NR 511 Final Exam Test Bank 3 2026-2027 Review –
370 Latest Exam Questions and Correct Answers/ NR
511 Final Exam Prep 2026/ Differential Diagnosis and
Primary Care Practicum
In assessing the skeletal muscles, the nurse practitioner turns the patient's forearm
so that the palm is up. This is called:
1. Supination.
2. Pronation.
3. Abduction.
4. Eversion. - ANSWER-Option 1: Turning the forearm so that the palm is up is
called supination.
The nurse practitioner is performing a rectal examination on James, age 46, for
follow-up of melena. What would the provider expect his stool to look like if his
condition has not resolved?
1. Grayish tan.
2. Bright red.
3. Pale yellow, greasy, and fatty.
4. Black and tarry. - ANSWER-1. Black and tarry.
Morris, age 52, is in a new relationship and is not sure whether his erectile
dysfunction is organic or is caused by stress about his performance. What simple
test could you suggest to determine if he has the ability to have an erection?
1
,1. Nocturnal penile tumescence and rigidity (NPTR) test.
2. Penile duplex ultrasonography.
3. Intracavernous injection.
4. Serum prostate-specific antigen (PSA). - ANSWER-1. Nocturnal penile
tumescence and rigidity (NPTR) test.
Alexander, age 12, sprained his ankle playing ice hockey. He is confused as to
whether he should apply heat or cold. What should the nurse practitioner tell him?
1. "Use continuous heat for the first 12 hours and then use heat or cold to your own
preference."
2. "Use continuous cold for the first 12 hours and then use heat or cold to your own
preference."
3. "Apply cold for 20 minutes, then remove it for 30 to 45 minutes; repeat this for
the first 24 to 48 hours while awake."
4. "Alternate between cold and heat for 20 minutes each for the first 24 to 48
hours." - ANSWER-Option 3: Tell a client who has sprained his ankle to apply
cold for 20 minutes, then remove it for 30 to 45 minutes, and repeat that procedure
for the first 24 to 48 hours while awake. Cold will cause vasoconstriction and
decrease edema, preventing any further bleeding into the tissues. After any sprain,
use the principles of RICE: rest, ice, compression, and elevation.
Daniel, age 45, is of Northern European ancestry and has a dysfunctional and
disfiguring condition affecting the palmar tissue under the skin of the distal palm
and fourth and fifth fingers. What do you suspect?
1. Hallux valgus.
2. De Quervain tenosynovitis.
3. Dupuytren contracture.
4. Hallux rigidus. - ANSWER-Option 3: Dupuytren contracture affects the palmar
tissue under the skin of the distal palm and fingers—most often the fourth and fifth
fingers, but also the thumb-index finger web space. It is progressive and results in
2
,a flexion contracture, though it does not affect the flexor tendons. Occurring most
frequently in males between the ages of 40 and 60, it is common among people of
Northern European ancestry. It is dysfunctional and disfiguring. Although it is not
actually painful, it may be tender. Surgery is recommended when the inability to
straighten the fingers limits the client's hand function.
Paul has a malignant fibrosarcoma of the femur. He recently had surgery and is
now on radiation therapy. You want to order a test to determine the extent of the
tumor invasion of the surrounding tissues and the response of the bone tumor to the
radiation. Which of the following tests should you order?
1. An x-ray.
2. A magnetic resonance imaging (MRI) scan.
3. A computed tomography (CT) scan.
4. A needle biopsy. - ANSWER-Option 2: For Paul, who has a malignant
fibrosarcoma of the femur, an MRI scan will determine the extent of the tumor
invasion of the surrounding tissues and the response of the bone tumor to the
radiation. It will also determine response to chemotherapy and detect recurrent
disease.
The nurse practitioner (NP) suspects a herniated disk in a 72-year-old patient. The
NP elevates the patient's affected leg when she is in the supine position, and it
elicits back and sciatic nerve pain, which indicates a positive test. This is known as
which test or sign?
1. Femoral stretch test.
2. Crossed straight leg raise test.
3. Doorbell sign.
4. Straight leg raise test. - ANSWER-Option 4: All of the tests listed are tests done
to assess for a herniated disk. In the straight leg raise test, you elevate the affected
leg when the client is in the supine position; back pain and sciatic nerve pain (ie,
radiating leg pain) indicate a herniated disk.
3
, Jill, age 49, has recently begun a rigorous weightlifting regimen. She presents to
the primary care office with a shoulder dislocation. Which of the following clinical
manifestations leads the nurse practitioner to suspect an anterior shoulder
dislocation over a posterior dislocation?
1. Inability to shrug the shoulder.
2. Absence of pain.
3. Inability to rotate the shoulder externally.
4. Shortening of the arm. - ANSWER-Option 1: Clinical manifestations of an
anterior shoulder dislocation, which is far more common than a posterior
dislocation, include the inability to shrug the shoulder, pain, and lengthening of the
arm.
Karen, who is postmenopausal, is taking 1200 mg of calcium daily but does not
understand why she also needs to take vitamin D. You tell her that:
1. A deficiency of vitamin D results in inadequate mineralization of bone matrix.
2. All vitamins need to be supplemented.
3. Vitamin D increases intestinal absorption of dietary calcium and mobilizes
calcium from the bone.
4. Vitamin D binds with calcium to allow active transport into the cells. -
ANSWER-Option 3: Advise clients taking calcium supplements that they also
need to take vitamin D because vitamin D raises serum calcium levels by
increasing the intestinal absorption of dietary calcium and mobilizing calcium from
the bone.
