NR 511 MIDTERM EXAM 2026 ACTUAL EXAM
SCRIPT COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
◉ 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? Answer: HAV IgM
◉ Which statement about adenocarcinoma of the lung is accurate?
Answer: 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? Answer: It
is a simple treatment that should be tried first.
◉ Which patient is more likely to have a cluster headache? Answer:
A 45-year-old male awakened at night
◉ Tinea unguium is also known as: Answer: 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? Answer: 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? Answer:
His cholesterol level
◉ Which of the following is "a linear crack extending from the
epidermis to the dermis"? Answer: 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? Answer: History of international travel
◉ Which of the following is associated with celiac disease (celiac
sprue)? Answer: Malabsorption
◉ In which of the following situations would referral to a specialist
be needed for sinusitis? Answer: 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? Answer: Group A streptococcus
◉ A bulla is: Answer: A vesicle larger than 1 cm in diameter.
◉ An example of ecchymosis is: Answer: A bruise
◉ Severe pain associated with acute otitis media signifies
perforation of the tympanic membrane. Answer: 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? Answer: Hypertension
◉ Which of the following foods should be limited in a patient with
chronic renal failure (CRF)? Answer: A) Milk
B) Bananas
C) Soy sauce
SCRIPT COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
◉ 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? Answer: HAV IgM
◉ Which statement about adenocarcinoma of the lung is accurate?
Answer: 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? Answer: It
is a simple treatment that should be tried first.
◉ Which patient is more likely to have a cluster headache? Answer:
A 45-year-old male awakened at night
◉ Tinea unguium is also known as: Answer: 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? Answer: 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? Answer:
His cholesterol level
◉ Which of the following is "a linear crack extending from the
epidermis to the dermis"? Answer: 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? Answer: History of international travel
◉ Which of the following is associated with celiac disease (celiac
sprue)? Answer: Malabsorption
◉ In which of the following situations would referral to a specialist
be needed for sinusitis? Answer: 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? Answer: Group A streptococcus
◉ A bulla is: Answer: A vesicle larger than 1 cm in diameter.
◉ An example of ecchymosis is: Answer: A bruise
◉ Severe pain associated with acute otitis media signifies
perforation of the tympanic membrane. Answer: 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? Answer: Hypertension
◉ Which of the following foods should be limited in a patient with
chronic renal failure (CRF)? Answer: A) Milk
B) Bananas
C) Soy sauce
