NR509 Week 4 Midterm Exam Chamberlain
University Advanced Physical Assessment NR 509
Proctored Exam 100% Pass Guaranteed | Graded A+
Question 1
Pharmacological treatment of an overactive bladder is indicated for which of the
following?
A. Patients who void > 10 times/day
B. Patients with a post void residual of < 50 mL
C. Patients with asymptomatic bacteriuria
D. Patients with detrusor underactivity on urodynamics
CORRECT ANSWER - B. Patients with a post void residual of < 50 mL
Question 2
A 72-year-old female with osteoporosis is prescribed calcitonin. The primary
mechanism of action of calcitonin is to:
A. Increase intestinal calcium absorption
B. Stimulate osteoblast activity
C. Inhibit osteoclast activity and reduce bone resorption
D. Increase renal calcium reabsorption
CORRECT ANSWER - C. Inhibit osteoclast activity and reduce bone
resorption
Question 3
Patients who develop opioid use disorder most frequently:
A. Have a history of substance abuse in adolescence
B. Are using opioids for acute surgical pain
C. Develop a dependence after being prescribed opioids for chronic pain
D. Have a documented allergy to non-opioid analgesics
CORRECT ANSWER - C. Develop a dependence after being prescribed
opioids for chronic pain
,Question 4
A 58-year-old male presents with nocturia, hesitancy, and a weak urinary stream.
His post-void residual is 120 mL. The most likely diagnosis is:
A. Overactive bladder
B. Benign prostatic hyperplasia (BPH)
C. Urinary tract infection
D. Interstitial cystitis
CORRECT ANSWER - B. Benign prostatic hyperplasia (BPH)
Question 5
Which of the following is a first-line pharmacologic treatment for overactive
bladder?
A. Phenazopyridine
B. Anticholinergic agents (e.g., oxybutynin)
C. Methenamine
D. Ciprofloxacin
CORRECT ANSWER - B. Anticholinergic agents (e.g., oxybutynin)
Question 6
A 45-year-old woman reports urinary frequency and urgency for 6 months.
Urinalysis is normal. She has no incontinence. The next step is:
A. Cystoscopy
B. Bladder training and behavioral modification
C. Antibiotics for 7 days
D. CT urogram
CORRECT ANSWER - B. Bladder training and behavioral modification
Question 7
A 68-year-old male with BPH is started on tamsulosin. The most common side
effect is:
A. Gynecomastia
B. Orthostatic hypotension
C. Dry mouth
,D. Constipation
CORRECT ANSWER - B. Orthostatic hypotension
Question 8
A patient presents with acute onset of severe, sharp chest pain that worsens with
inspiration and improves when leaning forward. An ECG shows diffuse ST
elevations. The most likely diagnosis is:
A. Acute myocardial infarction
B. Pericarditis
C. Pulmonary embolism
D. Aortic dissection
CORRECT ANSWER - B. Pericarditis
Question 9
A 55-year-old smoker presents with a chronic cough productive of sputum for 3
months out of the year for the past 2 years. This is most consistent with:
A. Asthma
B. Chronic bronchitis
C. Bronchiectasis
D. Lung cancer
CORRECT ANSWER - B. Chronic bronchitis
Question 10
A 30-year-old female has episodes of wheezing, chest tightness, and cough
occurring after exercise. Symptoms resolve with albuterol. The most likely
diagnosis is:
A. Vocal cord dysfunction
B. Gastroesophageal reflux disease
C. Exercise-induced bronchospasm
D. Heart failure
CORRECT ANSWER - C. Exercise-induced bronchospasm
, Question 11
Which of the following is a contraindication to using anticholinergic medications
for overactive bladder in an elderly patient?
A. Hypertension
B. Narrow-angle glaucoma
C. Diabetes mellitus
D. Osteoarthritis
CORRECT ANSWER - B. Narrow-angle glaucoma
Question 12
A 72-year-old male reports urinary incontinence only when he coughs or sneezes.
This is most consistent with:
A. Urge incontinence
B. Stress incontinence
C. Overflow incontinence
D. Functional incontinence
CORRECT ANSWER - B. Stress incontinence
Question 13
A 50-year-old female has low back pain that is worse in the morning and improves
with activity. She also has morning stiffness lasting 45 minutes. The most likely
diagnosis is:
A. Lumbar strain
B. Ankylosing spondylitis
C. Osteoporotic compression fracture
D. Spinal stenosis
CORRECT ANSWER - B. Ankylosing spondylitis
Question 14
A patient presents with a painful, red, swollen great toe. Serum uric acid is
elevated. The most likely diagnosis is:
A. Pseudogout
B. Rheumatoid arthritis
C. Gouty arthritis
University Advanced Physical Assessment NR 509
Proctored Exam 100% Pass Guaranteed | Graded A+
Question 1
Pharmacological treatment of an overactive bladder is indicated for which of the
following?
