NR 511 MIDTERM EXAM 2026 FINAL PAPER
QUESTIONS WITH FULL ANSWERS AND
SOLUTIONS GRADED A+
◉ At the clinic, you are assessing Kyle, a 4-month-old baby, for the
first time and notice that both eyes are turning inward. What is this
called?
1.Pseudostrabismus.
2.Strabismus.
3.Esotropia.
4.Exotropia Answer: Esotropia
rationale: Esotropia is the inward turning of the eyes
◉ Kevin, age 26, has AIDS and presents to the clinic with complaints
of a painful tongue covered with what look like creamy white,
curdlike patches overlying erythematous mucosa. You are able to
scrape off these "curds" with a tongue depressor, which assists you
in making which of the following diagnoses?
1.Leukoplakia.
2.Lichen planus.
3.Oral candidiasis.
4.Oral cancer. Answer: Oral candidiasis
,rationale: Oral candidiasis (thrush) is distinctive because the white
areas on the tongue can be rubbed off with a tongue depressor.
Thrush may be seen in denture wearers, in debilitated clients, and in
those who are immunocompromised or taking corticosteroids or
broad-spectrum antibiotics
◉ What is the most common cause of epistaxis?
1.Digital trauma.
2.Warfarin.
3.Vitamin C deficiency.
4.Hemophilia A Answer: digital trauma
rationale: Picking the nose is the most common cause of nosebleeds
◉ You are the nurse practitioner caring for Martha, a 47-year-old
accountant. You have made a diagnosis of acute sinusitis based on
Martha's history and the fact that she complains of pain behind her
eye. Which sinuses are affected?
1.Maxillary.
2.Ethmoid.
3.Frontal.
4.Sphenoid Answer: ethmoid
,rationale: With ethmoid sinus problems, the pain is felt behind the
eye and high on the nose
◉ A 25-year-old client who plays in a band complains that he finds it
difficult to understand his fellow musicians at the end of a night of
performing, a problem that is compounded by the noisy
environment of the club. These symptoms are most characteristic of
which of the following?
1.Sensorineural loss.
2.Conductive loss.
3.Tinnitus.
4.Vertigo. Answer: sensorineural hearing loss
rationale: Sensorineural loss comes from exposure to loud noises,
inner ear infections, tumors, congenital and familial disorders, and
aging. The results of the Weber and Rinne tests will assist in the
diagnosis
◉ Mandy, 44, was given a diagnosis of flu 1 day ago and wants to
start on the "new flu medicine" right away. What do you tell her?
1."The medication is effective only if started within the first 72 hours
after symptoms begin."
2."If you treat a cold, it goes away in 7 days; if you don't treat it, it
goes away in 1 week."
3."The medicine has not proven its effectiveness."
, 4. "I'll start you on oseltamivir (Tamiflu) today. It may shorten the
course of the disease and perhaps lessen the severity of your
symptoms." Answer: "I'll start you on oseltamivir (Tamiflu) today. It
may shorten the course of the disease and perhaps lessen the
severity of your symptoms.
rationale: Two antiviral drugs, oseltamivir (Tamiflu), a pill taken by
mouth, and zanamivir (Relenza), an inhaled medication, are
particularly effective against the influenza viruses that cause the flu.
If the virus causing the flu is type A influenza, the client may benefit
from either one of these drugs
◉ Marjorie, age 37, has asthma and has been told she has nasal
polyps. What do you tell her about them?
1.Nasal polyps are usually precancerous.
2.Nasal polyps are benign growths.
3.The majority of nasal polyps are neoplastic.
4.They are probably inflamed turbinates, not polyps, because polyps
are infrequent in clients with asthma. Answer: Nasal polyps are
benign growths
rationale: Nasal polyps are benign growths that occur frequently in
clients with sinus problems, asthma, and allergic rhinitis. Polyps are
neither neoplastic growths nor precancerous, but they do have the
potential to affect the flow of air through the nasal passages. Clients
QUESTIONS WITH FULL ANSWERS AND
SOLUTIONS GRADED A+
◉ At the clinic, you are assessing Kyle, a 4-month-old baby, for the
first time and notice that both eyes are turning inward. What is this
called?
