NR 511 Midterm Exam 2025| Chamberlain
University| Actual Exam Questions and
Answers
1. Which of the following is associated with severe tinnitus?
Severe tinnitus is strongly associated with hearing loss, which can be caused by factors such as
aging or exposure to loud noise.
2. How do most clients on traditional Medicare cover their out-of-pocket expenses?
Most clients on traditional Medicare cover their out-of-pocket expenses with Medigap (Medicare
Supplement Insurance) policies, which help fill the gaps in costs not covered by Original
Medicare, such as deductibles, coinsurance, and copayments.
3. Which of the following is true regarding atopic dermatitis?
Atopic dermatitis is a chronic relapsing and remitting inflammatory skin disease affecting one in
10 people in their lifetime.
4. A 16-year-old client presents to the clinic with right ear pain for two days following
participating in high school swim. The eardrum demonstrates tenderness with traction of
the pinna and tragus pain, when pressure is applied. The ear canal is red and swollen to the
point that the tympanic membrane cannot be visualized. Which of the following is the most
likely diagnosis?
Otitis externa (swimmer's ear).
5. A 10-year-old client was prescribed amoxicillin for otitis media. The FNP receives a call
from the parents that the client has developed a rash on the trunk. What is the most
appropriate next activity by the FNP?
Assess for signs of an allergic reaction; if it's a delayed hypersensitivity rash (maculopapular), it
may not require discontinuation, but advise monitoring and follow-up.
6. Which of the following statements regarding the client history is true?
, A medical history typically follows the history of the present illness if obtained by the treating
clinician.
7. Which of the following individuals is at most risk for developing epiphora (excessive
tearing)?
Individuals with idiopathic age-related nasolacrimal duct stenosis.
8. A client presents to the office with a complaint of skin irritation, redness, and tenderness
on the back of his neck. Examination reveals a rubbery, smooth, and round mass of tissue.
The fat is compressible and has a soft texture. What is the most likely diagnosis?
Lipoma.
9. A complete blood count (CBC) may identify which of the following as a cause of anemia?
Low hemoglobin or hematocrit levels.
10. A 45-year-old client with a history of a total thyroidectomy comes to the office
concerned with a rash that has developed around a new tracheostomy site. Upon exam, the
NP notes a papular rash with satellite lesions surrounding the stoma. What does this
indicate?
Candidal infection (peristomal candidiasis).
11. What is the most likely diagnosis for a client who presents with localized eye tenderness,
redness at the margin of the eyelid, and internal swelling?
Hordeolum (stye).
12. What is the indication of a diagnostic study with high sensitivity?
Few false negatives; it rules out disease when negative.
13. Which of the following is the best systemic treatment for common scabies refractory to
topical treatment?
Oral ivermectin.
University| Actual Exam Questions and
Answers
1. Which of the following is associated with severe tinnitus?
Severe tinnitus is strongly associated with hearing loss, which can be caused by factors such as
aging or exposure to loud noise.
2. How do most clients on traditional Medicare cover their out-of-pocket expenses?
Most clients on traditional Medicare cover their out-of-pocket expenses with Medigap (Medicare
Supplement Insurance) policies, which help fill the gaps in costs not covered by Original
Medicare, such as deductibles, coinsurance, and copayments.
3. Which of the following is true regarding atopic dermatitis?
Atopic dermatitis is a chronic relapsing and remitting inflammatory skin disease affecting one in
10 people in their lifetime.
4. A 16-year-old client presents to the clinic with right ear pain for two days following
participating in high school swim. The eardrum demonstrates tenderness with traction of
the pinna and tragus pain, when pressure is applied. The ear canal is red and swollen to the
point that the tympanic membrane cannot be visualized. Which of the following is the most
likely diagnosis?
Otitis externa (swimmer's ear).
5. A 10-year-old client was prescribed amoxicillin for otitis media. The FNP receives a call
from the parents that the client has developed a rash on the trunk. What is the most
appropriate next activity by the FNP?
Assess for signs of an allergic reaction; if it's a delayed hypersensitivity rash (maculopapular), it
may not require discontinuation, but advise monitoring and follow-up.
6. Which of the following statements regarding the client history is true?
, A medical history typically follows the history of the present illness if obtained by the treating
clinician.
7. Which of the following individuals is at most risk for developing epiphora (excessive
tearing)?
Individuals with idiopathic age-related nasolacrimal duct stenosis.
8. A client presents to the office with a complaint of skin irritation, redness, and tenderness
on the back of his neck. Examination reveals a rubbery, smooth, and round mass of tissue.
The fat is compressible and has a soft texture. What is the most likely diagnosis?
Lipoma.
9. A complete blood count (CBC) may identify which of the following as a cause of anemia?
Low hemoglobin or hematocrit levels.
10. A 45-year-old client with a history of a total thyroidectomy comes to the office
concerned with a rash that has developed around a new tracheostomy site. Upon exam, the
NP notes a papular rash with satellite lesions surrounding the stoma. What does this
indicate?
Candidal infection (peristomal candidiasis).
11. What is the most likely diagnosis for a client who presents with localized eye tenderness,
redness at the margin of the eyelid, and internal swelling?
Hordeolum (stye).
12. What is the indication of a diagnostic study with high sensitivity?
Few false negatives; it rules out disease when negative.
13. Which of the following is the best systemic treatment for common scabies refractory to
topical treatment?
Oral ivermectin.
