NR643 FINAL ACTUAL EXAM LATEST
UPDATE 2026/2027 Update Complete Review ||
FINAL NR643 EXAM AND
VERIFIED ANSWERS
All the following are correct statements regarding the S3 component of
the heart sound except.
A) It occurs early in diastole and is sometimes called an opening snap
B) It is a normal finding in some children, healthy young adults, and
athletes
C) It can be a normal variant if heard in a person age 40 or older
D) It signifies CHF (congestive heart failure) - ANSWER- C) It can be a
normal variant if heard in a person age 40 or older
A positive straight leg raising test is indicative of which of the
following?
,A) Myasthenia gravis
B) Inflammation of the sciatic nerve/herniated disc
C) Multiple sclerosis
D) Parkinson's disease - ANSWER- B) Inflammation of the sciatic
nerve/herniated disc
Which of the following would you recommend on an annual basis for an
elderly type 2 diabetic?
A) Eye exam with an ophthalmologist
B) Follow-ups visit with a urologist
C) Periodic visits to an optometrist
D) Colonoscopy - ANSWER- A) Eye exam with an ophthalmologist
72-year-old female complains to you of a crusty and nonhealing small
ulcer on her upper lip that
she has had for several years. Which of the following would you
recommend?
A) Triamcinolone acetonide (Kenalog) cream BID for 2 weeks
B) Triple antibiotic ointment BID x 2 weeks
C) Hydrocortisone 1% cream BID for 2 weeks
D) The patient needs to be evaluated by a dermatologist - ANSWER- D)
The patient needs to be evaluated by a dermatologist
All the following statements about phototherapy are correct except.
A) Light from the blue to white spectrum is used
,B) It is not always necessary to use a shield for the infant's eyes
C) Unconjugated bilirubin in the skin is converted to a water-soluble
nontoxic substance that is excreted in the bile
D) The infant's eyes should be shielded - ANSWER- B) It is not always
necessary to use a shield for the infant's eyes
Heberden's nodes are commonly found in which of the following
diseases?
A) Rheumatoid arthritis
B) Degenerative joint disease
C) Psoriatic arthritis
D) Septic arthritis - ANSWER- B) Degenerative joint disease
The red blood cells in pernicious anemia will show:
A) Microcytic and hypochromic cells
B) Microcytic and normochromic cells
C) Macrocytic and normochromic cells
D) Macrocytic and hypochromic cells - ANSWER- C) Macrocytic and
normochromic cells
You notice a medium pitched harsh systolic murmur during an episodic
exam. It is best heard at the right upper border of the sternum. What is
most likely?
A) Mitral stenosis
B) Aortic stenosis
, C) Pulmonic stenosis
D) Tricuspid regurgitation - ANSWER- B) Aortic stenosis
A small abscess on a hair follicle on the eyelid is called:
A) Hordeolum
B) Pterygium
C) Pinguecula
D) Ptosis - ANSWER- A) Hordeolum
*** Hordeolum - sty
Pterygium - eye web (triangular growth) Pinguecula - white or yellow
colored raised growth on conjunctiva
Which of the following is indicated for the prophylactic treatment of
migraine headache?
A) Ibuprofen (Motrin)
B) Naproxen sodium (Anaprox)
C) Propranolol (Inderal)
D) Sumatriptan (Imitrex) - ANSWER- C) Propranolol (Inderal)
A 40-year-old male complains to the nurse practitioner of severe
stabbing pains behind his left eye for the past 2 days. It is accompanied
by some nasal congestion and rhinorrhea, which is clear in color. The
patient denies pharyngitis and fever. Which of the following conditions
is most likely?
A) Migraine headache with aura
UPDATE 2026/2027 Update Complete Review ||
FINAL NR643 EXAM AND
VERIFIED ANSWERS
All the following are correct statements regarding the S3 component of
the heart sound except.
A) It occurs early in diastole and is sometimes called an opening snap
B) It is a normal finding in some children, healthy young adults, and
athletes
C) It can be a normal variant if heard in a person age 40 or older
D) It signifies CHF (congestive heart failure) - ANSWER- C) It can be a
normal variant if heard in a person age 40 or older
A positive straight leg raising test is indicative of which of the
following?
,A) Myasthenia gravis
B) Inflammation of the sciatic nerve/herniated disc
C) Multiple sclerosis
D) Parkinson's disease - ANSWER- B) Inflammation of the sciatic
nerve/herniated disc
Which of the following would you recommend on an annual basis for an
elderly type 2 diabetic?
A) Eye exam with an ophthalmologist
B) Follow-ups visit with a urologist
C) Periodic visits to an optometrist
D) Colonoscopy - ANSWER- A) Eye exam with an ophthalmologist
72-year-old female complains to you of a crusty and nonhealing small
ulcer on her upper lip that
she has had for several years. Which of the following would you
recommend?
A) Triamcinolone acetonide (Kenalog) cream BID for 2 weeks
B) Triple antibiotic ointment BID x 2 weeks
C) Hydrocortisone 1% cream BID for 2 weeks
D) The patient needs to be evaluated by a dermatologist - ANSWER- D)
The patient needs to be evaluated by a dermatologist
All the following statements about phototherapy are correct except.
A) Light from the blue to white spectrum is used
,B) It is not always necessary to use a shield for the infant's eyes
C) Unconjugated bilirubin in the skin is converted to a water-soluble
nontoxic substance that is excreted in the bile
D) The infant's eyes should be shielded - ANSWER- B) It is not always
necessary to use a shield for the infant's eyes
Heberden's nodes are commonly found in which of the following
diseases?
A) Rheumatoid arthritis
B) Degenerative joint disease
C) Psoriatic arthritis
D) Septic arthritis - ANSWER- B) Degenerative joint disease
The red blood cells in pernicious anemia will show:
A) Microcytic and hypochromic cells
B) Microcytic and normochromic cells
C) Macrocytic and normochromic cells
D) Macrocytic and hypochromic cells - ANSWER- C) Macrocytic and
normochromic cells
You notice a medium pitched harsh systolic murmur during an episodic
exam. It is best heard at the right upper border of the sternum. What is
most likely?
A) Mitral stenosis
B) Aortic stenosis
, C) Pulmonic stenosis
D) Tricuspid regurgitation - ANSWER- B) Aortic stenosis
A small abscess on a hair follicle on the eyelid is called:
A) Hordeolum
B) Pterygium
C) Pinguecula
D) Ptosis - ANSWER- A) Hordeolum
*** Hordeolum - sty
Pterygium - eye web (triangular growth) Pinguecula - white or yellow
colored raised growth on conjunctiva
Which of the following is indicated for the prophylactic treatment of
migraine headache?
A) Ibuprofen (Motrin)
B) Naproxen sodium (Anaprox)
C) Propranolol (Inderal)
D) Sumatriptan (Imitrex) - ANSWER- C) Propranolol (Inderal)
A 40-year-old male complains to the nurse practitioner of severe
stabbing pains behind his left eye for the past 2 days. It is accompanied
by some nasal congestion and rhinorrhea, which is clear in color. The
patient denies pharyngitis and fever. Which of the following conditions
is most likely?
A) Migraine headache with aura
