Verified Exam Questions with Correct
Answers
This document contains expertly verified exam questions and 100% correct answers for the
NR 511: Differential Diagnosis and Primary Care Practicum Final Examination, updated
for the 2025/2026 academic year. It covers comprehensive patient assessment, diagnostic
reasoning, evidence-based management strategies, and clinical decision-making skills.
Designed to reflect the real exam format, this resource is ideal for nurse practitioner
students aiming for success in both academic and clinical practice.
The most cost-effective screening test for determining HIV status
is which of the following? - ,,,answer,,,,..Enzyme-linked
immunosorbent assay
Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of aninflammatory process?
- ,,,answer,,,,..C-reactive protein (CRP
Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter? - ,,,answer,,,,..Dopamine
Mrs. Thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. The pain has increased
following a day of gardening one week ago. A physical finding that
differentiates the diagnosis and is most consistent with lateral
epicondylitis (tennis elbow) is: - ,,,answer,,,,..Pain at the elbow with
resisted movements at the wrist and forearm
Which of the following statements concerning the
,musculoskeletal examination is true? - ,,,answer,,,,..The uninvolved
side should be examined initially and then compared to the
involved side.
Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain? -
,,,answer,,,,..Morning stiffness
Which causes the greatest percentage of mammalian bites? -
,,,answer,,,,..Dogs
A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she
can no longer exercise. Pelvic exam reveals a single, very large
mass. Which of the following diagnostic tests should the clinician
order first? - ,,,answer,,,,..Transvaginal ultrasound
A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. Which of the
following responses would be most appropriate? -
,,,answer,,,,..Control of glucose will help postpone or delay
complications."
"Regularly checking blood sugar will help establish a routine."
"Monitoring glucose will promote a sense of control."
ALL OF THE ABOVE
A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months.
On physical examination, the clinician notices a sinus
bradycardia; muscular stiffness; coarse, dry hair; and a delay in
relaxation in deep tendon reflexes. Which of the following tests
should be ordered next? - ,,,answer,,,,..TSH
Which of the following medications for type 2 diabetes
, mellitus should not be prescribed during pregnancy? -
,,,answer,,,,..Glucotrol
During a DRE on a 75-year-old man, the clinician suspects
the patient has prostate cancer. What physical finding should
make the clinician suspicious? - ,,,answer,,,,..An enlarged rubbery
gland
Eddie, age 4, presents to the ED with a live insect trapped in
his ear canal causing a lot of distress. What should be your first
step? - ,,,answer,,,,..Immobilize the insect with 2% lidocaine.
What is the most common cause of microcytic anemia? -
,,,answer,,,,..Iron-deficiency anemia
An 82-year-old man is seen in the primary care office with
complaints of dribbling urine and difficulty starting his stream.
Which of the following should be included in the list of differential
diagnoses? - ,,,answer,,,,..Benign prostatic hyperplasia (BPH)
Parkinson's disease Prostate cancer
All of theabove
Early rheumatoid disease is characterized by: - ,,,answer,,,,..Joint
swelling and immobility on rising
A 70-year-old female has fallen 2 weeks ago and developed
immediate pain in her left wrist. She thought she just bruised it but
is worried because it has not improved. She has used Tylenol®
and ice at home, and that has helped slightly. You examine her
and find she has moderate swelling and ecchymosis but no
overtly obvious deformity. Her ROM is uncomfortable and
severely diminished due to the pain. No crepitus is heard or felt.
Her fingers are warm; her pulse is strong; and capillary refill is