NUR 631 COMPREHENSIVE EXAMINATION
TEST 2026 QUESTIONS AND SOLUTIONS
GRADED A+
◉ A 24-year-old secretary comes to your clinic, complaining of
difficulty sleeping, severe nightmares, and irritability. She states it all
began 6 months ago when she went to a fast food restaurant at
midnight. While she was waiting in her car a man entered through
the passenger door and put a gun to her head. He had her drive to a
remote area, where he took her money and threatened to kill her.
When the gun jammed he panicked and ran off. Ever since this
occurred the patient has been having these symptoms. She states
she jumps at every noise and refuses to drive at night. She states her
anxiety has had such a marked influence on her job performance she
is afraid she will be fired. She denies any recent illnesses or injuries.
Her past medical history is unremarkable. On examination you find a
nervous woman appearing her stated age. Her physical examination
is unremarkable. You recommend medication and counseling.
What.
Answer: C) Post-traumatic stress disorder
◉ A 75-year-old homemaker brings her 76-year-old husband to
your clinic. She states that 4 months ago he had a stroke and ever
since she has been frustrated with his problems with
communication. They were at a restaurant after church one Sunday
,when he suddenly became quiet. When she realized something was
wrong he was taken to the hospital by EMS. He spent 2 weeks in the
hospital with right-sided weakness and difficulty speaking. After
hospitalization he was in a rehab center, where he regained the
ability to walk and most of the use of his right hand. He also began to
speak more, but she says that much of the time "he doesn't make any
sense." She gives an example that when she reminded him the car
needed to be serviced he told her "I will change the Kool-Aid out of
the sink myself with the ludrip." She says that these sayings are
becoming frustrating. She wants you to tell her what is wrong and
what you can do about.
Answer: A) Wernicke's aphasia
◉ A 32-year-old white female comes to your clinic, complaining of
overwhelming sadness. She says for the past 2 months she has had
crying episodes, difficulty sleeping, and problems with overeating.
She says she used to go out with her friends from work but now she
just wants to go home and be by herself. She also thinks that her
work productivity has been dropping because she just is too tired to
care or concentrate. She denies any feelings of guilt or any suicidal
ideation. She states that she has never felt this way in the past. She
denies any recent illness or injuries. Her past medical history
consists of an appendectomy when she was a teenager; otherwise,
she has been healthy. She is single and works as a clerk in a medical
office. She denies tobacco, alcohol, or illegal drug use. Her mother
has high blood pressure and her father has had a history of mental
illness. On examination you see a woman appearing her st.
Answer: C) Major depressive episode
,◉ A 27-year-old woman is brought to your office by her mother. The
mother tells you that her daughter has been schizophrenic for the
last 8 years and is starting to decompensate despite medication. The
patient states that she has been taking her antipsychotic and she is
doing just fine. Her mother retorts that her daughter has become
quite paranoid. When asked why, the mother gives an example about
the mailman. She says that her daughter goes and gets the mail
every day and then microwaves the letters. The patient agrees that
she does this but only because she sees the mailman flipping
through the envelopes and she knows he's putting anthrax on the
letters. Her mother turns to her and says, "He's only sorting the
mail!"
Which best describes the patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state.
Answer: A) Illusion
◉ A 22-year-old man is brought to your office by his father to
discuss his son's mental health disorder. The patient was diagnosed
with schizophrenia 6 months ago and has been taking medication
since. The father states that his son's dose isn't high enough and you
need to raise it. He states that his son has been hearing things that
don't exist. You ask the young man what is going on and he tells you
that his father is just jealous because his sister talks only to him. His
father turns to him and says, "Son, you know your sister died 2 years
, ago!" His son replies "Well, she still talks to me in my head all the
time!"
Which best describes this patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state.
Answer: B) Hallucination
◉ A 26-year-old violinist comes to your clinic, complaining of
anxiety. He is a first chair violinist in the local symphony orchestra
and has started having symptoms during performances, such as
sweating, shaking, and hyperventilating. It has gotten so bad that he
has thought about giving up his first chair status so he does not have
to play the solo during one of the movements. He says that he never
has these symptoms during rehearsals or when he is practicing. He
denies having any of these symptoms at any other time. His past
medical history is unremarkable. He denies any tobacco use, drug
use, or alcohol abuse. His parents are both healthy. On examination
you see a young man who appears worried. His vital signs and
physical examination are unremarkable.
What type of anxiety disorder best describes his situation?
A) Panic disorder
B) Specific phobia
C) Social phobia
D) Generalized anxiety disorder.
