NR 511 LATEST MIDTERM EXAM (2025-2026)
UPDATE and EXAM QUESTIONS WITH
MULTIPLE CHOICES VERIFIED & REVISED
ANSWERS (NEW)
For more info:
, NR 511 LATEST MIDTERM EXAM
(2025/2026) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!
Question 1
Mr. Johnson, age 69, has had Meniere disease for several years. He has some hearing loss
but now has persistent vertigo. What treatment might be instituted to relieve the vertigo?
1.A labyrinthectomy.
2.Pharmacological therapy.
3.A vestibular neurectomy.
4.Wearing an earplug in the ear that has the most hearing loss.
Correct Answer
3.
A vestibular neurectomy.
Question 2
Treatment for achalasia may include:
1. Balloon dilation of the lower esophageal sphincter.
2. Beta blockers.
3. A fundoplication.
4. An esophagogastrectomy.
Correct Answer
1. Balloon dilation of the LES
Question 3
Which oral medication might be used to treat a client with chronic cholelithiasis who is a
poor candidate for surgery?
1.Ursodiol (Actigall).
2.Ibuprofen (Advil).
3.Prednisone (Deltasone).
4.Surgery is the only answer.
Correct Answer
1. Ursodiol (Actigall)
Question 4
All of the following medications are used for the control of nausea and vomiting. Which
medication works by affecting the chemoreceptor trigger zone, thereby stimulating upper
gastrointestinal motility and increasing lower esophageal sphincter pressure?
1.Anticholinergics, such as scopolamine (Donnatal).
2.Antidopaminergic agents, such as prochlorperazine (Compazine).
,3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol).
Correct Answer
3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).
Question 5
You auscultate Julie's abdomen and hear a peritoneal friction rub. Which condition do you
rule out?
1.Peritonitis.
2.A liver or spleen abscess.
3.A liver or spleen metastatic tumor.
4.Irritable bowel syndrome.
Correct Answer
4. IBS
Question 6
Which is the most common presenting symptom of gastric cancer?
1.Weight loss.
2.Dysphagia.
3.Hematemesis.
4.Gastrointestinal bleeding.
Correct Answer
1. Weight loss
Question 7
The metabolism of which drug is not affected in Marsha, age 74?
1.Alcohol.
2.Anticonvulsants.
3.Psychotropics.
4.Oral anticoagulants.
Correct Answer
1. Alcohol
Question 8
Nausea is difficult to discern in a young child. What question might you ask to determine if a
child has nausea?
1."Are you sick to your tummy?"
2."Are you hungry?"
3."Are you eating the way you normally eat?"
4."Are you nauseous?"
Correct Answer
2.
"Are you hungry?"
Question 9
, Zena just had a hemorrhoidectomy. You know she has not understood your teaching when
she tells you she will:
1.Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery.
2.Drink at least 2000 mL of fluids per day.
3.Decrease her dietary fiber for 1 month.
4.Take stool softeners as prescribed.
Correct Answer
3.Decrease her dietary fiber for 1 month.
Question 10
Stacy, a nursing student, is to begin her series of hepatitis B vaccinations. You test her for a
serological marker, and the results show hepatitis B surface antibodies (HBsAb). You tell
Stacy that she:
1.Needs to begin the hepatitis B series as soon as possible.
2.Needs to be tested again because one reading is not indicative of immunity.
3.Is permanently immune to hepatitis B.
4.Has an acute hepatitis B infection.
Correct Answer
3. Is permanently immune to hepatitis B.
Question 11
Margie, age 52, has an extremely stressful job and was just given a diagnosis of gastric ulcer.
She tells you she is sure it is going to be malignant. How do you respond?
1."Don't worry. Gastric ulcers are not cancerous."
2."About 95% of gastric ulcers are benign."
3."You have about a 50% chance of having gastric cancer from your ulcer."
4."Even if it is cancer, surgery is 100% successful."
Correct Answer
2."About 95% of gastric ulcers are benign."
Question 12
You are counseling Lillian, who is lactose intolerant, about foods to avoid. You know she
misunderstands the teaching when she tells you she can have:
1.Yogurt.
2.Foods containing whey.
3.Prehydrolyzed milk.
4.Oranges.
Correct Answer
2.Foods containing whey.
Question 13
Susan, age 59, has no specific complaints when she comes in for her annual examination. She
does, however, have type 2 diabetes mellitus (DM), slight hypertension, dyslipidemia, and
central obesity. How would you diagnose her?
1.As a healthy adult with several problems.
