NR 511 Midterm Success Pack 2026 | Chamberlain
University | Latest Update | Exam Prep
1. A 20-year-old male presents with severe scrotal pain and nausea. After a
physical exam, you suspect testicular torsion. What is the next best step in
management?
Refer to a urologist immediately.
Order an ultrasound to confirm the diagnosis.
Prescribe pain medication and schedule a follow-up.
Advise the patient to rest and apply ice.
2. What is the primary subjective symptom experienced during a sickle cell
crisis?
Fever
Pain
Fatigue
Nausea
3. If the INR result is above the therapeutic range in a patient with A Fib on
warfarin, what might the clinician do?
restart therapy at a lower dose immediately
withhold one or more days of anticoagulant therapy
stop warfarin for 1 week, repeat INR
the PT and INR should be evaluated within 1 month of the adjustments
4. Sam is a 25-year-old 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?
Unilateral radicular pain symptoms that extend below the knee and
are equal to or greater than the back pain.
Fever, chills, and elevated erythrocyte sedimentation rate
Pathologic fractures, severe night pain, weight loss, and fatigue
Morning stiffness and limited mobility of the lumbar spine
5. A nursing student encounters a patient newly diagnosed with gonorrhea. The
student's preceptor asks what the recommended treatment would be for this
patient. Which statement by the nursing student is correct?
"IM ceftriaxone and oral azithromycin are prescribed."
"Ceftriaxone IM is prescribed."
"Oral doxycycline is prescribed."
"Erythromycin ointment is prescribed."
6. Which of the following is a common symptom of gastritis?
Constipation
Melena
Epigastric pain
Diarrhea
7. What condition is indicated by a boggy prostate in a 72-year-old male
presenting with weak urine stream and painful ejaculation?
, Acute bacterial prostatitis
Benign prostatic hyperplasia
Chronic bacterial prostatitis
Prostate cancer
8. Discuss why Alprostadil (Caverjet) may be contraindicated in morbidly obese
patients with cardiovascular disease.
Alprostadil (Caverjet) may be contraindicated due to potential
cardiovascular risks associated with its use in patients with existing
heart conditions.
Alprostadil (Caverjet) is the first-line treatment for all erectile
dysfunction cases.
Alprostadil (Caverjet) is safe for all patients regardless of their health
status.
Alprostadil (Caverjet) has no known side effects.
9. Describe the role of hydration in managing simple constipation.
Adequate hydration of at least 64 ounces of fluid daily helps soften
stool and promotes regular bowel movements.
Drinking less fluid can help with constipation.
Hydration is not important for managing constipation.
Only water is effective for hydration in constipation management.
10. Describe how stress and eating can influence the symptoms of irritable
bowel syndrome (IBS).
Symptoms of IBS improve with stress and eating.
Stress has no effect on IBS symptoms.
, Eating triggers immediate relief from IBS symptoms.
Symptoms of IBS often worsen with stress and eating.
11. Describe how the symptoms of pancreatitis can affect a patient's vital signs.
Patients often have stable vital signs despite severe abdominal pain.
Patients usually present with normal vital signs and mild discomfort.
Patients typically show bradycardia and hypertension as a response to
pain.
Patients may exhibit hypotension and tachycardia due to severe
pain and fluid shifts.
12. A 65-year-old male presents with urinary frequency and urgency. After
ruling out urethral stricture, what other condition should be evaluated in the
differential diagnosis?
Testicular torsion
Diabetes mellitus
Pancreatitis
Prostatitis
13. A patient with type 2 diabetes has been placed on glipizide (Glucotrol), asks
the nurse when was the best time to take the medication. What is the nurse's
best response?
in the evening with a snack.
It does not matter what time.
taken after the midday meal.
30 minutes before breakfast.
University | Latest Update | Exam Prep
1. A 20-year-old male presents with severe scrotal pain and nausea. After a
physical exam, you suspect testicular torsion. What is the next best step in
management?
Refer to a urologist immediately.
Order an ultrasound to confirm the diagnosis.
Prescribe pain medication and schedule a follow-up.
Advise the patient to rest and apply ice.
2. What is the primary subjective symptom experienced during a sickle cell
crisis?
Fever
Pain
Fatigue
Nausea
3. If the INR result is above the therapeutic range in a patient with A Fib on
warfarin, what might the clinician do?
restart therapy at a lower dose immediately
withhold one or more days of anticoagulant therapy
stop warfarin for 1 week, repeat INR
the PT and INR should be evaluated within 1 month of the adjustments
4. Sam is a 25-year-old 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?
Unilateral radicular pain symptoms that extend below the knee and
are equal to or greater than the back pain.
Fever, chills, and elevated erythrocyte sedimentation rate
Pathologic fractures, severe night pain, weight loss, and fatigue
Morning stiffness and limited mobility of the lumbar spine
5. A nursing student encounters a patient newly diagnosed with gonorrhea. The
student's preceptor asks what the recommended treatment would be for this
patient. Which statement by the nursing student is correct?
"IM ceftriaxone and oral azithromycin are prescribed."
"Ceftriaxone IM is prescribed."
"Oral doxycycline is prescribed."
"Erythromycin ointment is prescribed."
6. Which of the following is a common symptom of gastritis?
Constipation
Melena
Epigastric pain
Diarrhea
7. What condition is indicated by a boggy prostate in a 72-year-old male
presenting with weak urine stream and painful ejaculation?
, Acute bacterial prostatitis
Benign prostatic hyperplasia
Chronic bacterial prostatitis
Prostate cancer
8. Discuss why Alprostadil (Caverjet) may be contraindicated in morbidly obese
patients with cardiovascular disease.
Alprostadil (Caverjet) may be contraindicated due to potential
cardiovascular risks associated with its use in patients with existing
heart conditions.
Alprostadil (Caverjet) is the first-line treatment for all erectile
dysfunction cases.
Alprostadil (Caverjet) is safe for all patients regardless of their health
status.
Alprostadil (Caverjet) has no known side effects.
9. Describe the role of hydration in managing simple constipation.
Adequate hydration of at least 64 ounces of fluid daily helps soften
stool and promotes regular bowel movements.
Drinking less fluid can help with constipation.
Hydration is not important for managing constipation.
Only water is effective for hydration in constipation management.
10. Describe how stress and eating can influence the symptoms of irritable
bowel syndrome (IBS).
Symptoms of IBS improve with stress and eating.
Stress has no effect on IBS symptoms.
, Eating triggers immediate relief from IBS symptoms.
Symptoms of IBS often worsen with stress and eating.
11. Describe how the symptoms of pancreatitis can affect a patient's vital signs.
Patients often have stable vital signs despite severe abdominal pain.
Patients usually present with normal vital signs and mild discomfort.
Patients typically show bradycardia and hypertension as a response to
pain.
Patients may exhibit hypotension and tachycardia due to severe
pain and fluid shifts.
12. A 65-year-old male presents with urinary frequency and urgency. After
ruling out urethral stricture, what other condition should be evaluated in the
differential diagnosis?
Testicular torsion
Diabetes mellitus
Pancreatitis
Prostatitis
13. A patient with type 2 diabetes has been placed on glipizide (Glucotrol), asks
the nurse when was the best time to take the medication. What is the nurse's
best response?
in the evening with a snack.
It does not matter what time.
taken after the midday meal.
30 minutes before breakfast.
