NR 509 FINAL EXAM WITH CORRECT
VERIFIED ANSWERS GRADED A+
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?
Take a further history and perform a very careful
neurological exam
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?
IV
Primary prevention is defined as which of the
following?
Interventions designed to prevent disease
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?
Mammography is recommended every 2 years for
women aged 50-74 with insufficient evidence for
screening women over the age of 75.
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.
Target blood pressure should be </= 150/90 mmHg but
notes that if treatment results in SBP <140 and is "well
tolerated and without adverse effects to health or
quality of live, treatment does not need to be
adjusted."
In those aged 80 or older, blood pressure targets of
140 to <150/70 to 80 appear optimal for notable
reductions in stroke, cardiovascular events, and all-
cause mortality.
Which of the following is a useful strategy when
examining young children between the ages of 1 and
4?
Have the parent facilitate the exam (e.g., removing
clothes, holding the child on lap).
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?
"It often takes the baby more than 30 minutes to finish
a bottle."
, 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?
Patient with eyelid drooping
CNIII
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?
CN IX
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?
CNIII
Which of the following statements is true regarding
risks and rapid recognition of suspected stroke?
Select all that apply
Obesity doubles the risk of stroke even without
associated glucose intolerance
Hypertension is the leading risk factor for both
ischemic and hemorrhagic stroke
The combination of both receptive and expressive
aphasia is a characteristic of which type of speech
disorder?
global aphasia
VERIFIED ANSWERS GRADED A+
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?
Take a further history and perform a very careful
neurological exam
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?
IV
Primary prevention is defined as which of the
following?
Interventions designed to prevent disease
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?
Mammography is recommended every 2 years for
women aged 50-74 with insufficient evidence for
screening women over the age of 75.
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.
Target blood pressure should be </= 150/90 mmHg but
notes that if treatment results in SBP <140 and is "well
tolerated and without adverse effects to health or
quality of live, treatment does not need to be
adjusted."
In those aged 80 or older, blood pressure targets of
140 to <150/70 to 80 appear optimal for notable
reductions in stroke, cardiovascular events, and all-
cause mortality.
Which of the following is a useful strategy when
examining young children between the ages of 1 and
4?
Have the parent facilitate the exam (e.g., removing
clothes, holding the child on lap).
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?
"It often takes the baby more than 30 minutes to finish
a bottle."
, 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?
Patient with eyelid drooping
CNIII
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?
CN IX
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?
CNIII
Which of the following statements is true regarding
risks and rapid recognition of suspected stroke?
Select all that apply
Obesity doubles the risk of stroke even without
associated glucose intolerance
Hypertension is the leading risk factor for both
ischemic and hemorrhagic stroke
The combination of both receptive and expressive
aphasia is a characteristic of which type of speech
disorder?
global aphasia
