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NURS 6512 Final Exam Questions and Answers 2025

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Question 1 1 pts

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Testing the brachioradialis reflex helps localize lesions in which cervical nerve root?

Group of answer choices

C4

C7

C6

C8

C5

Question 2 1 pts

Which disease process is seen with hand overuse in playing video games?

Group of answer choices

De Quervain’s tenosynovitis

Carpal tunnel syndrome

Osteoarthritis of the distal interphalangeal joint of the hand

Lateral epicondylitis

Avascular necrosis of the scaphoid

NURS 6512 Final Exams Questions and Answers 2025 Question 3 1 pts

What condition is characterized by clue cells seen under the microscope due to anaerobic bacteria adhering to epithelial cells?

Group of answer choices

Lichen sclerosis

Vaginal candidiasis

Chlamydia

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Bacterial vaginosis

Gonorrhea

Question 4 1 pts

During shift report, the nurse practitioner is told that their new patient has had a Glasgow Coma Scale score of eight throughout their hospital stay. How may the NP expect their patient to present during the morning assessment?

Group of answer choices

The patient only opens their eyes, withdraws to painful stimuli, and makes incomprehensible sounds.

The patient does not open their eyes, gives no verbal response, and flexes to pain.

The patient opens their eyes to verbal commands, communicates in inappropriate words, and localizes pain.

The patient opens their eyes spontaneously, is disoriented to date but otherwise oriented, and can obey commands.

Question 5 1 pts

Which of the following is NOT a feature of a chest X-ray consolidation?

Group of answer choices

Silhouette sign

Air bronchograms

Indistinct margins

Kerley B lines

Spine sign

Question 6 1 pts

Which of the following is a strategy to aid in patient comprehension of information during the informed consent process?

Group of answer choices

Using official medical language

Drawing pictures

Creating a forest plot

Using percentages

Showing a PowerPoint presentation

Question 7 1 pts

What is the threshold level of the decision-making capacity assessment?

Group of answer choices

Any risk = ethically defined threshold

Any risk = low threshold

Any risk = high threshold

Low risk = high threshold

Low risk = low threshold

Question 8 1 pts

Which of the following factors is considered in the construction of the transplant waiting list?

Group of answer choices

Gender

Family history of cancer

Family history of autoimmune conditions

Social group

Associated medical conditions

Question 91 pts

What conditions is it important to look for on the penile exam of an infant?

Group of answer choices

Epididymitis

Testicular torsion

Inguinal hernia

Epispadias and hypospadias

Varicocele

Question 101 pts

What is one component of the CURVES mnemonic?

Group of answer choices

Recognize your weaknesses

Elective

Choose and communicate

Provide an answer

Understand some of the information

Question 111 pts

For what disease does the Schober test of limited flexion in the spine evaluate?

Group of answer choices

Sacroiliitis

Herpes zoster

Scoliosis

Ankylosing spondylitis

Paraspinal muscle spasm

Question 121 pts

On an AP radiograph of the chest…?

Group of answer choices

…the heart seems small.

…the lungs look hyperlucent.

…the ribs appear enlarged.

…the heart appears lower.

…the heart appears enlarged.

Question 131 pts

What does a talar tilt test” revealing no hard stop in the inversion of the ankle indicate?”

Group of answer choices

Plantar fasciitis

Tarsal tunnel syndrome

Lateral ankle ligamentous tear

Achilles tendon rupture

Medial ankle ligamentous tear

Question 141 pts

Which statement regarding pleural effusion is CORRECT?

Group of answer choices

Fluid accumulation is due to the increased rate of absorption by the lymphatics in the visceral pleura.

Pleural fluid is produced by the capillary bed of the visceral pleura.

It is the accumulation of air beneath the visceral pleura.

It can be a direct extension from the peritoneum.

Transudate has a high protein content.

Question 151 pts

What cardiac physiology does the S4 heart sound represent?

