NR 511 WEEK 6 CLINICAL CASE STUDY
ACADEMIC PREP SCRIPT 2026 TESTED
KNOWLEDGE VERIFIED ANSWERS
◉ 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
◉ 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?
A -Bilateral conjunctivitis
B -Hyperthyroidism
C -hypothyroidism
D -Myexedma. Answer: B -Hyperthyroidism
,◉ 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
◉ 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
◉ 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
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options. Answer: D -All of these are
appropriate options
◉ 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
◉ 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
◉ 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
◉ 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
◉ 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
ACADEMIC PREP SCRIPT 2026 TESTED
KNOWLEDGE VERIFIED ANSWERS
◉ 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
◉ 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?
A -Bilateral conjunctivitis
B -Hyperthyroidism
C -hypothyroidism
D -Myexedma. Answer: B -Hyperthyroidism
,◉ 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
◉ 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
◉ 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
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options. Answer: D -All of these are
appropriate options
◉ 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
◉ 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
◉ 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
◉ 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
◉ 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
