NR 511 Final Exam Study Guide | Chamberlain Nursing Questions with Rationales & Verified Answers (2025 Edition)

NR 511 FINALEXAM STUDYGUIDE | CHAMBERLAIN NURSING
n n n n n n n n




QUESTIONS WITH RATIONALES & VERIFIED ANSWERS
n n n n n n




(2025 EDITION) n




Q1. What does a positive Phalen's test typically indicate?
n n n n n n n n




A. Pain in the elbow n n n




B. Tingling and numbness in the first three fingers n n n n n n n




C. Weak grip strength n n




D. Redness over the palm n n n




CorrectAnswer: B n n




C˛ Rationale: A positive Phalen’s test results in numbness, tingling, or pain over the median nerve
* n n n n n n n n n n n n n n n




n distribution (first 3 digits), suggesting carpal tunnel syndrome.
n n n n n n n




˙„•9. Tip: Think“Phalen = Fingers numb.”
n n n n n n




Q2. Which lab marker is commonly used to confirm Hashimoto’s thyroiditis?
n n n n n n n n n n




A. TSH
B. Free T3 n




C. Anti-TPO antibodies n




D. TBG
CorrectAnswer: C n n




C˛* Rationale: Anti-thyroid peroxidase (TPO) antibodies are hallmark indicators for Hashimoto’s.
n n n n n n n n n n




•9„˙. Tip: Remember “TPO = Thyroid Problem Origin.”
n n n n n n n




Q3. During a routine physical for a 5-year-old boy, you cannot retract the foreskin. What is this condition
n n n n n n n n n n n n n n n n n




called?
n




A. Paraphimosis
B. Phimosis
C. Balanitis
D. Urethritis
CorrectAnswer: B n n




˛C* Rationale: Phimosis is a condition in which the foreskin cannot be retracted over the glans penis.
n n n n n n n n n n n n n n n n




•9„˙. Tip: “Phimosis = Foreskin fixed.”
n n n n n




Q4. Sandra, a computer programmer, has just been diagnosed with carpal tunnel syndrome. What is
n n n n n n n n n n n n n n




your next best step?
n n n n




A. Refer to a hand specialist n n n n




B. Conduct a full musculoskeletal history n n n n

,C. Initiate neutral wrist splinting and NSAIDs n n n n n




D. Order an EMG n n




CorrectAnswer: C n n




˛C Rationale: Conservative treatment such as wrist splinting and NSAIDs is typically first-line.
* n n n n n n n n n n n n




•9„˙. Tip: “Splint before specialist.”
n n n n




Q5. Awoman presents with lifelong heavy periods and hemoglobin of 11. Her ferritin is low, TIBC is
n n n n n n n n n n n n n n n n n




high, and MCV is 75. What’s the likely cause?
n n n n n n n n n




A. Thalassemia
B. Iron deficiency anemia n n




C. Sideroblastic anemia n




D. Anemia of chronic disease n n n




CorrectAnswer: B n n




C˛ Rationale: Low MCV and low ferritin with high TIBC are classic for iron deficiency.
* n n n n n n n n n n n n n n




˙„•9. Tip: “Irondeficiency= Micro + HighTIBC.”
n n n n n n n n




Q6. How soon should facial sutures be removed after a laceration repair?
n n n n n n n n n n n




A. 3–4 days n




B. 4–6 days n




C. 7–10 days n




D. 10–14 days n




CorrectAnswer: B n n




˛C* Rationale: Facial skin heals faster than other areas; hence sutures are removed earlier.
n n n n n n n n n n n n n




•9„˙. Tip: “Face = Fast heal = 4–6 days.”
n n n n n n n n




Q7. A51-year-old diabetic male with a scalp laceration receives ceftriaxone. What additional antibiotic
n n n n n n n n n n n n n




may be used?
n n n




A. Azithromycin
B. Cephalexin
C. Cipro
D. TMP-SMX
CorrectAnswer: B n n




C Rationale: Cephalexin is commonly used for skin infections alongside ceftriaxone.
˛* n n n n n n n n n n




•9„˙. Tip: “Ceph + Ceph = Skin Safe.”
n n n n n n n




Q8. A4-year-old boy presents with fatigue, fever, bone pain, and hepatosplenomegaly. CBC
n n n n n n n n n n n n




suggests leukemia. What is your next step?
n n n n n n n




A. Monospot test n




B. Ultrasound
C. Refer to pediatric oncology n n n




D. PT/PTT and bleeding time n n n

, CorrectAnswer: C n n




C˛ Rationale: Such systemic symptoms and CBC changes are red flags needing oncologist referral.
* n n n n n n n n n n n n n




•9„˙. Tip: “Bone + Bleed + Big Organs = ReferASAP.”
n n n n n n n n n n




Q9. Aherniated lumbar disc compressing L5 is most likely to cause which finding?
n n n n n n n n n n n n n




A. Weak ankle dorsiflexion n n




B. Weak great toe extension n n n




C. Weak great toe flexion n n n




D. Weak ankle plantarflexion n n




CorrectAnswer: B n n




˛C* Rationale: L5 root affects the extensor hallucis longus which controls great toe extension.
n n n n n n n n n n n n n




9̇.Tip: “L5 = Lift the toe.”
•„ n n n n n n




Q10. What is true about polycythemia?
n n n n n




A. Decreases at high altitude n n n




B. Increases with age n n




C. More common in women n n n




D. Decreases with age n n




CorrectAnswer: B n n




C˛* Rationale: Polycythemia is more prevalent in older adults due to increased bone marrow production.
n n n n n n n n n n n n n n




•9„˙. Tip: “Polycythemia = More blood with more birthdays.”
n n n n n n n n




Q11. A26-year-old marathon runner complains of painful muscle cramps in the calves post-run. What’s
n n n n n n n n n n n n n n




the likely cause?
n n n




A. Hyperkalemia
B. Hyponatremia
C. Hypoglycemia
D. Lactic acidosis n




CorrectAnswer: B n n




˛C* Rationale: Electrolyte imbalance, especially low sodium, is common after endurance activity.
n n n n n n n n n n n




•9„˙. Tip: “Marathon = Sweating = Sodium loss.”
n n n n n n n




Q12. A79-year-old man reports progressive neck stiffness, especially on the right. Radiographs
n n n n n n n n n n n n




show cervical spine degeneration. Likely diagnosis?
n n n n n n




A. Cervical disc herniation n n




B. Cervical spondylosis n