NR 511
Midterm Exam Prep
(300 Practice Questions)
(Week’s 1 – 4 Covered)
(Differential Diagnosis & Primary Care Practicum)
Exam-Style Qs that mirror the actual Exam
Chamberlain
,Table of Contents
SECTION 1 (1-100 qs) ...................................................... 2
SECTION 2 (1-100 qs) .................................................... 38
SECTION 3 (1-100 qs) .................................................... 74
SECTION 1 (1-100 qs)
Question 1:
A 43-year-old woman presents wit fatigue and intermittent abdominal pain. As
you tink troug possible causes, you continually ask yourself weter any key
diagnoses are being overlooked and weter eac lab you order truly adds value. Tis
process best describes wic concept?
A. SOAP documentation
B. Diagnostic reasoning
C. Medical decision making
D. Differential diagnosis
Answer: B. Diagnostic reasoning
Explanation: Diagnostic reasoning is a reflective critical-tinking process in wic te
clinician continually questions teir own tinking, evaluates ow eac new data point
supports or refutes diagnostic ypoteses, and ensures conclusions are based on evidence.
Question 2:
A patient reports, “I’ve ad burning in my cest after large meals for about two
monts.” On exam, you note BMI 36, normal eart sounds, and mild epigastric
tenderness. Wic element is SUBJECTIVE data?
A. BMI 36
,B. Normal eart sounds
C. Mild epigastric tenderness
D. Burning in te cest after meals
Answer: D. Burning in te cest after meals
Explanation: Subjective data are te patient’s own reports and perceptions, suc as
symptoms and istory details, rater tan findings you, te clinician, directly observe or
measure.
Question 3:
You are documenting a SOAP note for a new patient. Were sould OLDCARTS
details of te cief complaint be recorded?
A. S section
B. O section
C. A section
D. P section
Answer: A. S section
Explanation: Te PI, including OLDCARTS details about te cief complaint, is part of te
Subjective section because it reflects te patient’s narrative description of symptoms.
Question 4:
A patient describes abdominal pain tat “comes and goes in waves for about 10
minutes at a time.” Wic OLDCARTS component is te patient describing?
A. Onset
B. Duration
C. Caracteristics
D. Treatments
Answer: B. Duration
Explanation: Duration refers to weter a symptom is constant or intermittent and ow
long eac episode lasts, not just wen it first began.
, Question 5:
You are building a differential diagnosis list for a patient wit LLQ abdominal pain,
diarrea, and low-grade fever. Wic best reflects correct use of te differential?
A. Listing as many unrelated diagnoses as possible
B. Listing diagnoses in alpabetical order
C. Listing possible diagnoses in order from most to least likely
D. Listing only one diagnosis to avoid confusion
Answer: C. Listing possible diagnoses in order from most to least likely
Explanation: A differential diagnosis is a prioritized list of possible conditions tat could
explain te patient’s presentation, ranked by likeliood to guide furter evaluation.
Question 6:
A diagnostic test as very few false negatives. Wat is te best way to describe tis
test?
A. ig specificity
B. Low specificity
C. ig sensitivity
D. Low sensitivity
Answer: C. ig sensitivity
Explanation: A sensitive test correctly identifies most people wit te condition, resulting
in few false negatives; iger sensitivity means a negative result can elp rule out disease.
Question 7:
A test occasionally yields positive results in patients wo do NOT ave te disease. Wic
concept is directly related to tis problem?
A. Low specificity
B. Low sensitivity
C. ig predictive value
D. ig prevalence
Midterm Exam Prep
(300 Practice Questions)
(Week’s 1 – 4 Covered)
(Differential Diagnosis & Primary Care Practicum)
Exam-Style Qs that mirror the actual Exam
Chamberlain
,Table of Contents
SECTION 1 (1-100 qs) ...................................................... 2
SECTION 2 (1-100 qs) .................................................... 38
SECTION 3 (1-100 qs) .................................................... 74
SECTION 1 (1-100 qs)
Question 1:
A 43-year-old woman presents wit fatigue and intermittent abdominal pain. As
you tink troug possible causes, you continually ask yourself weter any key
diagnoses are being overlooked and weter eac lab you order truly adds value. Tis
process best describes wic concept?
A. SOAP documentation
B. Diagnostic reasoning
C. Medical decision making
D. Differential diagnosis
Answer: B. Diagnostic reasoning
Explanation: Diagnostic reasoning is a reflective critical-tinking process in wic te
clinician continually questions teir own tinking, evaluates ow eac new data point
supports or refutes diagnostic ypoteses, and ensures conclusions are based on evidence.
Question 2:
A patient reports, “I’ve ad burning in my cest after large meals for about two
monts.” On exam, you note BMI 36, normal eart sounds, and mild epigastric
tenderness. Wic element is SUBJECTIVE data?
A. BMI 36
,B. Normal eart sounds
C. Mild epigastric tenderness
D. Burning in te cest after meals
Answer: D. Burning in te cest after meals
Explanation: Subjective data are te patient’s own reports and perceptions, suc as
symptoms and istory details, rater tan findings you, te clinician, directly observe or
measure.
Question 3:
You are documenting a SOAP note for a new patient. Were sould OLDCARTS
details of te cief complaint be recorded?
A. S section
B. O section
C. A section
D. P section
Answer: A. S section
Explanation: Te PI, including OLDCARTS details about te cief complaint, is part of te
Subjective section because it reflects te patient’s narrative description of symptoms.
Question 4:
A patient describes abdominal pain tat “comes and goes in waves for about 10
minutes at a time.” Wic OLDCARTS component is te patient describing?
A. Onset
B. Duration
C. Caracteristics
D. Treatments
Answer: B. Duration
Explanation: Duration refers to weter a symptom is constant or intermittent and ow
long eac episode lasts, not just wen it first began.
, Question 5:
You are building a differential diagnosis list for a patient wit LLQ abdominal pain,
diarrea, and low-grade fever. Wic best reflects correct use of te differential?
A. Listing as many unrelated diagnoses as possible
B. Listing diagnoses in alpabetical order
C. Listing possible diagnoses in order from most to least likely
D. Listing only one diagnosis to avoid confusion
Answer: C. Listing possible diagnoses in order from most to least likely
Explanation: A differential diagnosis is a prioritized list of possible conditions tat could
explain te patient’s presentation, ranked by likeliood to guide furter evaluation.
Question 6:
A diagnostic test as very few false negatives. Wat is te best way to describe tis
test?
A. ig specificity
B. Low specificity
C. ig sensitivity
D. Low sensitivity
Answer: C. ig sensitivity
Explanation: A sensitive test correctly identifies most people wit te condition, resulting
in few false negatives; iger sensitivity means a negative result can elp rule out disease.
Question 7:
A test occasionally yields positive results in patients wo do NOT ave te disease. Wic
concept is directly related to tis problem?
A. Low specificity
B. Low sensitivity
C. ig predictive value
D. ig prevalence
