NR511 FINAL EXAM 2025 LATEST WITH MULTIPLE
CHOICES QUESTIONS AND ANSWERS
Janet is a 30 year old woman who has been recently diagnosed with a herniated
disc at the level of L5-S1. She is currently in the emergency room with suspician of
cauda equna compression. Which of the following is a sign or symptom of cauda
equina compression?
a. gastrocnemius weakness
b. reduced or absent ankle refles
c. numbness of the lateral foot
d. paresthesia of the perineum and buttocks - ANSWER d. paresthesia of the
perineum and buttocks
The patient has acute pancreatitis with 7 of the diagnostic criteria from Ranson's
Criteria. In order to plan care, the clinician understands that this criteria score has
which of the following meanings?
a. a high mortality rate
b. an increased chance of recurrence
c. 7% chance of the disease becoming chronic
d. all of the above - ANSWER a. a high mortality rate
In which of the following situations would referral to a specialist be needed for
sinusitis
,a. recurrent sinusitis
b. allergic sinusitis
c. sinusitis that is refractory to antibiotic therapy
d. all of the above - ANSWER d. all of the above
Heart valve damage resulting from acute rheumatic fever is a long-term sequelae
resulting from infection with which of the following pathogens?
a. coxsackievirus
b. cytomegalovirus
c. francisella tularensis
d. group A streptococcus - ANSWER d. group A streptococcus
What is the recommended calcium intake for adults over the age of 50 with low
bone mass?
a. 1200mg/day
b 1000mg/day
c. 1300mg/day
d. 1500mg/day - ANSWER d. 1500mg/day
A 14 year old is seen with complaints of severe testicular pain. The clinician
suspects testicular torsion. Which of the following is the appropriate action?
,a. obtain a scrotal ultrasound
b. obtain a computed tomography scan (CT)
c. instruct the patient to elevate the scrotum
d. send the patient to the Emergency room - ANSWER c. instruct the patient to
elevate the scrotum
d. send the patient to the Emergency room
All students are subject to review of clinical logs to ensure that they have received
a well-rounded experience
a. true
b. false - ANSWER a. true
A 30 year old patient presents with pain on urination. The urine microscopy of
unspun urine showed greater than 10 leukocytes/ml and a dipstick was possible
for nitrates. What is the probable diagnosis?
a. lower urinary tract infection
b. chlamydia infection
c. candidiasis
d. pyelonephritis - ANSWER b. chlamydia infection
Fluctuations and reductions in estrogen may be a contributing factor in which type
of rhinitis?
a. vasomotor rhinitis
, b. rhinitis medicamentosum
c. atophic rhinitis
d. viral rhinitis - ANSWER a. vasomotor rhinitis
John is a 16-year-old boy who presents to the emergency room after hurting his
knee in a football game. He described twisting his knee and then being unable to
extend it completely. John tells the clinician that he heard a pop when the injury
occurred and has been experiencing localized pain. The clinician suspects a
meniscal tear. Which test would be most appropriate to assess for the presence of
a meniscal tear?
a. valgus stress test
b. McMurray circumduction test
c. Lachman's test
d. Varus stress test - ANSWER b. McMurray circumduction test
Your patient has decided to give Chantix a try to quit smoking. YOu are discussing
his quit date, and he will begin taking the medication starting tomorrow. When
should he plan to quit smoking?
a. he should stop smoking today
b. he should stop smoking tomorrow
c. his quit date should be in one week
d. he will be ready to quit after the first 30 days - ANSWER c. his quit date should
be in one week
CHOICES QUESTIONS AND ANSWERS
Janet is a 30 year old woman who has been recently diagnosed with a herniated
disc at the level of L5-S1. She is currently in the emergency room with suspician of
cauda equna compression. Which of the following is a sign or symptom of cauda
equina compression?
a. gastrocnemius weakness
b. reduced or absent ankle refles
c. numbness of the lateral foot
d. paresthesia of the perineum and buttocks - ANSWER d. paresthesia of the
perineum and buttocks
The patient has acute pancreatitis with 7 of the diagnostic criteria from Ranson's
Criteria. In order to plan care, the clinician understands that this criteria score has
which of the following meanings?
a. a high mortality rate
b. an increased chance of recurrence
c. 7% chance of the disease becoming chronic
d. all of the above - ANSWER a. a high mortality rate
In which of the following situations would referral to a specialist be needed for
sinusitis
,a. recurrent sinusitis
b. allergic sinusitis
c. sinusitis that is refractory to antibiotic therapy
d. all of the above - ANSWER d. all of the above
Heart valve damage resulting from acute rheumatic fever is a long-term sequelae
resulting from infection with which of the following pathogens?
a. coxsackievirus
b. cytomegalovirus
c. francisella tularensis
d. group A streptococcus - ANSWER d. group A streptococcus
What is the recommended calcium intake for adults over the age of 50 with low
bone mass?
a. 1200mg/day
b 1000mg/day
c. 1300mg/day
d. 1500mg/day - ANSWER d. 1500mg/day
A 14 year old is seen with complaints of severe testicular pain. The clinician
suspects testicular torsion. Which of the following is the appropriate action?
,a. obtain a scrotal ultrasound
b. obtain a computed tomography scan (CT)
c. instruct the patient to elevate the scrotum
d. send the patient to the Emergency room - ANSWER c. instruct the patient to
elevate the scrotum
d. send the patient to the Emergency room
All students are subject to review of clinical logs to ensure that they have received
a well-rounded experience
a. true
b. false - ANSWER a. true
A 30 year old patient presents with pain on urination. The urine microscopy of
unspun urine showed greater than 10 leukocytes/ml and a dipstick was possible
for nitrates. What is the probable diagnosis?
a. lower urinary tract infection
b. chlamydia infection
c. candidiasis
d. pyelonephritis - ANSWER b. chlamydia infection
Fluctuations and reductions in estrogen may be a contributing factor in which type
of rhinitis?
a. vasomotor rhinitis
, b. rhinitis medicamentosum
c. atophic rhinitis
d. viral rhinitis - ANSWER a. vasomotor rhinitis
John is a 16-year-old boy who presents to the emergency room after hurting his
knee in a football game. He described twisting his knee and then being unable to
extend it completely. John tells the clinician that he heard a pop when the injury
occurred and has been experiencing localized pain. The clinician suspects a
meniscal tear. Which test would be most appropriate to assess for the presence of
a meniscal tear?
a. valgus stress test
b. McMurray circumduction test
c. Lachman's test
d. Varus stress test - ANSWER b. McMurray circumduction test
Your patient has decided to give Chantix a try to quit smoking. YOu are discussing
his quit date, and he will begin taking the medication starting tomorrow. When
should he plan to quit smoking?
a. he should stop smoking today
b. he should stop smoking tomorrow
c. his quit date should be in one week
d. he will be ready to quit after the first 30 days - ANSWER c. his quit date should
be in one week