Group of answer choices

Ventricular contraction

Closure of the aortic valve and pulmonic valves

Atrial contraction against a stiff ventricle, as seen in left ventricular hypertrophy

Increased ventricular filling pressures, such as in heart failure

Closure of the mitral and tricuspid valves

Question 161 pts

What is being tested with a monofilament for diabetic neuropathy?

Group of answer choices

Two-point discrimination

Intact proprioception

Intact vibration sense

Intact sensation

Dermatomal nerve roots

Question 171 pts

Testing the biceps reflex helps localize lesions in which cervical nerve root?

Group of answer choices

C4

C5

C6

C7

C8

Question 181 pts

Testing the knee jerk reflex helps localize lesions in which nerve root(s)?

Group of answer choices

T12

L1

L3/L4

L2

L5/S1

Question 191 pts

What condition is represented by white plaques on the vulva?

Group of answer choices

Lichen sclerosis

Herpes simplex

Chlamydia

Pelvic inflammatory disease

Human papilloma virus

Question 201 pts

Emphysema can be described as…?

Group of answer choices

…an airspace disease due to the filling of alveoli with blood, pus water, or cells.

…a hypersensitivity reaction of the airspaces to allergic agents.

…a loss of volume from incomplete expansion or collapse of the lung parenchyma.

…an accumulation of fluid between the visceral and parietal pleura.

…the destruction of a portion of the airway distal to the terminal bronchiole.

Question 211 pts

What is tympany?

Group of answer choices

A high-pitched hollow sound usually heard over normal lung tissue

A low-pitched drum-like sound heard on percussion over a hollow viscous, such as the stomach

A soft, high-pitched sound generally heard over bones, muscles, and tumors

A short, flat, low-pitched sound heard on percussion over the muscles

A loud booming sound of short duration heard on percussion over the lungs

Question 221 pts

What is TRUE regarding collecting cells for a Pap smear?

Group of answer choices

Use a cotton swab to collect cervical cells for the Pap smear.

Collect the cells from the vagina with the cervical brush then put them in the collection jar.

After locating the cervix with the speculum, insert the brush or broom, rotate it 5 times, and then place it in the collection jar.

A speculum is not needed for collecting a Pap smear.

After locating the cervix with the speculum, insert the brush or broom and rotate it twice then put it in the collection jar.

Question 231 pts

What type of ethical dilemma would involve concerns surrounding stem cell research?

Group of answer choices

Societal mores

Medical engineering

Global ethics

Bioethics

Question 241 pts

What condition is characterized by the inability to retract the foreskin of the penis due to fibrotic changes?

Group of answer choices

Spermatocele

Peyronie’s disease

Phimosis

Paraphimosis

Hydrocele

Question 251 pts

What is the most common structure associated with ankle sprains?

Group of answer choices

Tarsal tunnel ligament

Calcaneofibular ligament

Peroneal tendon

Achilles tendon

Anterior talofibular ligament

Question 261 pts

Which chest X-ray view is the standard?

Group of answer choices

AP

Decubitus

Lordotic

Semi-upright

PA

Question 271 pts

Which cranial nerve (CN) affects the sensory as well as the motor function of the face?

Group of answer choices

CN VI: abducens nerve

CN III: oculomotor nerve

CN V: trigeminal nerve

CN IV: trochlear nerve

CN II: optic nerve

Question 281 pts

The patient opens their eyes spontaneously, is oriented in all spheres, and can obey commands. What is their Glasgow Coma Scale score?

Group of answer choices

15

13

20

12

Question 291 pts

What is one cause of lower motor neuron exam findings?

Group of answer choices

Spinal cord injury above the level of the findings

Cerebral palsy

Amyotrophic lateral sclerosis (ALS)

Carpal tunnel syndrome

Stroke

Question 301 pts

Where is the dermatome that corresponds approximately to the T10 nerve root?

Group of answer choices

At the level of the xiphoid process

At the level of the nipples

At the level of the lower anterior ribs

At the level of the inguinal ligament

At the level of the umbilicus

Question 311 pts

What is the condition presenting with acute scrotal pain caused by disruption of the blood supply to the testicle?

