NR 511 Completed Midterm Study Guide GRADED A VERIFIED

Question: The phrase usualand customary refers to: Question: What must you do as an advanced practice registered nurse (APRN) before billing for visits? Question: Which one of the following is true regarding the importance of documentation? Question: Which of the following statements does not belong in the past medical history portion of your chart note? Question: In relation to writing a patient encounter note, the acronym SOAP stands for which of the following? Question: Most health maintenance organizations (HMOs) use a reimbursement mechanism called capitation. What does this mean? Question: A screening test identified correctly identified 80 individuals who did not have breast cancer out of 100 individuals that were known to be free of the disease (true negatives). Thus, the test failed to recognize 20 individuals who did not have breast cancer. What is the specificity of the screening test? Question: What is an Accountable Care Organization (ACO)? Question: Denial of provider status is something that seriously impedes a nurse practitioner’s ability to practice. If that occurs, some steps one can take include: Question: Which of the following statements about Medicaid is true? Question: Which of the following is the best method for evaluating the efficacy of a new clinical intervention? Question: The Affordable Care Act (ACA) which passed in 2010 has a number of provisions, including the establishment of health exchanges. The purpose of a health insurance exchange is to: Question: Which of the following demonstrates an objective finding? Question: Which of the following demonstrates a subjective finding? Question: An 81-year-old patient presents for a physical. She recently had a fall and now has problems walking up her stairs. The only restroom in the house is on the second floor. She also has a flight of stairs outside her house she has to navigate in order to reach street level, and this is difficult for her. Where does this information belong in your chart note?Question: A rash that looks like the patient was slapped on the cheeks of the face is the hallmark characteristic for which disease? Question: A 3-year-old patient presents to your pediatric office with her mother. She has recently started in day care. Her mother noted slight perioral erythema on the right side of the patient’s mouth last night before bed. The patient awoke today with 3 small, superficial, honey-colored vesicles where the erythema was last night. The patient has no surrounding erythema presently. She had no difficulty eating this morning and is active and energetic and doesn’t appear lethargic or fatigued. She is also afebrile. How would you treat this child? Question: A 27-year-old female comes in to your primary care office complaining of a perioral rash. The patient noticed burning around her lips a couple days ago that quickly went away. She awoke from sleep yesterday and … a group of vesicles with erythematous bases where the burning had … before. There is no burning today. She is afebrile and has no difficulty eating or swallowing. What test would confirm her diagnosis? Question: A 10-year-old male presents to the office with his mother with complaints of itchy and red eyes for 1 day. He reports watery drainage in both eyes, associated with repetitive itching. He has no fever or constitutional symptoms. The patient has a sibling that just started day care recently. Upon examination, vision is 20/20 OU with glasses. He has mild to … conjunctival hyperemia with bilateral preauricular lymph nodes that are inflamed. What is the patient’s diagnosis? Question: A 22-year-old college student presents to your urgent care clinic complaining of a rash. She was recently on spring break and spent every night in the hot tub at her hotel. On physical exam, she has multiple small areas of 1- to 2-mm erythematous pustules that are present mostly where her bathing suit covered her buttocks. What is the most likely pathogen causing these lesions? Question: You diagnose 46-year-old Mabel with viral conjunctivitis. Your treatment should include: Question: Johnson, a 54-year-old accountant, presents to the office with a painful red eye without discharge. You should suspect: Question: A 4-year-old male presents to your pediatric clinic with his mother complaining of an itchy rash, mostly between his fingers. This has been going on for multiple days and has been getting worse. The patient recently started at a new day care. On physical exam, the patient is afebrile and has multiple small (1-2 mm) red papules in sets of 3 … in the web spaces between his fingers. He also has signs of excoriation. What is the treatment for this problem? Question: A 25-year-old male presents with “bleeding in my eye” for 1 day. He awoke this morning with a dark area of redness in his