NR 509 FINAL EXAM SAMPLE QUESTIONS AND VERIFIED ANSWERS CHAMBERLAIN UNIVERSITY
1. A 31-year-old female presents to the clinic with a
worsening stiff, painful neck. On inspection, the patients 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-torticollis
B-ankylosing spondylitis
C-osteoarthritis (OA)
D-spondylolisthesis
E-thoracic kyphosis
2. 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-Swelling of the synovial tissue in joints and tendon
sheaths
B-The first metatarsophalangeal joint is frequently involved.
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
focused visit to discuss hypertension management
strategies. During the interview, the patient asks the
MP if she could be screened today for cervical cancer/HPV. Review of her medical record reveals she
was screened at ages 57, 60, and 63, with no abnormal
findings, and no history of cancer.What is the best action the NP should take regarding the patients request
for screening?
A-Deny her request, inform her that she is past due
for cervical cancer/HPV screening, and
schedule another visit in 6 months.
A
Torticollis
A
Swelling of the
synovial tissue in
joints and tendon
sheaths
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.