NUR 303 Final
1. Fistula formation is an abnormal tunnel that connects two organs and is the most serious
complication in:
A) Diverticulosis
B) Gastroenteritis
C) Gastropathy
D) Crohn's disease: D) Crohn's Disease
2. Peptic ulcer disease is an inflammatory erosion in the stomach and the major cause is:
A) Heavy alcohol use
B) Helicobacter pylori infection
C) Ibuprofen overuse
D) Smoking: B) Helicobacter pylori infection
3. Which of the following are alarming clinical findings in gastroesophageal reflux disease? Select
all that apply.
A) Regurgitation
B) Odynophagia
C) Unintended weight loss
D) Anemia
E) Dyspepsia: B) Odynophagia, C) Unintended weight loss, D) Anemia
4. The mother of a 12 month-old is concerned about her infant. She explains to the nurse that her
infant continues to projectile vomit after every feeding. Upon physical examination, the nurse notes an
olive-shaped mass in the epigastric region to the right of midline. What is the most likely cause of the
infant's clinical presentation?
A) Hirchsprung's disease
B) Gastroesophageal reflux
C) Intussusception
D) Pyloric stenosis: D) Pyloric stenosis
5. Which patient scenario is most suggestive of cystitis?
A) A 62 year-old male with a 10-year history of weak urinary stream, hesitancy, urgency.
B) A 68 year-old female with new onset of confusion and urinary frequency.
C) An 18 year-old male with a new onset of copious yellow-green penile discharge.
D) A 25 year-old female with a new onset of malodorous vaginal discharge.: B) A 68 year-old female
with new onset of confusion and urinary frequency.
6. Which abnormal urinalysis finding is most suggestive of diabetic nephropa- thy?
, NUR 303 Final
A) Crystalluria
, NUR 303 Final
B) Hematuria
C) Microalbuminuria
D) Bilirubinuria: C) Microalbuminuria
7. All of the following statements by the student nurse are correct about testicular cancer
EXCEPT:
A) "Cryptorchidism is the major risk factor for testicular cancer"
B) "Males over age 50 are primarily affected by testicular cancer."
C) "A seminoma is the most common testicular malignancy."
D) "Testicular cancer most commonly presents as a painless testicular mass.": B) "Males
over age 50 are primarily affected by testicular cancer."
8. A 72 year-old male presents to the emergency room with an acute gastroin- testinal bleed. The
patient's complete blood count reveals a hemoglobin of 5 mg/dL and hematocrit of 15%. The mean
corpuscular volume is 88 fl. What is the classification of the patient's anemia?
A )The patient does not have anemia.
B) Macrocytic anemia.
C) Microcytic anemia
D) Normocytic anemia: D) Normocytic anemia
9. All of the following statements by the student nurse are correct about sickle cell disease EXCEPT:
A) "Cold weather, infection, stress, and dehydration are common triggers of a vast-occlusive sickle
cell crisis."
B) "Malformed red blood cells in sickle cell disease are more rigid and stick together causing
obstruction to blood flow."
C) "Hand-foot syndrome in infancy is often the first presenting symptom of sickle cell disease."
D) "Sickle cell disease is an autosomal dominant genetic disorder that causes malformation of red
blood cells.": D) "Sickle cell disease is an autosomal domi- nant genetic disorder that causes
malformation of red blood cells."
10.The pathophysiology of multiple myeloma is best described as:
A) Dysfunction of bone marrow hematopoiesis defined by the presence of pancytopenia.
B) Malignant neoplasm of the plasma cells defined by the presence of Bence Jones proteinuria.
C) Cancer of the lymph nodes and lymphoid tissues defined by the presence of Reed Sternberg
cells.
D) Cancer of the blood-forming tissues defined by the presence of the Philadelphia chromosome.:
B) Malignant neoplasm of the plasma cells defined by the presence of Bence Jones
proteinuria.
, NUR 303 Final
11.A homeless 28 year-old Hispanic male patient presents with a single, round, and painless sore
on the penile shaft for the past 2 weeks He denies penile discharge. The patient is sexually active
and reports protected sexual intercourse with three males over the past 2 weeks. What is the most
likely pathogenic cause of this sexually transmitted infection?
A) Escherichia coli
B) Neisseria gonorrhoeae
C) Haemophilus ducreyi
D) Treponema pallidum: D) Treponema pallidum
12.Which platelet disorder is characterized by thromocytosis and therefore significantly elevates
clotting risk?
A) Factor V Leiden mutation
B) Von Willebrand disease
C) Vitamin K deficiency
D) Hemophilia: A) Factor V Leiden mutation
13.A 49 year-old nulliparous Black female presents with erythema, thickening, and dimpling of the left
breast nipple, as pictured here: This represents peak d'orange and is most concerning for:
A) Fibroadenoma
B) Locally advanced breast cancer
C) Fibrocystic breast disease
D) Mastitis: B) Locally advanced breast cancer
14.The nurse is assessing a 72 year-old female with a history of chronic
left-sided heart failure. The patient states she is requiring an additional 1-2 pil- lows at night in order to
asleep comfortably. If not, she experiences profound dyspnea. She denies nightmares or night terrors
The patient's symptom is best described as:
A) Anasarca.
B) Hemoptysis
C) Paroxysmal nocturnal dyspnea
D) Orthopnea: D) Orthopnea
15.Which clinical features are most consistent with left-sided heart failure? Select all that apply.
