2024/2025 – Complete Final Exam
Practice Questions with Answers
Introduction:
This document contains a comprehensive collection of
multiple-choice practice questions with correct answers for
the NR511 final exam. It covers primary care topics including
gastroenterology, endocrinology, infectious diseases,
musculoskeletal disorders, cardiology, pulmonology,
dermatology, urology, and women’s and men’s health.
The material focuses on clinical decision-making, diagnostic
reasoning, pharmacologic management, and guideline-based
treatment approaches. It is designed as complete exam
preparation material aligned with advanced practice nursing
competencies.
Exam Questions and Answers:
A 27 year old female presents with a chief complaint of
burning and pain on urination. She has no previous history of
urinary tract infection. what are some additional symptoms
consistant with a diagnosis of lower UTI?
,a. back and abdominal pain
b. fever, chills, costovertebral angle (CVA) tenderness
c. blood in urine and frequency
d. foul-smelling discharge, perineal itch ---Correct precise
answer---c. blood in urine and frequency
The differential diagnosis for vertigo can be classified into
which of the following categories:
a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above ---Correct precise answer---d. all of the
above
Sam is a 25-year-old man 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?
a. morning stiffness and limited mobility of the lumbar spine
b. unilateral radicular pain symptoms that extend below the
knee and are equal to or greater than the back pain
c. Fever, chills, and elevated erythrocyte sedimentation rate
d. pathologic fractures, severe night pain, weight loss and
fatigue ---Correct precise answer---b. unilateral radicular pain
symptoms that extend below the knee and are equal to or
greater than the back pain
Preceptors must always see the patients that the students see
in the clinical setting
a. true
b. false ---Correct precise answer---a. true
An 82 year old man is seen in the primary care office with
complaints of dribbling urine and difficulty starting his
stream. Which of the following should be included in the list of
differentials?
, a. BPH
b. Prostate cancer
c. UTI
d. all of the above ---Correct precise answer---d. all of the
above
Which causes the greatest percentage of mammalian bites?
a. dogs
b. cats
c. humans
d. rodents ---Correct precise answer---a. dogs
Endoscopic report reveals the presents of Barrett's epithelium.
Which of the following information should the clinician
include in the explaination of the pathology report?
a. this is a premalignant tissue
b. this tissue is resistant to gastric acid
c. this tissue supports healing of the esophagus