1
NR511 Midterm 2026 Latest Questions
and Answers (100% Expert Answers)
A+
Define diagnostic reasoning [ Ans: ] Reflective thinking because the
process involves questioning one's thinking to determine if all possible
avenues have been explored and if the conclusions that are being drawn
are based on evidence.
Seen as a kind of critical thinking.
What is subjective data? [ Ans: ] Anything the patient tells you or
complains of regarding their symptoms
Chief complaint
HPI
© 2026
ROS
What is objective data? [ Ans: ] Anything YOU can see, touch, feel, hear,
or smell as part of your exam
Includes lab data, diagnostic test results, etc.
Identify components of HPI [ Ans: ] Specifically related to the chief
complaint only
Detailed breakdown of CC
OLDCARTS
Describe the differences between medical billing and medical coding. [
Ans: ] Medical billing: process of submitting and following up on claims
,2
made to a payer in order to receive payment for medical services
rendered by a healthcare provider
Medical coding: the use of codes to communicate with payers about
which procedures were performed and why.
Compare and contrast the two coding classification systems that are
currently used in the US healthcare system. [ Ans: ] ICD: International
classification of disease codes are used to provide payer info on
necessity of visit or procedure performed. Shorthand for pt's dx.
CPT: common procedural terminology codes offer the official procedural
coding rules and guidelines required when reporting medical services
and procedures performed by physician and non-physician providers.
Must have corresponding ICD.
How do specificity, sensitivity, and predictive value contribute to the
usefulness of diagnostic data? [ Ans: ] Specificity: ability of a test to
correctly detect a specific condition. If a pt has a condition but test is
negative, it is a false negative. If pt does NOT have condition but test is
© 2026
positive, it is false positive.
Sensitivity: test that has few false negatives. Ability of a test to correctly
identify a specific condition when it is present. The higher the
sensitivity, the lesser the likelihood of a false negative.
Predictive value: The likelihood that the pt actually has the condition and
is, in part, dependent upon the prevalence of the condition in the
population. If a condition is highly likely, the positive result would be
more accurate.
Diagnostic tests can be used to confirm or rule out hypotheses.
Diagnostic tests may be used to screen for conditions.
Diagnostic tests may be used to monitor the progress in managing a
chronic condition.
,3
Discuss the elements that need to be considered when developing a plan.
[ Ans: ] Pt's preferences and actions
Research evidence
Clinical state/circumstances
Clinical expertise
Describe the components of medical decision making in E&M coding. [
Ans: ] Risk, data, diagnosis
The more time and consideration involved in dealing with a pt, the higher
the reimbursement from the payer.
Documentation must reflect MDM
Correctly order the E&M office visit codes based on complexity from least
to most complex. [ Ans: ] New pt:
© 2026
1. Minimal/RN visit: 99201
2. Problem focused: 99202
3. Expanded problem focused: 99203
4. Detailed: 99204
5. Comprehensive: 99205
Established pt:
1. Minimal/RN visit: 99211
2. Problem focused: 99212
, 4
3. Expanded problem focused: 99213
4. Detailed: 99214
5. Comprehensive: 99215
The 5 key components of a comprehensive treatment plan are: [ Ans: ] 1.
Diagnostics
2. Medication
3. Education
4. Referral/consultation
5. Follow-up planning
Define the components of a SOAP note. [ Ans: ] S: subjective (what the pt
© 2026
tells you)
CC
HPI
PMH
Fam Hx
Social Hx
ROS
O: objective (what you can see, hear, feel on exam)
Physical findings
NR511 Midterm 2026 Latest Questions
and Answers (100% Expert Answers)
A+
Define diagnostic reasoning [ Ans: ] Reflective thinking because the
process involves questioning one's thinking to determine if all possible
avenues have been explored and if the conclusions that are being drawn
are based on evidence.
Seen as a kind of critical thinking.
What is subjective data? [ Ans: ] Anything the patient tells you or
complains of regarding their symptoms
Chief complaint
HPI
© 2026
ROS
What is objective data? [ Ans: ] Anything YOU can see, touch, feel, hear,
or smell as part of your exam
Includes lab data, diagnostic test results, etc.
Identify components of HPI [ Ans: ] Specifically related to the chief
complaint only
Detailed breakdown of CC
OLDCARTS
Describe the differences between medical billing and medical coding. [
Ans: ] Medical billing: process of submitting and following up on claims
,2
made to a payer in order to receive payment for medical services
rendered by a healthcare provider
Medical coding: the use of codes to communicate with payers about
which procedures were performed and why.
Compare and contrast the two coding classification systems that are
currently used in the US healthcare system. [ Ans: ] ICD: International
classification of disease codes are used to provide payer info on
necessity of visit or procedure performed. Shorthand for pt's dx.
CPT: common procedural terminology codes offer the official procedural
coding rules and guidelines required when reporting medical services
and procedures performed by physician and non-physician providers.
Must have corresponding ICD.
How do specificity, sensitivity, and predictive value contribute to the
usefulness of diagnostic data? [ Ans: ] Specificity: ability of a test to
correctly detect a specific condition. If a pt has a condition but test is
negative, it is a false negative. If pt does NOT have condition but test is
© 2026
positive, it is false positive.
Sensitivity: test that has few false negatives. Ability of a test to correctly
identify a specific condition when it is present. The higher the
sensitivity, the lesser the likelihood of a false negative.
Predictive value: The likelihood that the pt actually has the condition and
is, in part, dependent upon the prevalence of the condition in the
population. If a condition is highly likely, the positive result would be
more accurate.
Diagnostic tests can be used to confirm or rule out hypotheses.
Diagnostic tests may be used to screen for conditions.
Diagnostic tests may be used to monitor the progress in managing a
chronic condition.
,3
Discuss the elements that need to be considered when developing a plan.
[ Ans: ] Pt's preferences and actions
Research evidence
Clinical state/circumstances
Clinical expertise
Describe the components of medical decision making in E&M coding. [
Ans: ] Risk, data, diagnosis
The more time and consideration involved in dealing with a pt, the higher
the reimbursement from the payer.
Documentation must reflect MDM
Correctly order the E&M office visit codes based on complexity from least
to most complex. [ Ans: ] New pt:
© 2026
1. Minimal/RN visit: 99201
2. Problem focused: 99202
3. Expanded problem focused: 99203
4. Detailed: 99204
5. Comprehensive: 99205
Established pt:
1. Minimal/RN visit: 99211
2. Problem focused: 99212
, 4
3. Expanded problem focused: 99213
4. Detailed: 99214
5. Comprehensive: 99215
The 5 key components of a comprehensive treatment plan are: [ Ans: ] 1.
Diagnostics
2. Medication
3. Education
4. Referral/consultation
5. Follow-up planning
Define the components of a SOAP note. [ Ans: ] S: subjective (what the pt
© 2026
tells you)
CC
HPI
PMH
Fam Hx
Social Hx
ROS
O: objective (what you can see, hear, feel on exam)
Physical findings
