NR509 Final Exam Questions and Answers 2026 (Real Test)

NR509 Final Exam Questions and Answers 2025 (Real Test) 1. A 35-year-old female with a history of migraines presents to the clinic with worsening symptoms for the past few weeks. She reports waking up at night with headaches and nausea. Her only medication history is oral contraceptive pills (OCPs). Otherwise, she states she is healthy. Which of the following actions if taken by the NP is the best next step?: Take a further history and perform a very careful neurological exam 2. A grandmother is accompanying her 9-year-old granddaughter during a routine physical examination. She asks you privately if her granddaughter has started puberty yet. During the examination, the NP notes asymmetric projection of the areola and nipple of the right chest to form a secondary mound above the level of the breast. The left breast is underdeveloped. These assessment findings are consistent with which Tanner Stage of development?: IV 3. Primary prevention is defined as which of the following?: Interventions designed to prevent disease 4. Based on the U.S. Preventive Services Task Force (USPSTF) recommendations, which of the following statements is true about screening for breast cancer in average-risk women?: Mammography is recommended every 2 years for women aged 50-74 with insufficient evidence for screening women over the age of 75. 85. A 24-year-old male presents to the office for evaluation of a lump under his left nipple. He reports no other symptoms, denies trauma or injury, and reports no known family history of a first-degree relative with breast cancer. On examination, the NP notes a firm, 2-cm mass under his areola. What is the most likely etiology for these findings?: Breast cancer 86. A 34-year-old female arrives at the clinic for a prenatal, second-trimester appointment. During the interview, her behavior is concerning for intoxication, and she smells of alcohol and cigarettes. She reveals a history of intravenous drug use "10-years ago". How should the NP counsel this patient? Select all that apply: If a pregnant patient does not intend to quit tobacco, cutting down is still considered beneficial to the pregnancy and should be encouraged. Pregnant women are not routinely screened for hepatitis C, but this test should be added to the panel of prenatal blood tests for patients with a history of intravenous drug use 87. A 27-year-old female presents to the outpatient clinic with acute abdominal pain and uterine bleeding. Her last menstrual period was 6-weeks ago. She and her husband have been trying to conceive for almost one year. On physical examination, the NP palpates an ill-defined, adnexal mass in the left lower quadrant. The urine pregnancy test results are