Group of answer choices

Hydrocele

Orchitis

Varicocele

Epididymitis

Testicular torsion

Question 321 pts

Which test involves having the patient lie supine, and flexing their knee 90 degrees with their foot flat on the table, while the examiner sits on their toes and pulls the tibia forward to check for anterior movement that is indicative of an anterior cruciate ligament (ACL) tear?

Group of answer choices

Anterior drawer test

Ballottement test

McMurray test

Apley test

Lachman test

Question 331 pts

How can an examiner assess a patient’s cardiovascular status even before using their stethoscope?

Group of answer choices

By observing the patient’s general signs of discomfort such as respiratory distress or diaphoresis

By looking in the chart to check if the patient has a history of cardiovascular disease

By asking the nurse who took their vital signs

By asking the patient’s companion if they are having distress

It is not possible to evaluate a patient’s cardiovascular status without using a stethoscope.

Question 341 pts

What is one of the structures evaluated on the INSPECTION part of the female genitourinary exam?

Group of answer choices

Uterus

Cervix

Ovaries

Labia majora

Bartholin’s glands

Question 351 pts

Which cranial nerve (CN) do the Weber and Rinne tests evaluate?

Group of answer choices

CN X: vagus nerve

CN IX: glossopharyngeal nerve

CN XII: hypoglossal nerve

CN VIII: cochlear nerve

CN XI: accessory nerve

Question 361 pts

What is the likely diagnosis in a patient with knee pain, especially with twisting or rotating, which is accompanied by locking or catching with walking, as well as swelling, stiffness, and difficulty extending the knee?

Group of answer choices

Pes anserine bursitis

Posterior cruciate ligament tear

Gout

Anterior cruciate ligament tear

Meniscal tear

Question 371 pts

In which condition is scrotal pain alleviated by lifting the testicles up (Prehn’s sign)?

Group of answer choices

Testicular torsion

Orchitis

Varicocele

Epididymitis

Inguinal hernia

Question 381 pts

What is a physical exam finding seen with lower motor neuron disease?

Group of answer choices

Focal atrophy

Contractures

Spasticity

Hyperreflexia

Intercostal muscle wasting

Question 391 pts

What is TRUE regarding tarsal tunnel syndrome?

Group of answer choices

It is diagnosed based on an abnormal calf squeeze test.

It is caused by an inversion ankle sprain.

It is caused by inflammatory arthritis.

It is a result of median nerve compression.

It causes burning pain from the medial ankle to the sole of the foot.

Question 401 pts

A patient with viral pericarditis…

Group of answer choices

…is most comfortable sitting upright and forward.

…has louder heart sounds than usual.

…will not have a pulsus paradoxus.

…is more comfortable lying flat.

…will have elevated blood pressure.

Question 411 pts

Which statement regarding bulla or bleb is FALSE?

Group of answer choices

Bulla and blebs are focal air-containing spaces within the lung.

Bleb is usually subpleural.

Bleb is located within the visceral pleura.

Bulla is more than 1 cm in size.

Bulla is seen with paraseptal and sometimes with centrilobular emphysema.

Question 421 pts

Which of the following tests for dysdiadochokinesia?

Group of answer choices

Rapidly alterating between pronation and supination of the hands.

Having the patient touch their own nose and then the practitioner’s finger

Walking heel-to-toe in a straight line

Standing still with the patient’s eyes closed

Holding both arms out with palms up and eyes closed

Question 431 pts

What type of headache might present with a “thunderclap” intense onset of pain?

Group of answer choices

Tension headache

Migraine headache

Headache due to a primary neoplasm

Headache due to a subarachnoid hemorrhage

Headache due to sinusitis

Question 441 pts

What are two preconditions that a patient must meet in order to participate in informed decision-making?

Group of answer choices

Competence 2. Capacity to make a decision

Competence 2. Reading and writing in English

Reading at an eighth-grade level 2. Competence

Voluntariness 2. Capacity to make a decision

Reading and writing in English 2. Capacity to make a decision

Question 451 pts

What are three core sets of values to consider in patient decision-making?

