, NR 511 CEA
MIDTERM EXAM
Expected Questions with Answers
Differential Diagnosis and Primary Care Practicum
Chamberlain
This Document Description:
• Includes expected exam questions with verified answers
to help students review core concepts, strengthen
clinical understanding, and prepare confidently for the
Midterm exam.
• Ideal for quick revision, exam practice, and
strengthening exam confidence
,Your 39 year old patient who has recently been hospitalized for an appendectomy
and is being seen in your clinic for post-operative follow-up with primary care. On
assessment, the patient complains of some incisional pain and otherwise
examination is normal, with the exception of dull percussion sounds noted on the
thorax over lung tissue. Which of the following diagnoses would be explained by
this finding in post-operative patient?
A -Left-sided heart failure
B -Chronic bronchitis
C -Atelectasis
D -Healthy patient with no coexising disease
C -Atelectasis
You are evaluating a 41 year old female patient in your clinic with symptoms of
right upper quadrant pain which worsens with deep breathing. The patient
exhibits a positive Murphy sign. These findings are most consistent which one of
the following?
A -Appendicitis
B -Cholecystitis
C -Crohn's flare
D -Pancreatitis
B -Cholecystitis
In educating your patient about the non-pharmacologic management of
gastroesophageal reflux disease, you include teaching to the patient that their
heartburn is aggravated by al of the following except which one?
A -Activities including lifting or bending over
B -Alcohol intake
C -Foods, such as citrus, onions and coffee
D -Gastric dumping, or increased emptying into the small intestines
D -Gastric dumping, or increased emptying into the small intestines
The patient is experiencing acute closed angle glaucoma. Which of the following
examination findings by the nurse practitioner is most consistent with their
diagnosis?
A -Macular degeneration
B -Increase in intraocular pressure
C -AV nicking
D -Loss of aqueous humor volume
, B -Increase in intraocular pressure
While managing the care of the patient with chronic alcoholism, the nurse
practitioner would likely anticipate which findings on the CBC with differential?
A -Low MCV and MCH
B -Normal MCV and MCH
C -Chronic alcoholism will not affect the differential
D -Elevated MCV and MCH
D -Elevated MCV and MCH
The nurse practitioner is caring for a patient with an elevated WBC, fever, chills,
and malaise. When developing a differential diagnosis for this finding, which of
the following is not a potential cause of the elevated WBC?
A -Sepsis
B -Diabetes Mellitus Type 2
C -Leukemia
D -Recent oral corticosteroid therapy
B -Diabetes Mellitus Type 2
Your 21 year old sexually active female patient states during a routine health
exam that they have some "weird bumps" on their vulva.She is concerned she
has a sexually transmitted infection. You notify her that condyloma are caused by
exposure to which of the following?
A -Chlamydia
B -Herpes zoster
C -Human papilomavirus type 6 and 1
D -Parvovirus B19
C -Human papilomavirus type 6 and 1
Yourpatient who has underwent a recent major medical medical procedure is at a
rehabilitation center and is having a hard time being motivated to do therapy.
When you interview them as the nurse practitioner on staff for the subacute rehab
center, they appeardespondent, and are having a hard time being wakeful during
therapy sessions. They have stable vital signs, temperature, urine output, and are
not ill-appearing. As a prudent nurse practitioner, you understand this may
represent which of the following?
A -Cushing syndrome
B -Situation depression
MIDTERM EXAM
Expected Questions with Answers
Differential Diagnosis and Primary Care Practicum
Chamberlain
This Document Description:
• Includes expected exam questions with verified answers
to help students review core concepts, strengthen
clinical understanding, and prepare confidently for the
Midterm exam.
• Ideal for quick revision, exam practice, and
strengthening exam confidence
,Your 39 year old patient who has recently been hospitalized for an appendectomy
and is being seen in your clinic for post-operative follow-up with primary care. On
assessment, the patient complains of some incisional pain and otherwise
examination is normal, with the exception of dull percussion sounds noted on the
thorax over lung tissue. Which of the following diagnoses would be explained by
this finding in post-operative patient?
A -Left-sided heart failure
B -Chronic bronchitis
C -Atelectasis
D -Healthy patient with no coexising disease
C -Atelectasis
You are evaluating a 41 year old female patient in your clinic with symptoms of
right upper quadrant pain which worsens with deep breathing. The patient
exhibits a positive Murphy sign. These findings are most consistent which one of
the following?
A -Appendicitis
B -Cholecystitis
C -Crohn's flare
D -Pancreatitis
B -Cholecystitis
In educating your patient about the non-pharmacologic management of
gastroesophageal reflux disease, you include teaching to the patient that their
heartburn is aggravated by al of the following except which one?
A -Activities including lifting or bending over
B -Alcohol intake
C -Foods, such as citrus, onions and coffee
D -Gastric dumping, or increased emptying into the small intestines
D -Gastric dumping, or increased emptying into the small intestines
The patient is experiencing acute closed angle glaucoma. Which of the following
examination findings by the nurse practitioner is most consistent with their
diagnosis?
A -Macular degeneration
B -Increase in intraocular pressure
C -AV nicking
D -Loss of aqueous humor volume
, B -Increase in intraocular pressure
While managing the care of the patient with chronic alcoholism, the nurse
practitioner would likely anticipate which findings on the CBC with differential?
A -Low MCV and MCH
B -Normal MCV and MCH
C -Chronic alcoholism will not affect the differential
D -Elevated MCV and MCH
D -Elevated MCV and MCH
The nurse practitioner is caring for a patient with an elevated WBC, fever, chills,
and malaise. When developing a differential diagnosis for this finding, which of
the following is not a potential cause of the elevated WBC?
A -Sepsis
B -Diabetes Mellitus Type 2
C -Leukemia
D -Recent oral corticosteroid therapy
B -Diabetes Mellitus Type 2
Your 21 year old sexually active female patient states during a routine health
exam that they have some "weird bumps" on their vulva.She is concerned she
has a sexually transmitted infection. You notify her that condyloma are caused by
exposure to which of the following?
A -Chlamydia
B -Herpes zoster
C -Human papilomavirus type 6 and 1
D -Parvovirus B19
C -Human papilomavirus type 6 and 1
Yourpatient who has underwent a recent major medical medical procedure is at a
rehabilitation center and is having a hard time being motivated to do therapy.
When you interview them as the nurse practitioner on staff for the subacute rehab
center, they appeardespondent, and are having a hard time being wakeful during
therapy sessions. They have stable vital signs, temperature, urine output, and are
not ill-appearing. As a prudent nurse practitioner, you understand this may
represent which of the following?
A -Cushing syndrome
B -Situation depression
