NR509 FINAL EXAM 88 QUESTIONS AND
ANSWERS 2024/2025 UPDATE|| GUARANTEED
PASS.
NR509 FINAL EXAM 88 QUESTIONS AND ANSWERS
n5 n5 n5 n5 n5 n5 n5
1. A 35-year-old female with a history of migraines presents to the clinic with
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
worsening symptoms for the past few weeks. She reports waking up at night
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
withheadachesandnausea.Heronlymedicationhistoryis oralcontraceptive
n5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5
pills (OCPs). Otherwise, she states she is healthy.Which of the following
n5 n5 n5 n5 n5 n5 n5 n5 n
5 n5 n5 n5
actions if taken by the NP is the best next step?
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
ANS Take a further history and perform a very careful neurological exam
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
2. A grandmother is accompanying her 9-year-old granddaughter during a
n5 n5 n5 n5 n5 n5 n5 n5
routine physical examination. She asks you privately if her granddaughter has
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
started puberty yet. During the examination, the NP notes asymmetric
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
projection of the areola and nipple of the right chest to form a secondary
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
mound above the level of the breast.The left breast is underdeveloped.These
n5 n5 n5 n5 n5 n5 n5 n
5 n5 n5 n5 n5 n
5
assessment findings are consistent with whichTanner Stage of develop-
n5 n5 n5 n5 n5 n5 n
5 n5 n5 n5
ment?
n5 n5
ANS: IV n5
3. Primary prevention is defined as which of the following n5 n5 n5 n5 n5 n5 n5 n5
n5 ANS:Interventions de- signed to prevent disease
n
5 n5 n5 n5 n5 n5
4. Based on the U.S. Preventive ServicesTask Force (USPSTF) recommenda-
n5 n5 n5 n5 n5 n
5 n5 n5 n5
tions, which of the following statements is true about screening for breast
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
cancer in average-risk women?
n5 n5 n5 n5
https://www.stuvia.com/user/Prose1 n5
n5 n5
, n5ANS: Mammography is recommended every 2 years for women aged 50-74 with
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
insufficient evidence for screening women over the age of 75.
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
5. Which of the following statements is true regarding recommendations by
n5 n5 n5 n5 n5 n5 n5 n5 n5
the eighth Joint National Committee (JNC8) for adults aged 60 and older?
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
Selectallthatapply.
n5 n
5 n
5 n
5
n5 ANS:Targetbloodpressureshouldbe</=150/90mmHgbutnotes that if treatment
n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n5 n5 n5
n5 results in SBP <140 and is "well tolerated and without adverse effects to health or
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
n5 quality of live, treatment does not need to be adjusted."
n5 n5 n5 n5 n5 n5 n5 n5 n5
In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
optimal for notable reductions in stroke, cardiovascular events, and all-cause mor- tality
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
6. Which of the following is a useful strategy when examining young children
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
between the ages of 1 and 4?
n5 n5 n5 n5 n5 n5 n5
n5 ANS:Have the parent facilitate the exam (e.g., removing clothes, holding the child on
n
5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
n5 lap).
7. The NP is completing the review of systems on a 4-month-old female during a
n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n5
routine encounter. Which statement from the parent may indicate a cardiac
n
5 n5 n
5 n5 n5 n5 n5 n5 n5 n5 n5
problem in the infant and require a more thorough subjective history?
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
n5 ANS: "It often takes the baby more than 30 minutes to finish a bottle."
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
8. A 16-year-old male presents to the clinic with a history of a congenital right
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
upper eyelid drooping as represented in this image. He has no complaints and
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
denies injury or trauma.Which cranial nerve (CN) is involved in this
n5 n5 n5 n5 n
5 n5 n5 n5 n5 n5 n5 n5
https://www.stuvia.com/user/Prose1
https://www.stuvia.com/user/Prose1 n5
n5 n5
, condition?
Patient with eyelid drooping n5 n5 n5 n5
ANS:CNIII n
5
9. Which cranial nerve (CN) innervates the muscles of the pharynx and pro-
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
vides sensory fibers to portions of the tympanic membrane, auditory canal,
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
pharynx, and the posterior third of the tongue?
n5 n5 n5 n5 n5 n5 n5 n5
n5 ANS: CN IX n5 n5
10. The NP should suspect injury to which cranial nerve (CN) if a patient
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
presents with complaints of photosensitivity and uneven pupils after being
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
struck in the eye with a baseball?
n5 n5 n5 n5 n5 n5 n5 n5
ANS: CNIII n5
11. Which of the following statements is true regarding risks and rapid recog-
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
nition of suspected stroke? Select all that apply
n5 n5 n5 n5 n5 n5 n5 n5 n5
ANS: Obesity doubles the risk of stroke even without associated glucose intolerance
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
12. The combination of both receptive and expressive aphasia is a character-
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
istic of which type of speech disorder?
n5 n5 n5 n5 n5 n5 n5
n5 ANS: global aphasia
n5 n5
13. The NP is assessing a 42-year-old female who presents to the clinic with
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
recurringheadaches.What is an effective question to ask the patient?
n5 n
5 n
5 n5 n5 n5 n5 n5 n5 n
5 n5
n5 ANS: Do you have any aura prior to the headaches?
n5 n5 n5 n5 n5 n5 n5 n5 n5
14. A 55-year-old female presents to the clinic with a headache. During the
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
interview, which of the following symptoms should prompt the NP to be
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
concerned and investigate further?
n5 n5 n5 n5 n5
ANS:The patient reports fever, night sweats, and thinks she lost weight.
n
5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
https://www.stuvia.com/user/Prose1 n5
n5 n5
ANSWERS 2024/2025 UPDATE|| GUARANTEED
PASS.
