NR509 Week 8: Final Exam

NR509 WEEK 8: FINAL EXAM – Questions and Answers (June – 2025)

Question 1

A 31-year-old female presents to the clinic with a worsening stiff, painful neck. On inspection, the patient’s head is laterally deviated toward the shoulder and rotated. Given this specific physical assessment finding, what condition should the NP suspect as a differential diagnosis?

A. Ankylosing spondylitis
B. Torticollis ✅
C. Thoracic kyphosis
D. Osteoarthritis (OA)
E. Spondylolisthesis

Question 2

A 50-year-old male presents to the office for a routine physical examination. He has no complaints. His PMH is significant for non-alcoholic fatty liver disease and high cholesterol. The NP documents a normal neurological exam.

Which of the following is the most accurate interpretation of these findings?

A. These findings suggest sensory ataxia
B. These findings suggest B12 deficiency
C. These findings suggest no abnormalities ✅
D. These findings suggest hyporeflexia
E. (Not shown in image)

Question 3

A 17-year-old male fractured his left arm 8 weeks ago and remains in a cast. NP finds shoulder height asymmetry and scapular winging. Which assessment maneuver should the NP perform?

A. Compare the strength of his trapezia muscles ✅
B. Assess the lateral bending movement of his neck
C. Assess his ability to extend his back
D. Assess his ability to touch his toes
E. Check for listing of his trunk

Question 4

Which of the following statements is true regarding risks and rapid recognition of suspected stroke? (Select all that apply)

A. Atrial fibrillation is not a risk factor in patients over 75
B. Transient ischemic attacks (TIAs) that resolve within 1 hour confer a 5% risk of stroke within the next 12 months ✅
C. Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke ✅
D. Due to increasing public awareness, arrival time for stroke care is <3 hours
E. Obesity doubles stroke risk even without glucose intolerance ✅

Question 5

Identify the anatomical bony landmark of the right anterior shoulder in this image marked as letter “A”.

A. Coracoid process of the scapula ✅
B. Acromioclavicular joint
C. Greater tubercle
D. Clavicle

Question 6

An 88-year-old female with OA shows red-circled abnormal findings on distal interphalangeal joints. What are these?

A. Heberden nodes ✅
B. Janeway lesions
C. Bouchard nodes
D. Mucosal cysts
E. (Not shown in image)

Question 7

A 2-month-old female has edema of hands/feet and neck folds. What should the NP assess? (Select all that apply)

A. Parents’ understanding of vaccination
B. Infant’s fluid gain/loss ✅
C. Infant’s growth chart for height/length ✅
D. Infant’s latch during breastfeeding ✅
E. Parents’ ability to administer nebulizers

Question 8

A 24-year-old pregnant female (7 weeks LMP). What physical findings are expected? (Select all that apply)

A. Softening of the cervix ✅
B. A bluish hue to the cervix ✅
C. Hyperexcitability of facial nerve
D. Internal cervical os closed to fingertip width ✅
E. Uterine fundus palpable just below umbilicus ✅

Question 87

All of the following assessment findings are consistent with hepatomegaly, EXCEPT:

A. Dullness to percussion over a span of 9 cm at the midsternal line ✅
B. Liver span >12 cm at midclavicular line
C. Liver palpable 3 cm below right costal margin
D. Dullness over 14 cm span at midclavicular line
E. Liver span of 8 cm at midsternal line

Question 88

Which of the following statements are true about pain presentation in older adults? (Select all that apply)

A. Most pain is musculoskeletal, but can include headache, neuropathy, and cancer ✅
B. AGS prefers “persistent pain” over “chronic pain” ✅
C. Pain is often overtreated in elderly due to overreporting
D. Older patients report pain less than younger patients ✅
E. Pain is more common in community-dwelling than nursing home adults ✅

Answers

1. B
2. C
3. A
4. C E
5. A
6. C
7. B C
8. A B D
9. B
10. E

87. A

88. A B D…………………….add to cart and check out to access all the nr509 week 8 final exam 88 questions for $50 only

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