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NR 511 midterm exam 2024/2025 questions with completed & verified solutions.
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NR 511 midterm exam 2024/2025 questions with completed & verified solutions.
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NR 511 midterm questionsA 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the
following tests should be the first priority?
a. Pregnancy test
b. Pelvic ultrasound
c. Endometrial biopsy
d. Platelet count - ANS - a. Pregnancy test
\A 34-year-old patient was treated for a urinary tract infection (UTI) and has not
responded to antibiotic therapy. Which of the following actions should be taken next?
a. Send a urine specimen for microscopy looking for fungal colonies.
b. Increase the dose of antibiotic.
c. Order a cytoscopy.
d. Order a different antibiotic. - ANS - a. Send a urine specimen for microscopy looking
for
fungal colonies.
\A 64-year-old man with type 2 diabetes presents to the clinic with the complaint of "my
feet feel like they are on fire." He has a loss of vibratory sense, +1 Achilles reflex, and a
tack embedded in his left heel. Which of the following would be an appropriate
treatment?
a. Tricyclic antidepressants
b. Capsacin cream
c. Vitamin B12 injections
d. Insulin - ANS - a. Tricyclic antidepressants
\A 65-year-old man presents to the clinician with complaints of increasing bilateral
peripheral vision loss, poor night vision, and frequent prescription changes that started 6
months previously. Recently, he has also been seeing halos around lights. The clinician
suspects chronic open-angle glaucoma. Which of the following statements is true
concerning the diagnosis of chronic open-angle glaucoma?
a. The presence of increased intraocular pressure measured by tonometry is definitive
for the diagnosis of open-angle glaucoma.
b. The clinician can definitively diagnosis open-angle glaucoma based on the subjective
complaints of the patient.
c. Physical diagnosis relies on goniscopic evaluation of the angle by an ophthalmologist.
,d. Early diagnosis is essential in order to reverse any damage that has occurred to the
optic nerve. - ANS - c. Physical diagnosis relies on goniscopic evaluation of the angle by
an ophthalmologist.
\A blood pressure (BP) of 150/90 is considered:
a. Stage 2 hypertension
b. Hypertensive
c. Normal in healthy older adults
d. Acceptable if the patient has DM - ANS - a. Stage 2 hypertension
\A bulla is:
a. A vesicle larger than 1 cm in diameter.
b. An elevated solid mass with a hard texture, and the shape and borders can be regular
or irregular.
c. A superficial elevated lesion filled with purulent fluid.
d. Thinning of the skin (epidermis and dermis) that appears white or translucent. - ANS -
a. A vesicle larger than 1 cm in diameter.
\A chronic cough lasts longer than:
a. 3 weeks
b. 1 month
c. 6 months
d. 1 year - ANS - a. 3 weeks
\A patient is seen in the clinic with hematuria confirmed on microscopic examination. The
clinician should inquire about the ingestion of which of these substances that might be
the cause of hematuria?
a. NSAIDs
b. Beets
c. Vitamin A
d. Red meat - ANS - a. NSAIDs
\A patient is seen with a sudden onset of flank pain accompanied by nausea, vomiting,
and diaphoresis. In addition to nephrolithiasis, which of the following should be added to
the list of differential diagnoses?
a. Pancreatitis
,b. Peptic ulcer disease
c. Diverticulitis
d. All of the above - ANS - d. All of the above
Pancreatitis
Peptic ulcer disease Diverticulitis
\A patient presents to the clinician with a sore throat, fever of 100.7?F, and tender
anterior cervical lymphadenopathy. The clinician suspects strep throat and performs a
rapid strep test that is negative. What would the next step be?
a. The patient should be instructed to rest and increase fluid intake as the infection is
most likely viral and will resolve without antibiotic treatment.
b. Because the patient does not have strep throat, the clinician should start broad
spectrum antibiotics in order to cover the offending pathogen.
c. A throat culture should be performed to confirm the results of the rapid strep test.
d. The patient should be treated with antibiotics for strep throat as the rapid strep test is
not very sensitive. - ANS - c. A throat culture should be performed to confirm the results
of the rapid strep test.
\A red tongue with enlarged papillae, sometimes seen with strep throat is called a _____
tongue
Raspberry
Sandpaper
Strawberry
Blackberry - ANS - Strawberry
\According to the American Cancer Society guidelines, African Americans with no other
risk factors for colon cancer should begin routine colon cancer screening at age 45.
T
F - ANS - T
\Acute gastroenteritis is the most common cause of nausea and vomiting.
T
, F - ANS - T
\After 6 months of synthroid therapy, the clinician should expect which of the following in
the repeat thyroid studies?
a. Elevated thyroid-stimulating hormone (TSH)
b. Normal TSH
c. Low TSH
d. Undetectable TSH - ANS - Normal TSH
\After removing a tack from a type 2 diabetic's heel and evaluating the site for infection,
what is the best plan for this patient?
a. Suggest she use a heating pad to improve circulation
b. Refer to a podiatrist for a foot care treatment plan
c. Send her for acupuncture treatments
d. All of the above - ANS - b. Refer to a podiatrist for a foot care treatment plan
\Age-related hearing loss (presbycusis) is classified as which type of hearing loss?
Conductive
Relative
Sensorineural
Unfortunate - ANS - Sensorineural
\Alkaline chemical injuries are more serious and damaging than acidic injuries to the eye.
T
F - ANS - .
T
\Allergic conjunctivitis - ANS - Itching and may see follicles on the conjunctiva
\Bacterial conjunctivitis - ANS - purulent discharge with red conjunctivia
\Blepharitis - ANS - Inflammation around the lid margins caused by staph infection
characterized by itching, flaking, burning and redness
\Chalazion - ANS - Chronic, internal granulomatous reaction of the Meibomian gland that
produces a mass in the lid away from the margin. Nontender but red and swollen
\Clinicians who learn how to code and document Evaluation and Management and
clinician services will be more successful in gaining timely payment for care delivery.
Which of the following CMS practices is designed to financially penalize clinicians who
do not bill according to CMS guidelines? - ANS - Audits and probes
\Corporis - ANS - trunk of the body
\CPT coding offers the uniformed language used for reporting medical services and
procedures performed by physician and nonphysician practitioners. Clinicians are paid
based on calculated resource costs that are calculated based on practice components.
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