NR 571 Complex Diagnosis and
Management in Acute Care
Midterm Actual Exam 2026/2027 –
100% Verified | Detailed Rationales
– Pass Guaranteed – A+ Graded
1. What is the first step in creating a differential
diagnosis (DDx) for a patient presenting with
acute symptoms?
Answer: Rule out malingering or factitious disorder.
2. A patient presents with vague flank pain.
Where is a kidney stone likely located if the pain
radiates to the groin?
Answer: Lower third of the ureter.
3. Which conditions are included in the
differential diagnosis for abdominal pain and/or
flank pain? (Select all that apply)
, Answer: Nephrolithiasis, Pyelonephritis,
Appendicitis, Ruptured aortic aneurysm.
4. A patient has right lower quadrant tenderness
with a positive Blumberg sign (rebound
tenderness). What should be suspected?
Answer: Appendicitis.
5. What is the pretest probability in the context
of differential diagnosis?
Answer: The chance of a disease before test results
are known.
6. How is sensitivity calculated for a diagnostic
test?
Answer: True positives / (True positives + False
negatives) .
7. Which diagnostic tests are preferred for
outpatient evaluation of kidney stones? (Select
all that apply)
Answer: KUB X-ray, Renal ultrasound.
, 8. Alkaline phosphatase (ALP) levels are severely
elevated in which condition?
Answer: Biliary obstruction.
9. Which route is responsible for transmission of
Hepatitis A virus?
Answer: Fecal–oral route.
10. Which populations are at greatest risk for
Hepatitis B infection?
Answer: IV drug users and dialysis patients.
11. The A in SNAPPS stands for Assessment.
(True/False)
Answer: False.
12. A patient is diagnosed with Giardia after a
backpacking trip. What is the appropriate
treatment?
Answer: Metronidazole.
13. The most cost-effective screening test to
determine HIV status is which of the following?
, Answer: Enzyme-linked immunosorbent assay
(ELISA) .
14. A clinician sees a patient who is 5 feet tall and
weighs 150 pounds (BMI 29.3). How would the
clinician classify this patient?
Answer: Overweight.
15. Which of the following types of cellulitis is a
streptococcal infection of the superficial layers of
the skin which does not involve the subcutaneous
layers?
Answer: Erysipelas .
16. A patient presents with impetigo that is
pruritic, tender, with red vesicles surrounded by
erythema and ulcerating. Which type of impetigo
is this?
Answer: Ecthyma .
17. A 42-year-old woman is diagnosed with acute
pyelonephritis with fever, chills, vomiting, and
severe dysuria. How should this patient be
managed?
Management in Acute Care
Midterm Actual Exam 2026/2027 –
100% Verified | Detailed Rationales
– Pass Guaranteed – A+ Graded
1. What is the first step in creating a differential
diagnosis (DDx) for a patient presenting with
acute symptoms?
Answer: Rule out malingering or factitious disorder.
2. A patient presents with vague flank pain.
Where is a kidney stone likely located if the pain
radiates to the groin?
Answer: Lower third of the ureter.
3. Which conditions are included in the
differential diagnosis for abdominal pain and/or
flank pain? (Select all that apply)
, Answer: Nephrolithiasis, Pyelonephritis,
Appendicitis, Ruptured aortic aneurysm.
4. A patient has right lower quadrant tenderness
with a positive Blumberg sign (rebound
tenderness). What should be suspected?
Answer: Appendicitis.
5. What is the pretest probability in the context
of differential diagnosis?
Answer: The chance of a disease before test results
are known.
6. How is sensitivity calculated for a diagnostic
test?
Answer: True positives / (True positives + False
negatives) .
7. Which diagnostic tests are preferred for
outpatient evaluation of kidney stones? (Select
all that apply)
Answer: KUB X-ray, Renal ultrasound.
, 8. Alkaline phosphatase (ALP) levels are severely
elevated in which condition?
Answer: Biliary obstruction.
9. Which route is responsible for transmission of
Hepatitis A virus?
Answer: Fecal–oral route.
10. Which populations are at greatest risk for
Hepatitis B infection?
Answer: IV drug users and dialysis patients.
11. The A in SNAPPS stands for Assessment.
(True/False)
Answer: False.
12. A patient is diagnosed with Giardia after a
backpacking trip. What is the appropriate
treatment?
Answer: Metronidazole.
13. The most cost-effective screening test to
determine HIV status is which of the following?
, Answer: Enzyme-linked immunosorbent assay
(ELISA) .
14. A clinician sees a patient who is 5 feet tall and
weighs 150 pounds (BMI 29.3). How would the
clinician classify this patient?
Answer: Overweight.
15. Which of the following types of cellulitis is a
streptococcal infection of the superficial layers of
the skin which does not involve the subcutaneous
layers?
Answer: Erysipelas .
16. A patient presents with impetigo that is
pruritic, tender, with red vesicles surrounded by
erythema and ulcerating. Which type of impetigo
is this?
Answer: Ecthyma .
17. A 42-year-old woman is diagnosed with acute
pyelonephritis with fever, chills, vomiting, and
severe dysuria. How should this patient be
managed?
