A 25-year-old female presents to the clinic after a positive home pregnancy test. She confides in you that her live-in, male partner has been verbally threatening her. She denies interest in involving law enforcement. Additionally, she reports that she has a 3- year-old daughter who lives in the ho...
NR 509 Actual Final Exam questions with
correct answers graded A+|Guaranteed
pass
A 25-year-old female presents to the clinic after a positive home pregnancy test. She
confides in you that her live-in, male partner has been verbally threatening her. She denies
interest in involving law enforcement. Additionally, she reports that she has a 3- year-old
daughter who lives in the home. What is the appropriate next step by the NP?
Ask open-ended questions, allow her to make decisions that she feels are best for herself
given the circumstance, and provide immediate or long-term referrals to domestic violence
resources
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
.
A 42-year-old female is at 39-weeks gestation. She reports no major issues except swelling
in her feet and shortness of breath which she assumed is normal for pregnancy. On exam,
the NP notes a diastolic murmur. Which of the following is true about her presentation and
the appropriate next step by the NP?
A diastolic murmur during pregnancy is likely pathological; further investigation and work-up
is warranted
A 32-year-old primigravid woman is at 27 weeks gestation. She presents with nausea,
vomiting, urinary frequency, discomfort in the lower abdomen, tenderness over the
suprapubic area, and severe constipation. Which of the following is true regarding these
pregnancy symptoms?
Iron supplementation, hormonal changes, slowed intestinal transit, physical pressure from
the gravid uterus, and increased blood volume all contribute to abdominal symptoms in
pregnant women.
A 24-year-old female presents to the clinic concerned that she may be pregnant. Her LMP
was 7-weeks ago, and the urine human chorionic gonadotropin (HCG) test is positive. What
can the NP expect to find on physical examination, assuming a normal pregnancy? Select all
that apply
,NR 509 Actual Final Exam questions with
correct answers graded A+|Guaranteed
pass
an internal cervical os closed to the width of a fingertip
a bluish hue to the cervix
The NP is conducting a physical assessment on a woman in her 26th week of pregnancy.
Which of the examination finding is worrisome for a potential, emergent condition?
Facial edema
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
.
,NR 509 Actual Final Exam questions with
correct answers graded A+|Guaranteed
pass
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).
Cervical motion tenderness and/or adnexal tenderness are hallmarks of all the following
conditions, EXCEPT?
Bacterial vaginosis
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
, NR 509 Actual Final Exam questions with
correct answers graded A+|Guaranteed
pass
CNIII
Lateral epicondylitis (Tennis elbow)
Follows repetitive extension of the wrist or pronation-supination of the forearm. Pain and
tenderness develop 1 cm distal to the lateral epicondyle and possibly in the extensor
muscles close to it. When the patient tries to extend the wrist against resistance, pain
increases.
Miliaria rubra
Scattered vesicles on an erythematous base, usually on the face and trunk, result from
obstruction of the sweat gland ducts; this condition disappears spontaneously within weeks.
atopic dermatitis (eczema)
Erythema, scaling, dry skin, and intense itching
Peritonitis s/s
Early voluntary guarding may be replaced by involuntary muscular rigidity and signs of
peritoneal inflammation. There may also be RLQ pain on quick withdrawal or deferred
rebound tenderness.
Diverticulitis pain
-LLQ
-cramping at first, then steady
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