NR511 Final Exam 2026/2027 |100% Verified Answers | Latest Updated Edition

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NR511 Final Exam 2026/2027 |100% Verified Answers | Latest Updated Edition

A 36-year-old female presents with unintentional urinary leakage that has been progressively worsening over the past few months. She reports that leakage occurs with activities such as coughing, laughing, and exercising. Due to embarrassment, she has stopped going to the gym. Her medical history includes four vaginal deliveries. She denies experiencing sudden urges to urinate or difficulty reaching the bathroom in time. Based on this history, which type of urinary incontinence is the most likely diagnosis?

Answers: A – D

1. Functional incontinence
   B. Overflow incontinence
   C. Stress incontinence ✅
   D. Urge incontinence

A 45-year-old male with poorly controlled diabetes presents to the emergency department with a jagged laceration on his foot sustained 15 hours ago. Examination reveals mild swelling but no obvious signs of infection. Which of the following is the most appropriate next step in wound management?

Answers: A – D

1. Delay antibiotic treatment unless signs of infection develop
   B. Prescribe topical antibiotic ointment and advise the patient to monitor for signs of infection
   C. Clean the wound thoroughly but do not prescribe prophylactic antibiotics
   D. Initiate prophylactic antibiotic therapy with amoxicillin/clavulanate ✅

A 17-year-old male presents with acute ankle pain and swelling after twisting his ankle during a basketball game. Physical examination reveals moderate swelling, ecchymosis, and limited range of motion. What is the most likely diagnosis?

Answers: A – D

1. Achilles tendon rupture
   B. Third-degree ankle sprain
   C. Second-degree ankle sprain ✅
   D. First-degree ankle sprain

A 55-year-old male presents with neck pain and stiffness. Physical examination reveals significant decreased range of motion of the cervical spine, 5/5 strength and normal sensation of the upper extremities, as well as normal upper extremity reflexes. What is the most appropriate initial diagnostic test?

Answers: A – D

1. Electromyogram/nerve conduction velocity (ECM/NCV) study
   B. Computed tomography (CT) scan of the cervical spine
   C. Anterior-posterior and lateral radiographs of the cervical spine ✅
   D. Magnetic resonance imaging (MRI) of the cervical spine

A 52-year-old male patient presents to the clinic with a right leg wound sustained from a fall. He is to receive antibiotic prophylaxis to prevent infection. During the assessment, he reported a history of allergies to both penicillin and cephalosporins, which has been documented in his medical record. Given the patient’s allergies to penicillin and cephalosporins, which of the following antibiotics should the nurse practitioner prescribe for prophylaxis in this case?

Answers: A – D

1. Azithromycin
   B. Cefazolin
   C. Clindamycin ✅
   D. Amoxicillin

A 10-year-old presents to the clinic with knee pain following a soccer injury. The clinician elicits a positive McMurray sign. What does this finding indicate?

Answers: A – D

1. Patellar dislocation
   B. Ligamentous sprain
   C. Fracture of the femur
   D. Meniscal tear ✅

A 45-year-old female presents with abdominal pain with alternating constipation and diarrhea. She meets the Rome IV criteria for irritable bowel syndrome (IBS). Which of the following symptoms would suggest an alternative diagnosis rather than IBS?

Answers: A – D

1. Change in stool form or appearance
   B. Unintentional weight loss ✅
   C. Abdominal pain related to defecation
   D. Change in stool frequency