NR511 Final Exam October 2026 Verified Question Bank

NR511 Final Exam Question 1

A 40-year-old female presents with a necrotic lesion on her leg that developed three days after a painless bite. The lesion has a bull’s-eye appearance with a red blister surrounded by a pale, irregular halo and extravasated blood. What is the most likely diagnosis?

Options:

• A Fire ant sting
• B Black widow spider bite
• C Brown recluse spider bite
• D Hymenoptera (bee or wasp) sting

Correct Answer: C  Brown recluse spider bite

Question 2

A 2-year-old child presents with a 2-day history of copious watery diarrhea and a low-grade fever. The child appears mildly dehydrated but remains alert and responsive. The mother denies blood in the stool or severe abdominal pain. Which of the following is the most likely cause of the child’s symptoms?

Options:

• A Salmonella gastroenteritis
• B Escherichia coli (E. coli) infection
• C Rotavirus infection
• D Giardia lamblia infection

Correct Answer: C  Rotavirus infection

Question 3

Which of the following differential diagnoses should be considered when a nurse practitioner is evaluating a patient with dysuria, urgency, and hematuria who denies fever and flank pain?

Options:

• A Pyelonephritis
• B Urethritis
• C Cystitis
• D Nephrolithiasis

Correct Answer: C  Cystitis

Question 4

In which of the following clinical scenarios would you expect to see an elevated reticulocyte count?

Options:

• A A patient diagnosed with aplastic anemia
• B A patient with chronic renal failure
• C A patient with iron deficiency anemia receiving iron supplementation
• D A patient experiencing acute blood loss from a traumatic injury

Correct Answer: D  A patient experiencing acute blood loss from a traumatic injury

Question 5

A 5-year-old girl returns to the clinic for a follow-up appointment. During her last visit, a complete blood count (CBC) was performed, which revealed microcytic hypochromic anemia. The child is otherwise healthy, with no significant history of illness. Her diet consists of a typical variety of foods, although her mother mentions she has been a somewhat picky eater. What is the most appropriate next step for the nurse practitioner to take in evaluating and managing this child’s microcytic hypochromic anemia?

Options:

• A Schedule a follow-up CBC in one month
• B Refer to a pediatric hematologist
• C Initiate oral iron supplementation
• D Order a serum ferritin level

Correct Answer: D  Order a serum ferritin level

Question 6

A patient presents with shoulder pain and suspected rotator cuff impingement. The NP performs the Neer’s test and notes that it is positive. A subacromial anesthetic injection is also administered. After the injection, the client reports decreased pain and improved strength. What can the NP infer from this response?

Options:

• A The injection has permanently resolved the underlying shoulder pathology
• B The patient does not have a rotator cuff-related issue and requires further imaging
• C The patient has a complete rotator cuff tear requiring surgical repair
• D The patient’s symptoms are due to inflammation and fibrosis rather than a full rupture

Correct Answer: D  The patient’s symptoms are due to inflammation and fibrosis rather than a full rupture

Question 7

A 45-year-old female presents with nighttime awakening due to pain and numbness in her hand and fingers. She reports that shaking her hand helps relieve the symptoms. Physical examination reveals a positive Phalen’s test and Tinel’s sign. What is the most likely diagnosis?

Options:

• A Arthritis of the base thumb
• B Median nerve compression at the elbow
• C Carpal tunnel syndrome
• D Cervical radiculopathy

Correct Answer: C  Carpal tunnel syndrome

Question 8

The nurse practitioner is evaluating a patient with a history of chronic kidney disease who presents with anemia. The most likely cause is:

Options:

• A Anemia of chronic disease (ACD)
• B Folate deficiency
• C Iron-deficiency anemia
• D Hemolytic anemia

Correct Answer: A  Anemia of chronic disease (ACD)

Question 9

The nurse practitioner is preparing to cleanse a laceration wound on the left forearm of a 10-year-old boy. Which of the following cleaning solutions is the most appropriate to use for this procedure?

Options:

• A Plain water
• B Hydrogen peroxide
• C Saline
• D Povidone-iodine

Correct Answer: C  Saline

Question 10

A 72-year-old patient with a long-standing history of type 2 diabetes mellitus presents to the clinic with complaints of numbness and tingling in both lower extremities, described as a “stocking-glove” sensation. During the assessment, the nurse practitioner observes decreased deep tendon reflexes in the lower extremities. Based on the patient’s symptoms and assessment findings, what is the most likely diagnosis?

Options:

• A Vitamin B12 deficiency neuropathy
• B Guillain-Barré syndrome
• C Diabetic peripheral neuropathy
• D Spinal stenosis

Correct Answer: C  Diabetic peripheral neuropathy

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