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NR 511 Differential Diagnosis & Primary Care Syllabus | NP Course Guide

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A comprehensive guide to the principles of differential diagnosis in primary care for Nurse Practitioner students. This document covers patient assessment, clinical reasoning, evidence-based practice, and the diagnosis and management of common acute and chronic conditions across the lifespan.

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Page 1 of 287


NR 511 /NR511 MIDTERM EXAM 2025 ACTUAL 2

VERSIONS WITH OVER 350 QUESTIONS WITH DETAILED

VERIFIED ANSWERS AND RATIONALES/ BRAND NEW!!

/A+ GRADE ASSURED

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?




1.Anticholinergics, such as scopolamine (Donnatal).

2.Antidopaminergic agents, such as prochlorperazine

(Compazine).

3.Antidopaminergic and cholinergic agents, such as

metoclopramide (Reglan).

,Page 2 of 287


4.Tetrahydrocannabinols, such as dronabinol (Marinol)

.....ANSWER.....Antidopaminergic and cholinergic agents, such as

metoclopramide (Reglan)




rationale: Metoclopramide (Reglan) is used for diabetic

gastroparesis and postoperative nausea and vomiting. It works

by affecting the chemoreceptor trigger zone, thereby stimulating

upper gastrointestinal motility and increasing lower esophageal

sphincter pressure

You auscultate Julie's abdomen and hear a peritoneal friction

rub. Which condition do you rule out?




1.Peritonitis.

2.A liver or spleen abscess.

3.A liver or spleen metastatic tumor.

,Page 3 of 287


4.Irritable bowel syndrome. .....ANSWER.....IBS




rationale: IBS does not produce a friction rub

You are counseling Lillian, who is lactose intolerant, about foods

to avoid. You know she misunderstands the teaching when she

tells you she can have:

1. Yogurt.

2.Foods containing whey.

3.Prehydrolyzed milk.

4.Oranges. .....ANSWER.....Foods containing whey




rationale: Advise clients who are lactose intolerant to avoid

foods containing whey. Whey is a lactose-rich ingredient found in

some foods, so clients who are lactose intolerant need to read

labels on all foods. To control symptoms, dietary lactose should

, Page 4 of 287


be reduced or restricted by using lactose-reduced and lactose-

free dairy products or by eating lactose-rich foods in small

amounts or in combination with low-lactose or lactose-free foods.

Simon, age 72, states that he is worried because he has a bowel

movement only every third day. You respond:

1."You should have two to three stools per day."

2."You should defecate once a day."

3."You should have at least three stools per week."

4."There is no such thing as a 'normal' pattern of defecation."

.....ANSWER.....There is no such thing as a normal pattern of

defecation




rationale: There is no such thing as a "normal" pattern of

defecation. Patterns of defecation vary widely and may in part

be affected by dietary habits, fluid intake, bacteria in the stool,
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