NR511 EXAM 2024-2025 WITH VERIFIED
QUESTIONS AND CORRECT ANSWERS
GRADED A+
Mr. Johnson, age 69, has had Meniere disease for several years. He has some hearing loss but now has
persistent vertigo. What treatment might be instituted to relieve the vertigo?
1.A labyrinthectomy.
2.Pharmacological therapy.
3.A vestibular neurectomy.
4.Wearing an earplug in the ear that has the most hearing loss. - 3.
A vestibular neurectomy.
Marty, age 52, notices a bulge in his midline every time he rises from bed in the morning. You tell him
that it is a ventral hernia, also known as an:
1.Inguinal hernia.
2.Epigastric hernia.
3.Umbilical hernia.
4.Incisional hernia. - 2.
Epigastric hernia.
You elicit costovertebral angle tenderness in Gordon, age 29. Which condition do you suspect?
1.Cirrhosis.
2.Inflammation of the kidney.
,3.Inflammation of the spleen.
4.Peritonitis. - 2.
Inflammation of the kidney.
Marvin, a known alcoholic with cirrhosis, is frequently admitted for coagulopathies and occasionally
receives blood transfusions. His wife asks you why he has bleeding problems. How do you respond?
1."Occasionally he accumulates blood in the gut."
2."There is an interruption of the normal clotting mechanism."
3."Long-term alcohol abuse has made his vessels very friable."
4."His bone marrow has been affected." - 2.
"There is an interruption of the normal clotting mechanism."
In a 2-month-old infant with vomiting and diarrhea, the most effective way of determining a fluid deficit
is to check for:
1.Decreased peripheral perfusion.
2.Hyperventilation.
3.Irritability.
Treatment for achalasia may include:
1. Balloon dilation of the lower esophageal sphincter.
2. Beta blockers.
3. A fundoplication.
4. An esophagogastrectomy. - 1. Balloon dilation of the LES
Which oral medication might be used to treat a client with chronic cholelithiasis who is a poor candidate
for surgery?
1.Ursodiol (Actigall).
2.Ibuprofen (Advil).
3.Prednisone (Deltasone).
4.Surgery is the only answer. - 1. Ursodiol (Actigall)
,All of the following medications are used for the control of nausea and vomiting. Which medication
works by affecting the chemoreceptor trigger zone, thereby stimulating upper gastrointestinal motility
and increasing lower esophageal sphincter pressure?
1.Anticholinergics, such as scopolamine (Donnatal).
2.Antidopaminergic agents, such as prochlorperazine (Compazine).
3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol). - 3.Antidopaminergic and cholinergic agents,
such as metoclopramide (Reglan).
You auscultate Julie's abdomen and hear a peritoneal friction rub. Which condition do you rule out?
1.Peritonitis.
2.A liver or spleen abscess.
3.A liver or spleen metastatic tumor.
4.Irritable bowel syndrome. - 4. IBS
Which is the most common presenting symptom of gastric cancer?
1.Weight loss.
2.Dysphagia.
3.Hematemesis.
4.Gastrointestinal bleeding. - 1. Weight loss
The metabolism of which drug is not affected in Marsha, age 74?
1.Alcohol.
2.Anticonvulsants.
3.Psychotropics.
4.Oral anticoagulants. - 1. Alcohol
Nausea is difficult to discern in a young child. What question might you ask to determine if a child has
nausea?
1."Are you sick to your tummy?"
, 2."Are you hungry?"
3."Are you eating the way you normally eat?"
4."Are you nauseous?" - 2.
"Are you hungry?"
Zena just had a hemorrhoidectomy. You know she has not understood your teaching when she tells you
she will:
1.Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery.
2.Drink at least 2000 mL of fluids per day.
3.Decrease her dietary fiber for 1 month.
4.Take stool softeners as prescribed. - 3.Decrease her dietary fiber for 1 month.
Stacy, a nursing student, is to begin her series of hepatitis B vaccinations. You test her for a serological
marker, and the results show hepatitis B surface antibodies (HBsAb). You tell Stacy that she:
1.Needs to begin the hepatitis B series as soon as possible.
2.Needs to be tested again because one reading is not indicative of immunity.
3.Is permanently immune to hepatitis B.
4.Has an acute hepatitis B infection. - 3. Is permanently immune to hepatitis B.
Margie, age 52, has an extremely stressful job and was just given a diagnosis of gastric ulcer. She tells
you she is sure it is going to be malignant. How do you respond?
1."Don't worry. Gastric ulcers are not cancerous."
2."About 95% of gastric ulcers are benign."
3."You have about a 50% chance of having gastric cancer from your ulcer."
4."Even if it is cancer, surgery is 100% successful." - 2."About 95% of gastric ulcers are benign."
You are counseling Lillian, who is lactose intolerant, about foods to avoid. You know she misunderstands
the teaching when she tells you she can have:
1.Yogurt.
