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NR 509 FINAL EXAM SAMPLE QUESTIONS AND VERIFIED ANSWERS CHAMBERLAIN UNIVERSITY
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NR 509 FINAL EXAM SAMPLE QUESTIONS AND VERIFIED ANSWERS CHAMBERLAIN UNIVERSITY
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NR 509 FINAL EXAM SAMPLE QUESTIONS AND VERIFIEDANSWERS CHAMBERLAIN UNIVERSITY
1. A 31-year-old female presents to the clinic with a A
worsening stiff, painful neck. On inspection, the pa-
tients head is laterally deviated toward the shoulder Torticollis
and rotated. Given this specific physical assessment
finding, what condition should the NP suspect as a
differential diagnosis?
A-torticollis
B-ankylosing spondylitis
C-osteoarthritis (OA)
D-spondylolisthesis
E-thoracic kyphosis
2. A 62-year-old female has a diagnosis of rheumatoid A
arthritis (RA). Which of the following are expected
assessment findings consistent with the diagnosis? Swelling of the
synovial tissue in
A-Swelling of the synovial tissue in joints and tendon joints and tendon
sheaths sheaths
B-The first metatarsophalangeal joint is frequently in-
volved.
C-Asymmetrical joint distribution.
D-Tophi present in the subcutaneous tissue
E-Stiffness follows joint activity.
3. A 66-year-old female presents to the office for a C
focused visit to discuss hypertension management
strategies. During the interview, the patient asks the Deny her request,
MP if she could be screened today for cervical can- inform the pa-
cer/HPV. Review of her medical record reveals she tient that she has
was screened at ages 57, 60, and 63, with no abnormal had three negative
findings, and no history of cancer. What is the best ac- screenings in the
tion the NP should take regarding the patients request last 10 years
for screening? and no longer re-
quires screening,
A-Deny her request, inform her that she is past due and focus on the
for cervical cancer/HPV screening, and reason
schedule another visit in 6 months. for the visit.
, NR 509 FINAL EXAM SAMPLE QUESTIONS AND VERIFIED
ANSWERS CHAMBERLAIN UNIVERSITY
B-Honor her request, perform the screening today,
and reschedule the appointment to discuss
hypertension management strategies.
C-Deny her request, inform the patient that she has
had three negative screenings in the last 10 years
and no longer requires screening, and focus on the
reason
for the visit.
D-Deny her request, inform the patient she is not due
to be screened for two more years, and focus on
the reason for the visit.
E-Honor her request, perform the screening today,
and inform her that if the results are negative, she
will no longer require screening
4. A 45-year-old female presents to the primary care clin- A
ic. She complains of recently experiencing a change
in the patterns of her bowel movements. Her PMH is recent onset
significant for bleeding ulcers as well as Crohns dis- of small-caliber
ease. Her family medical history includes a maternal stools
aunt who died of colon cancer at age 49 years. Which
of the following historical elements would be most
concerning for colon cancer in this patient?
A-recent onset of small-caliber stools
B-new-onset anal fissures
C-recent history of black, tarry stools
D-long-term history of hemorrhoids
E-remote history of anal pruritus
5. Which of the following physical assessment finding D
is most suggestive of peritonitis secondary to a rup-
tured appendix? pressing down
onto the ab-
A pain with internal rotation of the right hip domen firmly and
quickly withdraws
, NR 509 FINAL EXAM SAMPLE QUESTIONS AND VERIFIED
ANSWERS CHAMBERLAIN UNIVERSITY
B abdominal pain that increases with hip flexion the hand produces
pain
C localized pain over McBurney point, which lies
2 inches from the anterior superior iliac spinous
process
on a line drawn from the umbilicus
D pressing down onto the abdomen firmly and quickly
withdraws the hand produces pain
E voluntary contraction of the abdominal wall that
persists over several examinations
6. A-21year -old female presents for her first annual E
exam. She reports concern because her female part-
ner was recently diagnosed with condyloma acumi- raised friable or
nata and wonders if she could also be infected. If lobed lesions
true what physical assessment findings would the NP
expect to find during the speculum examination
A several shallow ulcers with a red base
B translucent nodules
C bright red, soft lesions arising from the cervical
canal
D small red granular spots or petechiae on the cervix
E - raised friable or lobed lesions
7. A 35-year-old female with a history of migraines pre- D
sents to the clinic with worsening symptoms for the
past few weeks. She reports waking up at night with Take a further his-
headaches and nausea. Her only medication history tory and perform a
is oral contraceptive pills (OPs). Otherwise, she states very careful neu-
she is rological examina-
healthy. Which of the following actions if taken by the tion.
NP is the best next step?
A Reassure her that this is a common pattern with
migraines
, NR 509 FINAL EXAM SAMPLE QUESTIONS AND VERIFIED
ANSWERS CHAMBERLAIN UNIVERSITY
B Evaluate her for possible sinus infection.
C Order studies to evaluate potential transient is-
chemic attacks (TIAs) because she is on OCPs.
D Take a further history and perform a very careful
neurological examination.
E Prescribe a strong medication for her migraines.
8. The NP is observing a full-term infant male. He can A
pull to a stand, use "mama" or "dada" specifically,
and indicates his wants by vocalization and pointing. 12 MONTHS
Based on your
observations, determine his developmental age
A 12 months
B 4 months
C 8 months
D 10 months
E 6 months
9. During an evaluation of an athletic 30-year-old female, A
the NP conducts an active range of motion evaluation
at the neck. All of the following muscles are being sacrospinalis
assessed when the
patient is asked to extend, flex, and rotate the neck,
EXCEPT?
A sacrospinalis
B sternocleidomastoid (SCM)
C trapezius
D splenius capitis
E splenius cervicis
10. What structure in the spine is primarily responsible B
for supporting the bodys weight?
vertebral body
A spinous process
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