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NR511 Final Exam Study Guide 2025/2026 | Differential Diagnosis & Primary Care Q&A

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Ace your NR511 final exam. This comprehensive guide for 2025/2026 includes verified Q&A on differential diagnosis, GI disorders, ENT, and primary care clinical scenarios.

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NR 511/ NR511 FINAL EXAM: (NEW 2025/
2026 UPDATE) DIFFERENTIAL DIAGNOSIS AND
PRIMARY CARE PRACTICUM REVIEW| QUESTIONS &
ANSWERS| GRADE A| 100% CORRECT (VERIFIED
SOLUTIONS)- CHAMBERLAIN




Susan, age 59, has no specific complaints when she comes in for her annual

examination. She does, however, have type 2 diabetes mellitus (DM), slight

hypertension, dyslipidemia, and central obesity. How would you diagnose her?

1.As a healthy adult with several problems.

2.As having a glycemic event.

3.As having metabolic syndrome.

4.As having multiple organ dysfunction - ANS ✓3.

As having metabolic syndrome.



Tom has just been diagnosed with celiac disease. Which of the following might you tell

him?

1.There is a new pharmaceutical cure for celiac disease.

2.A strict gluten-free diet is the only treatment for celiac disease.

3.Your children will not be at a higher risk for developing this disease.

4.The presence of celiac disease is decreasing dramatically in the United States. - ANS

✓2.A strict gluten-free diet is the only treatment for celiac disease.




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Simon, age 72, states that he is worried because he has a bowel movement only every

third day. You respond:1.

"You should have two to three stools per day."

2."You should defecate once a day."

3."You should have at least three stools per week."

4."There is no such thing as a 'normal' pattern of defecation." - ANS ✓4.

"There is no such thing as a 'normal' pattern of defecation."



Matt, age 26, recently returned from a camping trip and has gastroenteritis. He says

that he has been eating only canned food. Which of the following pathogens do you

suspect?

1.Campylobacter jejuni.

2.Clostridium botulinum.

3.Clostridium perfringens.

4.Staphylococcus. - ANS ✓2.

Clostridium botulinum.



Timothy, age 68, complains of an abrupt change in his defecation pattern. You evaluate

him for:

1.Constipation.

2.Colorectal cancer.

3.Irritable bowel syndrome.

4.Acute appendicitis. - ANS ✓2.

Colorectal cancer.




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Ruby has a colostomy and complains that her stools are too loose. What food(s) do you

suggest to help thicken the stools?

1.Cheese.

2.Leafy green vegetables.

3.Raw fruits and vegetables.

4.Dried beans. - ANS ✓1. Cheese



Martina, age 34, has AIDS and currently suffers from diarrhea. You suspect she has

which protozoal infection of the bowel?

1.Giardiasis.

2.Amebiasis.

3.Cryptosporidiosis.

4.Escherichia coli. - ANS ✓3.

Cryptosporidiosis.



Anson tells you he thinks his antacids are causing his diarrhea. You respond:

1."Antacids contain fructose, which may not be totally absorbed, resulting in fluid being

drawn into the bowel."

2."Antacids contain sorbitol or mannitol, which are sugars that aren't absorbed and

can cause fluid to be drawn into the bowel."

3."Antacids contain caffeine, which decreases bowel transit time."

4."Antacids may contain magnesium, which decreases bowel transit time and may

contain poorly absorbed salts that draw fluid into the bowel." - ANS ✓4."Antacids may

contain magnesium, which decreases bowel transit time and may contain poorly absorbed

salts that draw fluid into the bowel."


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Tina has a chronic hepatitis C infection. She asks you how to prevent its transmission.

You respond:

1."Do not donate blood until one year after diagnosis."

2."Abstain from sex altogether."

3."There is no possibility of transmission through razors or toothbrushes."

4."Abstain from sex during your period." - ANS ✓4.

"Abstain from sex during your period."



Marcie just returned from Central America with traveler's diarrhea. Which is the best

treatment?

1.Metronidazole (Flagyl).

2.Supportive care.

3.Quinolone antibiotics.

4.Gastric lavage. - ANS ✓2.

Supportive care.



Your client's 2-month-old daughter is admitted with gastroenteritis and dehydration

after 2 days of vomiting and diarrhea. When the father asks you what is causing the

child's diarrhea, how do you respond?

1."She must be lactose intolerant from the formula, and this is altering the fluid

balance."

2."Her body's telling you that it's time to introduce some solids into her system."

3."The virus is causing irritation of the gastrointestinal lining, which causes diarrhea."




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