NR509 Final Exam Solution Guide 2024.

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. 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? 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? Primary prevention is defined as which of the following? 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? 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. - 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. Which of the following is a useful strategy when examining young children between the ages of 1 and 4? 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? 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 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? 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? Which of the following statements is true regarding risks and rapid recognition of suspected stroke? Select all that apply Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke The combination of both receptive and expressive aphasia is a characteristic of which type of speech disorder? 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? 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? When grading muscle strength on a scale of 1 to 5, a grade of 3 indicates which of the following? Which musculoskeletal disorder is paired correctly with the associated systemic manifestations? A 62-year-old female has a diagnosis of rheumatoid arthritis (RA). Which of the following are expected assessment findings consistent with the diagnosis? - A 58-year-old male complains of pain in his knees, hips, hands, wrists, neck, and lower back. Based on the joints involved, the NP suspects that the patient most likely has which condition? - A 55-year-old male has a diagnosis of lumbar spinal stenosis. Which sign should the NP expect to find on examination that is most consistent with the diagnosis? What is the action(s) of the erector spinae muscle group? A 17-year-old male presents to the clinic for a follow-up appointment. He fractured his left arm 8 weeks ago and remains in a cast. [Show More]

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