NR 511 MIDTERM QUESTIONS &
ANSWERS
Question 2: Which drug for Alzheimer's disease should be administered beginning at
the time of diagnosis?
a. Cholinesterase inhibitors
b. Anxiolytics
c. Antidepressants
d. Atypical antipsychotics - ANSWERa. cholinesterase inhibitors pg
Question 3: Most adult poisonings are:
a. intentional and self-inflicted.
b. accidental.
c. caused by someone wishing to do harm to the person.
d. not attributed to any reason. - ANSWERb. accidental.
Question 4: A 58-year-old woman presents with a breast mass. Which of the following
responses by the clinician would be most appropriate?
a. "It is probably just a cyst, because that is the most common breast mass."
b. "We will order a mammogram and ultrasound to help establish a diagnosis."
c. "We will go ahead and schedule you for a biopsy because that is the only way to
know for sure."
d. "Because your lump is painful, it is most likely not cancer." - ANSWER"We will order
a mammogram and ultrasound to help establish a diagnosis."
Question 5: Which of the following is a specific test for multiple sclerosis (MS)?
a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
c. A lumbar puncture
d. There is no specific test. - ANSWERd. There is no specific test.
Question 7: Which characteristic of delirium helps to distinguish delirium from
dementia?
a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions - ANSWERAbrupt onset
,Question 8: Which clinical feature is the first to be affected in increased intracranial
pressure (ICP)?
a. Decrease in level of consciousness (LOC)
b. Headache
c. Nausea
d. Widening pulse pressure - ANSWERDecrease in level of consciousness (LOC)
Question 17: A 58-year-old woman who had a total abdominal hysterectomy at the age
of 45 is diagnosed with atrophic vaginitis. Which of the following is the most appropriate
treatment?
a. Conjugated estrogen 0.625 mg/day oral
b. Estradiol 7.5 mcg/24 hr vaginal ring
c. Medroxyprogesterone 10 mg/day oral
d. Conjugated estrogen 0.3 mg + medroxyprogesterone 1.5 mg/day oral -
ANSWEREstradiol 7.5 mcg/24 hr vaginal ring
Question 18: When looking under the microscope to diagnose an intravaginal infection,
you see a cluster of small and oval to round shapes. What do you suspect they are?
a. Spores
b. Leukocytes
c. Pseudohyphae
d. Epithelial cells - ANSWERspores
Patients with a spontaneous pneumothorax should be counseled that up to what
percentage may experience a reoccurrence at some point?
a. 10%
b. 20%
c. 30%
d. 50% - ANSWER30%
Question 20: John is a 16-year-old boy who presents to the emergency room after
hurting his knee in a football game. He described twisting his knee and then being
unable to extend it completely. John tells the clinician that he heard a pop when the
injury occurred and has been experiencing localized pain. The clinician suspects a
,meniscal tear. Which test would be most appropriate to assess for the presence of a
meniscal tear?
a. Valgus stress test
b. McMurray circumduction test
c. Lachman test
d. Varus stress test - ANSWERMcMurray circumduction test
Question 21: During a digital rectal exam (DRE) on a 75-year-old man, the clinician
suspects the patient has prostate cancer. What physical finding should make the
clinician suspicious?
a. An enlarged rubbery gland
b. A hard irregular gland
c. A tender gland
d. A boggy gland - ANSWERAn enlarged rubbery gland
Question 22: Janet is a 30-year-old woman who has been recently diagnosed with a
herniated disc at the level of L5-S1. She is currently in the emergency room with
suspicion of cauda equina compression. Which of the following is a sign or symptom of
cauda equina compression?
a. Gastrocnemius weakness
b. A reduced or absent ankle reflex
c. Numbness in the lateral foot
d. Paresthesia of the perineum and buttocks - ANSWERParesthesia of the perineum
and buttocks
Question 24: A patient is diagnosed with hypothyroidism. Which of the following
electrocardiogram (ECG) changes should the clinician expect as a manifestation of the
disease?
a. Sinus bradycardia
b. Atrial fibrillation
c. Supraventricular tachycardia
d. U waves - ANSWERSinus bradycardia
Question 25: Which type of burn injury results in destruction of epidermis with most of
the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact?
a. Superficial burns
b. Superficial partial-thickness burns
, c. Deep partial-thickness burns
d. Full-thickness burns - ANSWERDeep partial-thickness burns
Question 26: Immunizations are an example of which type of prevention?
a. Primary
b. Secondary
c. Tertiary - ANSWERa. Primary
Question 27: If a previously frostbitten area becomes frostbitten again after it has
healed, what might occur?
a. Permanent tissue damage may occur, resulting in necrosis to that body part.
b. The area will be super sensitive.
c. The area is prone to a repeat frostbite.
d. The area is as susceptible as any other area. - ANSWERPermanent tissue damage
may occur, resulting in necrosis to that body part.
Question 29: Julie, aged 50, has migraine headaches, frequent asthma attacks,
coronary artery disease, and hypertension. Which of the following prophylactic
medications would you order for her migraines?
a. Propranolol
c. Ergotamine
b. Timolol
d. Topiramate - ANSWERd. Topiramate
Which of the following statements is true concerning the musculoskeletal pain? -
ANSWERThe uninvolved side should be examined initially and compared to the
involved side.
