NR 511 Final Exam Version 2 2026-2027 Review – 200
Latest Exam Questions and Correct Answers/ NR 511
Final Exam Prep 2026/ Differential Diagnosis and
Primary Care Practicum
Immediate treatment for insulin shock may include
A Administration of bicarbonates
B Consumption of fruit juice or candy
C induced vomiting
D Consumption of large amounts of water - ANSWER-B Consumption of fruit
juice or candy
Which of the following indicates hypoglycemia in a diabetic
A Deep rapid respirations
B Flushed dry skin and mucosa
C Thirst and oliguria
D Staggering gait, disorientation, and confusion - ANSWER-D Staggering gait,
disorientation, and confusion
Which of the following are signs of DKA in an unconscious person
A Pale moist skin
B Thirst and poor skin turgor
C Deep rapid respirations and fruity breath odor
D Tremors and strong rapid pulse - ANSWER-C Deep rapid respirations and
fruity breath odor
1
,What causes loss of consciousness in a person with diabetic ketoacidosis?
A Toxic effects of excessive insulin
B Excessive glucose in the blood
C Metabolic acidosis
D Lack of glucose in brain cells - ANSWER-C Metabolic acidosis
Which of the following does not usually develop as a complication of DM
A Osteoporosis
B Nephropathy
C Impotence
D Peripheral neuropathy - ANSWER-A Osteoporosis
One of the most frequent presenting signs/symptoms of osteoporosis is:
A. Goiter
B. Abnormal serum calcium
C. Elevated urine biochemical markers
D. Bony fracture - ANSWER-Bony fracture
Mrs. Thomas was seen in the office complaining of pain and point tenderness in
the area of her elbow. The pain has increased a day of gardening one week ago. A
physical finding that differentiates the diagnosis and is most consistent with lateral
epicondylitis is:
A. Ecchymosis, edema, and erythema over the lateral epicondyle
B. Pain at the elbow with resisted movements at the wrist and forearm
C Inability to supinate and pronate the arm
2
,D. Inability to flex or extend the elbow against resistance - ANSWER-Pain at the
elbow with resisted movements at the wrist and forearm
A patient with gout has been instructed on the prescribed med allopurinol. Which
patient statement indicates understanding of the action of this medication?
A Excretes proteins
B Blocks formation of uric acid
C Increases formation of purines
D Increases metabolism of purines - ANSWER-Blocks formation of uric acid
You are performing muscle strength testing on a patient presenting with
musculoskeletal pain and find that the patient has complete ROM with gravity
eliminated. Which numeric grade of muscle strength would you give this patient?
A. 1
B. 2
C. 3
D. 4
E. 5 - ANSWER-B
A patient who has a Schilling test shows a 20% excretion of the radioactive
vitamin B12. What would this indicate
A The patient has a low reserve of iron and has iron deficiency anemia
B The patient has a normal finding and does not have pernicious anemia
C The patient has a deficiency of thrombocytes and has a clotting disorder
D The patient has an excess of RBCs and has polycythemia - ANSWER-B The
patient has a normal finding and does not have pernicious anemia
3
, A 23 year old male patient with hemophilia A says, How can I keep my children
from having hemophilia A. What of the following is the informative response.
A You need to select a very dependable mode of birth control
B You can only pass hemophilia B to your sons
C Your daughter may be a carrier and her children may have hemophilia A. Your
son is not at risk
D Your sons should have coagulation studies - ANSWER-C Your daughter may
be a carrier and her children may have hemophilia A. Your son is not at risk
The 9 year old child with leukemia who is on palliative care has drawn a picture of
a boy under a huge black cloud that has lightning coming out of it. Which of the
following would be an appropriate intervention for the nurse
A What is this picture about
B Are you afraid of lightning
C I bet this is a picture of you isn't it
D Is tit about to rain in your picture - ANSWER-A What is this picture about
In an adult, where are erythrocytes continuously produced
A Yellow bone marrow
B Lymphatic system
C Spleen
D Red bone marrow - ANSWER-D Red bone marrow
Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited
movement in her right shoulder. She denies any history of trauma. Her exam
reveals a 75% reduction in both active and passive range of motion of the right
shoulder. Mrs. Gray is also experiencing tenderness with motion and pain at the
deltoid insertion. Her medical history is significant for type 1 diabetes mellitus and
hypertension. Her social history reveals that she is a secretary and that she is right-
4
Latest Exam Questions and Correct Answers/ NR 511
Final Exam Prep 2026/ Differential Diagnosis and
Primary Care Practicum
Immediate treatment for insulin shock may include
A Administration of bicarbonates
B Consumption of fruit juice or candy
C induced vomiting
D Consumption of large amounts of water - ANSWER-B Consumption of fruit
juice or candy
Which of the following indicates hypoglycemia in a diabetic
A Deep rapid respirations
B Flushed dry skin and mucosa
C Thirst and oliguria
D Staggering gait, disorientation, and confusion - ANSWER-D Staggering gait,
disorientation, and confusion
Which of the following are signs of DKA in an unconscious person
A Pale moist skin
B Thirst and poor skin turgor
C Deep rapid respirations and fruity breath odor
D Tremors and strong rapid pulse - ANSWER-C Deep rapid respirations and
fruity breath odor
1
,What causes loss of consciousness in a person with diabetic ketoacidosis?
