MIDTERM EXAMS NR511 CERTIFICATION TEST
2026 COMPREHENSIVE STUDY GUIDE
◉ You are the nurse practitioner caring for Martha, a 47-year-old
accountant. You have made a diagnosis of acute sinusitis based on
Martha's history and the fact that she complains of pain behind her
eye. Which sinuses are affected?
1.Maxillary.
2.Ethmoid.
3.Frontal.
4.Sphenoid Answer: ethmoid
rationale: With ethmoid sinus problems, the pain is felt behind the
eye and high on the nose
◉ A 25-year-old client who plays in a band complains that he finds it
difficult to understand his fellow musicians at the end of a night of
performing, a problem that is compounded by the noisy
environment of the club. These symptoms are most characteristic of
which of the following?
1.Sensorineural loss.
2.Conductive loss.
3.Tinnitus.
,4.Vertigo. Answer: sensorineural hearing loss
rationale: Sensorineural loss comes from exposure to loud noises,
inner ear infections, tumors, congenital and familial disorders, and
aging. The results of the Weber and Rinne tests will assist in the
diagnosis
◉ Mandy, 44, was given a diagnosis of flu 1 day ago and wants to
start on the "new flu medicine" right away. What do you tell her?
1."The medication is effective only if started within the first 72 hours
after symptoms begin."
2."If you treat a cold, it goes away in 7 days; if you don't treat it, it
goes away in 1 week."
3."The medicine has not proven its effectiveness."
4. "I'll start you on oseltamivir (Tamiflu) today. It may shorten the
course of the disease and perhaps lessen the severity of your
symptoms." Answer: "I'll start you on oseltamivir (Tamiflu) today. It
may shorten the course of the disease and perhaps lessen the
severity of your symptoms.
rationale: Two antiviral drugs, oseltamivir (Tamiflu), a pill taken by
mouth, and zanamivir (Relenza), an inhaled medication, are
particularly effective against the influenza viruses that cause the flu.
If the virus causing the flu is type A influenza, the client may benefit
from either one of these drugs
,◉ Marjorie, age 37, has asthma and has been told she has nasal
polyps. What do you tell her about them?
1.Nasal polyps are usually precancerous.
2.Nasal polyps are benign growths.
3.The majority of nasal polyps are neoplastic.
4.They are probably inflamed turbinates, not polyps, because polyps
are infrequent in clients with asthma. Answer: Nasal polyps are
benign growths
rationale: Nasal polyps are benign growths that occur frequently in
clients with sinus problems, asthma, and allergic rhinitis. Polyps are
neither neoplastic growths nor precancerous, but they do have the
potential to affect the flow of air through the nasal passages. Clients
who have asthma and have nasal polyps may have an associated
allergy to aspirin, a syndrome that is referred to as Samter triad
◉ Nystatin (Mycostatin) is ordered for Michael, a 56-year-old
banker who has an oral fungal infection. What instructions for taking
the medication do you give Michael?
1."Dilute the oral medication with one tablespoon of water for easier
digestion."
2."Take the medication with meals so that it's absorbed better."
3."Swish and swallow the medication."
, 4."Apply the medication only to the lesions. Answer: "Swish and
swallow the medication."
rationale: When ordering nystatin (Mycostatin) for an oral fungal
infection, tell the client to swish the medication in the mouth to coat
all the lesions and then to swallow it.
◉ Erica, age 39, has a sudden onset of shivering, sweating, headache,
aching in the orbits, and general malaise and misery. Her
temperature is 102°F. The nurse practitioner diagnosed her with
influenza (flu). What is your next course of action?
1.Order amoxicillin (Amoxil) 500 mg every 12 hours for 7 days.
2.Prescribe rest, fluids, acetaminophen (Tylenol), and possibly a
decongestant and an antitussive.
3.Order a complete blood count (CBC).
4.Consult with your collaborating physician Answer: Prescribe rest,
fluids, acetaminophen (Tylenol), and possibly a decongestant and an
antitussive.
rationale: Management of flu is generally symptomatic and includes
rest, fluids, acetaminophen (Tylenol), and possibly a decongestant
and an antitussive. The client should be advised to call or return to
the clinic in 4 days if symptoms are not improving
2026 COMPREHENSIVE STUDY GUIDE
◉ You are the nurse practitioner caring for Martha, a 47-year-old
accountant. You have made a diagnosis of acute sinusitis based on
Martha's history and the fact that she complains of pain behind her
eye. Which sinuses are affected?