NR509 FINAL EXAM 88 QUESTIONS AND ANSWERS
n5 n5 n5 n5 n5 n5 n5
1. A 35-year-old female with a history of migraines presents to the clinic with
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
worsening symptoms for the past few weeks. She reports waking up at night
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
withheadachesandnausea.Heronlymedicationhistoryis oralcontraceptive
n5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5
pills (OCPs). Otherwise, she states she is healthy.Which of the following
n5 n5 n5 n5 n5 n5 n5 n5 n
5 n5 n5 n5
actions if taken by the NP is the best next step?
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
ANS Take a further history and perform a very careful neurological exam
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
2. A grandmother is accompanying her 9-year-old granddaughter during a
n5 n5 n5 n5 n5 n5 n5 n5
routine physical examination. She asks you privately if her granddaughter has
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
started puberty yet. During the examination, the NP notes asymmetric
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
projection of the areola and nipple of the right chest to form a secondary
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
mound above the level of the breast.The left breast is underdeveloped.These
n5 n5 n5 n5 n5 n5 n5 n
5 n5 n5 n5 n5 n
5
assessment findings are consistent with whichTanner Stage of develop-
n5 n5 n5 n5 n5 n5 n
5 n5 n5 n5
ment?
n5 n5
ANS: IV n5
3. Primary prevention is defined as which of the following n5 n5 n5 n5 n5 n5 n5 n5
n5 ANS:Interventions de- signed to prevent disease
n
5 n5 n5 n5 n5 n5
4. Based on the U.S. Preventive ServicesTask Force (USPSTF) recommenda-
n5 n5 n5 n5 n5 n
5 n5 n5 n5
tions, which of the following statements is true about screening for breast
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
cancer in average-risk women?
n5 n5 n5 n5
https://www.stuvia.com/user/Prose1 n5
n5 n5
, n5ANS: Mammography is recommended every 2 years for women aged 50-74 with
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
insufficient evidence for screening women over the age of 75.
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
5. Which of the following statements is true regarding recommendations by
n5 n5 n5 n5 n5 n5 n5 n5 n5
the eighth Joint National Committee (JNC8) for adults aged 60 and older?
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
Selectallthatapply.
n5 n
5 n
5 n
5
n5 ANS:Targetbloodpressureshouldbe</=150/90mmHgbutnotes that if treatment
n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n5 n5 n5
n5 results in SBP <140 and is "well tolerated and without adverse effects to health or
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
n5 quality of live, treatment does not need to be adjusted."
n5 n5 n5 n5 n5 n5 n5 n5 n5
In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
optimal for notable reductions in stroke, cardiovascular events, and all-cause mor- tality
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
6. Which of the following is a useful strategy when examining young children
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
between the ages of 1 and 4?
n5 n5 n5 n5 n5 n5 n5
n5 ANS:Have the parent facilitate the exam (e.g., removing clothes, holding the child on
n
5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
n5 lap).
7. The NP is completing the review of systems on a 4-month-old female during a
n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n
5 n5
routine encounter. Which statement from the parent may indicate a cardiac
n
5 n5 n
5 n5 n5 n5 n5 n5 n5 n5 n5
problem in the infant and require a more thorough subjective history?
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
n5 ANS: "It often takes the baby more than 30 minutes to finish a bottle."
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
8. A 16-year-old male presents to the clinic with a history of a congenital right
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
upper eyelid drooping as represented in this image. He has no complaints and
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
denies injury or trauma.Which cranial nerve (CN) is involved in this
n5 n5 n5 n5 n
5 n5 n5 n5 n5 n5 n5 n5
https://www.stuvia.com/user/Prose1
https://www.stuvia.com/user/Prose1 n5
n5 n5
, condition?
Patient with eyelid drooping n5 n5 n5 n5
ANS:CNIII n
5
9. Which cranial nerve (CN) innervates the muscles of the pharynx and pro-
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
vides sensory fibers to portions of the tympanic membrane, auditory canal,
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
pharynx, and the posterior third of the tongue?
n5 n5 n5 n5 n5 n5 n5 n5
n5 ANS: CN IX n5 n5
10. The NP should suspect injury to which cranial nerve (CN) if a patient
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
presents with complaints of photosensitivity and uneven pupils after being
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
struck in the eye with a baseball?
n5 n5 n5 n5 n5 n5 n5 n5
ANS: CNIII n5
11. Which of the following statements is true regarding risks and rapid recog-
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
nition of suspected stroke? Select all that apply
n5 n5 n5 n5 n5 n5 n5 n5 n5
ANS: Obesity doubles the risk of stroke even without associated glucose intolerance
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
12. The combination of both receptive and expressive aphasia is a character-
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
istic of which type of speech disorder?
n5 n5 n5 n5 n5 n5 n5
n5 ANS: global aphasia
n5 n5
13. The NP is assessing a 42-year-old female who presents to the clinic with
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
recurringheadaches.What is an effective question to ask the patient?
n5 n
5 n
5 n5 n5 n5 n5 n5 n5 n
5 n5
n5 ANS: Do you have any aura prior to the headaches?
n5 n5 n5 n5 n5 n5 n5 n5 n5
14. A 55-year-old female presents to the clinic with a headache. During the
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
interview, which of the following symptoms should prompt the NP to be
n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
concerned and investigate further?
n5 n5 n5 n5 n5
ANS:The patient reports fever, night sweats, and thinks she lost weight.
n
5 n5 n5 n5 n5 n5 n5 n5 n5 n5 n5
https://www.stuvia.com/user/Prose1 n5
n5 n5