Chamberlain University NR 511: Differential Diagnosis and Primary Care
Practicum
NR511 MIDTERM EXAM 20256|NEW UPDATE FALL
QTR|ACTUAL 280+Qs&As|ALREADY GRADED A+
Question 1. Treatment for achalasia may include:
Balloon dilation of the lower esophageal sphincter.
Question 2. Which oral medication might be used to treat a client with chronic
cholelithiasis who is a poor candidate for surgery?
Ursodiol (Actigall).
Question 3. All of the following medications are used for the control of nausea
and vomiting. Which medication works by affecting the chemoreceptor trigger
zone, thereby stimulating upper gastrointestinal motility and increasing lower
esophageal sphincter pressure?
Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).
Question 4. Which is the most common presenting symptom of gastric cancer?
Weight loss.
,Chamberlain University NR 511: Differential Diagnosis and Primary Care
Practicum
Question 5. Margie, age 52, has an extremely stressful job and was just given a
diagnosis of gastric ulcer. She tells you she is sure it is going to be malignant.
How do you respond?
"About 95% of gastric ulcers are benign."
Question 6. Marcie just returned from Central America with traveler's diarrhea.
Which is the best treatment?
Supportive care.
Question 7. Rose has gastroesophageal reflux disease (GERD). You know she
misunderstands your teaching when she tells you she will:
Have a snack before retiring so that the esophagus and stomach are not empty
at bedtime.
Question 8. Marty, age 52, notices a bulge in his midline every time he rises
from bed in the morning. You tell him that it is a ventral hernia, also known as
an:
Epigastric hernia.
Question 9. You are trying to differentiate between functional (acquired)
constipation and Hirschsprung disease in a neonate. Distinguishing features of
Hirschsprung disease include which of the following?
,Chamberlain University NR 511: Differential Diagnosis and Primary Care
Practicum
Small ribbonlike stools.
Question 10. You are doing routine teaching with a patient who has a family
history of colorectal cancer. You know she misunderstands the teaching when
she tells you she will:
Increase her fluid intake.
Question 11. Bobby, age 6, has constant periumbilical pain shifting to the right
lower quadrant, vomiting, a small volume of diarrhea, absence of headache, a
mild elevation of the white blood cell count with an early left shift, and white
blood cells in the urine. You suspect:
Appendicitis.
Question 12. Melva, age 63, presents with an acute exacerbation of
pancreatitis, and you are going to admit her to the hospital. Which is the most
important factor in determining a negative long-term outcome for her?
Infection.
Question 13. A mother brings in her 4-year-old child, who she states has acute
abdominal pain and a rash. Which of the following do you initially rule out?
Appendicitis.
, Chamberlain University NR 511: Differential Diagnosis and Primary Care
Practicum
1. Question 14. Icterus due to hyperbilirubinemia is seen when the serum
level of bilirubin is greater than?
2.5 mg/dL.
Question 15. A 45-year-old homeless man presents to your urgent care clinic
for evaluation. His chief complaint is diarrhea. The patient states he started to
have diarrhea 2-3 days ago, and it is getting progressively worse. He also
notes nausea without vomiting, dry mouth, and double vision. On exam you
notice his pupillary reflex is absent. The patient states he lives on the street
and eats mostly canned goods that he scavenges from a grocery store
dumpster. What is the likely cause of the patient's symptoms?
Botulism.
Question 16. Hepatitis D is an RNA virus that requires a coinfection with which
of the following strains of hepatitis in order to replicate?
Hepatitis B.
Question 17. Which of the following is not true regarding hepatitis C?
If hepatitis is asymptomatic it doesn't cause cirrhosis or liver cancer.
Practicum
NR511 MIDTERM EXAM 20256|NEW UPDATE FALL
QTR|ACTUAL 280+Qs&As|ALREADY GRADED A+
Question 1. Treatment for achalasia may include:
Balloon dilation of the lower esophageal sphincter.
Question 2. Which oral medication might be used to treat a client with chronic
cholelithiasis who is a poor candidate for surgery?
Ursodiol (Actigall).
Question 3. All of the following medications are used for the control of nausea
and vomiting. Which medication works by affecting the chemoreceptor trigger
zone, thereby stimulating upper gastrointestinal motility and increasing lower
esophageal sphincter pressure?
Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).
Question 4. Which is the most common presenting symptom of gastric cancer?
Weight loss.
,Chamberlain University NR 511: Differential Diagnosis and Primary Care
Practicum
Question 5. Margie, age 52, has an extremely stressful job and was just given a
diagnosis of gastric ulcer. She tells you she is sure it is going to be malignant.
How do you respond?
"About 95% of gastric ulcers are benign."
Question 6. Marcie just returned from Central America with traveler's diarrhea.
Which is the best treatment?
Supportive care.
Question 7. Rose has gastroesophageal reflux disease (GERD). You know she
misunderstands your teaching when she tells you she will:
Have a snack before retiring so that the esophagus and stomach are not empty
at bedtime.
Question 8. Marty, age 52, notices a bulge in his midline every time he rises
from bed in the morning. You tell him that it is a ventral hernia, also known as
an:
Epigastric hernia.
Question 9. You are trying to differentiate between functional (acquired)
constipation and Hirschsprung disease in a neonate. Distinguishing features of
Hirschsprung disease include which of the following?
,Chamberlain University NR 511: Differential Diagnosis and Primary Care
Practicum
Small ribbonlike stools.
Question 10. You are doing routine teaching with a patient who has a family
history of colorectal cancer. You know she misunderstands the teaching when
she tells you she will:
Increase her fluid intake.
Question 11. Bobby, age 6, has constant periumbilical pain shifting to the right
lower quadrant, vomiting, a small volume of diarrhea, absence of headache, a
mild elevation of the white blood cell count with an early left shift, and white
blood cells in the urine. You suspect:
Appendicitis.
Question 12. Melva, age 63, presents with an acute exacerbation of
pancreatitis, and you are going to admit her to the hospital. Which is the most
important factor in determining a negative long-term outcome for her?
Infection.
Question 13. A mother brings in her 4-year-old child, who she states has acute
abdominal pain and a rash. Which of the following do you initially rule out?
Appendicitis.
, Chamberlain University NR 511: Differential Diagnosis and Primary Care
Practicum
1. Question 14. Icterus due to hyperbilirubinemia is seen when the serum
level of bilirubin is greater than?
2.5 mg/dL.
Question 15. A 45-year-old homeless man presents to your urgent care clinic
for evaluation. His chief complaint is diarrhea. The patient states he started to
have diarrhea 2-3 days ago, and it is getting progressively worse. He also
notes nausea without vomiting, dry mouth, and double vision. On exam you
notice his pupillary reflex is absent. The patient states he lives on the street
and eats mostly canned goods that he scavenges from a grocery store
dumpster. What is the likely cause of the patient's symptoms?
Botulism.
Question 16. Hepatitis D is an RNA virus that requires a coinfection with which
of the following strains of hepatitis in order to replicate?
Hepatitis B.
Question 17. Which of the following is not true regarding hepatitis C?
If hepatitis is asymptomatic it doesn't cause cirrhosis or liver cancer.
