NR 511 midterm Exam Questions with
Revised Answers () 100%
Guarantee Pass.
Question 2: Which drug for Alzheimer's disease should be administered beginning at the time of
diagnosis?
a. Cholinesterase inhibitors
b. Anxiolytics
c. Antidepressants
d. Atypical antipsychotics - CORRECT ANSWERS a. cholinesterase inhibitors pg
Question 3: Most adult poisonings are:
a. intentional and self-inflicted.
b. accidental.
c. caused by someone wishing to do harm to the person.
d. not attributed to any reason. - CORRECT ANSWERS b. accidental.
Question 4: A 58-year-old woman presents with a breast mass. Which of the following responses
by the clinician would be most appropriate?
a. "It is probably just a cyst, because that is the most common breast mass."
b. "We will order a mammogram and ultrasound to help establish a diagnosis."
c. "We will go ahead and schedule you for a biopsy because that is the only way to know for sure."
d. "Because your lump is painful, it is most likely not cancer." - CORRECT ANSWERS "We
will order a mammogram and ultrasound to help establish a diagnosis."
Question 5: Which of the following is a specific test for multiple sclerosis (MS)?
a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
c. A lumbar puncture
d. There is no specific test. - CORRECT ANSWERS d. There is no specific test.
Question 7: Which characteristic of delirium helps to distinguish delirium from dementia?
a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions - CORRECT ANSWERS Abrupt onset
Question 8: Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?
a. Decrease in level of consciousness (LOC)
b. Headache
,c. Nausea
d. Widening pulse pressure - CORRECT ANSWERS Decrease in level of consciousness
(LOC)
Question 9: Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a
soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break
her fall. She has been experiencing severe pain and limited range of motion in her left shoulder.
The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements
are true concerning shoulder dislocation?
a. Posterior dislocations are more common than anterior dislocations.
b. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal
pulses.
c. Recurrent dislocations are uncommon and would require a greater force to result in injury.
d. Surgery is most commonly the treatment of choice. - CORRECT ANSWERS There is a
risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses.
Question 10: Which of the following signs or symptoms indicate an inflammatory etiology to
musculoskeletal pain?
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain - CORRECT ANSWERS morning stiffness
Question 11: The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the
clinician classify this patient?
a. Overweight
b. Mild obesity
c. Moderate obesity
d. Morbid obesity - CORRECT ANSWERS Mild obesity
Question 13: A 23-year-old sexually active woman presents for her first Pap smear. Her history
includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the
following conditions should the clinician be particularly alert for during her exam?
a. Human papillomavirus (HPV)
b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome - CORRECT ANSWERS Human papillomavirus (HPV)
Question 14: Which of the following classes of drugs should be used as first-line therapy for
treatment of delirium?
a. Benzodiazepines
,b. Antipsychotics
c. Anticonvulsants
d. Antidepressants - CORRECT ANSWERS Antipsychotic
Question 15: What is the treatment of choice for a patient diagnosed with testicular cancer?
a. Radical orchidectomy
b. Lumpectomy
c. Radiation implants
d. All of the above - CORRECT ANSWERS treatment of choice for a patient diagnosed with
testicular cancer?
Radical orchidectomy
Question 16: A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a
mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis.
What sexually transmitted disease (STD) has she most probably been exposed to?
a. Gonorrhea
b. Human papillomavirus (HPV)
c. Chlamydia
d. Trichomonas - CORRECT ANSWERS Chlamydia
Question 17: A 58-year-old woman who had a total abdominal hysterectomy at the age of 45 is
diagnosed with atrophic vaginitis. Which of the following is the most appropriate treatment?
a. Conjugated estrogen 0.625 mg/day oral
b. Estradiol 7.5 mcg/24 hr vaginal ring
c. Medroxyprogesterone 10 mg/day oral
d. Conjugated estrogen 0.3 mg + medroxyprogesterone 1.5 mg/day oral - CORRECT ANSWERS
Estradiol 7.5 mcg/24 hr vaginal ring
Question 18: When looking under the microscope to diagnose an intravaginal infection, you see a
cluster of small and oval to round shapes. What do you suspect they are?
a. Spores
b. Leukocytes
c. Pseudohyphae
d. Epithelial cells - CORRECT ANSWERS spores
Patients with a spontaneous pneumothorax should be counseled that up to what percentage may
experience a reoccurrence at some point?
