NR509 Final Exam With Accurate Questions And Answers
A 55-year-old female presents to the clinic with a headache. During the interview, which of
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following symptoms should prompt the NP to be concerned and investigate further?: The patient reports
fever, night sweats, andthinks shelost weight.
When grading muscle strength on a scale of 1 to 5, a grade of 3 indicateswhich of the following?:
Active movement against gravity
Which musculoskeletal disorder is paired correctly with the associated systemic manifestations?:
Lyme disease and expanding erythematous targetoidpatchin early illness
A 62-year-old female has a diagnosis of rheumatoid arthritis (RA). Which of the following are expected
assessment findings consistent with the diag- nosis?: Swelling of the synovial tissue in joints and tendon
sheaths.
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 thepatient most likely has which condition?: Osteoarthritis
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?: Flexed forward posture with lower extremity
weakness
What isthe action(s) of the erector spinae muscle group?:Extensionofthespine
A 17-year-old male presentsto the clinicforafollow-up appointment. Hefractured his left arm 8
weeks ago and remains in a cast. Upon inspection, the NP finds that his shoulder heights are unequal and
there is winging of thescapula.The NP suspects contralateral weakness and muscle wasting as theetiology
for the winged scapula.Which of the following physical assessmentmaneuversshould the NP perform to
confirm the suspension?: Comparethestrength of the trapezius muscles
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
actionsif taken bythe NP isthe best nextstep?:Takeafurtherhistory and perform a verycareful
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 breastis underdeveloped.Theseassessment
findings are consistent with which Tanner Stage of develop- ment?: IV
Primary prevention is defined as which of the following?: Interventionsdesigned to preventdisease
Based on the U.S. Preventive ServicesTask Force (USPSTF) recommenda- tions, which of the following
statements is true about screening for breast cancerin average-risk women?: Mammographyis
recommendedevery2yearsfor women aged 50-74 with insufficient evidence for screening women over the age of
75.
Which of the following statements is true regarding recommendations bythe 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."
Inthoseaged 80 orolder, bloodpressuretargets of 140 to<150/70 to 80 appearoptimal 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 aroutine encounter.
Which statement from the parent may indicatea cardiac problem in the infant and require a more
thorough subjective history?: "It often takes the baby more than 30 minutes to finish abottle."
A 16-year-old male presents to the clinic with a history of a congenital rightupper 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 providessensoryfibers to
portions of the tympanic membrane,auditorycanal, 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 pupilsafter beingstruck in the eye with a baseball?: CNIII
Which of the following statements is true regarding risks and rapid recognition ofsuspected
stroke? Select all that apply: Obesitydoubles therisk of stroke even without associated glucose intolerance
Hypertension is theleading risk factor forbothischemic and hemorrhagic stroke
The combination of both receptive and expressive aphasiaisa charac-teristic of which type of
speech disorder?:global aphasia
The NP isassessing a 42-year-old female who presentsto the clinic withrecurring headaches. What
is an effective question to ask the patient?: Do you have any aura prior to the headaches?
A 31-year-old female presentsto the clinic with a worsening stiff, painfulneck. On inspection, the
patient's head is laterally deviated toward the shoulder and rotated. Given this specific physical
assessment finding, whatcondition should the NP suspect asa differential diagnosis?:Torticollis
During an evaluation of an athletic 30-year-old female, the NP conductsan active range of motion
evaluation at the neck. All of the following musclesare being assessed when the patient is asked to extend,
flex,and rotate theneck,EXCEPT?: Sacrospinalis
A 58-year-old male complains of lower back pain for many years. He denies a recent injury. On
examination, the NP finds that the patient has tenderness to palpation over the sacroiliac joint. Which of
the following conditionsis mostconsistent with this physicalsign?:ankylosingspondylitis [Show Less]