R509EXAM /NR509FINALEXAMNEWEST
ACTUALEXAMQUESTIONSANDCORRECT
DETAILEDANSWERSLATESTUPDATES
(VERIFIEDANSWERS)|GUARANTEEDPASSA
A35-year-oldfemalewithahistoryofmigrainespresentstotheclinic withworseningsymptomsforthepastfewweeks.Shereportswaking upatnightwithheadachesandnausea.Heronlymedicationhistoryis oralcontraceptivepills(OCPs).Otherwise,shestatessheishealthy.WhichofthefollowingactionsiftakenbytheNPisthebestnextstep?Takeafurtherhistoryandperformaverycarefulneurologicalexam Agrandmotherisaccompanyingher9-year-oldgranddaughterduringa routinephysicalexamination.Sheasksyouprivatelyifher granddaughterhasstartedpubertyyet.Duringtheexamination,theNP notesasymmetricprojectionoftheareolaandnippleoftherightchest toformasecondarymoundabovethelevelofthebreast.Theleftbreast isunderdeveloped.Theseassessmentfindingsareconsistentwithwhich TannerStageofdevelopment?
IV Primarypreventionisdefinedaswhichofthefollowing?Interventionsdesignedtopreventdisease 1 / 3
BasedontheU.S.PreventiveServicesTaskForce(USPSTF) recommendations,whichofthefollowingstatementsistrueabout screeningforbreastcancerinaverage-riskwomen?Mammographyisrecommendedevery2yearsforwomenaged50-74 withinsufficientevidenceforscreeningwomenovertheageof75.Whichofthefollowingstatementsistrueregardingrecommendations bytheeighthJointNationalCommittee(JNC8)foradultsaged60and older?Selectallthatapply.Targetbloodpressureshouldbe=150/90mmHgbutnotesthatif treatmentresultsinSBP<140andis"welltoleratedandwithoutadverse effectstohealthorqualityoflive,treatmentdoesnotneedtobe adjusted." Inthoseaged80orolder,bloodpressuretargetsof140to<150/70to 80appearoptimalfornotablereductionsinstroke,cardiovascular events,andall-causemortality.Whichofthefollowingisausefulstrategywhenexaminingyoung childrenbetweentheagesof1and4?Havetheparentfacilitatetheexam(e.g.,removingclothes,holdingthe childonlap). 2 / 3
TheNPiscompletingthereviewofsystemsona4-month-oldfemale duringaroutineencounter.Whichstatementfromtheparentmay indicateacardiacproblemintheinfantandrequireamorethorough subjectivehistory?"Itoftentakesthebabymorethan30minutestofinishabottle." A16-year-oldmalepresentstotheclinicwithahistoryofacongenital rightuppereyeliddroopingasrepresentedinthisimage.Hehasno complaintsanddeniesinjuryortrauma.Whichcranialnerve(CN)is involvedinthiscondition?Patientwitheyeliddrooping CNIII Whichcranialnerve(CN)innervatesthemusclesofthepharynxand providessensoryfiberstoportionsofthetympanicmembrane,auditory canal,pharynx,andtheposteriorthirdofthetongue?
CNIX TheNPshouldsuspectinjurytowhichcranialnerve(CN)ifapatient presentswithcomplaintsofphotosensitivityandunevenpupilsafter beingstruckintheeyewithabaseball?CNIII
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