2024 NR511 Clinical Analysis Final Exam With Answers (99 Solved Questions)

Name: 2024 NR511 Clinical Analysis Final Exam With Answers (99 Solved Questions)
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NR511 FINAL/NR 511 FINAL EXAM LATEST 2024
EXAM 100 QUESTIONS AND CORRECT
ANSWERS|AGRADE
Question 1. The most cost-effective screening test for determining
HIV status is which of the following?
Student Answer: Western blot
Enzyme-linked immunosorbent assay
Venereal Disease Research Laboratory test
Viral load
Points Received:
Comments:
0 of 2
Question 2.Question : Which blood test is a nonspecific method and most helpful for
evaluating the severity and course of an inflammatory
process?
Student Answer: Erythrocyte sedimentation rate
White blood cell count
Polymorphonuclear cells
C-reactive protein (CRP)
Points Received:
Comments:
0 of 2
Question 3.Question : Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter?
Student Answer: GABA
Acetylcholine
Dopamine
Serotonin
Points Received:
Comments:
0 of 2
Question 4.Question :
and
Mrs. Thomas was seen in the office complaining of pain
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:
Student Answer: Ecchymosis, edema, and erythema over the lateral
epicondyle
Pain at the elbow with resisted movements at the wrist
and forearm
Inability to supinate and pronate the arm
Inability to flex or extend the elbow against
resistance Points Received: 2 of 2 Comments:

Question 5.Question :
Student Answer:
Which of the following statements concerning the
musculoskeletal examination is true?
The uninvolved side should be examined initially and
then compared to the involved side.
Points Received:
Comments:
Question 6.Question :
The part of the body that is causing the patient
pain should be examined first.
When possible, the patient should not be asked to
perform active range-of-motion (ROM) exercises to
avoid causing pain.
Radiographs should always be obtained prior to
examination so as not to cause further injury to the
patient.
(not graded)
Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
Student Answer: Decreased C-reactive protein
Hyperalbuminemia
Morning stiffness
Weight gain Points
Received: (not graded) Comments:
Question 7.Question : Which causes the greatest percentage of mammalian bites?
Student Answer: Dogs
Cats
Humans
Rodents
Points Received:
Comments:
(not graded)
Question 8.Question :
of
A 48-year-old woman is seen in the clinic with complaints
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?
Student Answer: Transvaginal ultrasound
Endometrial biopsy
MRI
Abdominal computed
tomography scan Points Received: (not graded) Comments:
Question 9.Question : 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?
Student 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 Points Received: (not graded)
Comments:
Question 10.Question : 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?
Student Answer: Serum
calcium TSH
Electrolytes
Urine specific
gravity Points Received: (not graded) Comments:
Question 11.Question : Which of the following medications for type 2 diabetes mellitus
should not be prescribed during pregnancy?
Student Answer: Insulin
Metformin
Glucotrol
Precose Points Received:
(not graded) Comments:
Question 12.Question : 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?
Student Answer: An enlarged rubbery gland
A hard irregular gland
A tender gland A
boggy gland Points Received:
(not
graded) Comments:
Question 13.Question : 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?
Student Answer: Remove the insect with tweezers.
Immobilize the insect with 2% lidocaine.
Sedate Eddie with diazepam.
Shine a light in the ear for the insect to "find its way
out." Points Received: (not graded) Comments:

Question 14.Question : What is the most common cause of microcytic anemia?
Student Answer: Anemia of chronic disease
Sideroblastic
anemia Iron-
deficiency anemia
Thalassemia
Points Received:
Comments:
(not graded)
Question 15.Question : 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?
Student Answer: Benign prostatic hyperplasia (BPH)
Parkinson's disease
Prostate cancer All
of the
above Points Received: (not graded) Comments:
Question 16.Question : Early rheumatoid disease is characterized by: Student
Answer: Pain and swelling in both small and large peripheral joints
Rigid joints with diminished range of motion
Joint swelling and immobility on rising A
cardiac rub or pulmonary friction
rub Points Received: (not graded) Comments:
Question 17.Question : 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?
Student Answer: Make an immediate referral for an orthopedic evaluation
without further assessment.
Tell her that it takes time for these bruises to improve, so
she should be patient.
Obtain a wrist x-ray and place her wrist in a splint or
prescribe a splint.

Points Received:
Comments:
Question 18.Question :
Send her to the emergency room for reduction of
this obvious wrist fracture. (not graded)
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:
Student Answer: 1 month
3
months
6
months
12 months Points Received: (not graded)
Comments:
Question 19.Question : 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?
Student Answer: The scrotum will be dark.
The scrotum will appear light pink or yellow.
The scrotum will appear milky white.
The internal structures will be clearly visible. Points
Received: (not graded) Comments:
Question 20.Question : According to Kübler-Ross, the stages of grief occur in
which order?
Student Answer: Anger, denial, depression, bargaining, acceptance Anger,
denial, bargaining, acceptance, depression
Denial, anger, depression, bargaining,
acceptance Denial, anger,
bargaining, depression, acceptance
Points Received:
Comments:
(not graded)
Question 21.Question : 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?
Student Answer: A favorable prognostic trend

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Disease progression
The need to be more aggressive with
Reuben's medications
The eradication of the HIV
Points Received:
Comments:
(not graded)
Question 22.Question : The exanthem of Lyme disease
is: Student Answer: Erythema infectiosum
Laterothoracic exanthem
Erythema migrans
Morbilli exanthem
Points Received:
Comments:
(not graded)
Question 23.Question : 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:
Student Answer: Articular
Inflammatory
Nonarticular
A and B Points Received:
(not graded) Comments:
Question 24.Question : What is the recommended daily calcium intake for adults over
the age of 50 with low bone mass?
Student Answer: 1,200
mg/day
1,000
mg/day
1,300
mg/day 1,500
mg/day Points Received: (not graded)
Comments:
Question 25.Question : When assessing a woman for infertility, which of the following
tests should be done first?
Student Answer: Analysis of partner's sperm
Magnetic resonance imaging
(MRI) Hysterosalpingogram
Estrogen level
Points Received:
Comments:
(not graded)
Question 26.Question : 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?

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Student Answer: Superficial burns
Superficial partial-thickness burns
Deep partial-thickness
burns
Full-thickness
burns Points Received: (not graded) Comments:
Question 27.Question : 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?
Student Answer: Human papillomavirus (HPV)
Endometrial hyperplasia
Vagismus
Polycystic ovarian
syndrome Points Received: (not graded) Comments:
Question 28.Question : As a rule of thumb, the estimated level of hematocrit is how
many times the value of the hemoglobin?
Student Answer: Two
Three
Four
Five
Points Received:
Comments:
(not graded)
Question 29.Question : 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?
Student Answer: Morning stiffness and limited mobility of the lumbar spine

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University

Chamberlain College of Nursing

Subject

Medicine

2024 NR511 Clinical Analysis Final Exam With Answers (99 Solved Questions)

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