NURS 509
NURS 509 FOUNDATION FINAL REVISED
EXAM 2025
A 35-year-old female with a history of migraines presents to the clinic with worsening
symptoms for the past few weeks. She reports waking up at night with headaches and
nausea. Her only medication history is oral contraceptive pills (OCPs). Otherwise, she
states she is healthy. Which of the following actions if taken by the NP is the best next
step?
A grandmother is accompanying her 9-year-old granddaughter during a routine physical
examination. She asks you privately if her granddaughter has started puberty yet.
During the examination, the NP notes asymmetric projection of the areola and nipple of
the right chest to form a secondary mound above the level of the breast. The left breast
is underdeveloped. These assessment findings are consistent with which Tanner Stage
of development?
Primary prevention is defined as which of the following?
Based on the U.S. Preventive Services Task Force (USPSTF) recommendations, which
of the following statements is true about screening for breast cancer in average-risk
women?
Which of the following statements is true regarding recommendations by the eighth
Joint National Committee (JNC8) for adults aged 60 and older? Select all that apply.
Which of the following is a useful strategy when examining young children between the
ages of 1 and 4?
The NP is completing the review of systems on a 4-month-old female during a routine
encounter. Which statement from the parent may indicate a cardiac problem in the
infant and require a more thorough subjective history?
A 16-year-old male presents to the clinic with a history of a congenital right upper eyelid
drooping as represented in this image. He has no complaints and denies injury or
trauma. Which cranial nerve (CN) is involved in this condition?
NURS 509
, NURS 509
Patient with eyelid drooping
Which cranial nerve (CN) innervates the muscles of the pharynx and provides sensory
fibers to portions of the tympanic membrane, auditory canal, pharynx, and the posterior
third of the tongue?
The NP should suspect injury to which cranial nerve (CN) if a patient presents with
complaints of photosensitivity and uneven pupils after being struck in the eye with a
baseball?
Which of the following statements is true regarding risks and rapid recognition of
suspected stroke? Select all that apply
The combination of both receptive and expressive aphasia is a characteristic of which
type of speech disorder?
The NP is assessing a 42-year-old female who presents to the clinic with recurring
headaches. What is an effective question to ask the patient?
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?
When grading muscle strength on a scale of 1 to 5, a grade of 3 indicates which of the
following?
Which musculoskeletal disorder is paired correctly with the associated systemic
manifestations?
A 62-year-old female has a diagnosis of rheumatoid arthritis (RA). Which of the
following are expected assessment findings consistent with the diagnosis?
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?
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?
What is the action(s) of the erector spinae muscle group?
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
NURS 509
NURS 509 FOUNDATION FINAL REVISED
EXAM 2025
A 35-year-old female with a history of migraines presents to the clinic with worsening
symptoms for the past few weeks. She reports waking up at night with headaches and
nausea. Her only medication history is oral contraceptive pills (OCPs). Otherwise, she
states she is healthy. Which of the following actions if taken by the NP is the best next
step?
A grandmother is accompanying her 9-year-old granddaughter during a routine physical
examination. She asks you privately if her granddaughter has started puberty yet.
During the examination, the NP notes asymmetric projection of the areola and nipple of
the right chest to form a secondary mound above the level of the breast. The left breast
is underdeveloped. These assessment findings are consistent with which Tanner Stage
of development?
Primary prevention is defined as which of the following?
Based on the U.S. Preventive Services Task Force (USPSTF) recommendations, which
of the following statements is true about screening for breast cancer in average-risk
women?
Which of the following statements is true regarding recommendations by the eighth
Joint National Committee (JNC8) for adults aged 60 and older? Select all that apply.
Which of the following is a useful strategy when examining young children between the
ages of 1 and 4?
The NP is completing the review of systems on a 4-month-old female during a routine
encounter. Which statement from the parent may indicate a cardiac problem in the
infant and require a more thorough subjective history?
A 16-year-old male presents to the clinic with a history of a congenital right upper eyelid
drooping as represented in this image. He has no complaints and denies injury or
trauma. Which cranial nerve (CN) is involved in this condition?
NURS 509
, NURS 509
Patient with eyelid drooping
Which cranial nerve (CN) innervates the muscles of the pharynx and provides sensory
fibers to portions of the tympanic membrane, auditory canal, pharynx, and the posterior
third of the tongue?
The NP should suspect injury to which cranial nerve (CN) if a patient presents with
complaints of photosensitivity and uneven pupils after being struck in the eye with a
baseball?
Which of the following statements is true regarding risks and rapid recognition of
suspected stroke? Select all that apply
The combination of both receptive and expressive aphasia is a characteristic of which
type of speech disorder?
The NP is assessing a 42-year-old female who presents to the clinic with recurring
headaches. What is an effective question to ask the patient?
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?
When grading muscle strength on a scale of 1 to 5, a grade of 3 indicates which of the
following?
Which musculoskeletal disorder is paired correctly with the associated systemic
manifestations?
A 62-year-old female has a diagnosis of rheumatoid arthritis (RA). Which of the
following are expected assessment findings consistent with the diagnosis?
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?
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?
What is the action(s) of the erector spinae muscle group?
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
NURS 509
