NR 507/ NR507 MIDTERM AND FINAL EXAM
NEWEST ACTUAL EXAM WITH COMPLETE
QUESTIONS AND DETAILED VERIFIED
ANSWERS GRADED A+ | 100% VERIFIED |
CHAMBERLAIN NR507 MIDTERM EXAM
2025 UPDATE!!!
A 42-year-old female presents to the primary care clinic with a three-
month history of "feeling low", poor energy, inability to concentrate and
irritability. She is concerned about her loss of interest in her usual social
activities of walking with her friends and participating in her sewing
group. She is especially concerned about her recent 15-pound weight
gain. Other reported symptoms are frequent headaches, difficulty getting
out of bed in the morning, and feeling worthless. She denies suicide
ideation. She reports a family history of depression (mother and sister)
and denies any consumption of drugs and alcohol. She is divorced and
has a grown son who lives approximately one hour away but rarely sees
because of his work schedule. The patient is interested in knowing if her
symptoms are related to depression.
Upon initial evaluation, the NP considers if the patient meets the criteria
for MDD by consulting the DS - ANSWER ✔✔- Depressed mood
Fatigue/loss of energy
Loss of interest/Anhedonia
Feeling worthless or having excessive guilt
Insomnia or hypersomnia
Poor concentration
Recurrent thoughts of death, suicide, a suicide plan or attempt
1|Page
,Psychomotor agitation or retardation
A strong social network has been proven to lead to a better outcome for
individuals with MDD. - ANSWER ✔✔- true
Amitriptyline (Elavil) is an alpha-agonist that increases synaptic
concentration of serotonin and/or norepinephrine. - ANSWER ✔✔- false
(Amitriptyline is a tricyclic anti-depressant)
Which of the following symptoms would prompt the NP to refer the
patient to a psychiatrist? - ANSWER ✔✔- Psychotic symptoms.
Suicide ideation.
Patient's request.
Selective Serotonin Reuptake Inhibitors (SSRIs) block the reabsorption
or inhibits the reuptake of serotonin that allows for more of it in the
synaptic cleft. - ANSWER ✔✔- true
Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs) drugs increase
levels of serotonin and norepinephrine in the brain by promoting their
reuptake by nerves. - ANSWER ✔✔- false (SNRIs block or delay
serotonin and norepinephrine in the brain)
Which of the following are considered the " first responders " of the
innate immune system ? - ANSWER ✔✔- Neutrophils
2|Page
,Allergic contact dermatitis is an example of hypersensitivity reaction -
ANSWER ✔✔- Type 4
Hives ( urticaria ) are an example of a : - ANSWER ✔✔- Type 1
hypersensitivity reaction
Which of the assessment findings would be expected with urticaria ? -
ANSWER ✔✔- Eosinophilia
Underlying pathology for hay fever ? - ANSWER ✔✔- Mast cell
degranulation
Chronic granulomatous disease of Childhood
DiGeorge Syndrome
Job Sundrome
Common Variable Immunodeficiency
Familial Mediterranean fever - ANSWER ✔✔- Primary
Immunodeficiencies
HIV
Pneumocystis Carinii
Pneumonia
Sinus Infection
3|Page
, Lung Cancer - ANSWER ✔✔- Secondary Immunodeficiencies
Which CD4 count should be prescribed in HIV treatment Regimen ? -
ANSWER ✔✔- Under 500
Before any invasive procedure , what should be administered to Immune
- Compromised individuals ? - ANSWER ✔✔- Prophylactic
antimicrobial drugs
Immunodeficiency puts individuals most at risk for which 2 conditions ?
