NR 509 advanced physical assessment FINAL EXAM QUESTION AND VERIFIED ANSWERS LATEST 2024
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Course
NR 509
Institution
NR 509
NR 509 advanced physical assessment FINAL EXAM QUESTION AND VERIFIED ANSWERS LATEST 2024
QUESTION 1
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...
NR 509 advanced physical assessment FINAL EXAM QUESTION
AND VERIFIED ANSWERS LATEST 2024
QUESTION 1
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
QUESTION 2
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
QUESTION 3
Primary prevention is defined as which of the following?
Interventions designed to prevent disease
QUESTION 4
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.
QUESTION 5
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.
NR 509 advanced physical assessment FINAL EXAM
,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.
QUESTION 6
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).
QUESTION 7
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."
QUESTION 8
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
QUESTION 9
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
QUESTION 10
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?
NR 509 advanced physical assessment FINAL EXAM
, CNIII
QUESTION 11
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
QUESTION 12
The combination of both receptive and expressive aphasia is a characteristic of which type of speech
disorder?
global aphasia
QUESTION 13
The NP is assessing a 42-year-old female who presents to the clinic with recurring headaches. What is
an effective question to ask the patient?
Do you have any aura prior to the headaches?
QUESTION 14
A 55-year-old female presents to the clinic with a headache. During the interview, which of the
following symptoms should prompt the NP to be concerned and investigate further?
The patient reports fever, night sweats, and thinks she lost weight.
QUESTION 15
When grading muscle strength on a scale of 1 to 5, a grade of 3 indicates which of the following?
Active movement against gravity
QUESTION 16
Which musculoskeletal disorder is paired correctly with the associated systemic manifestations?
NR 509 advanced physical assessment FINAL EXAM
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