NR 511 MIDTERM EXAM
Question 1
A 55-year-old male presents with chest pain radiating to his left arm and jaw,
associated with sweating and shortness of breath. Which is the most likely
diagnosis?
A) Pulmonary embolism
B) Myocardial infarction
C) Gastroesophageal reflux disease (GERD)
D) Musculoskeletal pain
Answer: B) Myocardial infarction
Question 2
Which of the following laboratory findings is most consistent with a diagnosis of
chronic kidney disease?
A) Elevated creatinine and low GFR
B) Low hemoglobin and elevated white blood cell count
C) Decreased liver enzymes and high GFR
D) High blood glucose and elevated ketones
Answer: A) Elevated creatinine and low GFR
Question 3
A 45-year-old female patient presents with fatigue, dry skin, weight gain, and cold
intolerance. Which endocrine disorder is most likely?
A) Hyperthyroidism
B) Hypothyroidism
,C) Addison's disease
D) Cushing's syndrome
Answer: B) Hypothyroidism
Question 4
In managing a patient with asthma, which medication class is considered first-line
treatment for maintenance therapy?
A) Short-acting beta agonists
B) Long-acting beta agonists
C) Inhaled corticosteroids
D) Leukotriene receptor antagonists
Answer: C) Inhaled corticosteroids
Question 5
Which assessment finding would be most concerning in a patient with a suspected
stroke?
A) Blood pressure of 150/90 mmHg
B) Sudden onset of facial asymmetry and arm weakness
C) History of hypertension
D) Blood glucose of 100 mg/dL
Answer: B) Sudden onset of facial asymmetry and arm weakness
Question 6
A 70-year-old patient with a history of heart failure presents with 3+ pitting edema in
the legs, weight gain, and jugular vein distension. Which heart failure classification is
most likely?
,A) Left-sided heart failure
B) Right-sided heart failure
C) Diastolic heart failure
D) High-output heart failure
Answer: B) Right-sided heart failure
Question 7
For a patient presenting with severe hypertension, which of the following is an
immediate priority?
A) Educating on low-sodium diet
B) Administering IV antihypertensive medication
C) Scheduling a follow-up appointment
D) Prescribing a diuretic
Answer: B) Administering IV antihypertensive medication
Question 8
Which of the following findings is most indicative of peripheral arterial disease
(PAD)?
A) Brown pigmentation around the ankles
B) Pulsating mass in the abdomen
C) Intermittent claudication
D) 4+ bilateral peripheral pulses
Answer: C) Intermittent claudication
Question 9
What is the primary benefit of using motivational interviewing techniques in patient
care?
, A) It decreases the time required for patient education
B) It helps patients build intrinsic motivation for behavior change
C) It increases patient compliance by using directive statements
D) It ensures that patients follow prescribed treatment plans
Answer: B) It helps patients build intrinsic motivation for behavior change
Question 10
Which of the following statements about Type 2 diabetes management is true?
A) Insulin is the only effective treatment option
B) Exercise is discouraged to prevent hypoglycemia
C) Metformin is commonly used as a first-line medication
D) Blood glucose levels should only be checked at clinic visits
Answer: C) Metformin is commonly used as a first-line medicationQuestion 11
Which physical examination finding would most likely be present in a patient with
chronic obstructive pulmonary disease (COPD)?
A) Inspiratory crackles at lung bases
B) Dullness to percussion over the lung fields
C) Increased anteroposterior (AP) chest diameter
D) Hyperresonance over the liver
Answer: C) Increased anteroposterior (AP) chest diameter
Question 12
In a patient diagnosed with deep vein thrombosis (DVT), which symptom requires
immediate intervention?
A) Swelling and warmth in the calf
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