NR509 WEEK 8: FINAL EXAM – Questions and Answers (August 2026)

A 42-year-old female is 39 weeks pregnant. She reports no major issues EXCEPT swelling in her feet and shortness of breath, which she assumed were normal for pregnancy. During the exam, the NP noted a new diastolic murmur. Which of the following is true about her presentation and the appropriate next step by the NP?
A. Diastolic murmurs during pregnancy may be due to mitral valve prolapse; order a STAT echocardiogram
B. A diastolic murmur during pregnancy is known as a venous hum; no intervention is required at this time
C. A leftward-rotated apical impulse would confirm a diagnosis of heart failure in this patient; the NP should order an echocardiogram
D. A diastolic murmur during pregnancy is likely pathological; further investigation and work-up is warranted ✅
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The NP conducted a physical assessment on a 79-year-old male who lives independently in subsidized housing. The documentation for the Head, Eyes, Ears, Nose, Throat (HEENT) findings are as follows: Conjunctiva pink, sclera muddy. Pupils 2 mm constricting to 1 mm, round, regular, equally reactive to light and accommodation. TMs with good cone of light. Nasal mucosa erythematous, septum deviated to the right, turbinates mildly enlarged. No sinus tenderness. Oral mucosa is pink. Dentition fair. Caries present. Tongue midline, slight beefy redness. The pharynx is mildly erythematous with cobblestoning. Which of the following is the MOST accurate interpretation of the findings?
A. Sinus infection
B. Chronic allergies ✅
C. Chronic corticosteroid use
D. Cataracts
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Which of the following describes normoactive bowel sounds during auscultation?
A. More than 34 sounds per minute
B. Less than 5 sounds per minute
C. Continuous prolonged gurgling sounds
D. Between 5 and 34 sounds per minute ✅
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A 35-year-old female with a known history of migraines presents with worsening symptoms. She reports waking up at night with headaches and nausea, which is new. Medications include progestin-only pill (POP) and a multivitamin. She otherwise considers herself healthy and denies other medical conditions. Which action by the NP is the MOST appropriate next step?
A. Discontinue OCPs and diagnose her with medication-overuse headache
B. Prescribe a triptan for acute migraine relief and reassess in two weeks
C. Continue POPs and recommend over-the-counter analgesics for migraine management
D. Refer for neuroimaging to evaluate secondary causes of headache ✅
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During an evaluation of an athletic 30-year-old female, the NP conducts an active range of motion evaluation of the neck. When the patient is asked to extend, flex, and rotate the neck, all the following muscles are being assessed, EXCEPT?
A. Sternocleidomastoid
B. Sacrospinalis ✅
C. Splenius capitis
D. Trapezius
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A 45-year-old female presents to the primary care clinic with a recent change in bowel habits. Her past medical history includes bleeding peptic ulcers and Crohn’s disease. Her family history reveals a maternal aunt who died of colon cancer at age 49. Which of the following historical elements is MOST concerning for colon cancer in this patient?
A. Family history of colon cancer before age 50 ✅
B. Diagnosis of Crohn’s disease
C. History of bleeding peptic ulcers
D. Change in bowel movement patterns…………………….add to cart and check out to access all the nr509 week 8 final exam 88 questions for $50 only