NR 511 MIDTERM EXAM 2026/2027 FALL
QUESTIONS AND CORRECT ANSWERS
GRADED A+
A 10-year-old client was prescribed amoxicillin for otitis media. The FNP receives
a call. From the parents that the client has developed a rash on the trunk. What is
the most appropriate next
activity by the FNP?
Stop the medication
Which of the following statements regarding the client history is true?
History of present illness (HPI) Is a detailed breakdown of the client's chief
complaint
Which of the following individuals is at most risk for developing epiphora
(Excessive, tearing.)?
A 76-year-old with Type 2 diabetes
A client presents to the office with a complaint of skin irritation, redness, and
tenderness on the back of his neck. Examination reveals a rubbery., smooth, and
round mass of tissue fat is compressible and has a soft texture. What is the most
likely diagnosis?
Lipoma
,A complete blood count (CBC) may identify which of the following as a cause of
tinnitus?
Anemia
A 45-year-old client with a history of a total thyroidectomy comes to the office
concerned with a rash. That has developed around a new tracheostomy site. Upon
exam, the NP notes a papular rash with satellite lesions surrounding the stoma.
What does this indicate?
A fungal infection
What is the most likely diagnosis for a client who presents with localized eye
tenderness, redness at the margin of the eyelid, and internal swelling?
Hordeolum
What is the indication of a diagnostic study with high sensitivity?
High percentage of persons with the given condition will have an abnormal result.
Which of the following is the best systemic treatment for common scabies
refactoring to topical treatment?
Ivermectin
,Which of the following is associated with severe tinnitus?
Depression
How do Most clients on traditional Medicare cover their out-of-pocket expenses?
Acquiring a secondary insurance plan
Which of the following is true regarding atopic dermatitis?
The client complaints of itching before the rash appears
A 16-year-old client presents to the clinic with right ear pain for two days
following participating in high school swim meet. The eardrum demonstrates
tenderness with traction of the pinna and tragus pain, when pressure is applied. The
ear canal is red and swollen to the point that the tympanic membrane cannot be
visualized. Which of the following is the most likely diagnosis?
Otitis externa
A four-year-old child, complaints of right ear pain for three days that was resolved
with acetaminophen. The pain was accompanied by fevers of 101.4. Over the last
two nights. The child had a nonproductive cough for seven days prior to the ear
pain. The child attends daycare five days per week. The physical exam findings
include. (-) Tenderness with tugging The Oracle of the ear; the tympanic
membranes is erythematous and full on inspection and immobile with pneumatic
otoscopy; (-) drainage
, from the ear; (-) Mastoid tenderness. What is the appropriate next step?
Amoxicillin, 80 to 90 MG./Hg/day
An inflammation of the conjunctiva (the clear membrane that covers the white part
of the eye and lines the inside of the eyelids) would be what diagnosis?
Conjunctivitis (Pink eye)
What is the standard dose of antibiotic for a healthy child with mild symptoms of
otitis media who has no antibiotics in the past 90 days?
Amoxicillin 80-90 mg/kg/day po in 2 divided doses for 10 days
Which of the following should be included in the teaching plan for a client with
acne?
Wash the face gently at least twice a day with an antibacterial soap
Which of the following can be used to assist in sound clinical decision making?
-Algorithm pushed in a peer reviewed journal article.
-Clinical practice guidelines.
-Evidence based research.
QUESTIONS AND CORRECT ANSWERS
GRADED A+
A 10-year-old client was prescribed amoxicillin for otitis media. The FNP receives
a call. From the parents that the client has developed a rash on the trunk. What is
the most appropriate next
activity by the FNP?
Stop the medication
Which of the following statements regarding the client history is true?
History of present illness (HPI) Is a detailed breakdown of the client's chief
complaint
Which of the following individuals is at most risk for developing epiphora
(Excessive, tearing.)?
A 76-year-old with Type 2 diabetes
A client presents to the office with a complaint of skin irritation, redness, and
tenderness on the back of his neck. Examination reveals a rubbery., smooth, and
round mass of tissue fat is compressible and has a soft texture. What is the most
likely diagnosis?
Lipoma
,A complete blood count (CBC) may identify which of the following as a cause of
tinnitus?
Anemia
A 45-year-old client with a history of a total thyroidectomy comes to the office
concerned with a rash. That has developed around a new tracheostomy site. Upon
exam, the NP notes a papular rash with satellite lesions surrounding the stoma.
What does this indicate?
A fungal infection
What is the most likely diagnosis for a client who presents with localized eye
tenderness, redness at the margin of the eyelid, and internal swelling?
Hordeolum
What is the indication of a diagnostic study with high sensitivity?
High percentage of persons with the given condition will have an abnormal result.
Which of the following is the best systemic treatment for common scabies
refactoring to topical treatment?
Ivermectin
,Which of the following is associated with severe tinnitus?
Depression
How do Most clients on traditional Medicare cover their out-of-pocket expenses?
Acquiring a secondary insurance plan
Which of the following is true regarding atopic dermatitis?
The client complaints of itching before the rash appears
A 16-year-old client presents to the clinic with right ear pain for two days
following participating in high school swim meet. The eardrum demonstrates
tenderness with traction of the pinna and tragus pain, when pressure is applied. The
ear canal is red and swollen to the point that the tympanic membrane cannot be
visualized. Which of the following is the most likely diagnosis?
Otitis externa
A four-year-old child, complaints of right ear pain for three days that was resolved
with acetaminophen. The pain was accompanied by fevers of 101.4. Over the last
two nights. The child had a nonproductive cough for seven days prior to the ear
pain. The child attends daycare five days per week. The physical exam findings
include. (-) Tenderness with tugging The Oracle of the ear; the tympanic
membranes is erythematous and full on inspection and immobile with pneumatic
otoscopy; (-) drainage
, from the ear; (-) Mastoid tenderness. What is the appropriate next step?
Amoxicillin, 80 to 90 MG./Hg/day
An inflammation of the conjunctiva (the clear membrane that covers the white part
of the eye and lines the inside of the eyelids) would be what diagnosis?
Conjunctivitis (Pink eye)
What is the standard dose of antibiotic for a healthy child with mild symptoms of
otitis media who has no antibiotics in the past 90 days?
Amoxicillin 80-90 mg/kg/day po in 2 divided doses for 10 days
Which of the following should be included in the teaching plan for a client with
acne?
Wash the face gently at least twice a day with an antibacterial soap
Which of the following can be used to assist in sound clinical decision making?
-Algorithm pushed in a peer reviewed journal article.
-Clinical practice guidelines.
-Evidence based research.
