Final Exam: NR509 NR 509 Latest

Final Exam: NR509 / NR 509 (Latest

Version 2025 / 2026) Advanced Physical Assessment | Questions with Answers | 100 % Correct | Grade A - Chamberlain

Question:

Concerning alcohol consumption in older adults, which of the following is true?

Answer:

The CAGE screening for alcohol abuse retains the same sensitivity and specificity it has for younger populations

Question:

Which of the following statements are true about the presentation of pain and pain assessment in the older adult? Select all that apply

Answer:

Older patients are less likely to report pain symptoms than younger patients

The American Geriatrics Society (AGS) prefers the term "persistent pain" over the term "chronic pain".

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Question:

Which of the following physical assessment findings regarding blood pressure is consistent with the normal aging process and not a sign of cardiovascular disease?

Answer:

A net increase in pulse pressure with an increase in systolic pressure and a decrease in diastolic pressure

Question:

Which of the following statements best demonstrates that the NP understands their role in caring for the aging population?

Answer:

I will evaluate geriatric conditions in terms of functionality and quality of life rather than via traditional disease models.

Question:

A 25-year-old female presents to the clinic after a positive home pregnancy test. She confides in you that her live-in, male partner has been verbally threatening her. She denies interest in involving law enforcement.Additionally, she reports that she has a 3- year-old daughter who lives in the home. What is the appropriate next step by the NP?

Answer:

Ask open-ended questions, allow her to make decisions that she feels are best for herself given the circumstance, and provide immediate or long-term referrals to domestic violence resources

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Question:

A 42-year-old female is at 39-weeks gestation. She reports no major issues except swelling in her feet and shortness of breath which she assumed is normal for pregnancy. On exam, the NP notes a diastolic murmur. Which of the following is true about her presentation and the appropriate next step by the NP?

Answer:

A diastolic murmur during pregnancy is likely pathological; further investigation and work-up is warranted

Question:

A 32-year-old primigravid woman is at 27 weeks gestation. She presents with nausea, vomiting, urinary frequency, discomfort in the lower abdomen, tenderness over the suprapubic area, and severe constipation. Which of the following is true regarding these pregnancy symptoms?

Answer:

Iron supplementation, hormonal changes, slowed intestinal transit, physical pressure from the gravid uterus, and increased blood volume all contribute to abdominal symptoms in pregnant women.

Question:

The NP is conducting a physical assessment on a woman in her 26th week of pregnancy. Which of the examination finding is worrisome for a potential, emergent condition?

Answer:

Facial edema 3 / 4

Question:

A 24-year-old female presents to the clinic concerned that she may be pregnant. Her LMP was 7-weeks ago, and the urine human chorionic gonadotropin (HCG) test is positive. What can the NP expect to find on physical examination, assuming a normal pregnancy? Select all that apply

Answer:

an internal cervical os closed to the width of a fingertip

a bluish hue to the cervix

Question:

A 20-year-old female presents to the clinic with symptoms of fatigue, nausea, and an increase in urination. She is sexually active, and her male partner uses condoms occasionally. A urine pregnancy test is positive. Her last menstrual period was 3 months ago (6/20/2021). Using the Naegele rule, what is the estimated date of delivery (EDD, or due date)?

Answer:

3/27/22

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