NR 509 Final Exam (Latest Practice Questions)
Question:
The function of the auditory ossicles is to:
transmit the light reflex to the light cone.
transform sound vibrations into mechanical waves for the inner ear.
to capture sound waves from the external ear for transmission into the middle ear.
to separate the inner ear from the middle ear.
Question 1: A primary care NP is developing a clinical practice guideline for
management of a
patient population in a midsized suburban hospital. The NP should:
a. use an existing guideline from a leading research hospital.
b. follow the guideline provided by a third-party payer to help ensure
reimbursement.
c. review expert opinion and experimental, anecdotal, correlational study data.
d. write the guideline to adhere to long-standing practice protocols already in use
Question 2: A primary care NP prescribes a nitroglycerin transdermal patch, 0.4
mg/hour release, for a patient with chronic stable angina. The NP should teach the
patient to:
a. change the patch four times daily.
b. use the patch as needed for angina pain.
c. use two patches daily and change them every 12 hours.
d. apply one patch daily in the morning and remove in 12 hours.
Question 3: A patient is diagnosed with asthma. The primary care nurse practitioner (NP)
prescribes an inhaled corticosteroid and an inhaled bronchodilator medication and
provides education about how to use inhalers. At a follow-up visit 2 weeks later, the
patient’s pulmonary function tests are worse. The NP should:
a. provide a detailed written asthma action plan for the patient.
b. ask the patient to describe how the medications have been used.
c. review the symptoms of an acute asthma exacerbation with the patient.
d. teach the patient to use the albuterol more often and order an oral steroid.
Question 4: A patient who will undergo surgery in implant a biosynthetic heart valve
asks the primary care NP whether any medications will be necessary postoperatively. The
NP should tell the patient that it will be necessary to take:
a. daily low-dose aspirin for 1 year.
b. heparin injections as needed based on activated partial thromboplastin time
levels.
c. lifelong warfarin combined with enoxaparin as needed.
d. warfarin for 3 months postoperatively plus long-term aspirin.
,Question 12 pts
A 6-year-old female presents to the clinic with sore throat. The point of care test for
Group A Streptococcal infection is positive. Which of the following indicates the
expected lymphadenopathy presentation in this case?
Group of answer choices
Bilateral, tender, mobile anterior cervical lymphadenopathy
Unilateral, non-tender, fixed occipital lymphadenopathy
Bilateral, non-tender, shotty supraclavicular lymphadenopathy
Lymphadenopathy is not normally encountered in those diagnosed with Streptococcal
Pharyngitis
Flag question: Question 2
Question 22 pts
Which of the following changes are expected in vision as part of the normal aging
process?
Group of answer choices
Cataracts
Glaucoma
Blurring of near vision
Macular Degeneration
Flag question: Question 3
Question 32 pts
Identify the anatomical structure in this image between both of the examiner's hands
and fingertips.
,Group of answer choices
Cricoid cartilage
, Thyroid isthmus
Thyroid cartilage
Hyoid bone
Flag question: Question 4
Question 42 pts
A 19-year-old African-American female presents to the clinic with moderate to severe
right lower quadrant abdominal pain for the last 2 days. She has been experiencing
nausea and vomiting but unsure if she has had fever. Which of the following is a
possible differential diagnosis?
Group of answer choices
Appendicitis
Small Bowel Obstruction
Peritonitis
Diverticulitis
Flag question: Question 5
Question 52 pts
Question:
The function of the auditory ossicles is to:
transmit the light reflex to the light cone.
transform sound vibrations into mechanical waves for the inner ear.
to capture sound waves from the external ear for transmission into the middle ear.
to separate the inner ear from the middle ear.
Question 1: A primary care NP is developing a clinical practice guideline for
management of a
patient population in a midsized suburban hospital. The NP should:
a. use an existing guideline from a leading research hospital.
b. follow the guideline provided by a third-party payer to help ensure
reimbursement.
c. review expert opinion and experimental, anecdotal, correlational study data.
d. write the guideline to adhere to long-standing practice protocols already in use
Question 2: A primary care NP prescribes a nitroglycerin transdermal patch, 0.4
mg/hour release, for a patient with chronic stable angina. The NP should teach the
patient to:
a. change the patch four times daily.
b. use the patch as needed for angina pain.
c. use two patches daily and change them every 12 hours.
d. apply one patch daily in the morning and remove in 12 hours.
Question 3: A patient is diagnosed with asthma. The primary care nurse practitioner (NP)
prescribes an inhaled corticosteroid and an inhaled bronchodilator medication and
provides education about how to use inhalers. At a follow-up visit 2 weeks later, the
patient’s pulmonary function tests are worse. The NP should:
a. provide a detailed written asthma action plan for the patient.
b. ask the patient to describe how the medications have been used.
c. review the symptoms of an acute asthma exacerbation with the patient.
d. teach the patient to use the albuterol more often and order an oral steroid.
Question 4: A patient who will undergo surgery in implant a biosynthetic heart valve
asks the primary care NP whether any medications will be necessary postoperatively. The
NP should tell the patient that it will be necessary to take:
a. daily low-dose aspirin for 1 year.
b. heparin injections as needed based on activated partial thromboplastin time
levels.
c. lifelong warfarin combined with enoxaparin as needed.
d. warfarin for 3 months postoperatively plus long-term aspirin.
,Question 12 pts
A 6-year-old female presents to the clinic with sore throat. The point of care test for
Group A Streptococcal infection is positive. Which of the following indicates the
expected lymphadenopathy presentation in this case?
Group of answer choices
Bilateral, tender, mobile anterior cervical lymphadenopathy
Unilateral, non-tender, fixed occipital lymphadenopathy
Bilateral, non-tender, shotty supraclavicular lymphadenopathy
Lymphadenopathy is not normally encountered in those diagnosed with Streptococcal
Pharyngitis
Flag question: Question 2
Question 22 pts
Which of the following changes are expected in vision as part of the normal aging
process?
Group of answer choices
Cataracts
Glaucoma
Blurring of near vision
Macular Degeneration
Flag question: Question 3
Question 32 pts
Identify the anatomical structure in this image between both of the examiner's hands
and fingertips.
,Group of answer choices
Cricoid cartilage
, Thyroid isthmus
Thyroid cartilage
Hyoid bone
Flag question: Question 4
Question 42 pts
A 19-year-old African-American female presents to the clinic with moderate to severe
right lower quadrant abdominal pain for the last 2 days. She has been experiencing
nausea and vomiting but unsure if she has had fever. Which of the following is a
possible differential diagnosis?
Group of answer choices
Appendicitis
Small Bowel Obstruction
Peritonitis
Diverticulitis
Flag question: Question 5
Question 52 pts
