NR511 Final Exam 2025/2026 | 100% Verified
Questions & Answers | Advanced Practice
Nursing
Janet is a 30yr who has recently been diagnosed with a herniated disc at
the level of L5-S1. She is currently in the ER with suspicion of cauda equina
compression. Which of the following is a sign or symptom of cauda equina
compression?
Numbness in the lateral foot
Gastrocnemius weakness
A reduced or absent ankle reflex
Paresthesia of the perineum and buttocks
1. Which pathogen is primarily associated with heart valve damage due to
acute rheumatic fever?
Francisella tularensis
Group A streptococcus
Cytomegalovirus
Coxsackievirus
2. A patient presents with fatigue, weight loss with increased appetite,
tachycardia, and nervousness. This patient most likely has:
Hypothyroidism
Cushings
,Hyperthyroidism
Heart failure
,3. Describe the relationship between group A streptococcus and acute
rheumatic fever in terms of potential complications.
Heart valve damage is unrelated to any infections.
Group A streptococcus is harmless and does not cause any
complications.
Group A streptococcus can lead to acute rheumatic fever, which
may cause long-term heart valve damage as a complication.
Acute rheumatic fever is caused by a viral infection, not by group A
streptococcus.
4. Which of the following should be considered in a pt presenting w/erectile
dysfunction?
Diabetes mellitus
HTN
Atherosclerosis
All of the above
5. Sam is a 25-year-old who has been diagnosed with low back strain based
on his history of localized low back pain and muscle spasm along with a
normal neurological examination. As the clinician, you explain to Sam that
low back pain is a diagnosis of exclusion. Which of the following symptoms
would alert the clinician to the more serious finding of a herniated nucleus
pulposus or ruptured disc?
Morning stiffness and limited mobility of the lumbar spine
Fever, chills, and elevated erythrocyte sedimentation rate
Pathologic fractures, severe night pain, weight loss, and fatigue
, Unilateral radicular pain symptoms that extend below the knee
and are equal to or greater than the back pain.
6. Describe why unilateral radicular pain extending below the knee is
significant in the context of low back pain diagnoses.
Unilateral radicular pain is common in all low back pain cases and
does not indicate severity.
Unilateral radicular pain indicates a muscular issue rather than a disc
problem.
Unilateral radicular pain is only relevant if accompanied by fever and
chills.
Unilateral radicular pain extending below the knee suggests nerve
root involvement, which may indicate a herniated disc or other
serious condition.
7. Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and
limited movement in her right shoulder. She denies any history of trauma.
Her examination reveals a 75% reduction in both active and passive ROM of
the right shoulder. Mrs. Gray also is experiencing tenderness with motion
and pain at the deltoid insertion. Her medical history is significant for type 1
diabetes mellitus and hypertension. Her social history reveals that she is a
secretary and that she is right-handed. Based on her examination and
medical history, you suspect adhesive capsulitis, or "frozen shoulder." Which
clue in Mrs. Gray's history supports this diagnosis?
Her affected shoulder is also her dominant arm.
Her work as a secretary predisposes her to repetitive motions.
Her history of type 1 diabetes
History of hypertension
Questions & Answers | Advanced Practice
Nursing
Janet is a 30yr who has recently been diagnosed with a herniated disc at
the level of L5-S1. She is currently in the ER with suspicion of cauda equina
compression. Which of the following is a sign or symptom of cauda equina
compression?
Numbness in the lateral foot
Gastrocnemius weakness
A reduced or absent ankle reflex
Paresthesia of the perineum and buttocks
1. Which pathogen is primarily associated with heart valve damage due to
acute rheumatic fever?
Francisella tularensis
Group A streptococcus
Cytomegalovirus
Coxsackievirus
2. A patient presents with fatigue, weight loss with increased appetite,
tachycardia, and nervousness. This patient most likely has:
Hypothyroidism
Cushings
,Hyperthyroidism
Heart failure
,3. Describe the relationship between group A streptococcus and acute
rheumatic fever in terms of potential complications.
Heart valve damage is unrelated to any infections.
Group A streptococcus is harmless and does not cause any
complications.
Group A streptococcus can lead to acute rheumatic fever, which
may cause long-term heart valve damage as a complication.
Acute rheumatic fever is caused by a viral infection, not by group A
streptococcus.
4. Which of the following should be considered in a pt presenting w/erectile
dysfunction?
Diabetes mellitus
HTN
Atherosclerosis
All of the above
5. Sam is a 25-year-old who has been diagnosed with low back strain based
on his history of localized low back pain and muscle spasm along with a
normal neurological examination. As the clinician, you explain to Sam that
low back pain is a diagnosis of exclusion. Which of the following symptoms
would alert the clinician to the more serious finding of a herniated nucleus
pulposus or ruptured disc?
Morning stiffness and limited mobility of the lumbar spine
Fever, chills, and elevated erythrocyte sedimentation rate
Pathologic fractures, severe night pain, weight loss, and fatigue
, Unilateral radicular pain symptoms that extend below the knee
and are equal to or greater than the back pain.
6. Describe why unilateral radicular pain extending below the knee is
significant in the context of low back pain diagnoses.
Unilateral radicular pain is common in all low back pain cases and
does not indicate severity.
Unilateral radicular pain indicates a muscular issue rather than a disc
problem.
Unilateral radicular pain is only relevant if accompanied by fever and
chills.
Unilateral radicular pain extending below the knee suggests nerve
root involvement, which may indicate a herniated disc or other
serious condition.
7. Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and
limited movement in her right shoulder. She denies any history of trauma.
Her examination reveals a 75% reduction in both active and passive ROM of
the right shoulder. Mrs. Gray also is experiencing tenderness with motion
and pain at the deltoid insertion. Her medical history is significant for type 1
diabetes mellitus and hypertension. Her social history reveals that she is a
secretary and that she is right-handed. Based on her examination and
medical history, you suspect adhesive capsulitis, or "frozen shoulder." Which
clue in Mrs. Gray's history supports this diagnosis?
Her affected shoulder is also her dominant arm.
Her work as a secretary predisposes her to repetitive motions.
Her history of type 1 diabetes
History of hypertension
