Pearson Edexcel International
A+ Graded Paper
Final Exam NURS 623/624 (2025) – ACTUAL EXAM – Verified
Multiple-Choice Questions & Answers – A+ Graded – 100%
Correct
Questions and Mark scheme
Version: Final
,Which drug category of ARV therapy is generally effective in crossing the blood-brain barrier and may be
useful in managing HIV-associated dementia?
a. Nucleoside reverse transcriptase inhibitors
b. Protease inhibitors
c. Integrase inhibitors
d. Nonnucleoside reverse transcriptase inhibitors - ✔✔Nonnucleoside reverse transcriptase inhibitors
Spontaneous bruising may be seen with platelet counts below what level?
a. 100,000 cells/mL
b. 75,000 cells/mL
c. 50,000 cells/mL
d. 30,000 cells/ml - ✔✔BELOW 50,000
Which type of the following is characterized by fatigue on awakening that may improve with exercise?
a. Functional fatigue
b. Fatigue with an organic origin
c. Fatigue of chronic anemia
d. Fatigue of depression and anxiety - ✔✔FUNCTIONAL FATIGUE
Early rheumatoid disease is characterized by:
a. Pain and swelling in both small and large peripheral joints
b. Rigid joints with diminished range of motion
c. Joint swelling and immobility on rising
d. A cardiac rub or pulmonary friction rub - ✔✔Joint swelling and immobility on rising
Which test is diagnostic of rheumatoid arthritis?
a. Rheumatoid factor
b. ESR
c. CRP
d. Anti-CCP titers - ✔✔Anti-CCP titers/ anti-cyclic citrullinated peptide (CCP) antibodies
What is the mainstay of management for infectious mononucleosis?
a. Antivirals
b. Symptom control
c. Corticosteroids
d. Isolation - ✔✔SYMPTOM CONTROL
CFS tends to occur in which individuals?
a. Active, highly functional adults
b. Depressed middle-aged persons
c. Individuals with a depressed immune system
d. Individuals who are hypochondriacs - ✔✔Active, highly functional adults
The exanthem of Lyme disease is:
a. Erythema infectiosum
b. Laterothoracic exanthem
, c. Erythema migrans
d. Morbilli exanthem - ✔✔Erythema migrans
If left untreated, this condition will progress to complaints that include multiple joint arthritis.
a. Sjögren's syndrome
b. HIV/AIDS
c. Guillain-Barré
d. Lyme disease - ✔✔Lyme disease
Keratoconjunctivitis sicca is a classic sign of which condition?
a. SLE
b. Sjögren's syndrome
c. CFS/FMS
d. Lyme disease - ✔✔Sjögren's syndrome
Which person is four times more likely to develop SLE than a Caucasian?
a. Persons of African descent
b. Asians
c. Hispanics
d. Middle Eastern Jews - ✔✔Persons of African descent
One of the initial steps in assessing patients with musculoskeletal complaints is to determine whether the
complaint is articular or nonarticular in origin. Which of the following is an example of an articular structure?
a. Bone
b. Synovium
c. Tendons
d. Fascia - ✔✔Synovium IS AN ARTICULAR STRUCTURE
You have detected the presence of crepitus on examination of a patient with a musculoskeletal complaint.
Additionally, there is limited range of motion (ROM) with both active and passive movement. These findings
suggest that the origin of the musculoskeletal complaint is:
a. Articular
b. Inflammatory
c. Nonarticular
d. A and B - ✔✔ARTICULAR
Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain - ✔✔Morning stiffness
Which of the following statements concerning the musculoskeletal examination is true?
a. The uninvolved side should be examined initially and then compared to the involved side.
b. The part of the body that is causing the patient pain should be examined first.
c. When possible, the patient should not be asked to perform active range-of-motion (ROM) exercises to avoid
causing pain.
