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NR 511 Final Exam Study Guide & Practice Questions with Verified Answers 2026/2027 Document Description

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Comprehensive NR 511 Final Exam study guide featuring 176+ practice questions and verified answers. Covers differential diagnosis, patient management, pharmacology, and clinical guidelines for the Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) certification exam. Essential for mastering topics like musculoskeletal disorders, women's health, neurology, and more. 1. Which drug for Alzheimer's disease should be administered beginning at the time of diagnosis? A. Cholinesterase inhibitors B. Anxiolytics C. Antidepressants D. Atypical antipsychotics - answer>>- a. Cholinesterase inhibitors pg 2. Most adult poisonings are: A. Intentional and self-inflicted. B. Accidental. C. Caused by someone wishing to do harm to the person. D. Not attributed to any reason. - answer>>- b. Accidental. 3. A 58-year-old woman presents with a breast mass. Which of the following responses by the clinician would be most appropriate? A. "it is probably just a cyst, because that is the most common breast mass." B. "we will order a mammogram and ultrasound to help establish a diagnosis." C. "we will go ahead and schedule you for a biopsy because that is the only way to know for sure." D. "because your lump is painful, it is most likely not cancer." - answer>>- "we will order a mammogram and ultrasound to help establish a diagnosis." 4. Which of the following is a specific test for multiple sclerosis (ms)? A. Magnetic resonance imaging (mri) B. Computed tomography (ct) scan C. A lumbar puncture D. There is no specific test. - answer>>- d. There is no specific test. 5. Which characteristic of delirium helps to distinguish delirium from dementia? A. Abrupt onset B. Impaired attention C. Affective changes D. Delusions - answer>>- abrupt onset 6. Which clinical feature is the first to be affected in increased intracranial pressure (icp)? A. Decrease in level of consciousness (loc) B. Headache C. Nausea D. Widening pulse pressure - answer>>- decrease in level of consciousness (loc) 7. Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall. She has been experiencing severe pain and limited range of motion in her left shoulder. The clinician has diagnosed jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation? A. Posterior dislocations are more common than anterior dislocations. B. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses. C. Recurrent dislocations are uncommon and would require a greater force to result in injury. D. Surgery is most commonly the treatment of choice. - answer>>- there is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses. 8. 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 - answer>>- morning stiffness 9. The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the clinician classify this patient? A. Overweight B. Mild obesity C. Moderate obesity D. Morbid obesity - answer>>- mild obesity 10. A 23-year-old sexually active woman presents for her first pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her exam? A. Human papillomavirus (hpv) B. Endometrial hyperplasia C. Voguisms D. Polycystic ovarian syndrome - answer>>- human papillomavirus (hpv)

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Uploaded on
November 27, 2025
Number of pages
35
Written in
2025/2026
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Exam (elaborations)
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Questions & answers

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  • pharmacology dermatology

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NUR 511 Final Exam Newest Version
Questions With Answers 2026/2027
1. Which drug for Alzheimer's disease should be administered beginning at the time
of diagnosis?

A. Cholinesterase inhibitors
B. Anxiolytics
C. Antidepressants
D. Atypical antipsychotics - answer>>- a. Cholinesterase inhibitors pg

2. Most adult poisonings are:

A. Intentional and self-inflicted.
B. Accidental.
C. Caused by someone wishing to do harm to the person.
D. Not attributed to any reason. - answer>>- b. Accidental.

3. A 58-year-old woman presents with a breast mass. Which of the following
responses by the clinician would be most appropriate?

A. "it is probably just a cyst, because that is the most common breast
mass."
B. "we will order a mammogram and ultrasound to help establish a
diagnosis."
C. "we will go ahead and schedule you for a biopsy because that is the
only way to know for sure."
D. "because your lump is painful, it is most likely not cancer." - answer>>-
"we will order a mammogram and ultrasound to help establish a
diagnosis."

4. Which of the following is a specific test for multiple sclerosis (ms)?

A. Magnetic resonance imaging (mri)
B. Computed tomography (ct) scan
C. A lumbar puncture
D. There is no specific test. - answer>>- d. There is no specific test.

