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NR 511 FINAL TEST 1 & 2 |
REAL EXAM QUESTIONS AND
ANSWERS |2025/2026 ALREADY
GRADED A+.
Q. Your 22 year old male patient states during his review of systems thathis scrotum is very enlarged and feels
like it is full a powerlifter and works as a trash collector. You suspect the patient likely has which of the
following diagnoses?
A -Varicocele
B -Meningocele
C -Rectocele
D -Hydrocele Answer ✓✓A -Varicocele
Q. The point of maximum impulse (PMI) is MOST often palpable in healthy adults when positioned in the
supine or left lateral decubitus position. Which one of the following locations is most commonly described as
the PMI in a healthy adult?
A -Left 2nd intercostal space, midaxillary line
B -Left 5th intercostal space, midclavicular line
C -Right 4th intercostal space, midaxillary line
D -Right 2nd intercostal space, midclavicular line Answer ✓✓B -Left 5th intercostal space,
midclavicular line
Q. A40 year old, female, African American patient presents for history and physical. Upon your initial
assessment, you notice she has severe exophthalmos as pictured below. Which one of the following diagnoses
below would be the highest on your differential diagnose of this physical examination finding?
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A -Bilateral conjunctivitis
B -Hyperthyroidism
C -hypothyroidism
D -Myexedma Answer ✓✓B -Hyperthyroidism
Q. Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has underwent a
pulmonary function test (PFT) with spirometry. As the patient's primary healthcare provider, you have been
asked to explain the findings of the PFT to the patient in afollow-up visit at which time the patient asks what the
study was evaluating. To describe the PFT to the patient in more useful terms, you state that the large inspiration
of air to the furthest extent they could reasonably accomplish followed by a full exhalation is referred to as
which of the following measurements during the PFT?
A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
C -Inspiratory Reserve
D -Forced Vital Capacity Answer ✓✓D -Forced vital capacity
Q. Your patient has a diagnosis of Addison's disease. Which of the following might you expect to find during
examination?
A -Abdominal striae
B -Dowager hump
C -Low body temperature
D -Moon face Answer ✓✓B -Dowager hump
Q. The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should include which of the
following while evaluating for end organ dysfunction of the disease?
A -Renal function panel
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B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options Answer ✓✓D -All of these are appropriate options
Q. During your visit with a 19 year old patient for a college health physical, your health history includes a
diagnosis of angioedema. What of the following parts of the body are were likely involved?
A -Isolated to the colon
B -Anywhere in the enteral tract
C -Chest
D -Face and Lips Answer ✓✓D -Face and Lips
Q. Which of the following dermatologic lesions is precancerous and likely due to prolonged exposure to UV-B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis Answer ✓✓A -Actinic Keratosis
Q. Based on your evaluation of ABCDE for melanoma, which of the following represents a suspicous finding?
A -Irregular borders
B -Symmetrical nature
C -Brown color
D -Diameter of 0.4 cm Answer ✓✓A -Irregular borders
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Q. Your patient is complaining of hypersomnia, lack of motivation, weight gain, and anhedonia. Suspecting a
diagnosis of clinical depression, you anticipate the patient will benefit from treating their underlying deficit of
which of the following neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate Answer ✓✓B -Serotonin
Q. As a prudent nurse practitioner, the diabetic, hypertensive patient you are seeing should be evaluated for
early evidence of renal damage from both diabetes and hypertension. Which of the following assessment tools
should the nurse practitioner order first for the evaluation of early renal dysfunction secondary to diabetes or
hypertension?
A -BUN/creatinine ratio
B -Urinalysis with micro/macro albumin
C -Renal biopsy
D -Urine sodium Answer ✓✓B -Urinalysis with micro/macro albumin
Q. While evaluating a patient in your clinic for a routine health visit, you auscultate crackles in the poster left
lower lobe, have the patient cough, with follow-up auscultation revealing clear breath sounds. Which one of the
following would you suspect?
A -Congestive heart failure
B -Atelectasis
C -Laryngospasm
D -Bronchiactasis. Answer ✓✓B -Atelectasis
Q. Your 39 year old patient who has recently been hospitalized for an appendectomy and is being seen in your
clinic for post-operative follow-up with primary care. On assessment, the patient complains of some incisional
NR 511 FINAL TEST 1 & 2 |
REAL EXAM QUESTIONS AND
ANSWERS |2025/2026 ALREADY
GRADED A+.
