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NR 511 Midterm Exam (80+ Qs) – Clinical Reasoning, Dermatology, ENT, SOAP & Reimbursement

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Vorschau 4 aus 146 Seiten

This document provides over 80 carefully structured midterm questions and answers for NR 511: Advanced Physical Assessment and Diagnostic Reasoning at United States University, tailored for the 2025 academic year. It delivers a clinically focused review of diagnostic skills, history-taking, SOAP note documentation, and differential diagnosis—core components of NP education. The questions address a wide spectrum of patient scenarios and systems, emphasizing dermatologic and ENT conditions, clinical testing (Weber, Rinne, Schirmer), and Medicare/Medicaid coverage guidelines. Clinical frameworks like OLDCARTS, SOAP format, and sensitivity/specificity interpretation are embedded throughout, training students to approach case scenarios with structured reasoning and evidence-based practices. Key topics include: Dermatology: impetigo, herpes zoster, acne, rosacea, atopic dermatitis, seborrheic keratosis ENT/Ophthalmology: conjunctivitis (viral, bacterial, HSV), sinusitis, otitis media/externa, hordeolum, chalazion, dry eyes Infectious disease: mononucleosis, pharyngitis, epiglottitis Systems review: cardiovascular and respiratory red flags Clinical documentation & billing: CMS reimbursement, E/M coding, wellness visit documentation This file is ideal for: Nurse Practitioner students enrolled in NR 511 or equivalent diagnostic reasoning courses FNP, AGNP, or DNP students preparing for midterms or OSCEs Graduate-level students seeking focused and exam-ready material for board prep or university assessments Keywords: NR 511 midterm, OLDCARTS, SOAP note, diagnostic reasoning, differential diagnosis, Medicare reimbursement, impetigo, herpes zoster, conjunctivitis, otitis media, dry eye, rosacea, seborrheic keratosis, tinnitus, mononucleosis, pharyngitis, sinusitis, NP exam prep, United States University

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NR 511 Midterm 2025/2026 Exam
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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).

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.


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 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.




COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3

, 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, psychological stress, or voluntary

postponement of defecation. Defecating every third day could be the

routine pattern for Simon. He should be questioned if this is routine for him.

Timothy, age 68, complains of an abrupt change in his defecation pattern.

You evaluate him for:

1.Constipation.

2.Colorectal cancer.

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