NR 509 MIDTERM CHAMBERLAIN LATEST
EXAM 2025 WITH MULTIPLE CHOICE OF
QUESTIONS AND DETAILED SOLVED
SOLUTIONS ALREADY GRADED A+
1. A patient complains of epistaxis. Which other cause should be
considered?
- CORRECT ANSWER-Hematemesis
2. A patient complains of shortness of breath for the past few
days. On examination, you note late inspiratory crackles in the
lower third of the chest that were not present a week ago.
What is the most likely explanation for these?
- CORRECT ANSWER-Heart failure
3. You are excited about a positive test finding you have just
noticed on physical examination of your patient. You go on to
do more examination, laboratory work, and diagnostic tests,
only to find that there is no sign of the disease you thought
would correlate with the finding. This same experience
happens several times. What should you conclude?
- CORRECT ANSWER-Continue using the test, perhaps
doing less laboratory work and diagnostics.
4. A 50-year-old woman presents with a new complaint of
5. headache. The patient states, "this is worst headache of my
life". Her concurrent conditions includes hypertension. Her
history includes habitual ER visits for various complaints and
panic attacks. Her most recent ER visit was last week. Today
her BP is 200/110 with a HR of 95. Of the following diagnoses,
which etiology has the highest priority?
, - CORRECT ANSWER-Subarachnoid hemorrhage
6. A patient with alcoholism is brought in with confusion. You ask
him to "stop traffic" with his palms and notice that every few
seconds his palms suddenly move toward the floor. What does
this indicate?
- CORRECT ANSWER-Metabolic problems
7. A 29-year-old computer programmer comes to your office for
evaluation of a headache. The tightening sensation is located
all over the head and is of moderate intensity. It used to last
minutes, but this time it has lasted for 5 days. He denies
photophobia and nausea. He spends several hours each day at
a computer monitor/keyboard. He has tried over-the-counter
medication; it has dulled the pain but not taken it away. Based
on this description, what is your most likely diagnosis?
- CORRECT ANSWER-Tension
8. A 62-year-old smoker complains of "coughing up small
amounts of blood," so you consider hemoptysis. Which other
diagnoses should also be considered as an etiology for the
complaint?
- CORRECT ANSWER-Epistaxis
9. You ask a patient to hold her arms up, with her palms up, and
then to close her eyes. The right arm begins to move
downward after a few seconds and her thumb rotates upward.
This is most likely a problem with which part of the nervous
system?
- CORRECT ANSWER-Corticospinal tract
10. When assessing for mitral stenosis, you should place the
patient in what position?
, - CORRECT ANSWER-left lateral decubitus position
11. A patient presents with ear pain. She is an avid swimmer.
The history includes pain and drainage from the left ear. On
examination, she has pain when the ear is manipulated,
including manipulation of the tragus. The canal is narrowed
and erythematous, with some white debris in the canal. The
rest of the examination is normal. What diagnosis would you
assign this patient?
- CORRECT ANSWER-Otitis externa
12. When assessing for nystagmus the nurse practitioner
instructs the patient to:
- CORRECT ANSWER-fix their gaze on an object located in
the distance
13. A 58-year-old teacher presents to your clinic with a
complaint of breathlessness with activity. The patient has no
chronic conditions and does not take any medications, herbs,
or supplements. Which of the following symptoms is
appropriate to ask about in the cardiovascular review of
systems?
- CORRECT ANSWER Orthopnea
14. Which is true of examination of the olfactory nerve?
- CORRECT ANSWER-Diminished responses may be seen in
otherwise normal elderly.
15. During the physical examination, which is the best
position to place the patient when auscultating for S1, S2, and
murmurs?
- CORRECT ANSWER-Lying Supine
EXAM 2025 WITH MULTIPLE CHOICE OF
QUESTIONS AND DETAILED SOLVED
SOLUTIONS ALREADY GRADED A+
1. A patient complains of epistaxis. Which other cause should be
considered?
- CORRECT ANSWER-Hematemesis
2. A patient complains of shortness of breath for the past few
days. On examination, you note late inspiratory crackles in the
lower third of the chest that were not present a week ago.
What is the most likely explanation for these?
- CORRECT ANSWER-Heart failure
3. You are excited about a positive test finding you have just
noticed on physical examination of your patient. You go on to
do more examination, laboratory work, and diagnostic tests,
only to find that there is no sign of the disease you thought
would correlate with the finding. This same experience
happens several times. What should you conclude?
- CORRECT ANSWER-Continue using the test, perhaps
doing less laboratory work and diagnostics.
4. A 50-year-old woman presents with a new complaint of
5. headache. The patient states, "this is worst headache of my
life". Her concurrent conditions includes hypertension. Her
history includes habitual ER visits for various complaints and
panic attacks. Her most recent ER visit was last week. Today
her BP is 200/110 with a HR of 95. Of the following diagnoses,
which etiology has the highest priority?
, - CORRECT ANSWER-Subarachnoid hemorrhage
6. A patient with alcoholism is brought in with confusion. You ask
him to "stop traffic" with his palms and notice that every few
seconds his palms suddenly move toward the floor. What does
this indicate?
- CORRECT ANSWER-Metabolic problems
7. A 29-year-old computer programmer comes to your office for
evaluation of a headache. The tightening sensation is located
all over the head and is of moderate intensity. It used to last
minutes, but this time it has lasted for 5 days. He denies
photophobia and nausea. He spends several hours each day at
a computer monitor/keyboard. He has tried over-the-counter
medication; it has dulled the pain but not taken it away. Based
on this description, what is your most likely diagnosis?
- CORRECT ANSWER-Tension
8. A 62-year-old smoker complains of "coughing up small
amounts of blood," so you consider hemoptysis. Which other
diagnoses should also be considered as an etiology for the
complaint?
- CORRECT ANSWER-Epistaxis
9. You ask a patient to hold her arms up, with her palms up, and
then to close her eyes. The right arm begins to move
downward after a few seconds and her thumb rotates upward.
This is most likely a problem with which part of the nervous
system?
- CORRECT ANSWER-Corticospinal tract
10. When assessing for mitral stenosis, you should place the
patient in what position?
, - CORRECT ANSWER-left lateral decubitus position
11. A patient presents with ear pain. She is an avid swimmer.
The history includes pain and drainage from the left ear. On
examination, she has pain when the ear is manipulated,
including manipulation of the tragus. The canal is narrowed
and erythematous, with some white debris in the canal. The
rest of the examination is normal. What diagnosis would you
assign this patient?
- CORRECT ANSWER-Otitis externa
12. When assessing for nystagmus the nurse practitioner
instructs the patient to:
- CORRECT ANSWER-fix their gaze on an object located in
the distance
13. A 58-year-old teacher presents to your clinic with a
complaint of breathlessness with activity. The patient has no
chronic conditions and does not take any medications, herbs,
or supplements. Which of the following symptoms is
appropriate to ask about in the cardiovascular review of
systems?
- CORRECT ANSWER Orthopnea
14. Which is true of examination of the olfactory nerve?
- CORRECT ANSWER-Diminished responses may be seen in
otherwise normal elderly.
15. During the physical examination, which is the best
position to place the patient when auscultating for S1, S2, and
murmurs?
- CORRECT ANSWER-Lying Supine
