NR 511 Final Exam 2026 P a g e | 1
NR 511 Final Exam Prep Test Bank / NR511 Final
Exam Differential Diagnosis and Primary Care
– 450+ Practice Questions with Verified
Answers Latest
A 75-year-old client states to the nurse, "I am just not hungry
anymore." The client has lost 10 pounds/4.53 kg in the past 4
months. Which snacks will the nurse recommend to the
client? (Select all that apply.)
A.
Nuts
B.
Milkshakes
C.
Chocolate candy bar
D.
Peanut butter and crackers
E.
Glass of whole fat milk –
Correct Answer :A, B, D, E
P a g e 1 | 72
, NR 511 Final Exam 2026 P a g e | 2
Rationale: The nurse must recommend high calorie/high nutrition foods for this client who is
unintentionally losing weight. The candy bar is high calorie, but empty in nutritional value. The
remaining selections are high calorie/high nutrition.
A client in a long-term care facility reports to the nurse, "I have not had a bowel movement in
2 days." What is the nurse's first action?
A.
Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B.
Notify the health care provider and request a prescription for a large-volume enema.
C.
Assess the client's medical record to determine the client's normal bowel pattern.
D.
Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per day.
- Correct Answer :C
Rationale: This client may not routinely have a daily bowel movement, so the nurse should
first assess this client's normal bowel habits before attempting any intervention. Options A, B,
or D may then be implemented, if warranted.
The postoperative client states to the nurse, "When I had surgery last year I got constipated.
It was miserable. What can I do to avoid constipation after this surgery this time?" (Select all
that apply.)
A.
"Drink approximately 3000 mL of non-caffeinated fluid per day."
B.
"I will make sure that you get out of bed an walk for 10 minutes, six times per day."
C.
"I will administer your pain medication even if you do not have any pain."
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, NR 511 Final Exam 2026 P a g e | 3
D.
"I will ask your healthcare provider for a prescription of docusate."
E.
"When you are on a regular diet, make sure you order plenty of fruits and vegetables."
F.
"When you are resting in bed, make sure you are flat on your back." –
Correct Answer :A, B, D, E
Rationale: Pain medication can be constipating, and should only be taken when needed.
When in bed, use gravity to help move the contents of the bowel by sitting upright. The
remaining selections are correct. When postoperative, it may take up to 48 hours after a
general diet is started to have a bowel movement.
The nurse is preparing to administer 0.32 mL of medication subcutaneously. What supplies will
the nurse need to deliver the medication? (Select all that apply.)
A.
A 1 mL syringe
B.
A 3 mL syringe
C.
Alcohol prep pads
D.
Sterile gloves
E.
A 24-gauge ¾″ needle
F.
A 20-gauge 1″ needle –
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, NR 511 Final Exam 2026 P a g e | 4
Correct Answer :A, C, E
Rationale: The best syringe is a 1 mL syringe as it is marked in 100ths; 3 mL syringes are
marked off in 10ths. Clean, not sterile gloves are needed. For sub-q, the 3/4″ needle is
sufficient and less painful for the client.
When taking a client's blood pressure, the nurse is unable to distinguish the point at which the
first sound was heard. Which is the best action for the nurse to take?
A.
Deflate the cuff completely and immediately reattempt the reading.
B.
Reinflate the cuff completely and leave it inflated for 90 to 110 seconds before taking the
second reading.
C.
Deflate the cuff to zero and wait 30 to 60 seconds before reattempting the reading.
D.
Document the exact level visualized on the sphygmomanometer where the first fluctuation
was seen. –
Correct Answer :C
Rationale: Deflating the cuff for 30 to 60 seconds allows blood flow to return to the extremity
so that an accurate reading can be obtained on that extremity a second time. Option A could
result in a falsely high reading. Option B reduces circulation, causes pain, and could alter the
reading. Option D is not an accurate method of assessing blood pressure.
The nurse is obtaining a lie-sit-stand blood pressure reading on a client. Which action is most
important for the nurse to take for this client?
A.
Stay with the client while the client is standing.
B.
Record the findings on the graphic sheet in the chart.
