NR509 Week 8: Final Exam

NR509 WEEK 8: FINAL EXAM – Questions and Answers 

Answers

• Question 1
  Which of the following assessment findings is NOT consistent with hepatomegaly?
  • A. A liver span greater than 12 cm at the midclavicular line
  • B. Dullness to percussion over a span of 9 cm at the midsternal line
  • C. Dullness to percussion over a span of 14 cm at the midclavicular line
  • D. Liver span of 8 cm at the midsternal line
  • E. Liver palpable 3 cm below the right costal margin, midclavicular line, on expiration

  ✅ Correct Answer: C

  Question 2
  Which statement about pain in older adults is TRUE?

  • A. Most pain complaints are neurological.
  • B. Older patients are more likely to report pain symptoms than younger ones.
  • C. The majority of pain complaints in this population are musculoskeletal.
  • D. Pain prevalence is higher in community-dwelling older adults than in nursing homes.
  • E. Pain in older adults is usually due to cancer.

  ✅ Correct Answer: C

  Question 3
  A 29-year-old fitness instructor comes for a prenatal visit. Which of the following are appropriate recommendations? (Select all that apply)

  • A. Switch from running to weightlifting.
  • B. Gain at least 40 pounds during pregnancy.
  • C. Avoid unpasteurized dairy and deli meats.
  • D. Immersion in tepid or cool water can help with musculoskeletal complaints.
  • E. Increase calorie intake by 300+ per day.

  ✅ Correct Answers: C, D, E

  Question 4
  A 35-year-old female presents with a headache. Which symptom should prompt further evaluation by the NP?

  • A. Headache comes and goes
  • B. Fever, night sweats, and weight loss
  • C. Similar headache but more intense
  • D. Lost her glasses
  • E. Minor head trauma 6 weeks ago

  ✅ Correct Answer: B

  Question 5
  How would the following obstetric history be documented in GPTAL format?

  • 1 ectopic pregnancy (current), 4 prior ectopics, 3 living children (1 born at 35 weeks, twins at 38 weeks)

  ✅ Correct Answer: G5 P2 T1 A3 L3

• Question 83
  30-year-old woman with vaginal discharge, fishy odor, pH >4.5, and homogeneous coating. Likely diagnosis?
  • A. Candida vaginitis
  • B. Trichomonas
  • C. Atrophic vaginitis
  • D. Bacterial vaginosis
  • E. Gonorrhea

  ✅ Correct Answer: D

  Question 84
  35-year-old woman with bilateral milky nipple discharge, no fever, labs normal. Most likely cause?

  • A. Ductal carcinoma in situ
  • B. Occult pregnancy
  • C. Mastitis
  • D. Paget’s disease
  • E. Prolactinoma

  ✅ Correct Answer: E

  Question 85
  What question is most useful for evaluating recurrent headaches?

  • A. Are you feeling stressed?
  • B. Do you see an aura before the headache?
  • C. Have you seen someone have a stroke?
  • D. Do you have memory loss?
  • E. Do your headaches wake you up at night?

  ✅ Correct Answer: B

  Question 86
  Which statements are TRUE regarding stroke recognition and risk? (Select all that apply)

  • A. TIAs resolving in 1 hour still carry stroke risk
  • B. Median time to care is <3 hours
  • C. Atrial fibrillation is not a stroke risk in elderly
  • D. Hypertension is top risk factor
  • E. Obesity doubles risk of stroke

  ✅ Correct Answers: A, D, E

  Question 87
  Patient with SI joint tenderness and chronic low back pain likely has:

  • A. Infection
  • B. Malignancy
  • C. Ankylosing spondylitis
  • D. Torticollis
  • E. Osteoporosis

  ✅ Correct Answer: C

  Question 88
  Which is TRUE about USPSTF breast cancer screening guidelines?

  • A. Start at age 30 for all women
  • B. Every 3 years for ages 45–65
  • C. Every 10 years from age 50+
  • D. Every 2 years for ages 50–74
  • E. Stop at age 65 for all women

  ✅ Correct Answer: D………………………….check out to download the rest of the questions and answers at $50 only