5. Which characteristic of delirium helps to distinguish delirium from dementia?

A. Abrupt onset
B. Impaired attention
C. Affective changes
D. Delusions - answer>>- abrupt onset

,6. Which clinical feature is the first to be affected in increased intracranial pressure
(icp)?

A. Decrease in level of consciousness (loc)
B. Headache
C. Nausea
D. Widening pulse pressure - answer>>- decrease in level of
consciousness (loc)

7. Jennifer is an 18-year-old girl who comes to the emergency room after a fall
during a soccer game. Jennifer explains that she fell on her left side and kept her
arm out straight to break her fall. She has been experiencing severe pain and
limited range of motion in her left shoulder. The clinician has diagnosed jennifer
with a dislocated shoulder. Which of the following statements are true concerning
shoulder dislocation?

A. Posterior dislocations are more common than anterior dislocations.
B. There is a risk of neurovascular and neurosensory trauma, so the
clinician should check for distal pulses.
C. Recurrent dislocations are uncommon and would require a greater
force to result in injury.
D. Surgery is most commonly the treatment of choice. - answer>>- there
is a risk of neurovascular and neurosensory trauma, so the clinician
should check for distal pulses.

8. 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 - answer>>- morning stiffness

9. The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would
the clinician classify this patient?

A. Overweight
B. Mild obesity
C. Moderate obesity
D. Morbid obesity - answer>>- mild obesity

10. A 23-year-old sexually active woman presents for her first pap smear. Her history
includes nulligravida, age at first intercourse 14, and more than 10 sexual
partners. Which of the following conditions should the clinician be particularly
alert for during her exam?

, A. Human papillomavirus (hpv)
B. Endometrial hyperplasia
C. Voguisms
D. Polycystic ovarian syndrome - answer>>- human papillomavirus (hpv)

11. Which of the following classes of drugs should be used as first-line therapy for
treatment of delirium?

A. Benzodiazepines
B. Antipsychotics
C. Anticonvulsants
D. Antidepressants - answer>>- antipsychotic

12. what is the treatment of choice for a patient diagnosed with testicular cancer?

A.Radical orchidectomy
B.Lumpectomy
C.Radiation implants
D.All of the above - answer>>- treatment of choice for a patient
diagnosed with testicular cancer?
ANSWER A- Radical orchidectomy

13. a 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a
mucopurulent vaginal discharge. Her boyfriend was recently treated for
nongonococcal urethritis. What sexually transmitted disease (std) has she most
probably been exposed to?

A. Gonorrhea
B. Human papillomavirus (hpv)
C. Chlamydia
D. Trichomonas - answer>>- chlamydia

14. a 58-year-old woman who had a total abdominal hysterectomy at the age of 45 is
diagnosed with atrophic vaginitis. Which of the following is the most appropriate
treatment?

A. Conjugated estrogen 0.625 mg/day oral
B. Estradiol 7.5 mcg/24 hr vaginal ring
C. Medroxyprogesterone 10 mg/day oral
D. Conjugated estrogen 0.3 mg + medroxyprogesterone 1.5 mg/day oral -
answer>>- estradiol 7.5 mcg/24 hr vaginal ring

15. when looking under the microscope to diagnose an intravaginal infection, you
see a cluster of small and oval to round shapes. What do you suspect they are?

, A. Spores
B. Leukocytes
C. Pseudo hyphae
D. Epithelial cells - answer>>- spores

16. Patients with a spontaneous pneumothorax should be counseled that up to what
percentage may experience a reoccurrence at some point?


A. 10%
B. 20%
C. 30%
D. 50% - answer>>- 30%

17. 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 test
D. Varus stress test - answer>>- McMurray circumduction test

18. during a digital rectal exam (dre) on a 75-year-old man, the clinician suspects the
patient has prostate cancer. What physical finding should make the clinician
suspicious?

A. An enlarged rubbery gland
B. A hard irregular gland
C. A tender gland
D. A boggy gland - answer>>- an enlarged rubbery gland

19. 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 suspicion
of cauda equina compression. Which of the following is a sign or symptom of
cauda equina compression?

A. Gastrocnemius weakness
B. A reduced or absent ankle reflex
C. Numbness in the lateral foot
D. Paresthesia of the perineum and buttocks - answer>>- paresthesia of
the perineum and buttocks

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