NR509 FINAL EXAM 88 QUESTIONS AND
ANSWERS 2024/2025 UPDATE|| GUARANTEED
NR509 FINAL EXAM 88 QUESTIONS AND ANSWERSPASS.
j0 j0 j0 j0 j0 j0 j0
1. A 35-year-old female with a history of migraines presents to the clinic with
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
worsening symptoms for the past few weeks.She reports waking up at night
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
withheadachesandnausea.Heronlymedicationhistoryisoralcontraceptive
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
pills (OCPs). Otherwise, she states she is healthy.Which of the following
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
actions if taken by the NP is the best next step?
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
ANS Take a further history and perform a very careful neurological exam
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
2. A grandmother is accompanying her 9-year-old granddaughter during a
j0 j0 j0 j0 j0 j0 j0 j0
routine physical examination. She asks you privately if her granddaughter has
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
started puberty yet. During the examination, the NP notes asymmetric
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
projection of the areola and nipple of the right chest to form a secondary mound
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
above the level ofthe breast.The left breast is underdeveloped.These
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
assessment findings are consistent with whichTanner Stage of develop- ment?
j0
j0
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
ANS: IV j0
3. Primary prevention is defined as which of the following j0 j0 j0 j0 j0 j0 j0 j0
j0 ANS:Interventions de- signed to prevent disease
j0 j0 j0 j0 j0 j0
4. Based on the U.S.Preventive ServicesTask Force (USPSTF) recommenda-
j0 j0 j0 j0 j0 j0 j0 j0 j0
tions, which of the following statements is true about screening for breast
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
cancer in average-risk women?
j0 j0 j0 j0
j0 ANS: Mammography is recommended every 2 years for women aged 50-74 with
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
https://www.stuvia.com/user/Prose1 j0
j0 j0
, insufficient evidence for screening women over the age of 75.
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
5. Which of the following statements is true regarding recommendations by the
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
eighth Joint National Committee (JNC8) for adults aged 60 and older? Selectall
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
thatapply.
j0 j0
j0 ANS:Targetbloodpressureshouldbe</=150/90mmHgbutnotes that if treatment
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
j0 results in SBP <140 and is "well tolerated and without adverse effects to health or
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
j0 quality of live, treatment does not need to be adjusted."
j0 j0 j0 j0 j0 j0 j0 j0 j0
In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear optima
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
for notable reductions in stroke, cardiovascular events, and all-cause mor- tality.
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
6. Which of the following is a useful strategy when examining young children
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
betweenthe ages of1 and4?
j0 j0 j0 j0 j0 j0 j0
j0 ANS:Have the parentfacilitate the exam (e.g., removing clothes, holding the child on
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
j0 lap).
7. The NP is completing the review of systems on a 4-month-old female during a
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
routine encounter. Which statement from the parent may indicate a cardiac
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
problemintheinfantandrequireamorethoroughsubjectivehistory?
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
j0 ANS: "Itoften takes the baby more than 30 minutes to finish a bottle."
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
8. A 16-year-oldmalepresents to the clinic with a history ofa congenitalright
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
upper eyelid drooping as represented in this image. He has no complaints and
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
denies injury or trauma.Which cranial nerve (CN) is involved in this
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
https://www.stuvia.com/user/Prose1
https://www.stuvia.com/user/Prose1 j0
j0 j0
, condition?
Patient with eyelid drooping j0 j0 j0 j0
ANS:CNIII j0
9. Which cranial nerve (CN) innervates the muscles of the pharynx and pro-
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
vides sensory fibers to portions of the tympanic membrane, auditory canal,
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
pharynx, and the posterior third of the tongue?
j0 j0 j0 j0 j0 j0 j0 j0
j0 ANS: CN IX j0 j0
10. The NP should suspect injury to which cranial nerve (CN) if a patient
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
presents with complaints of photosensitivity and uneven pupils after being
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
struck in the eye with a baseball?
j0 j0 j0 j0 j0 j0 j0 j0
ANS: CNIII j0
11. Whichofthefollowing statementsistrue regardingrisksandrapidrecog- j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
nition of suspected stroke? Select all that apply
j0 j0 j0 j0 j0 j0 j0 j0 j0
ANS: Obesity doubles the risk of stroke even without associated glucose intolerance
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
12. The combination of both receptive and expressive aphasia is a character-
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
istic of which type of speech disorder?
j0 j0 j0 j0 j0 j0 j0
j0 ANS: global aphasia j0 j0
13. The NP is assessing a 42-year-old female who presents to the clinic with
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
recurringheadaches.What isaneffectivequestiontoaskthepatient?
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
j0 ANS:Doyou have any aura prior to the headaches?
j0 j0 j0 j0 j0 j0 j0 j0 j0
14. A 55-year-old female presents to the clinic with a headache. During the
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
interview, which of the following symptoms should prompt the NP to be
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
concernedand investigate further?
j0 j0 j0 j0 j0
ANS:The patient reports fever, nightsweats, and thinks she lost weight.
