NR 570 EXAM 120 QUESTIONS & CORRECT ANSWERS
LATEST 2025
Immunization guidelines
Human Papilloma Virus (HPV): 3 dose (11-26)
Meningococcal= (11-18 )-2 dose series
Tetanus-diphtheria-pertussis (Tdap)=)11-12) q 10years
Pneumococcal= >65
Influenza= annually
Varicella (VAR)= lack of immunity
Zoster= >50
differential diagnoses of obesity
hypothyroidism, cushing's syndrome, hypothalamic injury
mesomorphism (bodybuilders, wrestlers), genetic diseases: Prader Willi or
Pickwickian syndrome
Role of hospitalist and NP in inpatient care
provides and a continuum of care manage the patient's care with specialists to
manage the patient's chronic comorbidities. coordinates patient until it reaches
home or subacute facility. mitigate the risks involved in care as well as complete
the paperwork so payment is rendered.
Medical coding
the use of codes to communicate with payers about procedures that were
performed and why they occurred.
Medical billing
submitting claims made to a payer to receive payment for medical services
rendered by providers and the facility
,acute care inpatients payments
through the inpatient prospective payment system (IPPS) under Medicare Part A,
Hospital Insurance
ICD-10 codes
alphanumeric codes that correspond to a specific diagnosis
E/M codes (evaluation and management)
based on the complexity of the visit,: history, physical exam, and medical
decision-making
Appropriate method for presenting a patient during rounding
1organizing the collected data into an accurate and concise summary.
2communicating clinical reasoning skills to preceptors
3demonstrating the ability to prioritize patient needs and SNAPPS
SNAPPS
· Narrow the differential= narrow the differential diagnosis to two or three
relevant possibilities
· Analyze the differential= analyze the differential diagnosis by comparing and
contrasting the possibilities
· Probe the preceptor= probe the preceptor by asking questions about
uncertainties, difficulties, or alternative approaches.
· Plan management= plan management for the patient's medical and other
issues.
· Select a case related issue=select a case related issue for self-directed learning
Use and contents of different notes used during hospital stay
Procedure Note, Daily Progress Note, Admission Note, Pre-operative report,
Operative report, Discharge summary
Procedure Note.
, A modified report detailing a surgical or invasive procedure. Often used in the
hospital for common bedside procedures including chest tube insertion, central
line placement, bronchoscopy, etc.
Daily Progress Note
A progress note by the primary service responsible for the patient's care every
day. Most often written in the SOAP note formation.
Admission Note
A note about the patient's status, the history and physical examination, reasons
for admission, and the initial instructions for care.
Pre-operative report
A report that is required for all inpatient surgical patients. These reports serve as
a checklist confirmation that the pre-operative information has been collected
and the patient is ready for surgery.
Operative report
A detailed report of a surgical procedure performed in a surgery center or
hospital operative room completed by the surgeon or assistant.
Discharge summary
A note about the patient and their outpatient providers with a summary of the
patient's presentation to the hospital, the hospital course, and treatment
recommendations.
Methods for delivering culturally competent care
high-quality care that is safe, patient and family-centered, evidence-based, and
equitable." be aware of assumptions and biases, both implicit and explicit.
provide language assistance services, including bilingual staff and interpreter
services, communication with each patient and their family is crucial in
understanding issues of cultural importance
Risk Factors to Human Trafficking
History of abuse/neglect
Lesbian, gay, bisexual, transgender, or queer
LATEST 2025
Immunization guidelines
Human Papilloma Virus (HPV): 3 dose (11-26)
Meningococcal= (11-18 )-2 dose series
Tetanus-diphtheria-pertussis (Tdap)=)11-12) q 10years
Pneumococcal= >65
Influenza= annually
Varicella (VAR)= lack of immunity
Zoster= >50
differential diagnoses of obesity
hypothyroidism, cushing's syndrome, hypothalamic injury
mesomorphism (bodybuilders, wrestlers), genetic diseases: Prader Willi or
Pickwickian syndrome
Role of hospitalist and NP in inpatient care
provides and a continuum of care manage the patient's care with specialists to
manage the patient's chronic comorbidities. coordinates patient until it reaches
home or subacute facility. mitigate the risks involved in care as well as complete
the paperwork so payment is rendered.
Medical coding
the use of codes to communicate with payers about procedures that were
performed and why they occurred.
Medical billing
submitting claims made to a payer to receive payment for medical services
rendered by providers and the facility
,acute care inpatients payments
through the inpatient prospective payment system (IPPS) under Medicare Part A,
Hospital Insurance
ICD-10 codes
alphanumeric codes that correspond to a specific diagnosis
E/M codes (evaluation and management)
based on the complexity of the visit,: history, physical exam, and medical
decision-making
Appropriate method for presenting a patient during rounding
1organizing the collected data into an accurate and concise summary.
2communicating clinical reasoning skills to preceptors
3demonstrating the ability to prioritize patient needs and SNAPPS
SNAPPS
· Narrow the differential= narrow the differential diagnosis to two or three
relevant possibilities
· Analyze the differential= analyze the differential diagnosis by comparing and
contrasting the possibilities
· Probe the preceptor= probe the preceptor by asking questions about
uncertainties, difficulties, or alternative approaches.
· Plan management= plan management for the patient's medical and other
issues.
· Select a case related issue=select a case related issue for self-directed learning
Use and contents of different notes used during hospital stay
Procedure Note, Daily Progress Note, Admission Note, Pre-operative report,
Operative report, Discharge summary
Procedure Note.
, A modified report detailing a surgical or invasive procedure. Often used in the
hospital for common bedside procedures including chest tube insertion, central
line placement, bronchoscopy, etc.
Daily Progress Note
A progress note by the primary service responsible for the patient's care every
day. Most often written in the SOAP note formation.
Admission Note
A note about the patient's status, the history and physical examination, reasons
for admission, and the initial instructions for care.
Pre-operative report
A report that is required for all inpatient surgical patients. These reports serve as
a checklist confirmation that the pre-operative information has been collected
and the patient is ready for surgery.
Operative report
A detailed report of a surgical procedure performed in a surgery center or
hospital operative room completed by the surgeon or assistant.
Discharge summary
A note about the patient and their outpatient providers with a summary of the
patient's presentation to the hospital, the hospital course, and treatment
recommendations.
Methods for delivering culturally competent care
high-quality care that is safe, patient and family-centered, evidence-based, and
equitable." be aware of assumptions and biases, both implicit and explicit.
provide language assistance services, including bilingual staff and interpreter
services, communication with each patient and their family is crucial in
understanding issues of cultural importance
Risk Factors to Human Trafficking
History of abuse/neglect
Lesbian, gay, bisexual, transgender, or queer