October 23, 2026

NR509 Final Exam October 2026 Week 8 Questions and Answers

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NR509 Final Exam October 2026 Week 8 Verified Questions

Question 1: A NP student conducted a clinical breast examination on a 27-year-old female with a history of fibroadenomas. The NP palpated a rubbery, mobile, nontender mass in the right breast. The mass was located 3 cm proximal to and 3 cm to the left of the nipple. Which of the following would be the MOST appropriate way to document the physical assessment findings?

Rubbery, mobile, nontender mass located in the right breast, in the 10:30 position from the nipple
Rubbery, mobile, nontender mass located in the right breast, in the 1:30 position from the nipple
Rubbery, mobile, nontender mass located in the right breast, upper outer quadrant
Rubbery, mobile, nontender mass located in the right breast, in the upper inner quadrant

Correct Answer: A. Rubbery, mobile, nontender mass located in the right breast, in the 10:30 position from the nipple

Question 2: Which findings are MOST associated with hyperreflexia?

Flaccid paralysis and muscle atrophy
Loss of deep tendon reflexes and fasciculations
Hypotonia and absent Babinski sign
Weakness, spasticity, and a positive Babinski sign

Correct Answer: D. Weakness, spasticity, and a positive Babinski sign

Question 3: A patient with acute onset of severe pain, redness, and swelling in the first metatarsophalangeal (MTP) joint likely has:

Osteoarthritis
Reactive arthritis
Rheumatoid arthritis
Gout

Correct Answer: D. Gout

Question 4: Cervical motion tenderness and adnexal tenderness are characteristic clinical findings associated with which gynecologic condition?

Uterine fibroids
Polycystic ovary syndrome (PCOS)
Endometriosis
Pelvic inflammatory disease (PID)

Correct Answer: D. Pelvic inflammatory disease (PID)

Question 5: The NP is completing the review of systems on a 4-month-old female during a routine encounter. Which statement from the parent may indicate a cardiac problem in the infant which requires a more thorough subjective history?

The baby often sounds congested
The baby often falls asleep during bath time
The baby often takes more than 30 minutes to finish a bottle
The baby often gets hiccups

Correct Answer: C. The baby often takes more than 30 minutes to finish a bottle

Question 6: During abdominal percussion, which finding is MOST suggestive of intestinal obstruction or paralytic ileus?

Scattered dullness in all four quadrants of a rounded abdomen
Tympany throughout a protuberant abdomen
Tympany in the right lower quadrant of a distended abdomen
Dullness over both flanks

Correct Answer: B. Tympany throughout a protuberant abdomen

Question 7: Which of the following is the correct sequence for conducting a musculoskeletal exam?

Special maneuvers, palpation, inspection, range of motion
Range of motion, special maneuvers, palpation, inspection
Inspection, palpation, range of motion, special maneuvers
Palpation, inspection, range of motion, special maneuvers

Correct Answer: C. Inspection, palpation, range of motion, special maneuvers

Question 8: During an abdominal examination, which of the following organs is typically not palpable in a healthy adult?

Lower pole of the right kidney in a thin individual
Gallbladder
Tip of the spleen below the left costal margin
Liver edge at the right costal margin

Correct Answer: B. Gallbladder

Question 9: Which physical exam maneuver is used to evaluate ligament integrity in the knee?

Tinel’s sign
Phalen’s test
Straight leg raise test
Anterior drawer test

Correct Answer: D. Anterior drawer test

Question 10: A patient complains of oily, frothy, foul-smelling stools that float. This finding suggests which underlying pathology?

Clostridium difficile infection
Colonic polyps
Steatorrhea from malabsorption
Inflammatory bowel disease

Correct Answer: C. Steatorrhea from malabsorption

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Abdominal Assessment: Identifying signs of acute abdomen (peritonitis, appendicitis, diverticulitis), distinguishing between visceral and parietal pain, and assessing organomegaly and bowel sounds.
Neurological Examination: Evaluating cranial nerve functions (CN I through XII), differentiating upper vs. lower motor neuron signs, and identifying hyperreflexia and Babinski responses.
Musculoskeletal System: Sequencing physical examinations, assessing joint pathologies (e.g., gout vs. rheumatoid arthritis), and performing specific diagnostic maneuvers (Anterior Drawer, Tinel’s, Phalen’s).
Obstetrics & Gynecology: Naegele’s rule calculations, differentiating primary vs. secondary dysmenorrhea, and recognizing clinical signs of pelvic inflammatory disease (PID).
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