Question 1: In an outpatient setting, what is the most common reason for a malpractice
suit?
a. Failure to treat a condition
b. Failure to diagnose correctly
c. Ordering the wrong medication
d. Failure to manage care - ANSWERFailure to diagnose correctly
Question 2: How often should the clinician examine the feet of a person with diabetes?
a. Once a year
b. Every 6 months
c. Every 3 months
ANSWERS
Question 2: Which drug for Alzheimer's disease should be administered beginning at
the time of diagnosis?
a. Cholinesterase inhibitors
b. Anxiolytics
c. Antidepressants
d. Atypical antipsychotics - ANSWERa. cholinesterase inhibitors pg
Question 3: Most adult poisonings are:
a. intentional and self-inflicted.
b. accidental.
c. caused by someone wishing to do harm to the person.
d. not attributed to any reason. - ANSWERb. accidental.
Question 4: A 58-year-old woman presents with a breast mass. Which of the following
responses by the clinician would be most appropriate?
a. "It is probably just a cyst, because that is the most common breast mass."
b. "We will order a mammogram and ultrasound to help establish a diagnosis."
c. "We will go ahead and schedule you for a biopsy because that is the only way to
know for sure."
d. "Because your lump is painful, it is most likely not cancer." - ANSWER"We will order
a mammogram and ultrasound to help establish a diagnosis."
Question 5: Which of the following is a specific test for multiple sclerosis (MS)?
a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
c. A lumbar puncture
d. There is no specific test. - ANSWERd. There is no specific test.
Question 7: Which characteristic of delirium helps to distinguish delirium from
dementia?
a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions - ANSWERAbrupt onset
,Question 8: Which clinical feature is the first to be affected in increased intracranial
pressure (ICP)?
a. Decrease in level of consciousness (LOC)
b. Headache
c. Nausea
d. Widening pulse pressure - ANSWERDecrease in level of consciousness (LOC)
Question 17: A 58-year-old woman who had a total abdominal hysterectomy at the age
of 45 is diagnosed with atrophic vaginitis. Which of the following is the most appropriate
treatment?
a. Conjugated estrogen 0.625 mg/day oral
b. Estradiol 7.5 mcg/24 hr vaginal ring
c. Medroxyprogesterone 10 mg/day oral
d. Conjugated estrogen 0.3 mg + medroxyprogesterone 1.5 mg/day oral -
ANSWEREstradiol 7.5 mcg/24 hr vaginal ring
Question 18: When looking under the microscope to diagnose an intravaginal infection,
you see a cluster of small and oval to round shapes. What do you suspect they are?
a. Spores
b. Leukocytes
c. Pseudohyphae
d. Epithelial cells - ANSWERspores
Patients with a spontaneous pneumothorax should be counseled that up to what
percentage may experience a reoccurrence at some point?
a. 10%
b. 20%
c. 30%
d. 50% - ANSWER30%
Question 20: John is a 16-year-old boy who presents to the emergency room after
hurting his knee in a football game. He described twisting his knee and then being
unable to extend it completely. John tells the clinician that he heard a pop when the
injury occurred and has been experiencing localized pain. The clinician suspects a
,meniscal tear. Which test would be most appropriate to assess for the presence of a
meniscal tear?
a. Valgus stress test
b. McMurray circumduction test
c. Lachman test
d. Varus stress test - ANSWERMcMurray circumduction test
Question 21: During a digital rectal exam (DRE) on a 75-year-old man, the clinician
suspects the patient has prostate cancer. What physical finding should make the
clinician suspicious?
a. An enlarged rubbery gland
b. A hard irregular gland
c. A tender gland
d. A boggy gland - ANSWERAn enlarged rubbery gland
Question 22: Janet is a 30-year-old woman who has been recently diagnosed with a
herniated disc at the level of L5-S1. She is currently in the emergency room with
suspicion of cauda equina compression. Which of the following is a sign or symptom of
cauda equina compression?
a. Gastrocnemius weakness
b. A reduced or absent ankle reflex
c. Numbness in the lateral foot
d. Paresthesia of the perineum and buttocks - ANSWERParesthesia of the perineum
and buttocks
Question 24: A patient is diagnosed with hypothyroidism. Which of the following
electrocardiogram (ECG) changes should the clinician expect as a manifestation of the
disease?
a. Sinus bradycardia
b. Atrial fibrillation
c. Supraventricular tachycardia
d. U waves - ANSWERSinus bradycardia
Question 25: Which type of burn injury results in destruction of epidermis with most of
the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact?
a. Superficial burns
b. Superficial partial-thickness burns
, c. Deep partial-thickness burns
d. Full-thickness burns - ANSWERDeep partial-thickness burns
Question 26: Immunizations are an example of which type of prevention?
a. Primary
b. Secondary
c. Tertiary - ANSWERa. Primary
Question 27: If a previously frostbitten area becomes frostbitten again after it has
healed, what might occur?
a. Permanent tissue damage may occur, resulting in necrosis to that body part.
b. The area will be super sensitive.
c. The area is prone to a repeat frostbite.
d. The area is as susceptible as any other area. - ANSWERPermanent tissue damage
may occur, resulting in necrosis to that body part.
Question 29: Julie, aged 50, has migraine headaches, frequent asthma attacks,
coronary artery disease, and hypertension. Which of the following prophylactic
medications would you order for her migraines?
a. Propranolol
c. Ergotamine
b. Timolol
d. Topiramate - ANSWERd. Topiramate
Which of the following statements is true concerning the musculoskeletal pain? -
ANSWERThe uninvolved side should be examined initially and compared to the
involved side.
Question 1: In an outpatient setting, what is the most common reason for a malpractice
suit?
a. Failure to treat a condition
b. Failure to diagnose correctly
c. Ordering the wrong medication
d. Failure to manage care - ANSWERFailure to diagnose correctly
Question 2: How often should the clinician examine the feet of a person with diabetes?
a. Once a year
b. Every 6 months
c. Every 3 months
