CHAMBERL AIN COLLEGE OF NURSING
NR511 Final Exam Review
Differential Diagnosis & Primary Care
NR511 — Complete Question Bank
Academic Year: 2026/2027 Verified Answers with Rationales
Question 1
Stu, age 49, has slightly reduced hemoglobin and hematocrit readings. What is your next action
after you ask him about his diet?
A. Perform a fecal occult blood test
B. Order a complete blood count
C. Recommend iron supplementation
D. Refer to a hematologist
CORRECT ANSWER A. Perform a fecal occult blood test
RATIONALE: In an adult with anemia, a fecal occult blood test should be performed to rule out GI bleeding.
,Question 2
A patient presents with CVA tenderness and a several-day history of high fever, chills, and
dysuria. Which of the following diagnoses is most likely given the above information?
A. Pyelonephritis
B. Lower UTI
C. Urethritis
D. Prostatitis
CORRECT ANSWER A. Pyelonephritis
RATIONALE: CVA tenderness, fever, chills, and dysuria are classic for pyelonephritis.
Question 3
Which of the following is part of the treatment plan for the patient with irritable bowel
syndrome?
A. High fiber diet
B. Low fiber diet
C. Antibiotics
D. Corticosteroids
CORRECT ANSWER A. High fiber diet
RATIONALE: A high-fiber diet is a cornerstone of IBS management to regulate bowel movements and reduce
symptoms.
,Question 4
Caroline, 65, is homeless and has iron deficiency anemia. She smokes and drinks when she can
and has a stomach ulcer. Which of the following is not one of her risk factors for iron deficiency
anemia?
A. Smoking
B. Homelessness
C. Stomach ulcer
D. Alcohol use
CORRECT ANSWER A. Smoking
RATIONALE: Smoking is not a risk factor for iron deficiency anemia; it is more commonly associated with
other conditions.
Question 5
Carpal tunnel syndrome would result in:
A. Median nerve compression, positive Tinel sign, positive Phalen test, reduced abduction of the
thumb, and sparing of palm tingling
B. Ulnar nerve compression
C. Radial nerve compression
D. Musculocutaneous nerve compression
CORRECT ANSWER A. Median nerve compression, positive Tinel sign, positive Phalen test, reduced
abduction of the thumb, and sparing of palm tingling
RATIONALE: Carpal tunnel syndrome presents with median nerve symptoms, including positive Tinel and
Phalen signs.
, Question 6
A 51-year-old male requests a prescription for sildenafil (Viagra). He says that the only
medication he takes is isosorbide mononitrate (Monoket) oral tablets and that he has diabetes
which is controlled with diet alone. What should the nurse practitioner tell him?
A. Viagra is contraindicated with isosorbide mononitrate; let's discuss other options
B. Viagra is safe to take with isosorbide mononitrate
C. You can take Viagra but should monitor for side effects
D. You should stop taking isosorbide mononitrate
CORRECT ANSWER A. Viagra is contraindicated with isosorbide mononitrate; let's discuss other options
RATIONALE: Sildenafil is contraindicated with nitrates due to the risk of severe hypotension.
Question 7
A 16-year-old male client presents to the clinic after sustaining a football injury to his right knee.
The clinician elicits a positive anterior/posterior drawer sign. What area of the knee is likely
injured?
A. Cruciate ligament
B. Collateral ligament
C. Meniscus
D. Patellar tendon
CORRECT ANSWER A. Cruciate ligament
RATIONALE: The drawer sign assesses the integrity of the cruciate ligaments.
NR511 Final Exam Review
Differential Diagnosis & Primary Care
NR511 — Complete Question Bank
Academic Year: 2026/2027 Verified Answers with Rationales
Question 1
Stu, age 49, has slightly reduced hemoglobin and hematocrit readings. What is your next action
after you ask him about his diet?
A. Perform a fecal occult blood test
B. Order a complete blood count
C. Recommend iron supplementation
D. Refer to a hematologist
CORRECT ANSWER A. Perform a fecal occult blood test
RATIONALE: In an adult with anemia, a fecal occult blood test should be performed to rule out GI bleeding.
,Question 2
A patient presents with CVA tenderness and a several-day history of high fever, chills, and
dysuria. Which of the following diagnoses is most likely given the above information?
A. Pyelonephritis
B. Lower UTI
C. Urethritis
D. Prostatitis
CORRECT ANSWER A. Pyelonephritis
RATIONALE: CVA tenderness, fever, chills, and dysuria are classic for pyelonephritis.
Question 3
Which of the following is part of the treatment plan for the patient with irritable bowel
syndrome?
A. High fiber diet
B. Low fiber diet
C. Antibiotics
D. Corticosteroids
CORRECT ANSWER A. High fiber diet
RATIONALE: A high-fiber diet is a cornerstone of IBS management to regulate bowel movements and reduce
symptoms.
,Question 4
Caroline, 65, is homeless and has iron deficiency anemia. She smokes and drinks when she can
and has a stomach ulcer. Which of the following is not one of her risk factors for iron deficiency
anemia?
A. Smoking
B. Homelessness
C. Stomach ulcer
D. Alcohol use
CORRECT ANSWER A. Smoking
RATIONALE: Smoking is not a risk factor for iron deficiency anemia; it is more commonly associated with
other conditions.
Question 5
Carpal tunnel syndrome would result in:
A. Median nerve compression, positive Tinel sign, positive Phalen test, reduced abduction of the
thumb, and sparing of palm tingling
B. Ulnar nerve compression
C. Radial nerve compression
D. Musculocutaneous nerve compression
CORRECT ANSWER A. Median nerve compression, positive Tinel sign, positive Phalen test, reduced
abduction of the thumb, and sparing of palm tingling
RATIONALE: Carpal tunnel syndrome presents with median nerve symptoms, including positive Tinel and
Phalen signs.
, Question 6
A 51-year-old male requests a prescription for sildenafil (Viagra). He says that the only
medication he takes is isosorbide mononitrate (Monoket) oral tablets and that he has diabetes
which is controlled with diet alone. What should the nurse practitioner tell him?
A. Viagra is contraindicated with isosorbide mononitrate; let's discuss other options
B. Viagra is safe to take with isosorbide mononitrate
C. You can take Viagra but should monitor for side effects
D. You should stop taking isosorbide mononitrate
CORRECT ANSWER A. Viagra is contraindicated with isosorbide mononitrate; let's discuss other options
RATIONALE: Sildenafil is contraindicated with nitrates due to the risk of severe hypotension.
Question 7
A 16-year-old male client presents to the clinic after sustaining a football injury to his right knee.
The clinician elicits a positive anterior/posterior drawer sign. What area of the knee is likely
injured?
A. Cruciate ligament
B. Collateral ligament
C. Meniscus
D. Patellar tendon
CORRECT ANSWER A. Cruciate ligament
RATIONALE: The drawer sign assesses the integrity of the cruciate ligaments.
