NR 511 FINAL EXAMINATION TEST 2026 FULL
SOLVED QUESTIONS AND SOLUTIONS
◉ The presence of hairy leukoplakia in a person with no other
symptoms of immune suppression is strongly suggestive of which
type of infection?
a. HSV Type 2
b HIV
c Pneumonia
d. Syphilis. Answer: b HIV
◉ Mrs. Gary is a 55 year old woman who presents with tightness,
pain and limited movement in her right shoulder. She denies any
history of trauma. Her exam reveals a 75% reduction in both active
and passive range of motion of the right shoulder. Mrs. Gray is also
experiencing tenderness with motion and pain at the deltoid
insertion. HEr medical history is significant for type 1 DMm and
HTN. HEr social history reveals that she is a secretary ant that she is
right handed. Based on her exam and medical history, you suspect
adhesive capulitis or "frozen shoulder" Which clue in Mrs. Grays
history supports the diagnosis?
a. history of hypertension
,b. her affected shoulder is also her dominant hand
c. her history of diabetes. Answer: c. her history of diabetes
◉ A 63 year old man is seen in the clinic with a chief complaint of
nocturia. Which of the following should be included in the
differential diagnosis?
a. Psychogenic nocturia
b. Urethral polyp
c. Irritative posterior urethral lesion
d. Benign prostatic hypertrophy. Answer: d. Benign prostatic
hypertrophy
◉ Joyce is seen in the clinic complaining of vague symptoms of
feeling nervous and irritable, and that her hair will not hold a curl
anymore. On physical exam, the clinician finds an irregular heartbeat
and brisk reflexes. The differential diagnosis could be which of the
following?
• Myxedema
• Cushing's Syndrome
• Pan-hypopituitism
• Thyrotoxicosis. Answer: • Thyrotoxicosis
, ◉ As diabetic retinopathy progresses, the presence of "cotton wool"
spots can be detected. Cotton wool spots refer to:
a) Venous beading.
b) Retinal hemorrhage.
c) Nerve fiber layer infarctions.
d) Blood vessel proliferation. Answer: c) Nerve fiber layer
infarctions.
◉ Which of the following instructions should be given to a patient
with nephrolithasis?
a. take ibuprofen 600mg every 8 hours
b. take tums for upset stomach
c. drink more black tea
d. increase intake of vegetables like spinach. Answer: a. take
ibuprofen 600mg every 8 hours
◉ Joyce is taking a long-acting beta agonist for her moderate
persistent asthma. What additional medication should she be
taking?
a. Inhaled corticosteroid (Flovent)
b. Leukotriene receptor antagonist
c. Systemic corticosteroid (Prednisone)
SOLVED QUESTIONS AND SOLUTIONS
◉ The presence of hairy leukoplakia in a person with no other
symptoms of immune suppression is strongly suggestive of which
type of infection?
a. HSV Type 2
b HIV
c Pneumonia
d. Syphilis. Answer: b HIV
◉ Mrs. Gary is a 55 year old woman who presents with tightness,
pain and limited movement in her right shoulder. She denies any
history of trauma. Her exam reveals a 75% reduction in both active
and passive range of motion of the right shoulder. Mrs. Gray is also
experiencing tenderness with motion and pain at the deltoid
insertion. HEr medical history is significant for type 1 DMm and
HTN. HEr social history reveals that she is a secretary ant that she is
right handed. Based on her exam and medical history, you suspect
adhesive capulitis or "frozen shoulder" Which clue in Mrs. Grays
history supports the diagnosis?
a. history of hypertension
,b. her affected shoulder is also her dominant hand
c. her history of diabetes. Answer: c. her history of diabetes
◉ A 63 year old man is seen in the clinic with a chief complaint of
nocturia. Which of the following should be included in the
differential diagnosis?
a. Psychogenic nocturia
b. Urethral polyp
c. Irritative posterior urethral lesion
d. Benign prostatic hypertrophy. Answer: d. Benign prostatic
hypertrophy
◉ Joyce is seen in the clinic complaining of vague symptoms of
feeling nervous and irritable, and that her hair will not hold a curl
anymore. On physical exam, the clinician finds an irregular heartbeat
and brisk reflexes. The differential diagnosis could be which of the
following?
• Myxedema
• Cushing's Syndrome
• Pan-hypopituitism
• Thyrotoxicosis. Answer: • Thyrotoxicosis
, ◉ As diabetic retinopathy progresses, the presence of "cotton wool"
spots can be detected. Cotton wool spots refer to:
a) Venous beading.
b) Retinal hemorrhage.
c) Nerve fiber layer infarctions.
d) Blood vessel proliferation. Answer: c) Nerve fiber layer
infarctions.
◉ Which of the following instructions should be given to a patient
with nephrolithasis?
a. take ibuprofen 600mg every 8 hours
b. take tums for upset stomach
c. drink more black tea
d. increase intake of vegetables like spinach. Answer: a. take
ibuprofen 600mg every 8 hours
◉ Joyce is taking a long-acting beta agonist for her moderate
persistent asthma. What additional medication should she be
taking?
a. Inhaled corticosteroid (Flovent)
b. Leukotriene receptor antagonist
c. Systemic corticosteroid (Prednisone)