A Toxic effects of excessive insulin
B Excessive glucose in the blood
C Metabolic acidosis
D Lack of glucose in brain cells - ANSWER-C Metabolic acidosis
Which of the following does not usually develop as a complication of DM
A Osteoporosis
B Nephropathy
C Impotence
D Peripheral neuropathy - ANSWER-A Osteoporosis
One of the most frequent presenting signs/symptoms of osteoporosis is:
A. Goiter
B. Abnormal serum calcium
C. Elevated urine biochemical markers
D. Bony fracture - ANSWER-Bony fracture
Mrs. Thomas was seen in the office complaining of pain and point tenderness in
the area of her elbow. The pain has increased a day of gardening one week ago. A
physical finding that differentiates the diagnosis and is most consistent with lateral
epicondylitis is:
A. Ecchymosis, edema, and erythema over the lateral epicondyle
B. Pain at the elbow with resisted movements at the wrist and forearm
C Inability to supinate and pronate the arm
2
,D. Inability to flex or extend the elbow against resistance - ANSWER-Pain at the
elbow with resisted movements at the wrist and forearm
A patient with gout has been instructed on the prescribed med allopurinol. Which
patient statement indicates understanding of the action of this medication?
A Excretes proteins
B Blocks formation of uric acid
C Increases formation of purines
D Increases metabolism of purines - ANSWER-Blocks formation of uric acid
You are performing muscle strength testing on a patient presenting with
musculoskeletal pain and find that the patient has complete ROM with gravity
eliminated. Which numeric grade of muscle strength would you give this patient?
A. 1
B. 2
C. 3
D. 4
E. 5 - ANSWER-B
A patient who has a Schilling test shows a 20% excretion of the radioactive
vitamin B12. What would this indicate
A The patient has a low reserve of iron and has iron deficiency anemia
B The patient has a normal finding and does not have pernicious anemia
C The patient has a deficiency of thrombocytes and has a clotting disorder
D The patient has an excess of RBCs and has polycythemia - ANSWER-B The
patient has a normal finding and does not have pernicious anemia
3
, A 23 year old male patient with hemophilia A says, How can I keep my children
from having hemophilia A. What of the following is the informative response.
A You need to select a very dependable mode of birth control
B You can only pass hemophilia B to your sons
C Your daughter may be a carrier and her children may have hemophilia A. Your
son is not at risk
D Your sons should have coagulation studies - ANSWER-C Your daughter may
be a carrier and her children may have hemophilia A. Your son is not at risk
The 9 year old child with leukemia who is on palliative care has drawn a picture of
a boy under a huge black cloud that has lightning coming out of it. Which of the
following would be an appropriate intervention for the nurse
A What is this picture about
B Are you afraid of lightning
C I bet this is a picture of you isn't it
D Is tit about to rain in your picture - ANSWER-A What is this picture about
In an adult, where are erythrocytes continuously produced
A Yellow bone marrow
B Lymphatic system
C Spleen
D Red bone marrow - ANSWER-D Red bone marrow
Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited
movement in her right shoulder. She denies any history of trauma. Her exam
reveals a 75% reduction in both active and passive range of motion of the right
shoulder. Mrs. Gray is also experiencing tenderness with motion and pain at the
deltoid insertion. Her medical history is significant for type 1 diabetes mellitus and
hypertension. Her social history reveals that she is a secretary and that she is right-
4