TEST 2026 QUESTIONS AND SOLUTIONS
GRADED A+
◉ A 24-year-old secretary comes to your clinic, complaining of
difficulty sleeping, severe nightmares, and irritability. She states it all
began 6 months ago when she went to a fast food restaurant at
midnight. While she was waiting in her car a man entered through
the passenger door and put a gun to her head. He had her drive to a
remote area, where he took her money and threatened to kill her.
When the gun jammed he panicked and ran off. Ever since this
occurred the patient has been having these symptoms. She states
she jumps at every noise and refuses to drive at night. She states her
anxiety has had such a marked influence on her job performance she
is afraid she will be fired. She denies any recent illnesses or injuries.
Her past medical history is unremarkable. On examination you find a
nervous woman appearing her stated age. Her physical examination
is unremarkable. You recommend medication and counseling.
What.
Answer: C) Post-traumatic stress disorder
◉ A 75-year-old homemaker brings her 76-year-old husband to
your clinic. She states that 4 months ago he had a stroke and ever
since she has been frustrated with his problems with
communication. They were at a restaurant after church one Sunday
,when he suddenly became quiet. When she realized something was
wrong he was taken to the hospital by EMS. He spent 2 weeks in the
hospital with right-sided weakness and difficulty speaking. After
hospitalization he was in a rehab center, where he regained the
ability to walk and most of the use of his right hand. He also began to
speak more, but she says that much of the time "he doesn't make any
sense." She gives an example that when she reminded him the car
needed to be serviced he told her "I will change the Kool-Aid out of
the sink myself with the ludrip." She says that these sayings are
becoming frustrating. She wants you to tell her what is wrong and
what you can do about.
Answer: A) Wernicke's aphasia
◉ A 32-year-old white female comes to your clinic, complaining of
overwhelming sadness. She says for the past 2 months she has had
crying episodes, difficulty sleeping, and problems with overeating.
She says she used to go out with her friends from work but now she
just wants to go home and be by herself. She also thinks that her
work productivity has been dropping because she just is too tired to
care or concentrate. She denies any feelings of guilt or any suicidal
ideation. She states that she has never felt this way in the past. She
denies any recent illness or injuries. Her past medical history
consists of an appendectomy when she was a teenager; otherwise,
she has been healthy. She is single and works as a clerk in a medical
office. She denies tobacco, alcohol, or illegal drug use. Her mother
has high blood pressure and her father has had a history of mental
illness. On examination you see a woman appearing her st.
Answer: C) Major depressive episode
,◉ A 27-year-old woman is brought to your office by her mother. The
mother tells you that her daughter has been schizophrenic for the
last 8 years and is starting to decompensate despite medication. The
patient states that she has been taking her antipsychotic and she is
doing just fine. Her mother retorts that her daughter has become
quite paranoid. When asked why, the mother gives an example about
the mailman. She says that her daughter goes and gets the mail
every day and then microwaves the letters. The patient agrees that
she does this but only because she sees the mailman flipping
through the envelopes and she knows he's putting anthrax on the
letters. Her mother turns to her and says, "He's only sorting the
mail!"
Which best describes the patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state.
Answer: A) Illusion
◉ A 22-year-old man is brought to your office by his father to
discuss his son's mental health disorder. The patient was diagnosed
with schizophrenia 6 months ago and has been taking medication
since. The father states that his son's dose isn't high enough and you
need to raise it. He states that his son has been hearing things that
don't exist. You ask the young man what is going on and he tells you
that his father is just jealous because his sister talks only to him. His
father turns to him and says, "Son, you know your sister died 2 years
, ago!" His son replies "Well, she still talks to me in my head all the
time!"
Which best describes this patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state.
Answer: B) Hallucination
◉ A 26-year-old violinist comes to your clinic, complaining of
anxiety. He is a first chair violinist in the local symphony orchestra
and has started having symptoms during performances, such as
sweating, shaking, and hyperventilating. It has gotten so bad that he
has thought about giving up his first chair status so he does not have
to play the solo during one of the movements. He says that he never
has these symptoms during rehearsals or when he is practicing. He
denies having any of these symptoms at any other time. His past
medical history is unremarkable. He denies any tobacco use, drug
use, or alcohol abuse. His parents are both healthy. On examination
you see a young man who appears worried. His vital signs and
physical examination are unremarkable.
What type of anxiety disorder best describes his situation?
A) Panic disorder
B) Specific phobia
C) Social phobia
D) Generalized anxiety disorder.
