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NR 509 MIDTERM EXAM ACTUAL EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | LATEST EXAM | CHAMBERLAIN COLLEGE OF NURSING

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NR 509 MIDTERM EXAM ACTUAL EXAM 2025 | ALL
QUESTIONS AND CORRECT ANSWERS | GRADED A+
| VERIFIED ANSWERS | LATEST EXAM |
CHAMBERLAIN COLLEGE OF NURSING

A 53-year-old caterer comes to the clinic for a routine examination. She has
type 2 diabetes mellitus, which is well controlled on medication. Her history
from her last visit reveals that she smoked one pack of cigarettes a day at
that time. The 5 As Model is a useful approach to take with trying to help
patients to quit smoking. What is the 5 As Model?

a. Admonish, action, available, assess, alleviating factors
b. Agitate, assist, alleviating factors, able, action
c. Affable, associated manifestations, ask, admonish, available
d. Ask, advise, assess, assist, arrange
e. Arrange, aggravating factors, action, attitude, able ---------CORRECT
ANSWER-----------------d. Ask, advise, assess, assist, arrange

A 21-year-old college student experiences tachycardia following a night of
heavy drinking. She is advised to undergo a stress electrocardiogram
(ECG). As she exercises, the recently calibrated pulse oximeter records a
heart rate ranging from 25 beats per minute (bpm) at rest to 50 bpm while
jogging. The test is stopped and re-started twice, and each time the pulse
oximeter yields a resting heart rate of 25 and a jogging heart rate of 50.
Which aspect of this instrument does the ECG technician question?

a. Prevalence
b. Validity
c. Sensitivity
d. Specificity
e. Predictive value ---------CORRECT ANSWER-----------------b. Validity

A 51-year-old moderately overweight college professor visits the clinic with
a complaint of chest pain after tennis matches. He jokes that his tennis

,partner "is in a lot better shape than I am" but says that he is trying to keep
up. Later in the day, a 28-year-old female student at the same college
reports that "my chest often feels hot and tight." She also feels stressed on
the evening before mid-term exams. The clinician recommends an
immediate evaluation for coronary artery disease (CAD) for the professor,
but not for the student. Why?

a. Positive predictive value of an observation is higher in a group with a
higher prevalence of disease.
b. Positive predictive value of an observation is lower in a group with a
higher prevalence of disease.
c. Negative predictive value of an observation is lower in a group with a
higher prevalence of disease.
d. Negative predictive value of an observation is higher in a group ---------
CORRECT ANSWER-----------------a. Positive predictive value of an
observation is higher in a group with a higher prevalence of disease.

A 23-year-old farm worker submits urine for testing. Three test strips from
Container A show abnormally low pH levels in the urine. However, three
test strips from Container B, purchased more recently, consistently indicate
that the pH of this patient's urine is normal. Which of the following is a true
statement about the test strips?

a. The test strips demonstrate high interobserver reliability.
b. The test strips demonstrate low intraobserver reliability.
c. The test strips demonstrate high intraobserver reliability.
d. The test strips demonstrate high sensitivity.
e. The test strips demonstrate high specificity. ---------CORRECT
ANSWER-----------------c. The test strips demonstrate high intraobserver
reliability.

A 45-year-old forklift driver presents to the clinic at 4 o'clock in the
afternoon complaining of intense substernal chest pain and nausea. He
appears pale and sweaty. At work that day, he filled in for an absent co-
worker and was asked to perform heavy lifting not normally a part of his
job. The physician assistant (PA) questions the patient in detail about his

,nausea, eating habits, and digestive history. Which of the following steps of
clinical reasoning has the PA failed to follow?

a. Elicit information about the patient's gastrointestinal (GI) system
b. Localize findings anatomically
c. Match findings against conditions that could cause them
d. Give special consideration to potential life-threatening problems
e. Elicit information about the patient's family history of digestive disorders -
--------CORRECT ANSWER-----------------d. Give special consideration to
potential life-threatening problems

A 72-year-old retiree presents to the cardiology clinic with palpitations after
several months of symptoms. An electrocardiogram (ECG) shows a
tachyarrhythmia, which the cardiologist diagnoses as atrial fibrillation. In
measuring the blood pressure of a patient with chronic atrial fibrillation,
which of the following statements is true?

a. The precise blood pressure is measured by taking the average of three
pressures in both arms over a span of 20 minutes.
b. Single automated measurement in the office setting provides a reliable
value for the true blood pressure.
c. Ambulatory monitoring over 2-24 hours is recommended because this
rhythm produces variable and inconsistent
blood pressures.
d. Measuring blood pressure in patients with atrial fibrillation is no different
than measuring blood pressure in patients with normal cardiac rhythms.
e. Because atrial fibrillation is an uncommon arrhythmia, blood pressure
manag ---------CORRECT ANSWER-----------------c. Ambulatory monitoring
over 2-24 hours is recommended because this rhythm produces variable
and inconsistent
blood pressures.

A 42-year-old architect presents with widespread pain complaints, including
headaches almost daily, pain at the site of an old motor vehicle accident
injury, and generalized achiness and hypersensitivity throughout the body.
He recounts that his first episodes of ongoing pain occurred in his early

, 20s, and he has been to many practitioners over several years seeking a
firm diagnosis and adequate treatment of his complaints. Which of the
following statements is true regarding chronic pain?

a. Following assessment and evaluation, ~80% of patients with non-
cancer-related pain report control of their symptoms.
b. Chronic pain is defined as pain not due to cancer or a recognized
medical condition that persists for >3-6 months.
c. Chronic pain is defined as focused pain lasting >8 months following
acute injury or illness.d. In primary care practices, non-cancer-related
chronic pain is seen in <10% of patients.
e. Pain th ---------CORRECT ANSWER-----------------b. Chronic pain is
defined as pain not due to cancer or a recognized medical condition that
persists for >3-6 months.

Disparities in pain treatment have been well described in numerous studies
comparing Caucasian patients to those of African American and Hispanic
origin. Which of the following statements is true concerning this issue?

a. Racial and ethnic biases are only relevant in geographic areas that have
a history of racial and ethnic discrimination.
b. Racial and ethnic biases never involve two persons of the same race or
ethnic group.
c. Language barriers do not contribute to the problem of racial and ethnic
biases.
d. Biases of the treating clinician are associated with overtreatment of pain
in minority patients and non-English speakers.
e. Biases of the treating clinician are associated with under-treatment of
pain in minority patients and non-English
speakers. ---------CORRECT ANSWER-----------------e. Biases of the treating
clinician are associated with under-treatment of pain in minority patients
and non-English
speakers.

Which of the following statements is true concerning mental health
disorders in primary care?

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Exam (elaborations)

NR 509 MIDTERM EXAM ACTUAL EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | LATEST EXAM | CHAMBERLAIN COLLEGE OF NURSING

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