P a g e 4 | 72
NR 511 Final Exam Prep Test Bank / NR511 Final
Exam Differential Diagnosis and Primary Care
– 450+ Practice Questions with Verified
Answers Latest
A 75-year-old client states to the nurse, "I am just not hungry
anymore." The client has lost 10 pounds/4.53 kg in the past 4
months. Which snacks will the nurse recommend to the
client? (Select all that apply.)
A.
Nuts
B.
Milkshakes
C.
Chocolate candy bar
D.
Peanut butter and crackers
E.
Glass of whole fat milk –
Correct Answer :A, B, D, E
P a g e 1 | 72
, NR 511 Final Exam 2026 P a g e | 2
Rationale: The nurse must recommend high calorie/high nutrition foods for this client who is
unintentionally losing weight. The candy bar is high calorie, but empty in nutritional value. The
remaining selections are high calorie/high nutrition.
A client in a long-term care facility reports to the nurse, "I have not had a bowel movement in
2 days." What is the nurse's first action?
A.
Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B.
Notify the health care provider and request a prescription for a large-volume enema.
C.
Assess the client's medical record to determine the client's normal bowel pattern.
D.
Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per day.
- Correct Answer :C
Rationale: This client may not routinely have a daily bowel movement, so the nurse should
first assess this client's normal bowel habits before attempting any intervention. Options A, B,
or D may then be implemented, if warranted.
The postoperative client states to the nurse, "When I had surgery last year I got constipated.
It was miserable. What can I do to avoid constipation after this surgery this time?" (Select all
that apply.)
A.
"Drink approximately 3000 mL of non-caffeinated fluid per day."
B.
"I will make sure that you get out of bed an walk for 10 minutes, six times per day."
C.
"I will administer your pain medication even if you do not have any pain."
P a g e 2 | 72
, NR 511 Final Exam 2026 P a g e | 3
D.
"I will ask your healthcare provider for a prescription of docusate."
E.
"When you are on a regular diet, make sure you order plenty of fruits and vegetables."
F.
"When you are resting in bed, make sure you are flat on your back." –
Correct Answer :A, B, D, E
Rationale: Pain medication can be constipating, and should only be taken when needed.
When in bed, use gravity to help move the contents of the bowel by sitting upright. The
remaining selections are correct. When postoperative, it may take up to 48 hours after a
general diet is started to have a bowel movement.
The nurse is preparing to administer 0.32 mL of medication subcutaneously. What supplies will
the nurse need to deliver the medication? (Select all that apply.)
A.
A 1 mL syringe
B.
A 3 mL syringe
C.
Alcohol prep pads
D.
Sterile gloves
E.
A 24-gauge ¾″ needle
F.
A 20-gauge 1″ needle –
P a g e 3 | 72
, NR 511 Final Exam 2026 P a g e | 4
Correct Answer :A, C, E
Rationale: The best syringe is a 1 mL syringe as it is marked in 100ths; 3 mL syringes are
marked off in 10ths. Clean, not sterile gloves are needed. For sub-q, the 3/4″ needle is
sufficient and less painful for the client.
When taking a client's blood pressure, the nurse is unable to distinguish the point at which the
first sound was heard. Which is the best action for the nurse to take?
A.
Deflate the cuff completely and immediately reattempt the reading.
B.
Reinflate the cuff completely and leave it inflated for 90 to 110 seconds before taking the
second reading.
C.
Deflate the cuff to zero and wait 30 to 60 seconds before reattempting the reading.
D.
Document the exact level visualized on the sphygmomanometer where the first fluctuation
was seen. –
Correct Answer :C
Rationale: Deflating the cuff for 30 to 60 seconds allows blood flow to return to the extremity
so that an accurate reading can be obtained on that extremity a second time. Option A could
result in a falsely high reading. Option B reduces circulation, causes pain, and could alter the
reading. Option D is not an accurate method of assessing blood pressure.
The nurse is obtaining a lie-sit-stand blood pressure reading on a client. Which action is most
important for the nurse to take for this client?
A.
Stay with the client while the client is standing.
B.
Record the findings on the graphic sheet in the chart.
P a g e 4 | 72