Group of answer choices

Relatability, family ownership, stability

Relatability, patient ownership, stability

Consistency, family ownership, stability

Consistency, patient ownership, relatability

Consistency, patient ownership, stability

Question 461 pts

Which statement demonstrates the correct path of cardiac blood flow?

Group of answer choices

Blood flows from the left atrium to the left ventricle through the tricuspid valve.

Blood flows from the right atrium to the right ventricle through the mitral valve.

Blood flows from the right ventricle to the aorta through the aortic valve.

Blood flows from the left atrium to the left ventricle through the mitral valve.

Blood flows from the left atrium to the left ventricle through the pulmonary valve.

Question 471 pts

What are the three factors to consider for the sliding scale of decision-making capacity?

Group of answer choices

Ambiguity, seriousness, uncertainty of decision

Ambiguity, seriousness, certainty of decision

Complexity, seriousness, uncertainty of decision

Complexity, seriousness, certainty of decision

Ambiguity, complexity, certainty of decision

Question 481 pts

What is one of the structures evaluated by PALPATION alone during a pelvic exam?

Group of answer choices

Clitoral hood

Vulva

Labia minora

Uterus

Urethral orifice

Question 491 pts

What muscle is tested with a painful arc” from 120 to 60 degrees?”

Group of answer choices

Trapezius

Deltoid

Supraspinatus

Subscapularis

Teres minor

Question 501 pts

On an ECG, how many seconds does each small box represent?

Group of answer choices

0.20 seconds

0.02 seconds

1.00 seconds

0.40 seconds

0.04 seconds

Question 511 pts

What does the anterior drawer test” in the ankle evaluate for?”

Group of answer choices

Plantar fasciitis

Achilles tendon rupture

Tarsal tunnel syndrome

Calcaneofibular ligament sprain

Anterior talofibular ligamentous integrity

Question 521 pts

An elevated central venous pressure reflects…

Group of answer choices

…the carotid arterial impulse.

…the monophasic venous pulse.

…volume overload.

…normal compensation with heart failure.

…elevated blood pressure.

Question 541 pts

What is NOT a red flag that should prompt a formal assessment of decision-making capacity?

Group of answer choices

Waxing and waning alertness

Inconsistent decisions over time

Decisions incongruent with stated values and goals

Mini-Mental State Examination score over 18

Concerns raised by a family member

Question 551 pts

In which condition would you find transillumination of the scrotum on a physical exam?

Group of answer choices

Varicocele

Hydrocele

Orchitis

Testicular torsion

Epididymitis

Question 731 pts

What process does NOT require written consent?

Group of answer choices

Surgery

Anesthesia with deep or moderate sedation

Treatment carrying a minor risk

Therapeutic procedure

Invasive procedure

Question 741 pts

How do you test for an afferent pupillary defect on a physical examination?

Group of answer choices

Using the swinging flashlight test

By testing light touch to the face

By measuring the pupil size

Using a Snellen chart

By testing eye movements

Question 751 pts

What are the components of Beck’s triad seen with pericarditis?

Group of answer choices

Muffled heart sounds, HYPERtension, and Kussmaul’s sign

Loud heart sounds, HYPERtension, and Kussmaul’s sign

Friction rub, HYPERtension, and Kussmaul’s sign

Loud heart sounds, HYPOtension, and pitting edema

Muffled heart sounds, HYPOtension, and Kussmaul’s sign

Question 771 pts

What is egophony?

Group of answer choices

A nail deformity associated with a pulmonary condition in which the angle between the proximal nail fold and the nail is no longer concave

A palpable vibratory sensation on the chest wall detected by the examiner’s hand

The abnormal transmission of sounds from the lungs or bronchi

Increased resonance of the voice through the lung structures, so that it is clearly comprehensible when using a stethoscope on the chest

A change in the patient’s vocalization sounds heard when auscultating the lungs, with the lower frequencies filtered out, resulting in a high-pitched nasal or bleating quality

Question 78 1 pts

What physical exam finding is indicative of a cervical nerve root radiculopathy?

