NR 511 Midterm/Final Examination Package | 2025–2026
A patient is diagnosed with gastroesophageal reflux disease (GERD), and his endoscopic report
reveals the presence of Barrett's epithelium. Which of the following information should the
clinician include in the explanation of the pathology report? - SOLUTION=A) This is a
premalignant tissue.
B) This tissue is resistant to gastric acid.
C) This tissue supports healing of the esophagus.
D) All of the above
Answer D
Which drug commonly prescribed for burns is active against a wide spectrum of microbial
pathogens and is the most frequently used agent for partial- and full-thickness thermal injuries?
- SOLUTION=Silver sulfadiazine (Silvadene)
Which clinical feature is the first to be affected in increased intracranial pressure (ICP)? -
SOLUTION=Decrease in level of consciousness (LOC)
George, aged 59, complains of a flulike illness, including fever, chills, and myalgia after returning
from visiting his grandchildren in New England. He reports having discovered a rash or red spot
that grew in size on his right leg. What disease are you considering? - SOLUTION=Lyme disease
Infectious mononucleosis results from an acute infection with which of the following? -
SOLUTION=Epstein-Barr virus (EBV)
,Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal
pain? - SOLUTION=morning stiffness
On further questioning, the 21-year-old patient with the chief complaints of fatigue, headache,
anorexia, and a runny nose explains that she is sexually active only with her boyfriend, does not
use injectable drugs, and works as an aide in a day-care center. Which of the following tests
would be most helpful in confirming your diagnosis? - SOLUTION=HAV IgM
Which statement about adenocarcinoma of the lung is accurate? - SOLUTION=It is the most
prevalent carcinoma of the lung in both sexes and in nonsmokers, representing 35% to 40% of
all tumors.
Marci has a wart on her hand. She says she heard something about "silver duct tape therapy."
What do you tell her about his? - SOLUTION=It is a simple treatment that should be tried first.
Which patient is more likely to have a cluster headache? - SOLUTION=A 45-year-old male
awakened at night
Tinea unguium is also known as: - SOLUTION=Onychomycosis.
Which of the following medications used in the treatment of glaucoma works by constricting
the pupils to open the angle and allow aqueous fluid to escape? - SOLUTION=Pilocarpine
,George has cardiovascular disease (CVD), is 64 years old, has a total cholesterol of 280 mg/dL,
has a systolic blood pressure (BP) of 158, and is being treated for hypertension. You are doing a
Framingham Risk Assessment on him. Which assessment factor would give him the highest
number of points on the scale? - SOLUTION=His cholesterol level
Which of the following is "a linear crack extending from the epidermis to the dermis"? -
SOLUTION=A fissure
A patient is seen in the office with complaints of six to seven liquid bowel movements per day.
Which of the following assessment findings would lead the clinician to a diagnosis of
inflammatory bowel disease? - SOLUTION=History of international travel
Which of the following is associated with celiac disease (celiac sprue)? -
SOLUTION=Malabsorption
In which of the following situations would referral to a specialist be needed for sinusitis? -
SOLUTION=
A) Recurrent sinusitis
B) Allergic sinusitis
C) Sinusitis that is refractory to antibiotic therapy
D) All of the above
Answer D
, Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from
infection with which of the following pathogens? - SOLUTION=Group A streptococcus
A bulla is: - SOLUTION=A vesicle larger than 1 cm in diameter.
An example of ecchymosis is: - SOLUTION=A bruise
Severe pain associated with acute otitis media signifies perforation of the tympanic membrane.
- SOLUTION=False
A patient is seen in the office complaining of severe flank pain. The clinician should assess this
patient for which risk factors for kidney stones? - SOLUTION=Hypertension
Which of the following foods should be limited in a patient with chronic renal failure (CRF)? -
SOLUTION=A) Milk
B) Bananas
C) Soy sauce
D) All of the above
Answer D
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
A patient is diagnosed with gastroesophageal reflux disease (GERD), and his endoscopic report
reveals the presence of Barrett's epithelium. Which of the following information should the
clinician include in the explanation of the pathology report? - SOLUTION=A) This is a
premalignant tissue.
B) This tissue is resistant to gastric acid.
C) This tissue supports healing of the esophagus.
D) All of the above
Answer D
Which drug commonly prescribed for burns is active against a wide spectrum of microbial
pathogens and is the most frequently used agent for partial- and full-thickness thermal injuries?
- SOLUTION=Silver sulfadiazine (Silvadene)
Which clinical feature is the first to be affected in increased intracranial pressure (ICP)? -
SOLUTION=Decrease in level of consciousness (LOC)
George, aged 59, complains of a flulike illness, including fever, chills, and myalgia after returning
from visiting his grandchildren in New England. He reports having discovered a rash or red spot
that grew in size on his right leg. What disease are you considering? - SOLUTION=Lyme disease
Infectious mononucleosis results from an acute infection with which of the following? -
SOLUTION=Epstein-Barr virus (EBV)
,Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal
pain? - SOLUTION=morning stiffness
On further questioning, the 21-year-old patient with the chief complaints of fatigue, headache,
anorexia, and a runny nose explains that she is sexually active only with her boyfriend, does not
use injectable drugs, and works as an aide in a day-care center. Which of the following tests
would be most helpful in confirming your diagnosis? - SOLUTION=HAV IgM
Which statement about adenocarcinoma of the lung is accurate? - SOLUTION=It is the most
prevalent carcinoma of the lung in both sexes and in nonsmokers, representing 35% to 40% of
all tumors.
Marci has a wart on her hand. She says she heard something about "silver duct tape therapy."
What do you tell her about his? - SOLUTION=It is a simple treatment that should be tried first.
Which patient is more likely to have a cluster headache? - SOLUTION=A 45-year-old male
awakened at night
Tinea unguium is also known as: - SOLUTION=Onychomycosis.
Which of the following medications used in the treatment of glaucoma works by constricting
the pupils to open the angle and allow aqueous fluid to escape? - SOLUTION=Pilocarpine
,George has cardiovascular disease (CVD), is 64 years old, has a total cholesterol of 280 mg/dL,
has a systolic blood pressure (BP) of 158, and is being treated for hypertension. You are doing a
Framingham Risk Assessment on him. Which assessment factor would give him the highest
number of points on the scale? - SOLUTION=His cholesterol level
Which of the following is "a linear crack extending from the epidermis to the dermis"? -
SOLUTION=A fissure
A patient is seen in the office with complaints of six to seven liquid bowel movements per day.
Which of the following assessment findings would lead the clinician to a diagnosis of
inflammatory bowel disease? - SOLUTION=History of international travel
Which of the following is associated with celiac disease (celiac sprue)? -
SOLUTION=Malabsorption
In which of the following situations would referral to a specialist be needed for sinusitis? -
SOLUTION=
A) Recurrent sinusitis
B) Allergic sinusitis
C) Sinusitis that is refractory to antibiotic therapy
D) All of the above
Answer D
, Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from
infection with which of the following pathogens? - SOLUTION=Group A streptococcus
A bulla is: - SOLUTION=A vesicle larger than 1 cm in diameter.
An example of ecchymosis is: - SOLUTION=A bruise
Severe pain associated with acute otitis media signifies perforation of the tympanic membrane.
- SOLUTION=False
A patient is seen in the office complaining of severe flank pain. The clinician should assess this
patient for which risk factors for kidney stones? - SOLUTION=Hypertension
Which of the following foods should be limited in a patient with chronic renal failure (CRF)? -
SOLUTION=A) Milk
B) Bananas
C) Soy sauce
D) All of the above
Answer D
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