2.Foods containing whey.
QUESTIONS AND CORRECT ANSWERS
GRADED A+
Mr. Johnson, age 69, has had Meniere disease for several years. He has some hearing loss but now has
persistent vertigo. What treatment might be instituted to relieve the vertigo?
1.A labyrinthectomy.
2.Pharmacological therapy.
3.A vestibular neurectomy.
4.Wearing an earplug in the ear that has the most hearing loss. - 3.
A vestibular neurectomy.
Marty, age 52, notices a bulge in his midline every time he rises from bed in the morning. You tell him
that it is a ventral hernia, also known as an:
1.Inguinal hernia.
2.Epigastric hernia.
3.Umbilical hernia.
4.Incisional hernia. - 2.
Epigastric hernia.
You elicit costovertebral angle tenderness in Gordon, age 29. Which condition do you suspect?
1.Cirrhosis.
2.Inflammation of the kidney.
,3.Inflammation of the spleen.
4.Peritonitis. - 2.
Inflammation of the kidney.
Marvin, a known alcoholic with cirrhosis, is frequently admitted for coagulopathies and occasionally
receives blood transfusions. His wife asks you why he has bleeding problems. How do you respond?
1."Occasionally he accumulates blood in the gut."
2."There is an interruption of the normal clotting mechanism."
3."Long-term alcohol abuse has made his vessels very friable."
4."His bone marrow has been affected." - 2.
"There is an interruption of the normal clotting mechanism."
In a 2-month-old infant with vomiting and diarrhea, the most effective way of determining a fluid deficit
is to check for:
1.Decreased peripheral perfusion.
2.Hyperventilation.
3.Irritability.
Treatment for achalasia may include:
1. Balloon dilation of the lower esophageal sphincter.
2. Beta blockers.
3. A fundoplication.
4. An esophagogastrectomy. - 1. Balloon dilation of the LES
Which oral medication might be used to treat a client with chronic cholelithiasis who is a poor candidate
for surgery?
1.Ursodiol (Actigall).
2.Ibuprofen (Advil).
3.Prednisone (Deltasone).
4.Surgery is the only answer. - 1. Ursodiol (Actigall)
,All of the following medications are used for the control of nausea and vomiting. Which medication
works by affecting the chemoreceptor trigger zone, thereby stimulating upper gastrointestinal motility
and increasing lower esophageal sphincter pressure?
1.Anticholinergics, such as scopolamine (Donnatal).
2.Antidopaminergic agents, such as prochlorperazine (Compazine).
3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol). - 3.Antidopaminergic and cholinergic agents,
such as metoclopramide (Reglan).
You auscultate Julie's abdomen and hear a peritoneal friction rub. Which condition do you rule out?
1.Peritonitis.
2.A liver or spleen abscess.
3.A liver or spleen metastatic tumor.
4.Irritable bowel syndrome. - 4. IBS
Which is the most common presenting symptom of gastric cancer?
1.Weight loss.
2.Dysphagia.
3.Hematemesis.
4.Gastrointestinal bleeding. - 1. Weight loss
The metabolism of which drug is not affected in Marsha, age 74?
1.Alcohol.
2.Anticonvulsants.
3.Psychotropics.
4.Oral anticoagulants. - 1. Alcohol
Nausea is difficult to discern in a young child. What question might you ask to determine if a child has
nausea?
1."Are you sick to your tummy?"
, 2."Are you hungry?"
3."Are you eating the way you normally eat?"
4."Are you nauseous?" - 2.
"Are you hungry?"
Zena just had a hemorrhoidectomy. You know she has not understood your teaching when she tells you
she will:
1.Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery.
2.Drink at least 2000 mL of fluids per day.
3.Decrease her dietary fiber for 1 month.
4.Take stool softeners as prescribed. - 3.Decrease her dietary fiber for 1 month.
Stacy, a nursing student, is to begin her series of hepatitis B vaccinations. You test her for a serological
marker, and the results show hepatitis B surface antibodies (HBsAb). You tell Stacy that she:
1.Needs to begin the hepatitis B series as soon as possible.
2.Needs to be tested again because one reading is not indicative of immunity.
3.Is permanently immune to hepatitis B.
4.Has an acute hepatitis B infection. - 3. Is permanently immune to hepatitis B.
Margie, age 52, has an extremely stressful job and was just given a diagnosis of gastric ulcer. She tells
you she is sure it is going to be malignant. How do you respond?
1."Don't worry. Gastric ulcers are not cancerous."
2."About 95% of gastric ulcers are benign."
3."You have about a 50% chance of having gastric cancer from your ulcer."
4."Even if it is cancer, surgery is 100% successful." - 2."About 95% of gastric ulcers are benign."
You are counseling Lillian, who is lactose intolerant, about foods to avoid. You know she misunderstands
the teaching when she tells you she can have:
1.Yogurt.
2.Foods containing whey.