2.As having a glycemic event.
UPDATE and EXAM QUESTIONS WITH
MULTIPLE CHOICES VERIFIED & REVISED
ANSWERS (NEW)
For more info:
, NR 511 LATEST MIDTERM EXAM
(2025/2026) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!
Question 1
Mr. Johnson, age 69, has had Meniere disease for several years. He has some hearing loss
but now has persistent vertigo. What treatment might be instituted to relieve the vertigo?
1.A labyrinthectomy.
2.Pharmacological therapy.
3.A vestibular neurectomy.
4.Wearing an earplug in the ear that has the most hearing loss.
Correct Answer
3.
A vestibular neurectomy.
Question 2
Treatment for achalasia may include:
1. Balloon dilation of the lower esophageal sphincter.
2. Beta blockers.
3. A fundoplication.
4. An esophagogastrectomy.
Correct Answer
1. Balloon dilation of the LES
Question 3
Which oral medication might be used to treat a client with chronic cholelithiasis who is a
poor candidate for surgery?
1.Ursodiol (Actigall).
2.Ibuprofen (Advil).
3.Prednisone (Deltasone).
4.Surgery is the only answer.
Correct Answer
1. Ursodiol (Actigall)
Question 4
All of the following medications are used for the control of nausea and vomiting. Which
medication works by affecting the chemoreceptor trigger zone, thereby stimulating upper
gastrointestinal motility and increasing lower esophageal sphincter pressure?
1.Anticholinergics, such as scopolamine (Donnatal).
2.Antidopaminergic agents, such as prochlorperazine (Compazine).
,3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol).
Correct Answer
3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).
Question 5
You auscultate Julie's abdomen and hear a peritoneal friction rub. Which condition do you
rule out?
1.Peritonitis.
2.A liver or spleen abscess.
3.A liver or spleen metastatic tumor.
4.Irritable bowel syndrome.
Correct Answer
4. IBS
Question 6
Which is the most common presenting symptom of gastric cancer?
1.Weight loss.
2.Dysphagia.
3.Hematemesis.
4.Gastrointestinal bleeding.
Correct Answer
1. Weight loss
Question 7
The metabolism of which drug is not affected in Marsha, age 74?
1.Alcohol.
2.Anticonvulsants.
3.Psychotropics.
4.Oral anticoagulants.
Correct Answer
1. Alcohol
Question 8
Nausea is difficult to discern in a young child. What question might you ask to determine if a
child has nausea?
1."Are you sick to your tummy?"
2."Are you hungry?"
3."Are you eating the way you normally eat?"
4."Are you nauseous?"
Correct Answer
2.
"Are you hungry?"
Question 9
, Zena just had a hemorrhoidectomy. You know she has not understood your teaching when
she tells you she will:
1.Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery.
2.Drink at least 2000 mL of fluids per day.
3.Decrease her dietary fiber for 1 month.
4.Take stool softeners as prescribed.
Correct Answer
3.Decrease her dietary fiber for 1 month.
Question 10
Stacy, a nursing student, is to begin her series of hepatitis B vaccinations. You test her for a
serological marker, and the results show hepatitis B surface antibodies (HBsAb). You tell
Stacy that she:
1.Needs to begin the hepatitis B series as soon as possible.
2.Needs to be tested again because one reading is not indicative of immunity.
3.Is permanently immune to hepatitis B.
4.Has an acute hepatitis B infection.
Correct Answer
3. Is permanently immune to hepatitis B.
Question 11
Margie, age 52, has an extremely stressful job and was just given a diagnosis of gastric ulcer.
She tells you she is sure it is going to be malignant. How do you respond?
1."Don't worry. Gastric ulcers are not cancerous."
2."About 95% of gastric ulcers are benign."
3."You have about a 50% chance of having gastric cancer from your ulcer."
4."Even if it is cancer, surgery is 100% successful."
Correct Answer
2."About 95% of gastric ulcers are benign."
Question 12
You are counseling Lillian, who is lactose intolerant, about foods to avoid. You know she
misunderstands the teaching when she tells you she can have:
1.Yogurt.
2.Foods containing whey.
3.Prehydrolyzed milk.
4.Oranges.
Correct Answer
2.Foods containing whey.
Question 13
Susan, age 59, has no specific complaints when she comes in for her annual examination. She
does, however, have type 2 diabetes mellitus (DM), slight hypertension, dyslipidemia, and
central obesity. How would you diagnose her?
1.As a healthy adult with several problems.
2.As having a glycemic event.
