Exam (elaborations)
2024 NR511 MIDTERM EXAM WITH CORRECT ANSWERS
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2024 NR511 MIDTERM EXAM WITH CORRECT ANSWERS
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2024 NR511 MIDTERM EXAM WITHCORRECT ANSWERS
High specificity - CORRECT-ANSWERShigh percentage of healthy individuals
will show a normal result
Low specificity - CORRECT-ANSWERS-getting a positive result when it i not
present
-a high number of false-positives- meaning that a healthy person has a
disease when they actually do not
Regular ocular pressure testing is indicated for older adults taking: -
CORRECT-ANSWERSHigh-dose inhaled glucocorticoids.
Client teaching is an integral part of successfully treating pediculosis. Which
of the following statements would you incorporate into your teaching plan? -
CORRECT-ANSWERS"Itching may continue for up to a week after successful
treatment."
A 70-year-old client with herpes zoster has a vesicle on the tip of the nose.
This may indicate: - CORRECT-ANSWERSOphthalmic zoster.
Which skin cancer that arises from skin cells, characteristically occurs on
body areas exposed to the sun, most commonly presents as a pearly nodule
with fine telangiectasias over the surface and a border that appears rolled,
and is the most common skin cancer? - CORRECT-ANSWERSBasal cell
carcinoma.
Ashley, age 6 months, has a Candida infection in the diaper area. What do
you suggest to the parent? - CORRECT-ANSWERS"Keep the area as dry as
possible.
Danny, age 18, presents with a pruritic rash on his upper trunk and
shoulders. You observe flat to slightly elevated brown papules and plaques
that scale when they are rubbed. You also note areas of hypopigmentation.
What is your initial diagnosis? - CORRECT-ANSWERSTinea versicolor.
Elizabeth, age 83, presents with a 2-day history of pain and burning in the
left forehead. This morning she noticed a rash with erythematous papules at
that site. What do you suspect? - CORRECT-ANSWERSHerpes zoster.
,A 10-year-old male in 5th grade presents to the pediatric office with his
mother complaining of itchy and red eyes for 1 day. The patient complains of
watery drainage in both eyes, associated with repetitive itching. On physical
exam, he has no fever or constitutional symptoms. His vision is normal, with
no decrease in extraocular movements. The patient has a sibling that just
started day care recently. He also has bilateral preauricular lymph nodes
that are inflamed. What is the patient's diagnosis? - CORRECT-ANSWERSViral
conjunctivitis.
Mr. Clark, age 78, is being treated with timolol maleate (Timoptic) drops for
his chronic open-angle glaucoma. While performing a new client history and
physical, you note that he is taking other medications. Which medication
would you be most concerned about? - CORRECT-ANSWERSAtenolol
(Tenormin), a beta blocker for high blood pressure.
How would you describe the cervical lymphadenopathy associated with
asymptomatic human immunodeficiency virus (HIV) infection? - CORRECT-
ANSWERSNontender, mobile, and firm but not hard lymph nodes.
A 22-year-old college student presents to your urgent care clinic complaining
of a rash. She was recently on spring break and spent every night in the hot
tub at her hotel. On physical exam, she has multiple small areas of 1- to 2-
mm erythematous pustules that are present mostly where her bathing suit
covered her buttocks. What is the most likely pathogen causing these lesions
- CORRECT-ANSWERSPseudomonas aeruginosa.
An eczematous skin reaction may result from: - CORRECT-
ANSWERSPenicillin.
Jill, age 29, has numerous transient lesions that come and go, and she is
diagnosed with urticaria. What do you order? - CORRECT-
ANSWERSAntihistamines.
Dan, age 57, has just been given a diagnosis of herpes zoster. He asks you
about exposure to others. You tell him: - CORRECT-ANSWERSHe should stay
away from children and pregnant women who have not had chickenpox.
. Martin, age 13, just started taking amoxicillin for otitis media. His mother
said that he woke up this morning with a rash on his trunk. What is your first
action? . - CORRECT-ANSWERSStop the amoxicillin.
Which of the following is not a modifiable risk factor? - CORRECT-
ANSWERSrace
Which of the following is not a subjective finding? - CORRECT-
ANSWERSrespiratory rate
, What intervention would not be included in the definition of secondary health
promotion? - CORRECT-ANSWERSComputed tomography (CT) scan of the
head for all car accident victims.
Which of the following refers to an aspect of a patient's health that can be
changed or affected by a health intervention? - CORRECT-
ANSWERSmodifiable risk factor
Which of the following patients is health literate? - CORRECT-ANSWERSA 62-
year-old female who speaks the language of her provider, has Medicare for
insurance, and can drive.
All of the following statements about the US Preventive Services Task Force
(USPSTF) are true except? - CORRECT-ANSWERSAll of the recommendations
made by the USPSTF are strong recommendations.
The OLD CARTS (onset, location, duration, character, aggravating/alleviating
factors, radiation, timing, severity) mnemonic is best used in which part of
your chart note? - CORRECT-ANSWERSHistory of present illness.
Sensitivity - CORRECT-ANSWERSthe proportion of true positives out of all
patients with a designated condition
If a diagnostic study has a high specificity: - CORRECT-ANSWERSthen a high
% of health individuals will show a normal result
If a diagnostic study has a high sensitivity: - CORRECT-ANSWERSthen a high
percentage of persons with the given condition will have an abnormal result
Part A medicare covers: - CORRECT-ANSWERSinpatient hospital stay; skilled
nursing care; hospice; and home care
Part B medicare covers: - CORRECT-ANSWERSoutpatient services; provider
visits; surgery; lab tests; medical equipment; and preventive exams
Part C medicare covers: - CORRECT-ANSWERSvision exams, hearing exams,
eye glasses, and hearing aids
Part D medicare covers: - CORRECT-ANSWERSprescription drugs
Tinea vesicolor - CORRECT-ANSWERSflat to slightly elevated brown papules
and plaques that scale when they are rubbed along with areas of
hypopigmentation;prurtis; most commonly found on trunk and shoulders
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