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Exam (elaborations) NR509

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NR 509 /NR509 FINAL EXAM NEWEST 2024 TEST BANK AND STUDY GUIDE COMPLETE 250 QUESTIONS AND CORRECT DETAILED ASNWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

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  • September 1, 2024
  • 112
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR509
  • NR509
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NR 509 /NR509 FINAL EXAM NEWEST 2024 TEST BANK AND STUDY GUIDE
r r r r r r r r r r r



COMPLETE QUESTIONS AND CORRECT DETAILED ASNWERS WITH RATIO
r r r r r r r r



NALES (VERIFIED ANSWERS) |ALREADY GRADED A+
r r r r r




Arpatientrpresentsrforrevaluationrofrarsharp,rachingrchestrpainrwhichrincreasesrwithrbreathingrrWhichranato
micrarearwouldryourlocalizerthersymptomrto?



A)rMusculoskeletal

B)rReproductive

C)rUrinary

D)rEndocriner-rrcorrectranswer-A)rMusculoskeletal



Chestrpainrmayrberduertorarmusculoskeletalrcondition,rsuchrasrcostochondritisror

intercostalrmusclercramprrThisrwouldrberworsenedrbyrmotionrofrtherchestrwallrrPleuriticrchestrpainrisralsorars
harprchestrpainrwhichrincreasesrwithrardeeprbreathrrThisrtyperofrpainrcan

occurrwithrinflammationrofrtherpleurarfromrpneumoniarorrotherrconditionsrandrpulmonary

embolusr



ArpatientrcomesrtortheremergencyrroomrforrevaluationrofrshortnessrofrbreathrrTorwhichranatomicrregionrwo
uldryourassignrthersymptom?



A)rReproductive

B)rUrinary

C)rCardiac

D)rHematologicr-rrcorrectranswer-C)rCardiac



Cardiacrdisordersrsuchrasrcongestiverheartrfailurerarerthermostrlikelyronrthisrlistrtorresultrinrshortnessrofrbre
athrrThererarercasesrwithinrtherotherrcategoriesrwhichrmayralsorresult

inrshortnessrofrbreath,rsuchrasranemiarinrtherhematologicrcategory,rpregnancyrinrtherreproductive

,category,rorrsepsisrwithrUTIrinrtherurinaryrcategoryr



ArpatientrpresentsrforrevaluationrofrarcoughrrWhichrofrtherfollowingranatomicrregionsrcanrberresponsiblerfo
rrarcough?



A)rOphthalmologic

B)rAuditory

C)rCardiac

D)rEndocriner-rrcorrectranswer-C)rCardiacr



ThercardiacrsystemrcanrcauserarcoughrifrtherpatientrhasrcongestiverheartrfailurerrThisrresultsrinrfluidrbuildupri
nrtherlungs,rwhichrinrturnrcanrcauserarcoughrthatrproducesrpink,

frothyrsputumrrArforeignrbodyrinrtherearrmayralsorcauserarcoughrbyrstimulatingrArnold'srbranchrofrthervagusr
nerve,rbutrthisrisrlessrlikelyrtorberseenrclinicallyrthanrheartrfailurer



Ar22-year-oldradvertisingrcopywriterrpresentsrforrevaluationrofrjointrpainrrTherpainrisrnew,

locatedrinrtherwristsrandrfingersrbilaterally,rwithrsomersubjectiverfeverrrTherpatientrdeniesra

rash;rsheralsordeniesrrecentrtravelrorrcampingractivitiesrrSherhasrarfamilyrhistoryrsignificantrfor

rheumatoidrarthritisrrBasedronrthisrinformation,rwhichrofrtherfollowingrpathologicrprocesses

wouldrberthermostrcorrect?



A)rInfectious

B)rInflammatory

C)rHematologic

D)rTraumaticr-rrcorrectranswer-B)rInflammatory



Therdescriptionrisrmostrconsistentrwithranrinflammatoryrprocess,ralthoughrallrtherotherretiologiesrshouldrb
erconsideredrrLymerdiseaserisranrinfectionrwhichrcommonlyrcauses

arthritis,rhemophiliarisrarhematologicrconditionrwhichrcanrcauserbleedingrinrtherjoints,randrtraumarcanrobvi
ouslyrcauserjointrpainr

,Ar47-year-
oldrcontractorrpresentsrforrevaluationrofrneckrpain,rwhichrhasrbeenrintermittentrforrseveralryearsrrHernorm
allyrtakesrover-the-
counterrmedicationsrtoreasertherpain,rbutrthisrtimertheyrhaven'trworkedrasrwellrandrherstillrhasrdiscomfortrr
Herrecentlyrwallpaperedrtherentirersecondrfloorrinrhisrhouse,rwhichrcausedrhimrgreatrdiscomfortrrTherpainrr
esolvedrwithrrestrrHerdeniesrfever,rchills,rrash,rupperrrespiratoryrsymptoms,rtrauma,rorrinjuryrtortherneckrrB
asedronrthisrdescription,rwhatrisrthermostrlikelyrpathologicrprocess?



