NR 511 midterm Exam Questions with Verified Answers (Correct
Update)
Question 1: 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
Answer: a. cholinesterase inhibitors pg
Question 2: 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.
Answer: b. accidental.
Question 3: 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."
Answer: "We will order a mammogram and ultrasound to help establish a diagnosis."
Question 4: 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.
Answer: d. There is no specific test.
Question 5: Question 7: Which characteristic of delirium helps to distinguish delirium from
dementia?
a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions
Answer: Abrupt onset
Page 1
,Question 6: 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
Answer: Decrease in level of consciousness (LOC)
Question 7: 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.
Answer: There is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses.
Question 8: 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
Answer: morning stiffness
Question 9: 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
Answer: Mild obesity
Page 2
, Question 10: 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
Answer: Human papillomavirus (HPV)
Question 11: 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
Answer: Antipsychotic
Question 12: 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
Answer: treatment of choice for a patient diagnosed with testicular cancer? Radical orchidectomy
Question 13: 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
Answer: Chlamydia
Question 14: 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
Answer: Estradiol 7.5 mcg/24 hr vaginal ring
Page 3
Update)
Question 1: 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
Answer: a. cholinesterase inhibitors pg
Question 2: 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.
Answer: b. accidental.
Question 3: 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."
Answer: "We will order a mammogram and ultrasound to help establish a diagnosis."
Question 4: 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.
Answer: d. There is no specific test.
Question 5: Question 7: Which characteristic of delirium helps to distinguish delirium from
dementia?
a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions
Answer: Abrupt onset
Page 1
,Question 6: 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
Answer: Decrease in level of consciousness (LOC)
Question 7: 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.
Answer: There is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses.
Question 8: 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
Answer: morning stiffness
Question 9: 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
Answer: Mild obesity
Page 2
, Question 10: 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
Answer: Human papillomavirus (HPV)
Question 11: 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
Answer: Antipsychotic
Question 12: 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
Answer: treatment of choice for a patient diagnosed with testicular cancer? Radical orchidectomy
Question 13: 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
Answer: Chlamydia
Question 14: 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
Answer: Estradiol 7.5 mcg/24 hr vaginal ring
Page 3
