NR 509 EXAM / NR 509 FINAL EXAM 2025/2026 ACTUAL
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED SOLUTIONS) A NEW UPDATED VERSION
|GUARANTEED PASS A+ (BRAND NEW!) FULL REVISED NR
509 FINAL EXAM 2025/2026
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?
Answer- The patient reports fever, night sweats, and thinks she lost
weight.
When grading muscle strength on a scale of 1 to 5, a grade of 3 indicates
which of the following?
Answer- Active movement against gravity
Which musculoskeletal disorder is paired correctly with the associated
systemic manifestations?
Answer- Lyme disease and expanding erythematous targeted patch in
early illness
A 62-year-old female has a diagnosis of rheumatoid arthritis (RA).
Which of the following are expected assessment findings consistent with
the diagnosis?
Answer- Swelling of the synovial tissue in joints and tendon sheaths.
,A 58-year-old male complains of pain in his knees, hips, hands, wrists,
neck, and lower back. Based on the joints involved, the NP suspects that
the patient most likely has which condition?
Answer- Osteoarthritis
A 55-year-old male has a diagnosis of lumbar spinal stenosis. Which
sign should the NP expect to find on examination that is most consistent
with the diagnosis?
Answer- Flexed forward posture with lower extremity weakness
What is the action(s) of the erector spine muscle group?
Answer- Extension of the spine
A 17-year-old male presents to the clinic for a follow-up appointment.
He fractured his left arm 8 weeks ago and remains in a cast. Upon
inspection, the NP finds that his shoulder heights are unequal and there
is winging of the scapula. The NP suspects contralateral weakness and
muscle wasting as the etiology for the winged scapula. Which of the
following physical assessment maneuvers should the NP perform to
confirm the suspension?
Answer- Compare the strength of the trapezius muscles
, A 31-year-old female presents to the clinic with a worsening stiff,
painful neck. On inspection, the patient's head is laterally deviated
toward the shoulder and rotated. Given this specific physical assessment
finding, what condition should the NP suspect as a differential
diagnosis?
Answer- Torticollis
During an evaluation of an athletic 30-year-old female, the NP conducts
an active range of motion evaluation at the neck. All of the following
muscles are being assessed when the patient is asked to extend, flex, and
rotate the neck, EXCEPT?
Answer- Sacrospinalis
A 58-year-old male complains of lower back pain for many years. He
denies a recent injury. On examination, the NP finds that the patient has
tenderness to palpation over the sacroiliac joint. Which of the following
conditions is most consistent with this physical sign?
Answer-ankylosing spondylitis
Which of the following statements is true regarding prostate cancer
screening?
Answer- Setting normal cut-offs for prostate-specific antigen (PSA)
testing relies on balancing
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED SOLUTIONS) A NEW UPDATED VERSION
|GUARANTEED PASS A+ (BRAND NEW!) FULL REVISED NR
509 FINAL EXAM 2025/2026
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?
Answer- The patient reports fever, night sweats, and thinks she lost
weight.
When grading muscle strength on a scale of 1 to 5, a grade of 3 indicates
which of the following?
Answer- Active movement against gravity
Which musculoskeletal disorder is paired correctly with the associated
systemic manifestations?
Answer- Lyme disease and expanding erythematous targeted patch in
early illness
A 62-year-old female has a diagnosis of rheumatoid arthritis (RA).
Which of the following are expected assessment findings consistent with
the diagnosis?
Answer- Swelling of the synovial tissue in joints and tendon sheaths.
,A 58-year-old male complains of pain in his knees, hips, hands, wrists,
neck, and lower back. Based on the joints involved, the NP suspects that
the patient most likely has which condition?
Answer- Osteoarthritis
A 55-year-old male has a diagnosis of lumbar spinal stenosis. Which
sign should the NP expect to find on examination that is most consistent
with the diagnosis?
Answer- Flexed forward posture with lower extremity weakness
What is the action(s) of the erector spine muscle group?
Answer- Extension of the spine
A 17-year-old male presents to the clinic for a follow-up appointment.
He fractured his left arm 8 weeks ago and remains in a cast. Upon
inspection, the NP finds that his shoulder heights are unequal and there
is winging of the scapula. The NP suspects contralateral weakness and
muscle wasting as the etiology for the winged scapula. Which of the
following physical assessment maneuvers should the NP perform to
confirm the suspension?
Answer- Compare the strength of the trapezius muscles
, A 31-year-old female presents to the clinic with a worsening stiff,
painful neck. On inspection, the patient's head is laterally deviated
toward the shoulder and rotated. Given this specific physical assessment
finding, what condition should the NP suspect as a differential
diagnosis?
Answer- Torticollis
During an evaluation of an athletic 30-year-old female, the NP conducts
an active range of motion evaluation at the neck. All of the following
muscles are being assessed when the patient is asked to extend, flex, and
rotate the neck, EXCEPT?
Answer- Sacrospinalis
A 58-year-old male complains of lower back pain for many years. He
denies a recent injury. On examination, the NP finds that the patient has
tenderness to palpation over the sacroiliac joint. Which of the following
conditions is most consistent with this physical sign?
Answer-ankylosing spondylitis
Which of the following statements is true regarding prostate cancer
screening?
Answer- Setting normal cut-offs for prostate-specific antigen (PSA)
testing relies on balancing
