NR511 FINAL EXAM ADVANCED
PRACTICE NURSING COMPREHENSIVE
STUDY GUIDE QUESTIONS AND
VERIFIED ANSWERS |GRADE A+| JUST
RELEASED. CHAMBERLAIN
1. A 65-year-old patient presents with a pearly, translucent papule on the nose with
telangiectasia and a central ulceration. What is the most likely diagnosis?
A. Squamous cell carcinoma
B. Malignant melanoma
C. Basal cell carcinoma
D. Actinic keratosis
Answer: C
Conceptual Explanation: Basal cell carcinoma typically presents as a pearly or waxy skin
lesion, often with telangiectasias (visible blood vessels) and a central ‘rodent ulcer’.
2. Which physical examination maneuver is considered the most sensitive for detecting an
anterior cruciate ligament (ACL) tear?
A. Anterior drawer test
B. Lachman test
,C. McMurray test
D. Posterior drawer test
Answer: B
Conceptual Explanation: The Lachman test is widely recognized as the most sensitive
physical exam maneuver for diagnosing ACL insufficiency, more so than the anterior
drawer test.
3. A 24-year-old male presents with a sudden onset of fever, sore throat, and swollen cervical
lymph nodes. Physical exam shows tonsillar exudates and palatal petechiae. He has no cough.
Which scoring system helps determine the need for a rapid strep test?
A. CURB-65
B. Framingham Criteria
C. CHADS2 score
D. Centor Criteria
Answer: D
Conceptual Explanation: The Centor Criteria (fever, absence of cough, tonsillar exudates,
and tender anterior cervical lymphadenopathy) are used to estimate the probability of
Group A Strep pharyngitis.
, 4. Upon auscultation of the chest, you hear a high-pitched, holosystolic murmur at the apex
that radiates to the left axilla. This is characteristic of:
A. Aortic stenosis
B. Mitral regurgitation
C. Aortic regurgitation
D. Mitral stenosis
Answer: B
Conceptual Explanation: Mitral regurgitation is a holosystolic murmur heard best at the
apex, typically radiating to the axilla.
5. A patient presents with a ‘herald patch’ followed by a ‘Christmas tree’ distribution of
smaller maculopapular lesions on the trunk. What is the most likely diagnosis?
A. Psoriasis
B. Tinea corporis
C. Secondary syphilis
D. Pityriasis rosea
Answer: D
Conceptual Explanation: Pityriasis rosea typically begins with a single, large herald patch
followed 1-2 weeks later by a generalized eruption in a Christmas tree pattern.
PRACTICE NURSING COMPREHENSIVE
STUDY GUIDE QUESTIONS AND
VERIFIED ANSWERS |GRADE A+| JUST
RELEASED. CHAMBERLAIN
1. A 65-year-old patient presents with a pearly, translucent papule on the nose with
telangiectasia and a central ulceration. What is the most likely diagnosis?
A. Squamous cell carcinoma
B. Malignant melanoma
C. Basal cell carcinoma
D. Actinic keratosis
Answer: C
Conceptual Explanation: Basal cell carcinoma typically presents as a pearly or waxy skin
lesion, often with telangiectasias (visible blood vessels) and a central ‘rodent ulcer’.
2. Which physical examination maneuver is considered the most sensitive for detecting an
anterior cruciate ligament (ACL) tear?
A. Anterior drawer test
B. Lachman test
,C. McMurray test
D. Posterior drawer test
Answer: B
Conceptual Explanation: The Lachman test is widely recognized as the most sensitive
physical exam maneuver for diagnosing ACL insufficiency, more so than the anterior
drawer test.
3. A 24-year-old male presents with a sudden onset of fever, sore throat, and swollen cervical
lymph nodes. Physical exam shows tonsillar exudates and palatal petechiae. He has no cough.
Which scoring system helps determine the need for a rapid strep test?
A. CURB-65
B. Framingham Criteria
C. CHADS2 score
D. Centor Criteria
Answer: D
Conceptual Explanation: The Centor Criteria (fever, absence of cough, tonsillar exudates,
and tender anterior cervical lymphadenopathy) are used to estimate the probability of
Group A Strep pharyngitis.
, 4. Upon auscultation of the chest, you hear a high-pitched, holosystolic murmur at the apex
that radiates to the left axilla. This is characteristic of:
A. Aortic stenosis
B. Mitral regurgitation
C. Aortic regurgitation
D. Mitral stenosis
Answer: B
Conceptual Explanation: Mitral regurgitation is a holosystolic murmur heard best at the
apex, typically radiating to the axilla.
5. A patient presents with a ‘herald patch’ followed by a ‘Christmas tree’ distribution of
smaller maculopapular lesions on the trunk. What is the most likely diagnosis?
A. Psoriasis
B. Tinea corporis
C. Secondary syphilis
D. Pityriasis rosea
Answer: D
Conceptual Explanation: Pityriasis rosea typically begins with a single, large herald patch
followed 1-2 weeks later by a generalized eruption in a Christmas tree pattern.
