NR 511 MIDTERM EXAM QUESTIONS
AND ANSWERS GRADED A+ 2025/2026
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 - ANS a. cholinesterase inhibitors pg
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. - ANS b. accidental.
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."
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,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." - ANS "We will order a
mammogram and ultrasound to help establish a diagnosis."
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. - ANS d. There is no specific test.
Question 7: Which characteristic of delirium helps to distinguish delirium from dementia?
a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions - ANS Abrupt onset
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 - ANS Decrease in level of consciousness (LOC)
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
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,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. - ANS There is a risk of neurovascular
and neurosensory trauma, so the clinician should check for distal pulses.
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 - ANS morning stiffness
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 - ANS Mild obesity
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?
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, a. Human papillomavirus (HPV)
b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome - ANS Human papillomavirus (HPV)
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 - ANS Antipsychotic
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 - ANS treatment of choice for a patient diagnosed with testicular cancer?
Radical orchidectomy
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
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
AND ANSWERS GRADED A+ 2025/2026
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 - ANS a. cholinesterase inhibitors pg
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. - ANS b. accidental.
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."
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,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." - ANS "We will order a
mammogram and ultrasound to help establish a diagnosis."
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. - ANS d. There is no specific test.
Question 7: Which characteristic of delirium helps to distinguish delirium from dementia?
a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions - ANS Abrupt onset
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 - ANS Decrease in level of consciousness (LOC)
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
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,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. - ANS There is a risk of neurovascular
and neurosensory trauma, so the clinician should check for distal pulses.
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 - ANS morning stiffness
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 - ANS Mild obesity
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?
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, a. Human papillomavirus (HPV)
b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome - ANS Human papillomavirus (HPV)
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 - ANS Antipsychotic
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 - ANS treatment of choice for a patient diagnosed with testicular cancer?
Radical orchidectomy
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
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