A) Cough
B) Hepatosplenomegaly
C) Dyspnea
D) Orthopnea
1. Fistula formation is an abnormal tunnel that connects two organs and is the most serious
complication in:
A) Diverticulosis
B) Gastroenteritis
C) Gastropathy
D) Crohn's disease: D) Crohn's Disease
2. Peptic ulcer disease is an inflammatory erosion in the stomach and the major cause is:
A) Heavy alcohol use
B) Helicobacter pylori infection
C) Ibuprofen overuse
D) Smoking: B) Helicobacter pylori infection
3. Which of the following are alarming clinical findings in gastroesophageal reflux disease? Select
all that apply.
A) Regurgitation
B) Odynophagia
C) Unintended weight loss
D) Anemia
E) Dyspepsia: B) Odynophagia, C) Unintended weight loss, D) Anemia
4. The mother of a 12 month-old is concerned about her infant. She explains to the nurse that her
infant continues to projectile vomit after every feeding. Upon physical examination, the nurse notes an
olive-shaped mass in the epigastric region to the right of midline. What is the most likely cause of the
infant's clinical presentation?
A) Hirchsprung's disease
B) Gastroesophageal reflux
C) Intussusception
D) Pyloric stenosis: D) Pyloric stenosis
5. Which patient scenario is most suggestive of cystitis?
A) A 62 year-old male with a 10-year history of weak urinary stream, hesitancy, urgency.
B) A 68 year-old female with new onset of confusion and urinary frequency.
C) An 18 year-old male with a new onset of copious yellow-green penile discharge.
D) A 25 year-old female with a new onset of malodorous vaginal discharge.: B) A 68 year-old female
with new onset of confusion and urinary frequency.
6. Which abnormal urinalysis finding is most suggestive of diabetic nephropa- thy?
, NUR 303 Final
A) Crystalluria
, NUR 303 Final
B) Hematuria
C) Microalbuminuria
D) Bilirubinuria: C) Microalbuminuria
7. All of the following statements by the student nurse are correct about testicular cancer
EXCEPT:
A) "Cryptorchidism is the major risk factor for testicular cancer"
B) "Males over age 50 are primarily affected by testicular cancer."
C) "A seminoma is the most common testicular malignancy."
D) "Testicular cancer most commonly presents as a painless testicular mass.": B) "Males
over age 50 are primarily affected by testicular cancer."
8. A 72 year-old male presents to the emergency room with an acute gastroin- testinal bleed. The
patient's complete blood count reveals a hemoglobin of 5 mg/dL and hematocrit of 15%. The mean
corpuscular volume is 88 fl. What is the classification of the patient's anemia?
A )The patient does not have anemia.
B) Macrocytic anemia.
C) Microcytic anemia
D) Normocytic anemia: D) Normocytic anemia
9. All of the following statements by the student nurse are correct about sickle cell disease EXCEPT:
A) "Cold weather, infection, stress, and dehydration are common triggers of a vast-occlusive sickle
cell crisis."
B) "Malformed red blood cells in sickle cell disease are more rigid and stick together causing
obstruction to blood flow."
C) "Hand-foot syndrome in infancy is often the first presenting symptom of sickle cell disease."
D) "Sickle cell disease is an autosomal dominant genetic disorder that causes malformation of red
blood cells.": D) "Sickle cell disease is an autosomal domi- nant genetic disorder that causes
malformation of red blood cells."
10.The pathophysiology of multiple myeloma is best described as:
A) Dysfunction of bone marrow hematopoiesis defined by the presence of pancytopenia.
B) Malignant neoplasm of the plasma cells defined by the presence of Bence Jones proteinuria.
C) Cancer of the lymph nodes and lymphoid tissues defined by the presence of Reed Sternberg
cells.
D) Cancer of the blood-forming tissues defined by the presence of the Philadelphia chromosome.:
B) Malignant neoplasm of the plasma cells defined by the presence of Bence Jones
proteinuria.
, NUR 303 Final
11.A homeless 28 year-old Hispanic male patient presents with a single, round, and painless sore
on the penile shaft for the past 2 weeks He denies penile discharge. The patient is sexually active
and reports protected sexual intercourse with three males over the past 2 weeks. What is the most
likely pathogenic cause of this sexually transmitted infection?
A) Escherichia coli
B) Neisseria gonorrhoeae
C) Haemophilus ducreyi
D) Treponema pallidum: D) Treponema pallidum
12.Which platelet disorder is characterized by thromocytosis and therefore significantly elevates
clotting risk?
A) Factor V Leiden mutation
B) Von Willebrand disease
C) Vitamin K deficiency
D) Hemophilia: A) Factor V Leiden mutation
13.A 49 year-old nulliparous Black female presents with erythema, thickening, and dimpling of the left
breast nipple, as pictured here: This represents peak d'orange and is most concerning for:
A) Fibroadenoma
B) Locally advanced breast cancer
C) Fibrocystic breast disease
D) Mastitis: B) Locally advanced breast cancer
14.The nurse is assessing a 72 year-old female with a history of chronic
left-sided heart failure. The patient states she is requiring an additional 1-2 pil- lows at night in order to
asleep comfortably. If not, she experiences profound dyspnea. She denies nightmares or night terrors
The patient's symptom is best described as:
A) Anasarca.
B) Hemoptysis
C) Paroxysmal nocturnal dyspnea
D) Orthopnea: D) Orthopnea
15.Which clinical features are most consistent with left-sided heart failure? Select all that apply.
A) Cough
B) Hepatosplenomegaly
C) Dyspnea
D) Orthopnea
