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NR509 Week 8 – Final Exam (June – 2025)
This is the latest version of the nr509 week 8 final exam; add to cart and check out to access it for $50 only
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
- B
- C
- A
- C E
- A
- C
- B C
- A B D
- B
- 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
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