A)rInfectious

B)rNeoplastic

C)rDegenerative

D)rTraumaticr-rrcorrectranswer-C)rDegenerative



TherdescriptionrisrmostrconsistentrwithrdegenerativerarthritisrinrtherneckrrThe

patientrhasrhadrintermittentrsymptomsrandrtherquestionsraskedrtorelicitrpertinentrnegativerand

positiverfindingsrarernegativerforrinfectious,rtraumatic,rorrneoplasticrdiseaser



Ar15-year-oldrhighrschoolrsophomorercomesrtortherclinicrforrevaluationrofrar3-weekrhistory

ofrsneezing;ritchy,rwateryreyes;rclearrnasalrdischarge;rearrpain;randrnonproductivercoughrrWhich

isrthermostrlikelyrpathologicrprocess?



A)rInfection

B)rInflammation

C)rAllergic

D)rVascularr-rrcorrectranswer-C)rAllergic



Thisrdescriptionrisrmostrconsistentrwithrallergicrrhinitisr



Ar19-yearrold-collegerstudentrpresentsrtortheremergencyrroomrwithrfever,rheadache,rand

neckrpain/stiffnessrrSherisrconcernedraboutrtherpossibilityrofrmeningococcalrmeningitisr

, Severalrofrherrdormrmatesrhaverbeenrvaccinated,rbutrsherhasn'trbeenrrWhichrofrtherfollowing

physicalrexaminationrdescriptionsrisrmostrconsistentrwithrmeningitis?



A)rHeadrisrnormocephalicrandratraumatic,rfundirwithrsharprdiscs,rneckrsupplerwithrfullrrange

ofrmotion

B)rHeadrisrnormocephalicrandratraumatic,rfundirwithrsharprdiscs,rneckrwithrparaspinous

musclerspasmrandrlimitedrrangerofrmotionrtortherright

C)rHeadrisrnormocephalicrandratraumatic,rfundirwithrblurredrdiscrmargins,rneckrtenderrto

palpation,runablertorperformrrangerofrmotion

D)rHeadrisrnormocephalicrandratraumatic,rfundirwithrblurredrdiscrmargins,rneckrsupplerwith

fullrrangerofrmotionr-rrcorrectranswer-
C)rHeadrisrnormocephalicrandratraumatic,rfundirwithrblurredrdiscrmargins,rneckrtenderrto

palpation,runablertorperformrrangerofrmotion



Blurredrdiscrmarginsrarerconsistentrwithrpapilledema,randrneckrtendernessrandrlackrofrrangerofrmotionrarer
consistentrwithrneckrstiffness,rwhichrinrthisrscenariorisrlikelyrtorbercaused

byrmeningealrinflammationrrKernig'srandrBrudzinski'srsignsrareralsorhelpfulrinrtestingrforrmeningealrirritatio
nronrexamr



Ar37-year-
oldrnursercomesrforrevaluationrofrcolickyrrightrupperrquadrantrabdominalrpainrrTherpainrisrassociatedrwithr
nausearandrvomitingrandroccursr1rtor2rhoursrafterreatingrgreasyrfoodsrrWhichronerofrtherfollowingrphysicalr
examinationrdescriptionsrwouldrbermostrconsistentrwithrtherdiagnosisrofrcholecystitis?



A)rAbdomenrisrsoft,rnontender,randrnondistended,rwithoutrhepatosplenomegalyrorrmassesr

B)rAbdomenrisrsoftrandrtenderrtorpalpationrinrtherrightrlowerrquadrant,rwithoutrreboundror

guardingr

C)rAbdomenrisrsoftrandrtenderrtorpalpationrinrtherrightrupperrquadrantrwithrinspiration,rtorthe

pointrofrstoppingrinspiration,randrthererisrnorreboundrorrguardingr

D)rAbdomenrisrsoftrandrtenderrtorpalpationrinrthermid-epigastricrarea,rwithoutrreboundror

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