d. Radiographs should always be obtained prior to examination so as not to cause further injury to the patient. -
A+ Graded Paper
Final Exam NURS 623/624 (2025) – ACTUAL EXAM – Verified
Multiple-Choice Questions & Answers – A+ Graded – 100%
Correct
Questions and Mark scheme
Version: Final
,Which drug category of ARV therapy is generally effective in crossing the blood-brain barrier and may be
useful in managing HIV-associated dementia?
a. Nucleoside reverse transcriptase inhibitors
b. Protease inhibitors
c. Integrase inhibitors
d. Nonnucleoside reverse transcriptase inhibitors - ✔✔Nonnucleoside reverse transcriptase inhibitors
Spontaneous bruising may be seen with platelet counts below what level?
a. 100,000 cells/mL
b. 75,000 cells/mL
c. 50,000 cells/mL
d. 30,000 cells/ml - ✔✔BELOW 50,000
Which type of the following is characterized by fatigue on awakening that may improve with exercise?
a. Functional fatigue
b. Fatigue with an organic origin
c. Fatigue of chronic anemia
d. Fatigue of depression and anxiety - ✔✔FUNCTIONAL FATIGUE
Early rheumatoid disease is characterized by:
a. Pain and swelling in both small and large peripheral joints
b. Rigid joints with diminished range of motion
c. Joint swelling and immobility on rising
d. A cardiac rub or pulmonary friction rub - ✔✔Joint swelling and immobility on rising
Which test is diagnostic of rheumatoid arthritis?
a. Rheumatoid factor
b. ESR
c. CRP
d. Anti-CCP titers - ✔✔Anti-CCP titers/ anti-cyclic citrullinated peptide (CCP) antibodies
What is the mainstay of management for infectious mononucleosis?
a. Antivirals
b. Symptom control
c. Corticosteroids
d. Isolation - ✔✔SYMPTOM CONTROL
CFS tends to occur in which individuals?
a. Active, highly functional adults
b. Depressed middle-aged persons
c. Individuals with a depressed immune system
d. Individuals who are hypochondriacs - ✔✔Active, highly functional adults
The exanthem of Lyme disease is:
a. Erythema infectiosum
b. Laterothoracic exanthem
, c. Erythema migrans
d. Morbilli exanthem - ✔✔Erythema migrans
If left untreated, this condition will progress to complaints that include multiple joint arthritis.
a. Sjögren's syndrome
b. HIV/AIDS
c. Guillain-Barré
d. Lyme disease - ✔✔Lyme disease
Keratoconjunctivitis sicca is a classic sign of which condition?
a. SLE
b. Sjögren's syndrome
c. CFS/FMS
d. Lyme disease - ✔✔Sjögren's syndrome
Which person is four times more likely to develop SLE than a Caucasian?
a. Persons of African descent
b. Asians
c. Hispanics
d. Middle Eastern Jews - ✔✔Persons of African descent
One of the initial steps in assessing patients with musculoskeletal complaints is to determine whether the
complaint is articular or nonarticular in origin. Which of the following is an example of an articular structure?
a. Bone
b. Synovium
c. Tendons
d. Fascia - ✔✔Synovium IS AN ARTICULAR STRUCTURE
You have detected the presence of crepitus on examination of a patient with a musculoskeletal complaint.
Additionally, there is limited range of motion (ROM) with both active and passive movement. These findings
suggest that the origin of the musculoskeletal complaint is:
a. Articular
b. Inflammatory
c. Nonarticular
d. A and B - ✔✔ARTICULAR
Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain - ✔✔Morning stiffness
Which of the following statements concerning the musculoskeletal examination is true?
a. The uninvolved side should be examined initially and then compared to the involved side.
b. The part of the body that is causing the patient pain should be examined first.
c. When possible, the patient should not be asked to perform active range-of-motion (ROM) exercises to avoid
causing pain.
d. Radiographs should always be obtained prior to examination so as not to cause further injury to the patient. -