Group of answer choices

Positive foraminal compression test

Positive straight leg raise

Positive Lhermitte’s sign

Biceps tendon hyperreflexia

Positive Babinski reflex

Question 791 pts

What is one of the four aspects of the patient’s role in the informed consent process?

Group of answer choices

Inviting the preference of a close friend

Denying the preference of a close friend

Assessment of their comprehension

Invitation to call a loved one for advice

Invitation to decline consent

Question 801 pts

Which three cranial nerves control ocular movements?

Group of answer choices

III, IV, and VI

II, III, and IV

IV, V, and VI

II, IV, and V

II, III, and VI

Question 811 pts

Which is the best area to auscultate the right MIDDLE lobe?

Group of answer choices

On the left posterior upper chest wall

On the right side of the chest wall below the axilla

On the right posterior upper chest wall

On the right posterior lower chest wall

On the left posterior lower chest wall

Question 831 pts

What does a finding of 3/5 indicate on the motor strength scale?

Group of answer choices

Cannot lift against gravity

25% of normal motor strength

75% of normal motor strength

Can lift against gravity

50% of normal motor strength

Question 841 pts

Which of the following statements defines expressed refusal?

Group of answer choices

A patient with decision-making capacity may voluntarily decide against an intervention.

A patient without decision-making capacity may voluntarily decide against an intervention.

A patient can refuse consent only in the clinic consultation room.

Expressed refusal is only valid if the patient provides a written document.

A healthcare provider can override a patient’s refusal if they disagree with the decision.

Question 861 pts

What does the passive compression test (done by pushing the humeral head toward the scapula) assess for?

Group of answer choices

Cervical spine facet joint arthritis

A tear of the glenoid labrum

Acromioclavicular joint arthritis

Bicipital tendinopathy

Rotator cuff tendinitis

Question 881 pts

The natural kyphosis of the spine is in which area?

Group of answer choices

Thoracic spine

Lumbar spine

The entire spine

Sacroiliac joints

Question 891 pts

For which diagnosis do the patellar ballottement test and the bulge sign in a knee examination test?

Group of answer choices

Posterior cruciate ligament tear

Lateral collateral ligament tear

Knee effusion

Anterior cruciate ligament tear

Meniscal tear

Question 911 pts

How does valvular aortic stenosis affect the S2 heart sound?

Group of answer choices

S2 is heard more crisply, as the A2 component is affected by degenerating sclerotic tissue.

S2 is heard less crisply, as the A2 component is affected by degenerating sclerotic tissue.

S2 is heard more crisply, as the P2 component is affected by degenerating sclerotic tissue.

S2 is heard less crisply, as the P2 component is affected by degenerating sclerotic tissue.

Aortic stenosis causes splitting of the S2 heart sound, which is heard more easily.

Question 921 pts

What area is tender with iliopsoas bursitis?

Group of answer choices

Tenderness is elicited over the anterior thigh muscles.

Tenderness is elicited over the sacroiliac joint.

Tenderness is elicited over the lateral hip joint.

Tenderness is elicited on palpation of the lumbar spinous processes.

Tenderness is elicited over the inguinal ligament.

Question 961 pts

What is the likely diagnosis in a patient with warmth, redness, and tenderness about 2 inches below the medial knee joint line?

Group of answer choices

Anterior cruciate ligament tear

Gout

Collateral ligament tear

Pes anserine bursitis

Meniscal tear

Question 98 1 pts

Which cranial nerve (CN) is affected by Bell’s palsy?

Group of answer choices

CN VII: facial nerve

CN XI: accessory nerve

CN IX: glossopharyngeal nerve

CN X: vagus nerve

CN XII: hypoglossal nerve

Question 99 1 pts

What is a common ethical issue?

Group of answer choices

Informed consent

Pain as the fifth vital sign

Human resources policies

Principles of medication administration

Question 100 1 pts

What is an accepted way to enhance a patient’s capacity to make their own decisions?

Group of answer choices

Using visual aids

Asking for advice from a sibling

Asking patients to communicate using sign language

Avoiding the underlying medical condition

Having a patient nod or shake their head

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