NR511 ACTUAL FINAL EXAM STUDY
GUIDE PLUS ALL POSSIBLE QUESTIONS
AND ANSWERS 2025/2026
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?
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?
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?
TSH
Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy?
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?
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?
Immobilize the insect with 2% lidocaine.
What is the most common cause of microcytic anemia?
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?
Benign prostatic hyperplasia (BPH)
Parkinson's disease Prostate cancer
All of theabove
Early rheumatoid disease is characterized by:
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 less than 2 seconds. What should you do?
Obtain a wrist x-ray and place her wrist in a splint or
prescribe a splint
,The criteria for diagnosing generalized anxiety disorder in
the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, 5th
edition (text revision) state that excessive worry or apprehension must be present more days than
not for at least:
6 months
A 60-year-old man presents with an enlarged scrotum. The
clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would
the clinician expect to find?
the scrotum will appear light pink or yellow.
According to Kübler-Ross, the stages of grief occur in which
order?
Denial, anger, bargaining, depression, acceptance
Reuben, age 24, has HIV and just had a routine viral load
test done. The results show a falling viral load. What does this indicate?
A favorable prognostic trend
The exanthem of Lyme disease is
Erythema migrans
You have detected the presence of crepitus on examination
of a patient with a musculoskeletal complaint. Additionally, there is limited range of motion (ROM)
with both active and passive movement. These findings suggest that the origin of the
musculoskeletal complaint is:
Articular
What is the recommended daily calcium intake for adults
, over the age of 50 with low bone mass?
1,500 mg/day
When assessing a woman for infertility, which of the
following tests should be done first?
Analysis of partner's sperm
Which type of burn injury results in destruction of the
epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands
remain intact?
Deep partial-thickness burns
A 23-year-old sexually active woman presents for her first
Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual
partners. Which of the following conditions should the clinician be particularly alert for during her
examination?
Human papillomavirus (HPV)
As a rule of thumb, the estimated level of hematocrit is how
many times the value of the hemoglobin?
Three
Sam is a 25-year-old who has been diagnosed with low
back strain based on his history of localized low back pain and muscle spasm along with a normal
neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of
exclusion. Which of the following symptoms would alert the clinician to the more serious finding
of a herniated nucleus pulposus or ruptured disc?
Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than
the back pain
GUIDE PLUS ALL POSSIBLE QUESTIONS
AND ANSWERS 2025/2026
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?
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?
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?
TSH
Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy?
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?
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?
Immobilize the insect with 2% lidocaine.
What is the most common cause of microcytic anemia?
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?
Benign prostatic hyperplasia (BPH)
Parkinson's disease Prostate cancer
All of theabove
Early rheumatoid disease is characterized by:
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 less than 2 seconds. What should you do?
Obtain a wrist x-ray and place her wrist in a splint or
prescribe a splint
,The criteria for diagnosing generalized anxiety disorder in
the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, 5th
edition (text revision) state that excessive worry or apprehension must be present more days than
not for at least:
6 months
A 60-year-old man presents with an enlarged scrotum. The
clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would
the clinician expect to find?
the scrotum will appear light pink or yellow.
According to Kübler-Ross, the stages of grief occur in which
order?
Denial, anger, bargaining, depression, acceptance
Reuben, age 24, has HIV and just had a routine viral load
test done. The results show a falling viral load. What does this indicate?
A favorable prognostic trend
The exanthem of Lyme disease is
Erythema migrans
You have detected the presence of crepitus on examination
of a patient with a musculoskeletal complaint. Additionally, there is limited range of motion (ROM)
with both active and passive movement. These findings suggest that the origin of the
musculoskeletal complaint is:
Articular
What is the recommended daily calcium intake for adults
, over the age of 50 with low bone mass?
1,500 mg/day
When assessing a woman for infertility, which of the
following tests should be done first?
Analysis of partner's sperm
Which type of burn injury results in destruction of the
epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands
remain intact?
Deep partial-thickness burns
A 23-year-old sexually active woman presents for her first
Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual
partners. Which of the following conditions should the clinician be particularly alert for during her
examination?
Human papillomavirus (HPV)
As a rule of thumb, the estimated level of hematocrit is how
many times the value of the hemoglobin?
Three
Sam is a 25-year-old who has been diagnosed with low
back strain based on his history of localized low back pain and muscle spasm along with a normal
neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of
exclusion. Which of the following symptoms would alert the clinician to the more serious finding
of a herniated nucleus pulposus or ruptured disc?
Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than
the back pain
