NR 511 Midterm Questions, Multiple
Choices, Correct Answers, and Rationales |
Latest Update 2026-2027
SECTION 1: HISTORY & DOCUMENTATION
1. Which mnemonic is used to assess the client’s History of Present Illness (HPI)?
• A. SOAP
• B. OLDCARTS
• C. PQRST
• D. ADPIE
Correct Answer: B — OLDCARTS
Rationale: OLDCARTS (Onset, Location, Duration, Characteristics,
Aggravating/Alleviating factors, Radiation, Timing, Severity) is the standard
mnemonic for a comprehensive HPI.
2. True or False: The History of Present Illness is a breakdown of the client’s chief
complaint.
• A. True
• B. False
Correct Answer: A — True
Rationale: The HPI expands on the chief complaint, providing detailed information
about the current illness.
SECTION 2: EVIDENCE-BASED DECISION MAKING & DIAGNOSTIC TESTING
,3. What is needed to make a sound clinical decision? (Select all that apply)
• ☑
A. Evidence-based research
• ☑
B. Clinical practice guidelines
• ☑
C. Published evidence-based algorithms
• □
D. Personal intuition alone
Correct Answer: A, B, C
Rationale: Sound clinical decisions integrate evidence-based research, clinical
practice guidelines, and published algorithms. Personal intuition alone is
insufficient.
4. Which term describes a test with few false positives and a high percentage of
healthy people showing a normal result?
• A. High sensitivity
• B. Low sensitivity
• C. High specificity
• D. Low specificity
Correct Answer: C — High specificity
Rationale: High specificity means the test correctly identifies those without
disease (true negatives), resulting in few false positives.
5. Which term describes a test with a high number of false positives?
, • A. High specificity
• B. Low specificity
• C. High sensitivity
• D. Low sensitivity
Correct Answer: B — Low specificity
Rationale: Low specificity means the test incorrectly identifies many healthy
people as having the disease (false positives).
6. Sensitivity is defined as the proportion of:
• A. True negatives
• B. True positives
• C. False positives
• D. False negatives
Correct Answer: B — True positives
Rationale: Sensitivity is the proportion of people with disease who test positive
(true positives).
7. Which characteristic will lead to positive findings for patients with a disease?
• A. High specificity
• B. Low sensitivity
• C. High sensitivity
• D. Low specificity
Correct Answer: C — High sensitivity
Rationale: High sensitivity means the test detects most people who have the
disease, minimizing false negatives.
, SECTION 3: MEDICARE & INSURANCE
8. How do clients cover out-of-pocket expenses when on Medicare?
• A. Primary insurance only
• B. Secondary insurance to cover the 20% out-of-pocket expense
• C. Medicare covers 100%
• D. Medicaid covers all costs
Correct Answer: B — Secondary insurance to cover the 20% out-of-pocket
expense
Rationale: Medicare Part B covers 80% of approved services; beneficiaries are
responsible for 20%, often covered by secondary insurance.
9. Which services are covered under Medicare Part A?
• A. Outpatient provider visits
• B. Prescription drugs
• C. Inpatient hospital, skilled nursing care, hospice, home care
• D. Eye exams and hearing aids
Correct Answer: C — Inpatient hospital, skilled nursing care, hospice, home care
Rationale: Part A covers inpatient hospital care, skilled nursing facility care,
hospice, and some home health care.
10. Which services are covered under Medicare Part B?
• A. Inpatient hospital care
• B. Outpatient, provider visits, surgery, labs, medical equipment,
preventative exams
• C. Prescription drugs
Choices, Correct Answers, and Rationales |
Latest Update 2026-2027
SECTION 1: HISTORY & DOCUMENTATION
1. Which mnemonic is used to assess the client’s History of Present Illness (HPI)?
• A. SOAP
• B. OLDCARTS
• C. PQRST
• D. ADPIE
Correct Answer: B — OLDCARTS
Rationale: OLDCARTS (Onset, Location, Duration, Characteristics,
Aggravating/Alleviating factors, Radiation, Timing, Severity) is the standard
mnemonic for a comprehensive HPI.
2. True or False: The History of Present Illness is a breakdown of the client’s chief
complaint.
• A. True
• B. False
Correct Answer: A — True
Rationale: The HPI expands on the chief complaint, providing detailed information
about the current illness.
SECTION 2: EVIDENCE-BASED DECISION MAKING & DIAGNOSTIC TESTING
,3. What is needed to make a sound clinical decision? (Select all that apply)
• ☑
A. Evidence-based research
• ☑
B. Clinical practice guidelines
• ☑
C. Published evidence-based algorithms
• □
D. Personal intuition alone
Correct Answer: A, B, C
Rationale: Sound clinical decisions integrate evidence-based research, clinical
practice guidelines, and published algorithms. Personal intuition alone is
insufficient.
4. Which term describes a test with few false positives and a high percentage of
healthy people showing a normal result?
• A. High sensitivity
• B. Low sensitivity
• C. High specificity
• D. Low specificity
Correct Answer: C — High specificity
Rationale: High specificity means the test correctly identifies those without
disease (true negatives), resulting in few false positives.
5. Which term describes a test with a high number of false positives?
, • A. High specificity
• B. Low specificity
• C. High sensitivity
• D. Low sensitivity
Correct Answer: B — Low specificity
Rationale: Low specificity means the test incorrectly identifies many healthy
people as having the disease (false positives).
6. Sensitivity is defined as the proportion of:
• A. True negatives
• B. True positives
• C. False positives
• D. False negatives
Correct Answer: B — True positives
Rationale: Sensitivity is the proportion of people with disease who test positive
(true positives).
7. Which characteristic will lead to positive findings for patients with a disease?
• A. High specificity
• B. Low sensitivity
• C. High sensitivity
• D. Low specificity
Correct Answer: C — High sensitivity
Rationale: High sensitivity means the test detects most people who have the
disease, minimizing false negatives.
, SECTION 3: MEDICARE & INSURANCE
8. How do clients cover out-of-pocket expenses when on Medicare?
• A. Primary insurance only
• B. Secondary insurance to cover the 20% out-of-pocket expense
• C. Medicare covers 100%
• D. Medicaid covers all costs
Correct Answer: B — Secondary insurance to cover the 20% out-of-pocket
expense
Rationale: Medicare Part B covers 80% of approved services; beneficiaries are
responsible for 20%, often covered by secondary insurance.
9. Which services are covered under Medicare Part A?
• A. Outpatient provider visits
• B. Prescription drugs
• C. Inpatient hospital, skilled nursing care, hospice, home care
• D. Eye exams and hearing aids
Correct Answer: C — Inpatient hospital, skilled nursing care, hospice, home care
Rationale: Part A covers inpatient hospital care, skilled nursing facility care,
hospice, and some home health care.
10. Which services are covered under Medicare Part B?
• A. Inpatient hospital care
• B. Outpatient, provider visits, surgery, labs, medical equipment,
preventative exams
• C. Prescription drugs
