Chamberlain University – 2026–2027 –
Complete Final Exam Questions and Answers
Introduction:
This document contains a comprehensive collection of final
exam questions and verified answers for NR511 Advanced
Health Assessment at Chamberlain University. It covers
musculoskeletal, endocrine, metabolic, cardiovascular,
respiratory, infectious disease, urologic, neurologic, and
emergency care topics through scenario-based multiple-choice
questions.
The material includes clinical decision-making, diagnostic
testing, pharmacologic management, and patient education
aligned with advanced practice nursing competencies. It serves
as a complete exam preparation resource reflecting NR511
course objectives and board-style assessment formats.
Exam Questions and Answers:
51. Question 50. Jill, age 49, has recently begun a rigorous
weightlifting regimen. She presents to the primary care office
with a shoulder dislocation. Which of the following clinical
,manifestations leads the nurse practitioner to suspect an
anterior shoulder dislocation over a posterior dislocation?
1. Inability to shrug the shoulder.
2. Absence of pain.
3. Inability to rotate the shoulder externally.
4. Shortening of the arm---Correct precise answer---1.
Inability to shrug the shoulder
52. Question 51. Karen, who is postmenopausal, is taking
1200 mg of calcium daily but does not understand why she also
needs to take vitamin D. You tell her that:
1. A deficiency of vitamin D results in inadequate
mineralization of bone ma- trix.
2. All vitamins need to be supplemented.
3. Vitamin D increases intestinal absorption of dietary
calcium and mobilizes calcium from the bone.
4. Vitamin D binds with calcium to allow active transport
into the cells---Correct precise answer---3. Vitamin D
increases intestinal absorption of dietary calcium and
mobilizes calcium from the bone.
53. Question 52. Lois, age 52, who has just been given a
diagnosis of sarcoidosis, has joint symptoms, including
arthralgias and arthritis. Your next plan of action would be to:
1. Order a bone scan.
,2. Obtain a tissue biopsy.
3. Begin a course of glucocorticoids.
4. Order daily doses of vitamin B---Correct precise answer--
-3. Begin a course of glucocorticoids
54. Question 53. The nurse practitioner (NP) is assessing
Maya, a 69-year-old Asian woman, for the first time. When
trying to differentiate between scoliosis and kyphosis, the NP
recalls that kyphosis involves:
1. Asymmetry of the shoulders, scapulae, and waist creases.
2. A lateral curvature and vertebral rotation on
posteroanterior x-rays.
3. One leg appearing shorter than the other.
4. A posterior rounding at the thoracic level---Correct
precise answer---4. A posterior rounding at the thoracic level
55. Question 54. Alan, age 46, presents with a tender, red,
swollen knee. You rule out septic arthritis and diagnose gout
by confirming:
1. An elevated white blood cell (WBC) count.
2. Hyperuricemia.
3. A significant response to a dose of ceftriaxone
(Rocephin).
4. A positive antinuclear antibody test---Correct precise
answer---2. Hyperuricemia
, 56. 1. What is the medication of choice for an initial acute
attack of gout?
a. A nonsteroidal anti-inflammatory drug (NSAID).
b. Colchicine
c. A corticosteroid
d. Allopurinol (Zyloprim) ---Correct precise answer--- A.
NSAID
57. 1. Marsha, age 24, is preparing for radioactive iodine
therapy for her Graves disease. Which test must she undergo
first?
a. Beta-human chorionic gonadotropin
b. Basal metabolism rate
c. Lithium level
d. Serum calcium---Correct precise answer--- A. Beta-
human chorionic gonadotropin
58. 1. When teaching Marcy how to use her new insulin
pump, you tell her that she needs to monitor her blood glucose
level:
a. At least once a day.
b. Only occasionally because glycemic levels are maintained
very steadily.
c. At least 4 times a day.