, a. 10%
b. 20%
c. 30%
d. 50% - CORRECT ANSWERS 30%
Question 20: John is a 16-year-old boy who presents to the emergency room after hurting his knee
in a football game. He described twisting his knee and then being unable to extend it completely.
John tells the clinician that he heard a pop when the injury occurred and has been experiencing
localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to
assess for the presence of a meniscal tear?
a. Valgus stress test
b. McMurray circumduction test
c. Lachman test
d. Varus stress test - CORRECT ANSWERS McMurray circumduction test
Question 21: During a digital rectal exam (DRE) on a 75-year-old man, the clinician suspects the
patient has prostate cancer. What physical finding should make the clinician suspicious?
a. An enlarged rubbery gland
b. A hard irregular gland
c. A tender gland
d. A boggy gland - CORRECT ANSWERS An enlarged rubbery gland
Question 22: Janet is a 30-year-old woman who has been recently diagnosed with a herniated disc
at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equina
compression. Which of the following is a sign or symptom of cauda equina compression?
a. Gastrocnemius weakness
b. A reduced or absent ankle reflex
c. Numbness in the lateral foot
d. Paresthesia of the perineum and buttocks - CORRECT ANSWERS Paresthesia of the
perineum and buttocks
Question 24: A patient is diagnosed with hypothyroidism. Which of the following
electrocardiogram (ECG) changes should the clinician expect as a manifestation of the disease?
a. Sinus bradycardia
b. Atrial fibrillation
c. Supraventricular tachycardia
d. U waves - CORRECT ANSWERS Sinus bradycardia
Revised Answers () 100%
Guarantee Pass.
Question 2: Which drug for Alzheimer's disease should be administered beginning at the time of
diagnosis?
a. Cholinesterase inhibitors
b. Anxiolytics
c. Antidepressants
d. Atypical antipsychotics - CORRECT ANSWERS a. cholinesterase inhibitors pg
Question 3: Most adult poisonings are:
a. intentional and self-inflicted.
b. accidental.
c. caused by someone wishing to do harm to the person.
d. not attributed to any reason. - CORRECT ANSWERS b. accidental.
Question 4: A 58-year-old woman presents with a breast mass. Which of the following responses
by the clinician would be most appropriate?
a. "It is probably just a cyst, because that is the most common breast mass."
b. "We will order a mammogram and ultrasound to help establish a diagnosis."
c. "We will go ahead and schedule you for a biopsy because that is the only way to know for sure."
d. "Because your lump is painful, it is most likely not cancer." - CORRECT ANSWERS "We
will order a mammogram and ultrasound to help establish a diagnosis."
Question 5: Which of the following is a specific test for multiple sclerosis (MS)?
a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
c. A lumbar puncture
d. There is no specific test. - CORRECT ANSWERS d. There is no specific test.
Question 7: Which characteristic of delirium helps to distinguish delirium from dementia?
a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions - CORRECT ANSWERS Abrupt onset
Question 8: Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?
a. Decrease in level of consciousness (LOC)
b. Headache
,c. Nausea
d. Widening pulse pressure - CORRECT ANSWERS Decrease in level of consciousness
(LOC)
Question 9: Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a
soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break
her fall. She has been experiencing severe pain and limited range of motion in her left shoulder.
The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements
are true concerning shoulder dislocation?
a. Posterior dislocations are more common than anterior dislocations.
b. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal
pulses.
c. Recurrent dislocations are uncommon and would require a greater force to result in injury.
d. Surgery is most commonly the treatment of choice. - CORRECT ANSWERS There is a
risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses.
