NR511 Final Exam (2025/2026) | 200 Verified Q&A with Rationales | Chamberlain
Primary Care Practicum
Crush your NR511 Final with this comprehensive 200-question guide featuring verified
answers and clinical rationales updated for the December 2025 cycle. This review
masters high-yield primary care topics, including differential diagnoses for acute and
chronic conditions, pharmacological management, and evidence-based screening
guidelines. Designed for Examplify success, it provides the essential diagnostic pearls
and ICD-10/CPT coding logic needed to secure an A+ and move forward in your FNP
journey.
1. A 35-year-old female presents with acute eye pain, blurred vision, and "halos"
around lights. Her pupil is mid-dilated and non-reactive. What is the priority
intervention?
A) Prescribe topical antibiotics and follow up in 24 hours.
B) Apply a warm compress and reassess.
C) Immediate referral to Ophthalmology/ER (Suspected Acute Angle-Closure
Glaucoma).
D) Prescribe artificial tears for dry eye syndrome.
Answer: C
Rationale: Acute angle-closure glaucoma is an ocular emergency that can cause
permanent vision loss within hours.
2. Which finding on a funduscopic exam is most characteristic of Diabetic
Retinopathy?
A) AV Nicking
B) Cotton Wool Spots and Neovascularization
C) Optic Disc Cupping
D) Drusen
Answer: B
Rationale: Neovascularization (new blood vessel growth) is the hallmark of proliferative
diabetic retinopathy.
,3. A patient presents with "painless" unilateral hearing loss and a sensation of
fullness in the ear. The Weber test lateralizes to the affected ear. This indicates:
A) Sensorineural hearing loss
B) Conductive hearing loss
C) Meniere’s Disease
D) Normal finding
Answer: B
Rationale: Conductive loss lateralizes to the "bad" ear; sensorineural loss lateralizes to
the "good" ear.
4. What is the first-line treatment for an adult with Acute Bacterial Rhinosinusitis
who has failed supportive care?
A) Amoxicillin 500mg TID
B) Amoxicillin-Clavulanate (Augmentin) 875/125mg BID
C) Azithromycin Z-Pak
D) Levofloxacin 750mg daily
Answer: B
Rationale: IDSA guidelines recommend Augmentin as first-line due to rising resistance
of H. influenzae.
5. A 19-year-old student has a severe sore throat, fatigue, and posterior cervical
lymphadenopathy. If you mistakenly prescribe Amoxicillin, what is the likely
outcome?
A) Rapid resolution of symptoms
B) A generalized maculopapular rash (Drug-induced rash in Mononucleosis)
C) Acute Kidney Injury
D) Anaphylaxis
Answer: B
6. Which murmur is a "mid-systolic click" followed by a late systolic murmur?
A) Aortic Stenosis
B) Mitral Valve Prolapse
C) Mitral Regurgitation
D) Aortic Regurgitation
Answer: B
7. A 60-year-old male smoker has "painless gross hematuria." What is the most
important differential to rule out?
A) Nephrolithiasis
, B) Bladder Cancer
C) Benign Prostatic Hyperplasia (BPH)
D) Prostatitis
Answer: B
Rationale: Painless hematuria in an adult is malignancy until proven otherwise.
8. According to the JNC-8/AHA guidelines, which is the preferred initial HTN
medication for an African American patient without CKD?
A) Lisinopril
B) Losartan
C) Amlodipine (Calcium Channel Blocker)
D) Metoprolol
Answer: C
Rationale: Thiazides and CCBs are more effective in this population.
9. A patient with asthma is using their Albuterol inhaler 4 days a week. According
to GINA guidelines, their asthma is:
A) Well controlled
B) Partly controlled
C) Uncontrolled
D) Normal
Answer: B
Rationale: Use of SABA >2 days/week indicates the need to step up therapy (usually
adding an ICS).
10. "Target" lesions (erythema migrans) on a patient who was hiking in
Connecticut should be treated with:
A) Amoxicillin for 10 days
B) Doxycycline 100mg BID for 10–14 days
C) Ceftriaxone IM
D) Hydrocortisone cream
Answer: B
Rationale: First-line for Lyme disease.
