NR509 Final Exam
Study online at https://quizlet.com/_bq5grw
1. A 35-year-old female with a history of migraines pre- Take a further history and
sents to the clinic with worsening symptoms for the perform a very careful
past few weeks. She reports waking up at night with neurological exam
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?
2. A grandmother is accompanying her 9-year-old grand- IV
daughter 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?
3. Primary prevention is defined as which of the follow- Interventions designed to
ing? prevent disease
4. Based on the U.S. Preventive Services Task Force (USP- Mammography is recom-
STF) recommendations, which of the following state- mended every 2 years for
ments is true about screening for breast cancer in women aged 50-74 with
average-risk women? insufficient evidence for
screening women over the
age of 75.
5. Which of the following statements is true regarding Target blood pressure
recommendations by the eighth Joint National Com- should be </= 150/90
mittee (JNC8) for adults aged 60 and older? Select all mmHg but notes that if
that apply. treatment results in SBP
, NR509 Final Exam
Study online at https://quizlet.com/_bq5grw
<140 and is "well tolerat-
ed and without adverse ef-
fects to health or quality
of live, treatment does not
need to be adjusted."
In those aged 80 or old-
er, blood pressure targets
of 140 to <150/70 to 80
appear optimal for no-
table reductions in stroke,
cardiovascular events, and
all-cause mortality.
6. Which of the following is a useful strategy when exam- Have the parent facilitate
ining young children between the ages of 1 and 4? the exam (e.g., removing
clothes, holding the child
on lap).
7. The NP is completing the review of systems on a "It often takes the baby
4-month-old female during a routine encounter. Which more than 30 minutes to
statement from the parent may indicate a cardiac finish a bottle."
problem in the infant and require a more thorough
subjective history?
8. A 16-year-old male presents to the clinic with a history CNIII
of a congenital right upper eyelid drooping as repre-
sented 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
, NR509 Final Exam
Study online at https://quizlet.com/_bq5grw
9. Which cranial nerve (CN) innervates the muscles of the CN IX
pharynx and provides sensory fibers to portions of the
tympanic membrane, auditory canal, pharynx, and the
posterior third of the tongue?
10. The NP should suspect injury to which cranial nerve CNIII
(CN) if a patient presents with complaints of photosen-
sitivity and uneven pupils after being struck in the eye
with a baseball?
11. Which of the following statements is true regarding Obesity doubles the risk
risks and rapid recognition of suspected stroke? Select of stroke even without as-
all that apply sociated glucose intoler-
ance
Hypertension is the lead-
ing risk factor for both is-
chemic and hemorrhagic
stroke
12. The combination of both receptive and expressive global aphasia
aphasia is a characteristic of which type of speech
disorder?
13. The NP is assessing a 42-year-old female who presents Do you have any aura prior
to the clinic with recurring headaches. What is an effec- to the headaches?
tive question to ask the patient?
14. A 55-year-old female presents to the clinic with a The patient reports fever,
headache. During the interview, which of the following night sweats, and thinks
symptoms should prompt the NP to be concerned and she lost weight.
investigate further?
Study online at https://quizlet.com/_bq5grw
1. A 35-year-old female with a history of migraines pre- Take a further history and
sents to the clinic with worsening symptoms for the perform a very careful
past few weeks. She reports waking up at night with neurological exam
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?
2. A grandmother is accompanying her 9-year-old grand- IV
daughter 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?
3. Primary prevention is defined as which of the follow- Interventions designed to
ing? prevent disease
4. Based on the U.S. Preventive Services Task Force (USP- Mammography is recom-
STF) recommendations, which of the following state- mended every 2 years for
ments is true about screening for breast cancer in women aged 50-74 with
average-risk women? insufficient evidence for
screening women over the
age of 75.
5. Which of the following statements is true regarding Target blood pressure
recommendations by the eighth Joint National Com- should be </= 150/90
mittee (JNC8) for adults aged 60 and older? Select all mmHg but notes that if
that apply. treatment results in SBP
, NR509 Final Exam
Study online at https://quizlet.com/_bq5grw
<140 and is "well tolerat-
ed and without adverse ef-
fects to health or quality
of live, treatment does not
need to be adjusted."
In those aged 80 or old-
er, blood pressure targets
of 140 to <150/70 to 80
appear optimal for no-
table reductions in stroke,
cardiovascular events, and
all-cause mortality.
6. Which of the following is a useful strategy when exam- Have the parent facilitate
ining young children between the ages of 1 and 4? the exam (e.g., removing
clothes, holding the child
on lap).
7. The NP is completing the review of systems on a "It often takes the baby
4-month-old female during a routine encounter. Which more than 30 minutes to
statement from the parent may indicate a cardiac finish a bottle."
problem in the infant and require a more thorough
subjective history?
8. A 16-year-old male presents to the clinic with a history CNIII
of a congenital right upper eyelid drooping as repre-
sented 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
, NR509 Final Exam
Study online at https://quizlet.com/_bq5grw
9. Which cranial nerve (CN) innervates the muscles of the CN IX
pharynx and provides sensory fibers to portions of the
tympanic membrane, auditory canal, pharynx, and the
posterior third of the tongue?
10. The NP should suspect injury to which cranial nerve CNIII
(CN) if a patient presents with complaints of photosen-
sitivity and uneven pupils after being struck in the eye
with a baseball?
11. Which of the following statements is true regarding Obesity doubles the risk
risks and rapid recognition of suspected stroke? Select of stroke even without as-
all that apply sociated glucose intoler-
ance
Hypertension is the lead-
ing risk factor for both is-
chemic and hemorrhagic
stroke
12. The combination of both receptive and expressive global aphasia
aphasia is a characteristic of which type of speech
disorder?
13. The NP is assessing a 42-year-old female who presents Do you have any aura prior
to the clinic with recurring headaches. What is an effec- to the headaches?
tive question to ask the patient?
14. A 55-year-old female presents to the clinic with a The patient reports fever,
headache. During the interview, which of the following night sweats, and thinks
symptoms should prompt the NP to be concerned and she lost weight.
investigate further?