Question 10: Which of the following signs or symptoms indicate an inflammatory etiology to
musculoskeletal pain?
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain - CORRECT ANSWERS morning stiffness
Question 11: The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the
clinician classify this patient?
a. Overweight
b. Mild obesity
c. Moderate obesity
d. Morbid obesity - CORRECT ANSWERS Mild obesity
Question 13: A 23-year-old sexually active woman presents for her first Pap smear. Her history
includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the
following conditions should the clinician be particularly alert for during her exam?
a. Human papillomavirus (HPV)
b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome - CORRECT ANSWERS Human papillomavirus (HPV)
Question 14: Which of the following classes of drugs should be used as first-line therapy for
treatment of delirium?
a. Benzodiazepines
,b. Antipsychotics
c. Anticonvulsants
d. Antidepressants - CORRECT ANSWERS Antipsychotic
Question 15: What is the treatment of choice for a patient diagnosed with testicular cancer?
a. Radical orchidectomy
b. Lumpectomy
c. Radiation implants
d. All of the above - CORRECT ANSWERS treatment of choice for a patient diagnosed with
testicular cancer?
Radical orchidectomy
Question 16: A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a
mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis.
What sexually transmitted disease (STD) has she most probably been exposed to?
a. Gonorrhea
b. Human papillomavirus (HPV)
c. Chlamydia
d. Trichomonas - CORRECT ANSWERS Chlamydia
Question 17: A 58-year-old woman who had a total abdominal hysterectomy at the age of 45 is
diagnosed with atrophic vaginitis. Which of the following is the most appropriate treatment?
a. Conjugated estrogen 0.625 mg/day oral
b. Estradiol 7.5 mcg/24 hr vaginal ring
c. Medroxyprogesterone 10 mg/day oral
d. Conjugated estrogen 0.3 mg + medroxyprogesterone 1.5 mg/day oral - CORRECT ANSWERS
Estradiol 7.5 mcg/24 hr vaginal ring
Question 18: When looking under the microscope to diagnose an intravaginal infection, you see a
cluster of small and oval to round shapes. What do you suspect they are?
a. Spores
b. Leukocytes
c. Pseudohyphae
d. Epithelial cells - CORRECT ANSWERS spores
Patients with a spontaneous pneumothorax should be counseled that up to what percentage may
experience a reoccurrence at some point?
, a. 10%
b. 20%
c. 30%
d. 50% - CORRECT ANSWERS 30%
Question 20: John is a 16-year-old boy who presents to the emergency room after hurting his knee
in a football game. He described twisting his knee and then being unable to extend it completely.
John tells the clinician that he heard a pop when the injury occurred and has been experiencing
localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to
assess for the presence of a meniscal tear?
a. Valgus stress test
b. McMurray circumduction test
c. Lachman test
d. Varus stress test - CORRECT ANSWERS McMurray circumduction test
Question 21: During a digital rectal exam (DRE) on a 75-year-old man, the clinician suspects the
patient has prostate cancer. What physical finding should make the clinician suspicious?
a. An enlarged rubbery gland
b. A hard irregular gland
c. A tender gland
d. A boggy gland - CORRECT ANSWERS An enlarged rubbery gland
Question 22: Janet is a 30-year-old woman who has been recently diagnosed with a herniated disc
at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equina
compression. Which of the following is a sign or symptom of cauda equina compression?
a. Gastrocnemius weakness
b. A reduced or absent ankle reflex
c. Numbness in the lateral foot
d. Paresthesia of the perineum and buttocks - CORRECT ANSWERS Paresthesia of the
perineum and buttocks
Question 24: A patient is diagnosed with hypothyroidism. Which of the following
electrocardiogram (ECG) changes should the clinician expect as a manifestation of the disease?
a. Sinus bradycardia
b. Atrial fibrillation
c. Supraventricular tachycardia
d. U waves - CORRECT ANSWERS Sinus bradycardia