Lois, age 52, who has just been given a diagnosis of sarcoidosis, has joint
symptoms, including arthralgias and arthritis. Your next plan of action would be
to:
1. Order a bone scan.
2. Obtain a tissue biopsy.
3. Begin a course of glucocorticoids.
4
370 Latest Exam Questions and Correct Answers/ NR
511 Final Exam Prep 2026/ Differential Diagnosis and
Primary Care Practicum
In assessing the skeletal muscles, the nurse practitioner turns the patient's forearm
so that the palm is up. This is called:
1. Supination.
2. Pronation.
3. Abduction.
4. Eversion. - ANSWER-Option 1: Turning the forearm so that the palm is up is
called supination.
The nurse practitioner is performing a rectal examination on James, age 46, for
follow-up of melena. What would the provider expect his stool to look like if his
condition has not resolved?
1. Grayish tan.
2. Bright red.
3. Pale yellow, greasy, and fatty.
4. Black and tarry. - ANSWER-1. Black and tarry.
Morris, age 52, is in a new relationship and is not sure whether his erectile
dysfunction is organic or is caused by stress about his performance. What simple
test could you suggest to determine if he has the ability to have an erection?
1
,1. Nocturnal penile tumescence and rigidity (NPTR) test.
2. Penile duplex ultrasonography.
3. Intracavernous injection.
4. Serum prostate-specific antigen (PSA). - ANSWER-1. Nocturnal penile
tumescence and rigidity (NPTR) test.
Alexander, age 12, sprained his ankle playing ice hockey. He is confused as to
whether he should apply heat or cold. What should the nurse practitioner tell him?
1. "Use continuous heat for the first 12 hours and then use heat or cold to your own
preference."
2. "Use continuous cold for the first 12 hours and then use heat or cold to your own
preference."
3. "Apply cold for 20 minutes, then remove it for 30 to 45 minutes; repeat this for
the first 24 to 48 hours while awake."
4. "Alternate between cold and heat for 20 minutes each for the first 24 to 48
hours." - ANSWER-Option 3: Tell a client who has sprained his ankle to apply
cold for 20 minutes, then remove it for 30 to 45 minutes, and repeat that procedure
for the first 24 to 48 hours while awake. Cold will cause vasoconstriction and
decrease edema, preventing any further bleeding into the tissues. After any sprain,
use the principles of RICE: rest, ice, compression, and elevation.
Daniel, age 45, is of Northern European ancestry and has a dysfunctional and
disfiguring condition affecting the palmar tissue under the skin of the distal palm
and fourth and fifth fingers. What do you suspect?
1. Hallux valgus.
2. De Quervain tenosynovitis.
3. Dupuytren contracture.
4. Hallux rigidus. - ANSWER-Option 3: Dupuytren contracture affects the palmar
tissue under the skin of the distal palm and fingers—most often the fourth and fifth
fingers, but also the thumb-index finger web space. It is progressive and results in
2
,a flexion contracture, though it does not affect the flexor tendons. Occurring most
frequently in males between the ages of 40 and 60, it is common among people of
Northern European ancestry. It is dysfunctional and disfiguring. Although it is not
actually painful, it may be tender. Surgery is recommended when the inability to
straighten the fingers limits the client's hand function.
Paul has a malignant fibrosarcoma of the femur. He recently had surgery and is
now on radiation therapy. You want to order a test to determine the extent of the
tumor invasion of the surrounding tissues and the response of the bone tumor to the
radiation. Which of the following tests should you order?
1. An x-ray.
2. A magnetic resonance imaging (MRI) scan.
3. A computed tomography (CT) scan.
4. A needle biopsy. - ANSWER-Option 2: For Paul, who has a malignant
fibrosarcoma of the femur, an MRI scan will determine the extent of the tumor
invasion of the surrounding tissues and the response of the bone tumor to the
radiation. It will also determine response to chemotherapy and detect recurrent
disease.
The nurse practitioner (NP) suspects a herniated disk in a 72-year-old patient. The
NP elevates the patient's affected leg when she is in the supine position, and it
elicits back and sciatic nerve pain, which indicates a positive test. This is known as
which test or sign?
1. Femoral stretch test.
2. Crossed straight leg raise test.
3. Doorbell sign.
4. Straight leg raise test. - ANSWER-Option 4: All of the tests listed are tests done
to assess for a herniated disk. In the straight leg raise test, you elevate the affected
leg when the client is in the supine position; back pain and sciatic nerve pain (ie,
radiating leg pain) indicate a herniated disk.
3
, Jill, age 49, has recently begun a rigorous weightlifting regimen. She presents to
the primary care office with a shoulder dislocation. Which of the following clinical
manifestations leads the nurse practitioner to suspect an anterior shoulder
dislocation over a posterior dislocation?
1. Inability to shrug the shoulder.
2. Absence of pain.
3. Inability to rotate the shoulder externally.
4. Shortening of the arm. - ANSWER-Option 1: Clinical manifestations of an
anterior shoulder dislocation, which is far more common than a posterior
dislocation, include the inability to shrug the shoulder, pain, and lengthening of the
arm.
Karen, who is postmenopausal, is taking 1200 mg of calcium daily but does not
understand why she also needs to take vitamin D. You tell her that:
1. A deficiency of vitamin D results in inadequate mineralization of bone matrix.
2. All vitamins need to be supplemented.
3. Vitamin D increases intestinal absorption of dietary calcium and mobilizes
calcium from the bone.
4. Vitamin D binds with calcium to allow active transport into the cells. -
ANSWER-Option 3: Advise clients taking calcium supplements that they also
need to take vitamin D because vitamin D raises serum calcium levels by
increasing the intestinal absorption of dietary calcium and mobilizing calcium from
the bone.
Lois, age 52, who has just been given a diagnosis of sarcoidosis, has joint
symptoms, including arthralgias and arthritis. Your next plan of action would be
to:
1. Order a bone scan.
2. Obtain a tissue biopsy.
3. Begin a course of glucocorticoids.
4
