Nr511 practice exam differential diagnosis and primary
care questions and answers latest 2025 professor
verified
1. Mr. Johnson, age 69, has had Meniere disease for several years. He has
some hearing loss but now has persistent vertigo. What treatment might be
instituted to relieve the vertigo?
1.A labyrinthectomy.
2.Pharmacological therapy.
3.A vestibular neurectomy.
4.Wearing an earplug in the ear that has the most hearing loss.: 3.
A vestibular neurectomy.
,2. Treatment for achalasia may include:
1. Balloon dilation of the lower esophageal sphincter.
2. Beta blockers.
3. A fundoplication.
4. An esophagogastrectomy.: 1. Balloon dilation of the LES
3. Which oral medication might be used to treat a client with chronic
cholelithiasis who is a poor candidate for surgery?
1.Ursodiol (Actigall).
2.Ibuprofen (Advil).
3.Prednisone (Deltasone).
4.Surgery is the only answer.: 1. Ursodiol (Actigall)
4. All of the following medications are used for the control of nausea and
vomiting. Which medication works by affecting the chemoreceptor
trigger zone, thereby stimulating upper gastrointestinal motility and
increasing lower esophageal sphincter pressure?
1.Anticholinergics, such as scopolamine (Donnatal).
2.Antidopaminergic agents, such as prochlorperazine (Compazine).
3.Antidopaminergic and cholinergic agents, such as metoclopramide
(Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol).: 3.Antidopaminergic
and cholinergic agents, such as metoclopramide (Reglan).
5. You auscultate Julie's abdomen and hear a peritoneal friction rub. Which
condition do you rule out?
1.Peritonitis.
2.A liver or spleen abscess.
,3.A liver or spleen metastatic tumor.
4.Irritable bowel syndrome.: 4. IBS
6. Which is the most common presenting symptom of gastric cancer?
1.Weight loss.
2.Dysphagia.
3.Hematemesis.
4.Gastrointestinal bleeding.: 1. Weight loss
7. The metabolism of which drug is not affected in Marsha, age 74?
1.Alcohol.
2.Anticonvulsants.
3.Psychotropics.
4.Oral anticoagulants.: 1. Alcohol
8. Nausea is difficult to discern in a young child. What question might you
ask to determine if a child has nausea?
1."Are you sick to your tummy?"
2."Are you hungry?"
3."Are you eating the way you normally eat?"
4."Are you nauseous?": 2.
"Are you hungry?"
9. Zena just had a hemorrhoidectomy. You know she has not understood
your teaching when she tells you she will:
1.Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery.
, 2.Drink at least 2000 mL of fluids per day.
3.Decrease her dietary fiber for 1 month.
4.Take stool softeners as prescribed.: 3.Decrease her dietary fiber for 1 month.
10. Stacy, a nursing student, is to begin her series of hepatitis B
vaccinations. You test her for a serological marker, and the results show
hepatitis B surface antibodies (HBsAb). You tell Stacy that she:
1.Needs to begin the hepatitis B series as soon as possible.
2.Needs to be tested again because one reading is not indicative of
immunity.
3.Is permanently immune to hepatitis B.
4.Has an acute hepatitis B infection.: 3. Is permanently immune to hepatitis B.
11. Margie, age 52, has an extremely stressful job and was just given a
diagnosis of gastric ulcer. She tells you she is sure it is going to be
malignant. How do you respond?
1."Don't worry. Gastric ulcers are not cancerous."
2."About 95% of gastric ulcers are benign."
3."You have about a 50% chance of having gastric cancer from your ulcer."
4."Even if it is cancer, surgery is 100% successful.": 2."About 95% of gastric
ulcers are benign."
12. You are counseling Lillian, who is lactose intolerant, about foods to
avoid.
You know she misunderstands the teaching when she tells you she can
have:
1.Yogurt.
2.Foods containing whey.
care questions and answers latest 2025 professor
verified
1. Mr. Johnson, age 69, has had Meniere disease for several years. He has
some hearing loss but now has persistent vertigo. What treatment might be
instituted to relieve the vertigo?
1.A labyrinthectomy.
2.Pharmacological therapy.
3.A vestibular neurectomy.
4.Wearing an earplug in the ear that has the most hearing loss.: 3.
A vestibular neurectomy.
,2. Treatment for achalasia may include:
1. Balloon dilation of the lower esophageal sphincter.
2. Beta blockers.
3. A fundoplication.
4. An esophagogastrectomy.: 1. Balloon dilation of the LES
3. Which oral medication might be used to treat a client with chronic
cholelithiasis who is a poor candidate for surgery?
1.Ursodiol (Actigall).
2.Ibuprofen (Advil).
3.Prednisone (Deltasone).
4.Surgery is the only answer.: 1. Ursodiol (Actigall)
4. All of the following medications are used for the control of nausea and
vomiting. Which medication works by affecting the chemoreceptor
trigger zone, thereby stimulating upper gastrointestinal motility and
increasing lower esophageal sphincter pressure?
1.Anticholinergics, such as scopolamine (Donnatal).
2.Antidopaminergic agents, such as prochlorperazine (Compazine).
3.Antidopaminergic and cholinergic agents, such as metoclopramide
(Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol).: 3.Antidopaminergic
and cholinergic agents, such as metoclopramide (Reglan).
5. You auscultate Julie's abdomen and hear a peritoneal friction rub. Which
condition do you rule out?
1.Peritonitis.
2.A liver or spleen abscess.
,3.A liver or spleen metastatic tumor.
4.Irritable bowel syndrome.: 4. IBS
6. Which is the most common presenting symptom of gastric cancer?
1.Weight loss.
2.Dysphagia.
3.Hematemesis.
4.Gastrointestinal bleeding.: 1. Weight loss
7. The metabolism of which drug is not affected in Marsha, age 74?
1.Alcohol.
2.Anticonvulsants.
3.Psychotropics.
4.Oral anticoagulants.: 1. Alcohol
8. Nausea is difficult to discern in a young child. What question might you
ask to determine if a child has nausea?
1."Are you sick to your tummy?"
2."Are you hungry?"
3."Are you eating the way you normally eat?"
4."Are you nauseous?": 2.
"Are you hungry?"
9. Zena just had a hemorrhoidectomy. You know she has not understood
your teaching when she tells you she will:
1.Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery.
, 2.Drink at least 2000 mL of fluids per day.
3.Decrease her dietary fiber for 1 month.
4.Take stool softeners as prescribed.: 3.Decrease her dietary fiber for 1 month.
10. Stacy, a nursing student, is to begin her series of hepatitis B
vaccinations. You test her for a serological marker, and the results show
hepatitis B surface antibodies (HBsAb). You tell Stacy that she:
1.Needs to begin the hepatitis B series as soon as possible.
2.Needs to be tested again because one reading is not indicative of
immunity.
3.Is permanently immune to hepatitis B.
4.Has an acute hepatitis B infection.: 3. Is permanently immune to hepatitis B.
11. Margie, age 52, has an extremely stressful job and was just given a
diagnosis of gastric ulcer. She tells you she is sure it is going to be
malignant. How do you respond?
1."Don't worry. Gastric ulcers are not cancerous."
2."About 95% of gastric ulcers are benign."
3."You have about a 50% chance of having gastric cancer from your ulcer."
4."Even if it is cancer, surgery is 100% successful.": 2."About 95% of gastric
ulcers are benign."
12. You are counseling Lillian, who is lactose intolerant, about foods to
avoid.
You know she misunderstands the teaching when she tells you she can
have:
1.Yogurt.
2.Foods containing whey.
