
medical conditions or current medications. He has a chart history of allergy
to sulfa medications, although this happened when he was a young child,
and he does not recall the incident or the reaction. He is unsure at what age
QUESTIONS BANK AND CORRECT
DETAILED ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS
<LATEST VERSION>
1. Cause of saddle numbness and urinary retention - ANSWER ✔ Cauda
equina syndrome
2. Presentation of retinal detachment - ANSWER ✔ If sudden visual loss is
unilateral and painless,
3. Obtunded - ANSWER ✔ patient opens the eyes and looks at you but
responds slowly and is somewhat confused. Alertness and interest in the
environment are decreased.
4. Cranial nerve for lateral gaze - ANSWER ✔ CN6: Abducens
5. Adult Illnesses - ANSWER ✔ Medical: Illnesses such as diabetes,
hypertension, hepatitis, asthma, and human immunodeficiency virus (HIV);
hospitalizations; number and gender of sexual partners; and risk-taking
sexual practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods of
contraception, and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and
treatments
6. Present Illness - ANSWER ✔ chronologic description of the problems
prompting the patient's visit, including the onset of the problem, the setting
in which it developed, its manifestations, and any treatments to date.Each
problem/symptom needs: (1) location; (2) quality; (3) quantity or severity;
, (4) timing, including onset, duration, and frequency; (5) the setting in which
it occurs; (6) factors that have aggravated
-meds, allergies, tobacco use, ETOH and drug use
7. Absence of red reflex - ANSWER ✔ an opacity of the lens (cataract) or,
possibly, the vitreous (or even an artificial eye). Less commonly, a detached
retina or, in children, a retinoblastoma may obscure this reflex.
8. S/S of seasonal allergies - ANSWER ✔ Itching, watery eyes, sneezing, ear
congestion, postnasal drainage
9. Presentation of optic neuritis - ANSWER ✔ Enlarged blind spot, vision loss
in 1 eye, loss of color vision, hole in center of vision, trouble seeing to the
side, eye pain
10.pityriasis rosea - ANSWER ✔ Multiple round to oval scaling violaceous
plaques on abdomen and back
11.Acromion - ANSWER ✔ tip of shoulder
12.What to do for + finding on physical exam, but - workup - ANSWER ✔
continue using test, but less lab and diagnostics
13.Cause of falsely high BP - ANSWER ✔ -too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
14.A teenage girl has arrived complaining of pain in her left wrist. She was
playing basketball when
she fell and landed on her left hand. The FNP examined her hand and will
expect a fracture if the
girl complains: - ANSWER ✔ Of sharp pain that increases with movement
15.A patient has been diagnosed with osteoporosis and asked the FNP "what is
osteoporosis?" The
FNP explains to the patient that osteoporosis is defined as: - ANSWER ✔
Loss of bone density
,16.Patient states, "I can hear a crunching or grating sound when I kneel". She
also states "that it is
very difficult to get out of bed in the morning because of stiffness and pain
in my joints". The FNP
should assess for signs of what problem? - ANSWER ✔ Crepitation
17.When taking the history on a patient with a seizure disorder the FNP
assesses whether the
patient has an aura. Which of these would be the best question for obtaining
this information? - ANSWER ✔ Do you have any warning sign before you
receive your starts?
18.The FNP is teaching a class on osteoporosis prevention to a group of post
menopausal women. A
participant shows that she needs more instruction when she states I will: -
ANSWER ✔ " Start swimming to increase my weight bearing exercise"
19.The FNP is performing a neurological assessment on a 41-year-old woman
with a history of
diabetes. When testing her ability to feel the vibrations of a tuning fork the
FNP notices that the
patient is unable to feel vibrations on the great toe or ankle bilaterally, but
she is able to feel
vibrations on both patella. Given this information what would the FNP
suspect? - ANSWER ✔ Peripheral neuropathy
20.And 80-year-old woman is visiting the clinic for a check up. She states "I
can't walk as much as I
used to". The FNP is observing from motor dysfunction in her hip and
should have her: - ANSWER ✔ Abduct her hip while she is lying on her
back
21.A 16-year-old male high school student presents with a primary concern of
acne. He relates a history of 2 years of moderate mild acne and closed
comedones (whiteheads), which have recently worsened such that a
classmate started calling him a pirate due to a large pustule that developed at
the tip of his nose. He has increasing outbreaks of cyst-like acne as well as a
generally poor complexion with pitting and scarring from prior outbreaks.
, Which of the following best describes this condition in the adolescent
population?
a. Acne vulgaris affects <50% of the adolescent population.
b. Acne vulgaris is associated with an identified virus for which
there is no definitive treatment.
c. Acne vulgaris is associated with blockage of sebaceous
glands, stress, humidity, and heavy sweating as well as other
contributory factors
d. The primary hormonal stimulus for acne vulgaris is estrogen, causing
preferentially worse cases in - ANSWER ✔ c. Acne vulgaris is associated
with blockage of sebaceous glands, stress, humidity, and heavy sweating as
well as other
contributory factors
22.A 72-year-old woman presents with concerns about several ruby-red spots
on her chest and abdomen. She reports that these are growing in both size
and number over time. On examination, the provider notes a number of
cherry angiomas at the locations indicated by the patient. No other
abnormalities are noted. Which of the following best describes the clinical
characteristics and significance of a cherry angioma?
a. Cherry angiomas never show blanching under pressure.
b. Cherry angiomas are associated with liver disease and B
vitamin deficiencies.
c. Cherry angiomas are benign and may increase in size and
number with aging.
d. Cherry angiomas rarely occur on the trunk and are most often
noted on the legs near veins.
e. Cherry angiomas are a marker for underlying pathology that
requires additional evaluation. - ANSWER ✔ c. Cherry
angiomas are benign and may increase in size and number
with aging.
23.A 28-year-old male business executive presents to a primary care provider
with concerns about hair loss. He is otherwise healthy without chronic
medical conditions or current medications. He has a chart history of allergy
to sulfa medications, although this happened when he was a young child,
and he does not recall the incident or the reaction. He is unsure at what age
