–Complete Question Test Bank
Differential Diagnosis & Primary Care Practicum
(2026/2027)
EXAM OVERVIEW
Course: NR 511 – Differential Diagnosis & Primary
Care Practicum
University: Chamberlain University
Exam Format: Week 8 Final Exam
Total Questions: 200+ (4 complete practice exam
sets)
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,This comprehensive bundle includes 4 complete
exam sets covering all major topics tested on the NR
511 Final Exam. Each question includes verified
answers with detailed rationales to strengthen
clinical reasoning, sharpen differential diagnosis
skills, and build confidence for the final exam .
SECTION 1: CARDIOVASCULAR &
RESPIRATORY SYSTEMS
Question 1
A 60-year-old male with a 40-pack-year smoking
history presents with chronic cough and sputum
production for the past 3 years. Physical exam
reveals expiratory wheezes and prolonged expiratory
phase. What is the most likely diagnosis?
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,A) Asthma
B) Chronic bronchitis
C) Emphysema
D) Bronchiectasis
Answer: B
Rationale: Chronic bronchitis is defined clinically by
productive cough for at least 3 months in each of
two consecutive years. The chronic inflammation
leads to mucus hypersecretion, airway narrowing,
and wheezing. Emphysema typically presents with
dyspnea and barrel chest without predominant cough
.
Question 2
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, A patient with COPD is found to have an
FEV1/FVC ratio of 55% and FEV1 of 45%
predicted. How would you classify this patient's
COPD?
A) GOLD 1 (Mild)
B) GOLD 2 (Moderate)
C) GOLD 3 (Severe)
D) GOLD 4 (Very Severe)
Answer: C
Rationale: GOLD staging: FEV1 50-79% = GOLD 2
(moderate), 30-49% = GOLD 3 (severe), <30% =
GOLD 4 (very severe). FEV1 45% falls into GOLD
3 (severe) .
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