eye. He has no visual loss or changes. He denies constitutional symptoms, pruritus, drainage, or recent trauma. The redness presents on physical exam as a dark red area in the patient’s sclera of the right eye only and takes up less than 50% of the eye. The patient’s remaining sclera is clear and white. He also notes he was drinking alcohol last night and vomited afterward. What is the best treatment? Question: A 20-year-old male presents to your office in the summer complaining of chest discoloration. He is a lifeguard and has been out in the sun without a shirt on for long periods of time. His physical exam shows small, flat, circular, hypopigmented macules on his chest that he states are mildly pruritic. What is the treatment of choice for this diagnosis? Question: Sharon, a 47-year-old bank teller, is … by the nurse practitioner in the office for a red eye. You are trying to decide between a diagnosis of conjunctivitis and iritis. One distinguishing characteristic between the two is: Question: Which of the following patients does not have an increased risk of Candida infection? Question: Henry, 64 years old, is having difficulty getting rid of a corneal infection. He asks why. How do you respond? Question: A 25-year-old male presents to your urgent care clinic complaining of genital pruritus. On physical exam, the patient has small, erythematous, excoriated papules in his pubic hair. No mites are … There is no penile discharge, and the patient has no constitutional symptoms. He is sexually active but wears condoms during all sexual experiences. What is the most likely diagnosis? Question: Mary, age 82, presents with several eye problems. She states that her eyes are always dry and look “sunken in.” What do you suspect?Question: A 67-year old female on multiple medications for chronic conditions was just … with gastroesophageal reflux disease (GERD). In teaching the patient about the disease, what medication should the clinician recommend that the patient refrain from using? Question: When the Weber test is … with a tuning fork to … hearing and there is no lateralization, the clinician should document this finding as: Question: A 26-year-old male recently returned from a camping trip with symptoms of acute gastroenteritis. He reports that he only ate vegetables from his garden that he canned prior to his outing. Which of the following pathogens might be causing his symptoms? Question: A 29-year-old female just returned from Central America with traveler’s diarrhea and presents to the clinic for evaluation. Which of the following is the best treatment? Question: A 75-year-old female presents to your office complaining of dizziness and ringing in both ears for 1 day. She describes the dizziness as feeling like “the room is spinning”. On physical exam, the Rinne test reveals that air conduction is greater than bone conduction bilaterally. The Weber test reveals lateralization to the left. She is unable to hear the examiner’s whisper on the right side but can hear the whisper on the left side. What is the next step in helping this patient’s symptoms? Question: In a young child, unilateral purulent rhinitis is most often caused by: Question: A 38-year-old male patient has recently had an ileostomy for ulcerative colitis. Which self-care measures should the clinician teach him about to relieve food blockage? Question: A 30-year-old male presents to the clinic with intermittent diarrhea. He is pretty sure that the antacids taken for heartburn are the cause since the loose stools always occur within 30 minutes after taking them. How should the clinician respond? Question: A 52-year-old female is … of having a gastric ulcer and will undergo an Esophagogastroduodenoscopy (EGD). She is … that gastric ulcers can … malignant. How should the clinician respond? Question: Which medications used to treat nausea and vomiting works by affecting the chemoreceptor trigger zone, thereby stimulating upper gastrointestinal motility and increasing lower esophageal sphincter pressure? Question: A 72-year-old male patient presents to the clinic for his annual physical. He … because he only has a … movement every three days. How should the clinician respond? Question: Nausea is difficult to discern in a young child. What question should the clinician ask to determine if a child has nausea? Question: The antibiotic of choice for recurrent acute otitis media (AOM) and/or treatment failure in children is: Question: A 21-year-old female patient presents to the clinic for pre-operative tonsillectomy clearance. She has heard about permanent taste changes after a tonsillectomy and is concerned. What should the clinician tell her? Question: An 82-year-old female has been … with irritable bowel, chronic constipation, and diverticulosis following a colonoscopy. Which pharmacological agent should the clinician recommend?