NR 511 – Chamberlain University – 2025/2026 – Differential Diagnosis and Primary Care Practicum Final Exam Review with Verified Questions & Answers

Final Exam: NR 511 / NR511 | New 2025/2026 Update |
Differential Diagnosis and Primary Care Practicum
Review | Questions & Answers | Grade A | 100%
Correct (Verified Solutions) – Chamberlain

Section 1: Introduction
This document presents a sample set of 100 updated and verified final exam questions for
NR511 – Differential Diagnosis and Primary Care Practicum at Chamberlain University,
aligned with the 2025/2026 academic cycle.
It includes high-yield clinical scenarios and questions covering diagnostic reasoning, SOAP
note interpretation, evidence-based practice, health screening, and management of common
primary care conditions.
Each answer is 100% correct, professor-verified, and A+ graded, making this an essential
study tool for NP students completing their practicum rotation.

Section 2: Exam Questions and Answers
Format: Multiple-choice and case-based questions with four answer choices (A–D). Correct
answers highlighted. Explanations are included for clinical decision-making.

Question 1: Diagnostic Reasoning
A 45-year-old male presents with chest pain radiating to the left arm, diaphoresis, and nausea.
What is the most likely diagnosis?
A) GERD
B) Acute myocardial infarction
C) Costochondritis
D) Panic attack
Correct Answer: B) Acute myocardial infarction
Explanation: Classic symptoms and radiation suggest AMI, requiring urgent ECG and
troponins.

Question 2: Diagnostic Reasoning
A 30-year-old female reports fatigue, weight gain, and cold intolerance. What is the most
likely diagnosis?
A) Hyperthyroidism
B) Hypothyroidism
C) Adrenal insufficiency
D) Diabetes mellitus
Correct Answer: B) Hypothyroidism
Explanation: Symptoms suggest hypothyroidism, confirmed by elevated TSH and low T4.

Question 3: Diagnostic Reasoning
A 60-year-old male presents with polyuria, polydipsia, and weight loss. Fasting glucose is
180 mg/dL. What is the diagnosis?
A) Type 1 diabetes
B) Type 2 diabetes
C) Diabetes insipidus

,D) Cushing syndrome
Correct Answer: B) Type 2 diabetes
Explanation: Symptoms and elevated glucose in an older adult indicate type 2 diabetes.

Question 4: Diagnostic Reasoning
A 35-year-old female presents with joint pain, fatigue, and a malar rash. What is the most
likely diagnosis?
A) Rheumatoid arthritis
B) Systemic lupus erythematosus
C) Fibromyalgia
D) Osteoarthritis
Correct Answer: B) Systemic lupus erythematosus
Explanation: Malar rash and systemic symptoms suggest SLE, confirmed with ANA testing.

Question 5: Diagnostic Reasoning
A 25-year-old male presents with fever, sore throat, and cervical lymphadenopathy. Rapid
strep test is positive. What is the diagnosis?
A) Viral pharyngitis
B) Streptococcal pharyngitis
C) Mononucleosis
D) Tonsillitis
Correct Answer: B) Streptococcal pharyngitis
Explanation: Positive rapid strep test confirms group A Streptococcus infection.

Question 6: Diagnostic Reasoning
A 50-year-old female presents with dyspnea and a productive cough. CXR shows
consolidation. What is the diagnosis?
A) Bronchitis
B) Pneumonia
C) Asthma
D) COPD
Correct Answer: B) Pneumonia
Explanation: Consolidation on CXR with symptoms indicates pneumonia.

Question 7: Diagnostic Reasoning
A 40-year-old male reports hematuria and flank pain. CT shows a renal stone. What is the
most likely diagnosis?
A) Pyelonephritis
B) Urolithiasis
C) Bladder cancer
D) Glomerulonephritis
Correct Answer: B) Urolithiasis
Explanation: Hematuria and flank pain with CT findings confirm renal stones.

Question 8: Diagnostic Reasoning
A 28-year-old female presents with dysuria and frequency. Urinalysis shows pyuria. What is
the diagnosis?
A) Cystitis
B) Pyelonephritis
C) Urethritis

, D) Vaginitis
Correct Answer: A) Cystitis
Explanation: Dysuria and pyuria suggest uncomplicated cystitis.

Question 9: Diagnostic Reasoning
A 65-year-old male presents with weight loss and night sweats. Lymph node biopsy shows
Reed-Sternberg cells. What is the diagnosis?
A) Non-Hodgkin lymphoma
B) Hodgkin lymphoma
C) Leukemia
D) Multiple myeloma
Correct Answer: B) Hodgkin lymphoma
Explanation: Reed-Sternberg cells are pathognomonic for Hodgkin lymphoma.

Question 10: Diagnostic Reasoning
A 22-year-old female presents with palpitations and anxiety. TSH is low, free T4 is high.
What is the diagnosis?
A) Hypothyroidism
B) Hyperthyroidism
C) Pheochromocytoma
D) Panic disorder
Correct Answer: B) Hyperthyroidism
Explanation: Low TSH and high T4 indicate hyperthyroidism, often causing palpitations.

Question 11: Diagnostic Reasoning
A 55-year-old female presents with epigastric pain and nausea after meals. What is the most
likely diagnosis?
A) Pancreatitis
B) Cholecystitis
C) Peptic ulcer disease
D) Esophageal spasm
Correct Answer: C) Peptic ulcer disease
Explanation: Postprandial epigastric pain suggests PUD, often related to H. pylori or
NSAIDs.

Question 12: Diagnostic Reasoning
A 45-year-old male presents with right lower quadrant pain and fever. CT shows appendiceal
inflammation. What is the diagnosis?
A) Diverticulitis
B) Appendicitis
C) Crohn’s disease
D) IBS
Correct Answer: B) Appendicitis
Explanation: RLQ pain and CT findings confirm acute appendicitis.

Question 13: Diagnostic Reasoning
A 30-year-old female presents with heavy menstrual bleeding and fatigue. Hemoglobin is 9
g/dL. What is the diagnosis?
A) Iron deficiency anemia
B) Thalassemia