A. Patients who void > 10 times/day
B. Patients with a post void residual of < 50 mL
C. Patients with asymptomatic bacteriuria
D. Patients with detrusor underactivity on urodynamics
CORRECT ANSWER - B. Patients with a post void residual of < 50 mL
Question 2
A 72-year-old female with osteoporosis is prescribed calcitonin. The primary
mechanism of action of calcitonin is to:
A. Increase intestinal calcium absorption
B. Stimulate osteoblast activity
C. Inhibit osteoclast activity and reduce bone resorption
D. Increase renal calcium reabsorption
CORRECT ANSWER - C. Inhibit osteoclast activity and reduce bone
resorption
Question 3
Patients who develop opioid use disorder most frequently:
A. Have a history of substance abuse in adolescence
B. Are using opioids for acute surgical pain
C. Develop a dependence after being prescribed opioids for chronic pain
D. Have a documented allergy to non-opioid analgesics
CORRECT ANSWER - C. Develop a dependence after being prescribed
opioids for chronic pain
,Question 4
A 58-year-old male presents with nocturia, hesitancy, and a weak urinary stream.
His post-void residual is 120 mL. The most likely diagnosis is:
A. Overactive bladder
B. Benign prostatic hyperplasia (BPH)
C. Urinary tract infection
D. Interstitial cystitis
CORRECT ANSWER - B. Benign prostatic hyperplasia (BPH)
Question 5
Which of the following is a first-line pharmacologic treatment for overactive
bladder?
A. Phenazopyridine
B. Anticholinergic agents (e.g., oxybutynin)
C. Methenamine
D. Ciprofloxacin
CORRECT ANSWER - B. Anticholinergic agents (e.g., oxybutynin)
Question 6
A 45-year-old woman reports urinary frequency and urgency for 6 months.
Urinalysis is normal. She has no incontinence. The next step is:
A. Cystoscopy
B. Bladder training and behavioral modification
C. Antibiotics for 7 days
D. CT urogram
CORRECT ANSWER - B. Bladder training and behavioral modification
Question 7
A 68-year-old male with BPH is started on tamsulosin. The most common side
effect is:
A. Gynecomastia
B. Orthostatic hypotension
C. Dry mouth
,D. Constipation
CORRECT ANSWER - B. Orthostatic hypotension
Question 8
A patient presents with acute onset of severe, sharp chest pain that worsens with
inspiration and improves when leaning forward. An ECG shows diffuse ST
elevations. The most likely diagnosis is:
A. Acute myocardial infarction
B. Pericarditis
C. Pulmonary embolism
D. Aortic dissection
CORRECT ANSWER - B. Pericarditis
Question 9
A 55-year-old smoker presents with a chronic cough productive of sputum for 3
months out of the year for the past 2 years. This is most consistent with:
A. Asthma
B. Chronic bronchitis
C. Bronchiectasis
D. Lung cancer
CORRECT ANSWER - B. Chronic bronchitis
Question 10
A 30-year-old female has episodes of wheezing, chest tightness, and cough
occurring after exercise. Symptoms resolve with albuterol. The most likely
diagnosis is:
A. Vocal cord dysfunction
B. Gastroesophageal reflux disease
C. Exercise-induced bronchospasm
D. Heart failure
CORRECT ANSWER - C. Exercise-induced bronchospasm
, Question 11
Which of the following is a contraindication to using anticholinergic medications
for overactive bladder in an elderly patient?
A. Hypertension
B. Narrow-angle glaucoma
C. Diabetes mellitus
D. Osteoarthritis
CORRECT ANSWER - B. Narrow-angle glaucoma
Question 12
A 72-year-old male reports urinary incontinence only when he coughs or sneezes.
This is most consistent with:
A. Urge incontinence
B. Stress incontinence
C. Overflow incontinence
D. Functional incontinence
CORRECT ANSWER - B. Stress incontinence
Question 13
A 50-year-old female has low back pain that is worse in the morning and improves
with activity. She also has morning stiffness lasting 45 minutes. The most likely
diagnosis is:
A. Lumbar strain
B. Ankylosing spondylitis
C. Osteoporotic compression fracture
D. Spinal stenosis
CORRECT ANSWER - B. Ankylosing spondylitis
Question 14
A patient presents with a painful, red, swollen great toe. Serum uric acid is
elevated. The most likely diagnosis is:
A. Pseudogout
B. Rheumatoid arthritis
C. Gouty arthritis