1.Maxillary.
2.Ethmoid.
3.Frontal.
4.Sphenoid Answer: ethmoid
rationale: With ethmoid sinus problems, the pain is felt behind the
eye and high on the nose
◉ A 25-year-old client who plays in a band complains that he finds it
difficult to understand his fellow musicians at the end of a night of
performing, a problem that is compounded by the noisy
environment of the club. These symptoms are most characteristic of
which of the following?
1.Sensorineural loss.
2.Conductive loss.
3.Tinnitus.
,4.Vertigo. Answer: sensorineural hearing loss
rationale: Sensorineural loss comes from exposure to loud noises,
inner ear infections, tumors, congenital and familial disorders, and
aging. The results of the Weber and Rinne tests will assist in the
diagnosis
◉ Mandy, 44, was given a diagnosis of flu 1 day ago and wants to
start on the "new flu medicine" right away. What do you tell her?
1."The medication is effective only if started within the first 72 hours
after symptoms begin."
2."If you treat a cold, it goes away in 7 days; if you don't treat it, it
goes away in 1 week."
3."The medicine has not proven its effectiveness."
4. "I'll start you on oseltamivir (Tamiflu) today. It may shorten the
course of the disease and perhaps lessen the severity of your
symptoms." Answer: "I'll start you on oseltamivir (Tamiflu) today. It
may shorten the course of the disease and perhaps lessen the
severity of your symptoms.
rationale: Two antiviral drugs, oseltamivir (Tamiflu), a pill taken by
mouth, and zanamivir (Relenza), an inhaled medication, are
particularly effective against the influenza viruses that cause the flu.
If the virus causing the flu is type A influenza, the client may benefit
from either one of these drugs
,◉ Marjorie, age 37, has asthma and has been told she has nasal
polyps. What do you tell her about them?
1.Nasal polyps are usually precancerous.
2.Nasal polyps are benign growths.
3.The majority of nasal polyps are neoplastic.
4.They are probably inflamed turbinates, not polyps, because polyps
are infrequent in clients with asthma. Answer: Nasal polyps are
benign growths
rationale: Nasal polyps are benign growths that occur frequently in
clients with sinus problems, asthma, and allergic rhinitis. Polyps are
neither neoplastic growths nor precancerous, but they do have the
potential to affect the flow of air through the nasal passages. Clients
who have asthma and have nasal polyps may have an associated
allergy to aspirin, a syndrome that is referred to as Samter triad
◉ Nystatin (Mycostatin) is ordered for Michael, a 56-year-old
banker who has an oral fungal infection. What instructions for taking
the medication do you give Michael?
1."Dilute the oral medication with one tablespoon of water for easier
digestion."
2."Take the medication with meals so that it's absorbed better."
3."Swish and swallow the medication."
, 4."Apply the medication only to the lesions. Answer: "Swish and
swallow the medication."
rationale: When ordering nystatin (Mycostatin) for an oral fungal
infection, tell the client to swish the medication in the mouth to coat
all the lesions and then to swallow it.
◉ Erica, age 39, has a sudden onset of shivering, sweating, headache,
aching in the orbits, and general malaise and misery. Her
temperature is 102°F. The nurse practitioner diagnosed her with
influenza (flu). What is your next course of action?
1.Order amoxicillin (Amoxil) 500 mg every 12 hours for 7 days.
2.Prescribe rest, fluids, acetaminophen (Tylenol), and possibly a
decongestant and an antitussive.
3.Order a complete blood count (CBC).
4.Consult with your collaborating physician Answer: Prescribe rest,
fluids, acetaminophen (Tylenol), and possibly a decongestant and an
antitussive.
rationale: Management of flu is generally symptomatic and includes
rest, fluids, acetaminophen (Tylenol), and possibly a decongestant
and an antitussive. The client should be advised to call or return to
the clinic in 4 days if symptoms are not improving
