NR 511 Midterm Questions And
Answers
/.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 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 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 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 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
,/.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 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 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 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
/.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 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 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 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 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
, /.Question 18: When looking under the microscope to diagnose an intravaginal infection,
you see a cluster of small and oval to round shapes. What do you suspect they are?
a. Spores
b. Leukocytes
c. Pseudohyphae
d. Epithelial cells - Answer-✅spores
/.Patients with a spontaneous pneumothorax should be counseled that up to what
percentage may experience a reoccurrence at some point?
a. 10%
b. 20%
c. 30%
d. 50% - Answer-✅30%
/.Question 20: 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 localized pain. The clinician suspects a
meniscal tear. Which test would be most appropriate to assess for the presence of a
meniscal tear?
a. Valgus stress test
b. McMurray circumduction test
c. Lachman test
d. Varus stress test - Answer-✅McMurray circumduction test
/.Question 21: During a digital rectal exam (DRE) on a 75-year-old man, the clinician
suspects the patient has prostate cancer. What physical finding should make the
clinician suspicious?
a. An enlarged rubbery gland
b. A hard irregular gland
c. A tender gland
d. A boggy gland - Answer-✅An enlarged rubbery gland
Answers
/.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 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 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 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 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
,/.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 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 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 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
/.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 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 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 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 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
, /.Question 18: When looking under the microscope to diagnose an intravaginal infection,
you see a cluster of small and oval to round shapes. What do you suspect they are?
a. Spores
b. Leukocytes
c. Pseudohyphae
d. Epithelial cells - Answer-✅spores
/.Patients with a spontaneous pneumothorax should be counseled that up to what
percentage may experience a reoccurrence at some point?
a. 10%
b. 20%
c. 30%
d. 50% - Answer-✅30%
/.Question 20: 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 localized pain. The clinician suspects a
meniscal tear. Which test would be most appropriate to assess for the presence of a
meniscal tear?
a. Valgus stress test
b. McMurray circumduction test
c. Lachman test
d. Varus stress test - Answer-✅McMurray circumduction test
/.Question 21: During a digital rectal exam (DRE) on a 75-year-old man, the clinician
suspects the patient has prostate cancer. What physical finding should make the
clinician suspicious?
a. An enlarged rubbery gland
b. A hard irregular gland
c. A tender gland
d. A boggy gland - Answer-✅An enlarged rubbery gland