11. A "Positive Phalen Test" at the wrist indicates:
A) De Quervain's Tenosynovitis
B) Carpal Tunnel Syndrome
C) Rheumatoid Arthritis
Primary Care Practicum
Crush your NR511 Final with this comprehensive 200-question guide featuring verified
answers and clinical rationales updated for the December 2025 cycle. This review
masters high-yield primary care topics, including differential diagnoses for acute and
chronic conditions, pharmacological management, and evidence-based screening
guidelines. Designed for Examplify success, it provides the essential diagnostic pearls
and ICD-10/CPT coding logic needed to secure an A+ and move forward in your FNP
journey.
1. A 35-year-old female presents with acute eye pain, blurred vision, and "halos"
around lights. Her pupil is mid-dilated and non-reactive. What is the priority
intervention?
A) Prescribe topical antibiotics and follow up in 24 hours.
B) Apply a warm compress and reassess.
C) Immediate referral to Ophthalmology/ER (Suspected Acute Angle-Closure
Glaucoma).
D) Prescribe artificial tears for dry eye syndrome.
Answer: C
Rationale: Acute angle-closure glaucoma is an ocular emergency that can cause
permanent vision loss within hours.
2. Which finding on a funduscopic exam is most characteristic of Diabetic
Retinopathy?
A) AV Nicking
B) Cotton Wool Spots and Neovascularization
C) Optic Disc Cupping
D) Drusen
Answer: B
Rationale: Neovascularization (new blood vessel growth) is the hallmark of proliferative
diabetic retinopathy.
,3. A patient presents with "painless" unilateral hearing loss and a sensation of
fullness in the ear. The Weber test lateralizes to the affected ear. This indicates:
A) Sensorineural hearing loss
B) Conductive hearing loss
C) Meniere’s Disease
D) Normal finding
Answer: B
Rationale: Conductive loss lateralizes to the "bad" ear; sensorineural loss lateralizes to
the "good" ear.
4. What is the first-line treatment for an adult with Acute Bacterial Rhinosinusitis
who has failed supportive care?
A) Amoxicillin 500mg TID
B) Amoxicillin-Clavulanate (Augmentin) 875/125mg BID
C) Azithromycin Z-Pak
D) Levofloxacin 750mg daily
Answer: B
Rationale: IDSA guidelines recommend Augmentin as first-line due to rising resistance
of H. influenzae.
5. A 19-year-old student has a severe sore throat, fatigue, and posterior cervical
lymphadenopathy. If you mistakenly prescribe Amoxicillin, what is the likely
outcome?
A) Rapid resolution of symptoms
B) A generalized maculopapular rash (Drug-induced rash in Mononucleosis)
C) Acute Kidney Injury
D) Anaphylaxis
Answer: B
6. Which murmur is a "mid-systolic click" followed by a late systolic murmur?
A) Aortic Stenosis
B) Mitral Valve Prolapse
C) Mitral Regurgitation
D) Aortic Regurgitation
Answer: B
7. A 60-year-old male smoker has "painless gross hematuria." What is the most
important differential to rule out?
A) Nephrolithiasis
, B) Bladder Cancer
C) Benign Prostatic Hyperplasia (BPH)
D) Prostatitis
Answer: B
Rationale: Painless hematuria in an adult is malignancy until proven otherwise.
8. According to the JNC-8/AHA guidelines, which is the preferred initial HTN
medication for an African American patient without CKD?
A) Lisinopril
B) Losartan
C) Amlodipine (Calcium Channel Blocker)
D) Metoprolol
Answer: C
Rationale: Thiazides and CCBs are more effective in this population.
9. A patient with asthma is using their Albuterol inhaler 4 days a week. According
to GINA guidelines, their asthma is:
A) Well controlled
B) Partly controlled
C) Uncontrolled
D) Normal
Answer: B
Rationale: Use of SABA >2 days/week indicates the need to step up therapy (usually
adding an ICS).
10. "Target" lesions (erythema migrans) on a patient who was hiking in
Connecticut should be treated with:
A) Amoxicillin for 10 days
B) Doxycycline 100mg BID for 10–14 days
C) Ceftriaxone IM
D) Hydrocortisone cream
Answer: B
Rationale: First-line for Lyme disease.
11. A "Positive Phalen Test" at the wrist indicates:
A) De Quervain's Tenosynovitis
B) Carpal Tunnel Syndrome
C) Rheumatoid Arthritis
