MIDTERM NR 511 EXAM QUESTIONS
WITH VERIFIED ANSWERS
DIAGNOSTIC REASONING AND DIFFERENTIAL DIAGNOSIS - -Taking a client
history
OLDCARTS
Specificity and Sensitivity
Reimbursement
Clinical Decision-Making
-OLDCARTS - -Onset, Location, Duration, Characteristics, Aggravating
Factors, Relieving Factors, Treatment, Severity
-True or False: the history of the present illness is a breakdown of the
client's chief complaint - -True
-Specificity: Low - -Getting a positive result when it is not present- a high
number of false positives- meaning a healthy person has a disease when
they actually do not
-Specificity: High - -A high percentage of healthy individuals will show a
normal result
-Test with High Specificity - -A high percentage of healthy individuals will
show a normal result
-Sensitivity - -the proportion of true positives out of all patients with a
designated condition
-High Sensitivity - -will lead to positive findings for patients with a disease
-Medicare Part A - -Inpatient hospital stat, skilled nursing care, hospice,
home care
-Medicare Part B - -Outpatient care, provider visits, surgery, lab tests,
medical equipment, preventative exams
-Medicare Part C - -Wellness services, vision exams, hearing exams,
eyeglasses, hearing aids
-Medicare Part D - -Prescription drugs
-Reimbursement for NPs - -Reimbursed 85% of the physician's fee
, -Fungal Skin Infections - -Papular Rash, SATELLITE LESIONS (classic
symptom)
-Treatment of fungal skin infections - -Antifungal cream, pill, keep area as
dry as possible
-Location of fungal skin infections - -Can be under the breast, in between
skin folds, or in the groin area
-Who is at risk for fungal skin infections - -Immunocompromised, diabetics,
antibiotic therapy, cellular immunity (chemo, AIDS, corticosteroid treatment,
bone marrow transplant), invasive parenteral catheterization, invasive
monitoring devices
-Tinea Vessicolor - -Most commonly found on trunk and shoulders.
Flat to slightly elevated brown papules and plaques that scale when they are
rubbed along with areas of hyperpigmentation
-Balanitis - -Candidiasis of the glands of the penis
-Tinea Corporis (ringworm) - -Annular lesions with scaly borders and central
clearing on the trunk; has ring-shaped lesions with scaly borders and central
clearing or scaly patches with distinct borders on exposed skin surfaces or on
the trunk
-Tinea Pedis - -Athlete's foot
-Tinea Cruis - -Jock itch
-Tinea Unguium - -Ring worm of the nails
-Treatment for Tinea Unguium - -Topical antifungals
nystatin (ny amy c, pedi-dri, nystop)-efective for candida only
clotrimazole (lotrimin)
miconazole (monistat-derm)
naftifine (Naftin)
terbinafine (lamisil)
ciclopirox (loprox)
-Who is at risk for dry skin? - -Older Adults
-Cellulitis - -is a spreading infection of the epidermis and subcutaneous
tissue that usually begins after a break in the skin
-Foliculitis - -Bacterial infection of the hair follicle, papules are characteristic
of follicles.
WITH VERIFIED ANSWERS
DIAGNOSTIC REASONING AND DIFFERENTIAL DIAGNOSIS - -Taking a client
history
OLDCARTS
Specificity and Sensitivity
Reimbursement
Clinical Decision-Making
-OLDCARTS - -Onset, Location, Duration, Characteristics, Aggravating
Factors, Relieving Factors, Treatment, Severity
-True or False: the history of the present illness is a breakdown of the
client's chief complaint - -True
-Specificity: Low - -Getting a positive result when it is not present- a high
number of false positives- meaning a healthy person has a disease when
they actually do not
-Specificity: High - -A high percentage of healthy individuals will show a
normal result
-Test with High Specificity - -A high percentage of healthy individuals will
show a normal result
-Sensitivity - -the proportion of true positives out of all patients with a
designated condition
-High Sensitivity - -will lead to positive findings for patients with a disease
-Medicare Part A - -Inpatient hospital stat, skilled nursing care, hospice,
home care
-Medicare Part B - -Outpatient care, provider visits, surgery, lab tests,
medical equipment, preventative exams
-Medicare Part C - -Wellness services, vision exams, hearing exams,
eyeglasses, hearing aids
-Medicare Part D - -Prescription drugs
-Reimbursement for NPs - -Reimbursed 85% of the physician's fee
, -Fungal Skin Infections - -Papular Rash, SATELLITE LESIONS (classic
symptom)
-Treatment of fungal skin infections - -Antifungal cream, pill, keep area as
dry as possible
-Location of fungal skin infections - -Can be under the breast, in between
skin folds, or in the groin area
-Who is at risk for fungal skin infections - -Immunocompromised, diabetics,
antibiotic therapy, cellular immunity (chemo, AIDS, corticosteroid treatment,
bone marrow transplant), invasive parenteral catheterization, invasive
monitoring devices
-Tinea Vessicolor - -Most commonly found on trunk and shoulders.
Flat to slightly elevated brown papules and plaques that scale when they are
rubbed along with areas of hyperpigmentation
-Balanitis - -Candidiasis of the glands of the penis
-Tinea Corporis (ringworm) - -Annular lesions with scaly borders and central
clearing on the trunk; has ring-shaped lesions with scaly borders and central
clearing or scaly patches with distinct borders on exposed skin surfaces or on
the trunk
-Tinea Pedis - -Athlete's foot
-Tinea Cruis - -Jock itch
-Tinea Unguium - -Ring worm of the nails
-Treatment for Tinea Unguium - -Topical antifungals
nystatin (ny amy c, pedi-dri, nystop)-efective for candida only
clotrimazole (lotrimin)
miconazole (monistat-derm)
naftifine (Naftin)
terbinafine (lamisil)
ciclopirox (loprox)
-Who is at risk for dry skin? - -Older Adults
-Cellulitis - -is a spreading infection of the epidermis and subcutaneous
tissue that usually begins after a break in the skin
-Foliculitis - -Bacterial infection of the hair follicle, papules are characteristic
of follicles.