Q. Your 22 year old male patient states during his review of systems thathis scrotum is very enlarged and feels
like it is full a powerlifter and works as a trash collector. You suspect the patient likely has which of the
following diagnoses?
A -Varicocele
B -Meningocele
C -Rectocele
D -Hydrocele Answer ✓✓A -Varicocele
Q. The point of maximum impulse (PMI) is MOST often palpable in healthy adults when positioned in the
supine or left lateral decubitus position. Which one of the following locations is most commonly described as
the PMI in a healthy adult?
A -Left 2nd intercostal space, midaxillary line
B -Left 5th intercostal space, midclavicular line
C -Right 4th intercostal space, midaxillary line
D -Right 2nd intercostal space, midclavicular line Answer ✓✓B -Left 5th intercostal space,
midclavicular line
Q. A40 year old, female, African American patient presents for history and physical. Upon your initial
assessment, you notice she has severe exophthalmos as pictured below. Which one of the following diagnoses
below would be the highest on your differential diagnose of this physical examination finding?
, Page |2
A -Bilateral conjunctivitis
B -Hyperthyroidism
C -hypothyroidism
D -Myexedma Answer ✓✓B -Hyperthyroidism
Q. Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has underwent a
pulmonary function test (PFT) with spirometry. As the patient's primary healthcare provider, you have been
asked to explain the findings of the PFT to the patient in afollow-up visit at which time the patient asks what the
study was evaluating. To describe the PFT to the patient in more useful terms, you state that the large inspiration
of air to the furthest extent they could reasonably accomplish followed by a full exhalation is referred to as
which of the following measurements during the PFT?
A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
C -Inspiratory Reserve
D -Forced Vital Capacity Answer ✓✓D -Forced vital capacity
Q. Your patient has a diagnosis of Addison's disease. Which of the following might you expect to find during
examination?
A -Abdominal striae
B -Dowager hump
C -Low body temperature
D -Moon face Answer ✓✓B -Dowager hump
Q. The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should include which of the
following while evaluating for end organ dysfunction of the disease?
A -Renal function panel
, Page |3
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options Answer ✓✓D -All of these are appropriate options
Q. During your visit with a 19 year old patient for a college health physical, your health history includes a
diagnosis of angioedema. What of the following parts of the body are were likely involved?
A -Isolated to the colon
B -Anywhere in the enteral tract
C -Chest
D -Face and Lips Answer ✓✓D -Face and Lips
Q. Which of the following dermatologic lesions is precancerous and likely due to prolonged exposure to UV-B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis Answer ✓✓A -Actinic Keratosis
Q. Based on your evaluation of ABCDE for melanoma, which of the following represents a suspicous finding?
A -Irregular borders
B -Symmetrical nature
C -Brown color
D -Diameter of 0.4 cm Answer ✓✓A -Irregular borders
, Page |4
Q. Your patient is complaining of hypersomnia, lack of motivation, weight gain, and anhedonia. Suspecting a
diagnosis of clinical depression, you anticipate the patient will benefit from treating their underlying deficit of
which of the following neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate Answer ✓✓B -Serotonin
Q. As a prudent nurse practitioner, the diabetic, hypertensive patient you are seeing should be evaluated for
early evidence of renal damage from both diabetes and hypertension. Which of the following assessment tools
should the nurse practitioner order first for the evaluation of early renal dysfunction secondary to diabetes or
hypertension?
A -BUN/creatinine ratio
B -Urinalysis with micro/macro albumin
C -Renal biopsy
D -Urine sodium Answer ✓✓B -Urinalysis with micro/macro albumin
Q. While evaluating a patient in your clinic for a routine health visit, you auscultate crackles in the poster left
lower lobe, have the patient cough, with follow-up auscultation revealing clear breath sounds. Which one of the
following would you suspect?
A -Congestive heart failure
B -Atelectasis
C -Laryngospasm
D -Bronchiactasis. Answer ✓✓B -Atelectasis
Q. Your 39 year old patient who has recently been hospitalized for an appendectomy and is being seen in your
clinic for post-operative follow-up with primary care. On assessment, the patient complains of some incisional
