NR 509 CHAMBERLAIN TESTS 2
CERTIFICATION TEST PAPER 2026 COMPLETE
SOLUTIONS GRADED A PLUS
◉ A patient comes to the emergency room for evaluation of
shortness of breath. To which anatomic region would you assign the
symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic.
Answer: C) Cardiac
Cardiac disorders such as congestive heart failure are the most likely
on this list to result in shortness of breath. There are cases within
the other categories which may also result
in shortness of breath, such as anemia in the hematologic category,
pregnancy in the reproductive
category, or sepsis with UTI in the urinary category.
◉ A patient presents for evaluation of a cough. Which of the
following anatomic regions can be responsible for a cough?
,A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine.
Answer: C) Cardiac
The cardiac system can cause a cough if the patient has congestive
heart failure. This results in fluid buildup in the lungs, which in turn
can cause a cough that produces pink,
frothy sputum. A foreign body in the ear may also cause a cough by
stimulating Arnold's branch of the vagus nerve, but this is less likely
to be seen clinically than heart failure.
◉ A 22-year-old advertising copywriter presents for evaluation of
joint pain. The pain is new,
located in the wrists and fingers bilaterally, with some subjective
fever. The patient denies a
rash; she also denies recent travel or camping activities. She has a
family history significant for
rheumatoid arthritis. Based on this information, which of the
following pathologic processes
would be the most correct?
,A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic.
Answer: B) Inflammatory
The description is most consistent with an inflammatory process,
although all the other etiologies should be considered. Lyme disease
is an infection which commonly causes
arthritis, hemophilia is a hematologic condition which can cause
bleeding in the joints, and trauma can obviously cause joint pain.
◉ A 47-year-old contractor presents for evaluation of neck pain,
which has been intermittent for several years. He normally takes
over-the-counter medications to ease the pain, but this time they
haven't worked as well and he still has discomfort. He recently
wallpapered the entire second floor in his house, which caused him
great discomfort. The pain resolved with rest. He denies fever, chills,
rash, upper respiratory symptoms, trauma, or injury to the neck.
Based on this description, what is the most likely pathologic
process?
A) Infectious
B) Neoplastic
C) Degenerative
, D) Traumatic.
Answer: C) Degenerative
The description is most consistent with degenerative arthritis in the
neck. The
patient has had intermittent symptoms and the questions asked to
elicit pertinent negative and
positive findings are negative for infectious, traumatic, or neoplastic
disease.
◉ A 15-year-old high school sophomore comes to the clinic for
evaluation of a 3-week history
of sneezing; itchy, watery eyes; clear nasal discharge; ear pain; and
nonproductive cough. Which
is the most likely pathologic process?
A) Infection
B) Inflammation
C) Allergic
D) Vascular.
Answer: C) Allergic
This description is most consistent with allergic rhinitis.
CERTIFICATION TEST PAPER 2026 COMPLETE
SOLUTIONS GRADED A PLUS
◉ A patient comes to the emergency room for evaluation of
shortness of breath. To which anatomic region would you assign the
symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic.
Answer: C) Cardiac
Cardiac disorders such as congestive heart failure are the most likely
on this list to result in shortness of breath. There are cases within
the other categories which may also result
in shortness of breath, such as anemia in the hematologic category,
pregnancy in the reproductive
category, or sepsis with UTI in the urinary category.
◉ A patient presents for evaluation of a cough. Which of the
following anatomic regions can be responsible for a cough?
,A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine.
Answer: C) Cardiac
The cardiac system can cause a cough if the patient has congestive
heart failure. This results in fluid buildup in the lungs, which in turn
can cause a cough that produces pink,
frothy sputum. A foreign body in the ear may also cause a cough by
stimulating Arnold's branch of the vagus nerve, but this is less likely
to be seen clinically than heart failure.
◉ A 22-year-old advertising copywriter presents for evaluation of
joint pain. The pain is new,
located in the wrists and fingers bilaterally, with some subjective
fever. The patient denies a
rash; she also denies recent travel or camping activities. She has a
family history significant for
rheumatoid arthritis. Based on this information, which of the
following pathologic processes
would be the most correct?
,A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic.
Answer: B) Inflammatory
The description is most consistent with an inflammatory process,
although all the other etiologies should be considered. Lyme disease
is an infection which commonly causes
arthritis, hemophilia is a hematologic condition which can cause
bleeding in the joints, and trauma can obviously cause joint pain.
◉ A 47-year-old contractor presents for evaluation of neck pain,
which has been intermittent for several years. He normally takes
over-the-counter medications to ease the pain, but this time they
haven't worked as well and he still has discomfort. He recently
wallpapered the entire second floor in his house, which caused him
great discomfort. The pain resolved with rest. He denies fever, chills,
rash, upper respiratory symptoms, trauma, or injury to the neck.
Based on this description, what is the most likely pathologic
process?
A) Infectious
B) Neoplastic
C) Degenerative
, D) Traumatic.
Answer: C) Degenerative
The description is most consistent with degenerative arthritis in the
neck. The
patient has had intermittent symptoms and the questions asked to
elicit pertinent negative and
positive findings are negative for infectious, traumatic, or neoplastic
disease.
◉ A 15-year-old high school sophomore comes to the clinic for
evaluation of a 3-week history
of sneezing; itchy, watery eyes; clear nasal discharge; ear pain; and
nonproductive cough. Which
is the most likely pathologic process?
A) Infection
B) Inflammation
C) Allergic
D) Vascular.
Answer: C) Allergic
This description is most consistent with allergic rhinitis.