- ANSWER ✔✔- Cancer and Opportunistic infections
Treatment option for HIV ? - ANSWER ✔✔- Highly active
antiretroviral therapy (HAART)
Which of the following assessment finding support a dx of Rheumatoid
Arthritis ? - ANSWER ✔✔- Swollen metacarpophalangeal joints
T - cells , B - cells and autoantibodies can be involved in autoimmune
diseases - ANSWER ✔✔- True
Best describes the symptoms of Systemic Lupus Erythematosus ( SLE )
- ANSWER ✔✔- Tissue inflammation , vasculitis , rash , tissue
inflammation
4|Page
NEWEST ACTUAL EXAM WITH COMPLETE
QUESTIONS AND DETAILED VERIFIED
ANSWERS GRADED A+ | 100% VERIFIED |
CHAMBERLAIN NR507 MIDTERM EXAM
2025 UPDATE!!!
A 42-year-old female presents to the primary care clinic with a three-
month history of "feeling low", poor energy, inability to concentrate and
irritability. She is concerned about her loss of interest in her usual social
activities of walking with her friends and participating in her sewing
group. She is especially concerned about her recent 15-pound weight
gain. Other reported symptoms are frequent headaches, difficulty getting
out of bed in the morning, and feeling worthless. She denies suicide
ideation. She reports a family history of depression (mother and sister)
and denies any consumption of drugs and alcohol. She is divorced and
has a grown son who lives approximately one hour away but rarely sees
because of his work schedule. The patient is interested in knowing if her
symptoms are related to depression.
Upon initial evaluation, the NP considers if the patient meets the criteria
for MDD by consulting the DS - ANSWER ✔✔- Depressed mood
Fatigue/loss of energy
Loss of interest/Anhedonia
Feeling worthless or having excessive guilt
Insomnia or hypersomnia
Poor concentration
Recurrent thoughts of death, suicide, a suicide plan or attempt
1|Page
,Psychomotor agitation or retardation
A strong social network has been proven to lead to a better outcome for
individuals with MDD. - ANSWER ✔✔- true
Amitriptyline (Elavil) is an alpha-agonist that increases synaptic
concentration of serotonin and/or norepinephrine. - ANSWER ✔✔- false
(Amitriptyline is a tricyclic anti-depressant)
Which of the following symptoms would prompt the NP to refer the
patient to a psychiatrist? - ANSWER ✔✔- Psychotic symptoms.
Suicide ideation.
Patient's request.
Selective Serotonin Reuptake Inhibitors (SSRIs) block the reabsorption
or inhibits the reuptake of serotonin that allows for more of it in the
synaptic cleft. - ANSWER ✔✔- true
Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs) drugs increase
levels of serotonin and norepinephrine in the brain by promoting their
reuptake by nerves. - ANSWER ✔✔- false (SNRIs block or delay
serotonin and norepinephrine in the brain)
Which of the following are considered the " first responders " of the
innate immune system ? - ANSWER ✔✔- Neutrophils
2|Page
,Allergic contact dermatitis is an example of hypersensitivity reaction -
ANSWER ✔✔- Type 4
Hives ( urticaria ) are an example of a : - ANSWER ✔✔- Type 1
hypersensitivity reaction
Which of the assessment findings would be expected with urticaria ? -
ANSWER ✔✔- Eosinophilia
Underlying pathology for hay fever ? - ANSWER ✔✔- Mast cell
degranulation
Chronic granulomatous disease of Childhood
DiGeorge Syndrome
Job Sundrome
Common Variable Immunodeficiency
Familial Mediterranean fever - ANSWER ✔✔- Primary
Immunodeficiencies
HIV
Pneumocystis Carinii
Pneumonia
Sinus Infection
3|Page
, Lung Cancer - ANSWER ✔✔- Secondary Immunodeficiencies
Which CD4 count should be prescribed in HIV treatment Regimen ? -
ANSWER ✔✔- Under 500
Before any invasive procedure , what should be administered to Immune
- Compromised individuals ? - ANSWER ✔✔- Prophylactic
antimicrobial drugs
Immunodeficiency puts individuals most at risk for which 2 conditions ?
- ANSWER ✔✔- Cancer and Opportunistic infections
Treatment option for HIV ? - ANSWER ✔✔- Highly active
antiretroviral therapy (HAART)
Which of the following assessment finding support a dx of Rheumatoid
Arthritis ? - ANSWER ✔✔- Swollen metacarpophalangeal joints
T - cells , B - cells and autoantibodies can be involved in autoimmune
diseases - ANSWER ✔✔- True
Best describes the symptoms of Systemic Lupus Erythematosus ( SLE )
- ANSWER ✔✔- Tissue inflammation , vasculitis , rash , tissue
inflammation
4|Page
