NR667 CERTIFICATION EVALUATION TEST
PAPER 2026 COMPLETE STUDY QUESTIONS
WITH CORRECT ANSWERS
◉ A 23-year-old male has severe pain raising his arm overhead.
Which diagnosis is most likely? Answer: Damage to the rotator cuff
◉ A 16-year-old female has unilateral jaw pain and difficulty fully
opening her mouth. Which diagnosis is most likely? Answer:
Temporomandibular joint (TMJ) pain, treat with a bite guard
◉ Limited lumbar spine movement with inflammation over the
sacroiliac joints. Which diagnosis fits best? Answer: Ankylosing
spondylitis
◉ You perform a sensory exam of the face and notice abnormal
sensation to sharp/dull over the left cheek. Which cranial nerve is
most likely involved? Answer: Trigeminal nerve (CN V)
◉ During a neurologic exam (cranial nerves), which is the most
effective for assessing cranial nerve II? Answer: Snellen chart for
visual acuity
,◉ Having the patient close their eyes and identify a familiar object in
their hand is known as which test? Answer: Stereognosis
◉ A patient with a damaged glossopharyngeal nerve might exhibit
which clinical finding? Answer: Impaired gag reflex
◉ A patient successfully treated for strep infection now has
hematuria with RBC casts. Which diagnosis is confirmed? Answer:
Glomerulonephritis
◉ In addition to dysuria and frequency, which urinalysis finding
confirms pyelonephritis? Answer: WBC casts on urinalysis
◉ In assessing suspected pyelonephritis, which physical exam test
may elicit a confirmatory response? Answer: Renal punch test
◉ In a diabetic hypertensive patient, which first test is used to
evaluate early renal dysfunction? Answer: Urinalysis with
micro/macro albumin
◉ A 19-year-old female with groin pain and a recent promiscuous
partner. She shuffles when walking, STI positive. Which agent most
likely caused this? Answer: Gonorrhea and Chlamydia
, ◉ A 15-year-old with dysfunctional uterine bleeding (DUB). Which
lab should be ordered first? Answer: Serum human chorionic
gonadotropin (HCG)
◉ A 25-year-old with malodorous vaginal discharge suspicious for
bacterial vaginosis. Which test is not used to diagnose BV? Answer:
Gonorrhea and Chlamydia DNA probe
◉ A patient with CHF (EF 30%) has SOB only with jogging/exercise,
not at rest or ADLs. Which NYHA class is this? Answer: Class II
◉ A patient presents with new-onset irregularly irregular rapid HR
around 100 bpm for several days. What is the first priority
intervention? Answer: Maintain rate control and anticoagulation
prior to rhythm conversion
◉ A 63-year-old male with exertional chest pressure that resolves
with rest (not increasing in frequency) is diagnosed with what and
gets what plan? Answer: Stable angina; initiate a long-acting oral
nitrate
◉ A 72-year-old female with prior CABG and valve replacement now
has fever, night sweats, and a new murmur. Which complication
must you evaluate? Answer: Bacterial endocarditis
PAPER 2026 COMPLETE STUDY QUESTIONS
WITH CORRECT ANSWERS
◉ A 23-year-old male has severe pain raising his arm overhead.
Which diagnosis is most likely? Answer: Damage to the rotator cuff
◉ A 16-year-old female has unilateral jaw pain and difficulty fully
opening her mouth. Which diagnosis is most likely? Answer:
Temporomandibular joint (TMJ) pain, treat with a bite guard
◉ Limited lumbar spine movement with inflammation over the
sacroiliac joints. Which diagnosis fits best? Answer: Ankylosing
spondylitis
◉ You perform a sensory exam of the face and notice abnormal
sensation to sharp/dull over the left cheek. Which cranial nerve is
most likely involved? Answer: Trigeminal nerve (CN V)
◉ During a neurologic exam (cranial nerves), which is the most
effective for assessing cranial nerve II? Answer: Snellen chart for
visual acuity
,◉ Having the patient close their eyes and identify a familiar object in
their hand is known as which test? Answer: Stereognosis
◉ A patient with a damaged glossopharyngeal nerve might exhibit
which clinical finding? Answer: Impaired gag reflex
◉ A patient successfully treated for strep infection now has
hematuria with RBC casts. Which diagnosis is confirmed? Answer:
Glomerulonephritis
◉ In addition to dysuria and frequency, which urinalysis finding
confirms pyelonephritis? Answer: WBC casts on urinalysis
◉ In assessing suspected pyelonephritis, which physical exam test
may elicit a confirmatory response? Answer: Renal punch test
◉ In a diabetic hypertensive patient, which first test is used to
evaluate early renal dysfunction? Answer: Urinalysis with
micro/macro albumin
◉ A 19-year-old female with groin pain and a recent promiscuous
partner. She shuffles when walking, STI positive. Which agent most
likely caused this? Answer: Gonorrhea and Chlamydia
, ◉ A 15-year-old with dysfunctional uterine bleeding (DUB). Which
lab should be ordered first? Answer: Serum human chorionic
gonadotropin (HCG)
◉ A 25-year-old with malodorous vaginal discharge suspicious for
bacterial vaginosis. Which test is not used to diagnose BV? Answer:
Gonorrhea and Chlamydia DNA probe
◉ A patient with CHF (EF 30%) has SOB only with jogging/exercise,
not at rest or ADLs. Which NYHA class is this? Answer: Class II
◉ A patient presents with new-onset irregularly irregular rapid HR
around 100 bpm for several days. What is the first priority
intervention? Answer: Maintain rate control and anticoagulation
prior to rhythm conversion
◉ A 63-year-old male with exertional chest pressure that resolves
with rest (not increasing in frequency) is diagnosed with what and
gets what plan? Answer: Stable angina; initiate a long-acting oral
nitrate
◉ A 72-year-old female with prior CABG and valve replacement now
has fever, night sweats, and a new murmur. Which complication
must you evaluate? Answer: Bacterial endocarditis