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
https://www.stuvia.com/user/Prose1 j0
j0 j0
ANSWERS 2024/2025 UPDATE|| GUARANTEED
NR509 FINAL EXAM 88 QUESTIONS AND ANSWERSPASS.
j0 j0 j0 j0 j0 j0 j0
1. A 35-year-old female with a history of migraines presents to the clinic with
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
worsening symptoms for the past few weeks.She reports waking up at night
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
withheadachesandnausea.Heronlymedicationhistoryisoralcontraceptive
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
pills (OCPs). Otherwise, she states she is healthy.Which of the following
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
actions if taken by the NP is the best next step?
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
ANS Take a further history and perform a very careful neurological exam
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
2. A grandmother is accompanying her 9-year-old granddaughter during a
j0 j0 j0 j0 j0 j0 j0 j0
routine physical examination. She asks you privately if her granddaughter has
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
started puberty yet. During the examination, the NP notes asymmetric
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
projection of the areola and nipple of the right chest to form a secondary mound
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
above the level ofthe breast.The left breast is underdeveloped.These
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
assessment findings are consistent with whichTanner Stage of develop- ment?
j0
j0
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
ANS: IV j0
3. Primary prevention is defined as which of the following j0 j0 j0 j0 j0 j0 j0 j0
j0 ANS:Interventions de- signed to prevent disease
j0 j0 j0 j0 j0 j0
4. Based on the U.S.Preventive ServicesTask Force (USPSTF) recommenda-
j0 j0 j0 j0 j0 j0 j0 j0 j0
tions, which of the following statements is true about screening for breast
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
cancer in average-risk women?
j0 j0 j0 j0
j0 ANS: Mammography is recommended every 2 years for women aged 50-74 with
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
https://www.stuvia.com/user/Prose1 j0
j0 j0
, insufficient evidence for screening women over the age of 75.
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
5. Which of the following statements is true regarding recommendations by the
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
eighth Joint National Committee (JNC8) for adults aged 60 and older? Selectall
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
thatapply.
j0 j0
j0 ANS:Targetbloodpressureshouldbe</=150/90mmHgbutnotes that if treatment
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
j0 results in SBP <140 and is "well tolerated and without adverse effects to health or
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
j0 quality of live, treatment does not need to be adjusted."
j0 j0 j0 j0 j0 j0 j0 j0 j0
In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80 appear optima
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
for notable reductions in stroke, cardiovascular events, and all-cause mor- tality.
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
6. Which of the following is a useful strategy when examining young children
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
betweenthe ages of1 and4?
j0 j0 j0 j0 j0 j0 j0
j0 ANS:Have the parentfacilitate the exam (e.g., removing clothes, holding the child on
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
j0 lap).
7. The NP is completing the review of systems on a 4-month-old female during a
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
routine encounter. Which statement from the parent may indicate a cardiac
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
problemintheinfantandrequireamorethoroughsubjectivehistory?
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
j0 ANS: "Itoften takes the baby more than 30 minutes to finish a bottle."
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
8. A 16-year-oldmalepresents to the clinic with a history ofa congenitalright
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
upper eyelid drooping as represented in this image. He has no complaints and
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
denies injury or trauma.Which cranial nerve (CN) is involved in this
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
https://www.stuvia.com/user/Prose1
https://www.stuvia.com/user/Prose1 j0
j0 j0
, condition?
Patient with eyelid drooping j0 j0 j0 j0
ANS:CNIII j0
9. Which cranial nerve (CN) innervates the muscles of the pharynx and pro-
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
vides sensory fibers to portions of the tympanic membrane, auditory canal,
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
pharynx, and the posterior third of the tongue?
j0 j0 j0 j0 j0 j0 j0 j0
j0 ANS: CN IX j0 j0
10. The NP should suspect injury to which cranial nerve (CN) if a patient
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
presents with complaints of photosensitivity and uneven pupils after being
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
struck in the eye with a baseball?
j0 j0 j0 j0 j0 j0 j0 j0
ANS: CNIII j0
11. Whichofthefollowing statementsistrue regardingrisksandrapidrecog- j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
nition of suspected stroke? Select all that apply
j0 j0 j0 j0 j0 j0 j0 j0 j0
ANS: Obesity doubles the risk of stroke even without associated glucose intolerance
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
12. The combination of both receptive and expressive aphasia is a character-
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
istic of which type of speech disorder?
j0 j0 j0 j0 j0 j0 j0
j0 ANS: global aphasia j0 j0
13. The NP is assessing a 42-year-old female who presents to the clinic with
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
recurringheadaches.What isaneffectivequestiontoaskthepatient?
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
j0 ANS:Doyou have any aura prior to the headaches?
j0 j0 j0 j0 j0 j0 j0 j0 j0
14. A 55-year-old female presents to the clinic with a headache. During the
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
interview, which of the following symptoms should prompt the NP to be
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
concernedand investigate further?
j0 j0 j0 j0 j0
ANS:The patient reports fever, nightsweats, and thinks she lost weight.
j0 j0 j0 j0 j0 j0 j0 j0 j0 j0 j0
https://www.stuvia.com/user/Prose1 j0
j0 j0