1.Pseudostrabismus.
2.Strabismus.
3.Esotropia.
4.Exotropia Answer: Esotropia
rationale: Esotropia is the inward turning of the eyes
◉ Kevin, age 26, has AIDS and presents to the clinic with complaints
of a painful tongue covered with what look like creamy white,
curdlike patches overlying erythematous mucosa. You are able to
scrape off these "curds" with a tongue depressor, which assists you
in making which of the following diagnoses?
1.Leukoplakia.
2.Lichen planus.
3.Oral candidiasis.
4.Oral cancer. Answer: Oral candidiasis
,rationale: Oral candidiasis (thrush) is distinctive because the white
areas on the tongue can be rubbed off with a tongue depressor.
Thrush may be seen in denture wearers, in debilitated clients, and in
those who are immunocompromised or taking corticosteroids or
broad-spectrum antibiotics
◉ What is the most common cause of epistaxis?
1.Digital trauma.
2.Warfarin.
3.Vitamin C deficiency.
4.Hemophilia A Answer: digital trauma
rationale: Picking the nose is the most common cause of nosebleeds
◉ You are the nurse practitioner caring for Martha, a 47-year-old
accountant. You have made a diagnosis of acute sinusitis based on
Martha's history and the fact that she complains of pain behind her
eye. Which sinuses are affected?
1.Maxillary.
2.Ethmoid.
3.Frontal.
4.Sphenoid Answer: ethmoid
,rationale: With ethmoid sinus problems, the pain is felt behind the
eye and high on the nose
◉ A 25-year-old client who plays in a band complains that he finds it
difficult to understand his fellow musicians at the end of a night of
performing, a problem that is compounded by the noisy
environment of the club. These symptoms are most characteristic of
which of the following?
1.Sensorineural loss.
2.Conductive loss.
3.Tinnitus.
4.Vertigo. Answer: sensorineural hearing loss
rationale: Sensorineural loss comes from exposure to loud noises,
inner ear infections, tumors, congenital and familial disorders, and
aging. The results of the Weber and Rinne tests will assist in the
diagnosis
◉ Mandy, 44, was given a diagnosis of flu 1 day ago and wants to
start on the "new flu medicine" right away. What do you tell her?
1."The medication is effective only if started within the first 72 hours
after symptoms begin."
2."If you treat a cold, it goes away in 7 days; if you don't treat it, it
goes away in 1 week."
3."The medicine has not proven its effectiveness."
, 4. "I'll start you on oseltamivir (Tamiflu) today. It may shorten the
course of the disease and perhaps lessen the severity of your
symptoms." Answer: "I'll start you on oseltamivir (Tamiflu) today. It
may shorten the course of the disease and perhaps lessen the
severity of your symptoms.
rationale: Two antiviral drugs, oseltamivir (Tamiflu), a pill taken by
mouth, and zanamivir (Relenza), an inhaled medication, are
particularly effective against the influenza viruses that cause the flu.
If the virus causing the flu is type A influenza, the client may benefit
from either one of these drugs
◉ Marjorie, age 37, has asthma and has been told she has nasal
polyps. What do you tell her about them?
1.Nasal polyps are usually precancerous.
2.Nasal polyps are benign growths.
3.The majority of nasal polyps are neoplastic.
4.They are probably inflamed turbinates, not polyps, because polyps
are infrequent in clients with asthma. Answer: Nasal polyps are
benign growths
rationale: Nasal polyps are benign growths that occur frequently in
clients with sinus problems, asthma, and allergic rhinitis. Polyps are
neither neoplastic growths nor precancerous, but they do have the
potential to affect the flow of air through the nasal passages. Clients
