NR325 / NR 325 Midterm Exam | 223 Actual Questions and Answers Latest Updated 2025/2026
(Graded A+) -Chamberlain
Purpose of differential diagnoses - (ANSWER)List of possible diagnoses to be sure nothing is missed
SOAP note- where to document the diagnosis - (ANSWER)The assessment section
Disease specificity - (ANSWER)Refers to a test's ability to correctly identify individuals who do not have
the disease
Disease sensitivity - (ANSWER)Refers to the test's ability to correctly identify individuals who have the
disease
Sources that NPs use to help with clinical decision making - (ANSWER)Clinical practice guidelines
Evidence based research
Definition of evidence based practice - (ANSWER)Clinical practice in healthcare is increasingly based on
the best research evidence derived from the body of knowledge on the topic
Systematic literature reviews - (ANSWER)Considered one of the highest levels of evidence on which to
base a change in practice
Includes all RCT studies and quantitative studies with similar methods that address a clinical question
Rubella (German Measles) - (ANSWER)A highly contagious viral disease, especially affecting children,
that causes swelling of the lymph glands and a reddish pink rash; may be harmful to the unborn baby of
a pregnant woman who contracts it
Severe disease can cause encephalitis
Telogen effluvium - (ANSWER)Premature shedding of hair during the resting stage
Can be caused by stress, fever, certain drugs, pregnancy, childbirth, extreme weight loss, and general
anesthesia
Management of intensely dry skin - (ANSWER)Avoidance of strong soaps
Taking shorter showers instead of hot baths
,NR325 / NR 325 Midterm Exam | 223 Actual Questions and Answers Latest Updated 2025/2026
(Graded A+) -Chamberlain
Use of effective emollients
Mild bland soaps are recommended
Management of severe dry skin - (ANSWER)Soak and smear method
Wetting the skin for 20 minutes and then applying ointment directly to wet skin
Management of urticaria - (ANSWER)The goal of treatment is to identify the cause and stop exposure
Avoid tight clothing
Avoid showering and bathing with hot water
Cool temperatures are helpful and aid in sleep
Scabies symptoms - (ANSWER)Intense itching more severe at night
Itching common in web spaces such as wrists, anterior axillary folds, peri umbilical, pelvic girdle, penis
and ankles
Children more irritable and tired
Some have a rash some have itching with no rash
Scabies differential diagnosis - (ANSWER)Main points to differentiate:
Location - finger webs, wrists, side of fingers
Worse at night
No history of allergies in general or skin allergies decreases the likelihood of it being contact dermatitis
scabies differential diagnosis examples - (ANSWER)Scabies
Nodular scabies
Crusted scabies
Systemic treatment for scabies - (ANSWER)For relief of severe pruritis from hypersensitivity to scabicide
products
Ivermectin 200 mcg/kg single dose followed by another dose 1 to 2 weeks later
, NR325 / NR 325 Midterm Exam | 223 Actual Questions and Answers Latest Updated 2025/2026
(Graded A+) -Chamberlain
Lice treatment - (ANSWER)Shampoos, cream rinses, and lotions containing benzyl alcohol, ivermectin,
permethrin, spinosad, pyrethrin, and malathion are commonly used to kill lice
Lindane is a second line treatment due to possible CNS toxicity
Dermatitis herpetiformis - (ANSWER)Differential diagnosis for scabies and pediculosis
Dermatitis herpetiformis - (ANSWER)Autoimmune deposition of IgA at the tips of dermal papillae
(happens in celiac disease)
pediculosis corporis - (ANSWER)an infestation with body lice or clothing louse
Feeds on human host but resides and lays eggs in clothing fibers
pediculosis corporis treatment - (ANSWER)-Infested clothing and bed linen heat washed and heat dried
(can be enough for treatment)
-Single application of Permethrin cream x 8-10 hours
-Topical corticosteroids
-Oral ivermectin
diagnosis of tinea corporis - (ANSWER)clinical evaluation of skin lesion
(Ring like lesions with bright red elevated border (collarette) that is covered with scales)
Diagnosis confirmed with microscopy in the clinic or a specimen (skin scraping) can be sent to the
laboratory in a sterile plastic cup
Treating fungal skin infections - (ANSWER)Most cases respond well to 2-4 week course of topical
treatment with azole-class drugs
Should be continued for at least 1 week after lesions have cleared
Should be applied a few centimeters beyond the edges of the skin lesions
(Graded A+) -Chamberlain
Purpose of differential diagnoses - (ANSWER)List of possible diagnoses to be sure nothing is missed
SOAP note- where to document the diagnosis - (ANSWER)The assessment section
Disease specificity - (ANSWER)Refers to a test's ability to correctly identify individuals who do not have
the disease
Disease sensitivity - (ANSWER)Refers to the test's ability to correctly identify individuals who have the
disease
Sources that NPs use to help with clinical decision making - (ANSWER)Clinical practice guidelines
Evidence based research
Definition of evidence based practice - (ANSWER)Clinical practice in healthcare is increasingly based on
the best research evidence derived from the body of knowledge on the topic
Systematic literature reviews - (ANSWER)Considered one of the highest levels of evidence on which to
base a change in practice
Includes all RCT studies and quantitative studies with similar methods that address a clinical question
Rubella (German Measles) - (ANSWER)A highly contagious viral disease, especially affecting children,
that causes swelling of the lymph glands and a reddish pink rash; may be harmful to the unborn baby of
a pregnant woman who contracts it
Severe disease can cause encephalitis
Telogen effluvium - (ANSWER)Premature shedding of hair during the resting stage
Can be caused by stress, fever, certain drugs, pregnancy, childbirth, extreme weight loss, and general
anesthesia
Management of intensely dry skin - (ANSWER)Avoidance of strong soaps
Taking shorter showers instead of hot baths
,NR325 / NR 325 Midterm Exam | 223 Actual Questions and Answers Latest Updated 2025/2026
(Graded A+) -Chamberlain
Use of effective emollients
Mild bland soaps are recommended
Management of severe dry skin - (ANSWER)Soak and smear method
Wetting the skin for 20 minutes and then applying ointment directly to wet skin
Management of urticaria - (ANSWER)The goal of treatment is to identify the cause and stop exposure
Avoid tight clothing
Avoid showering and bathing with hot water
Cool temperatures are helpful and aid in sleep
Scabies symptoms - (ANSWER)Intense itching more severe at night
Itching common in web spaces such as wrists, anterior axillary folds, peri umbilical, pelvic girdle, penis
and ankles
Children more irritable and tired
Some have a rash some have itching with no rash
Scabies differential diagnosis - (ANSWER)Main points to differentiate:
Location - finger webs, wrists, side of fingers
Worse at night
No history of allergies in general or skin allergies decreases the likelihood of it being contact dermatitis
scabies differential diagnosis examples - (ANSWER)Scabies
Nodular scabies
Crusted scabies
Systemic treatment for scabies - (ANSWER)For relief of severe pruritis from hypersensitivity to scabicide
products
Ivermectin 200 mcg/kg single dose followed by another dose 1 to 2 weeks later
, NR325 / NR 325 Midterm Exam | 223 Actual Questions and Answers Latest Updated 2025/2026
(Graded A+) -Chamberlain
Lice treatment - (ANSWER)Shampoos, cream rinses, and lotions containing benzyl alcohol, ivermectin,
permethrin, spinosad, pyrethrin, and malathion are commonly used to kill lice
Lindane is a second line treatment due to possible CNS toxicity
Dermatitis herpetiformis - (ANSWER)Differential diagnosis for scabies and pediculosis
Dermatitis herpetiformis - (ANSWER)Autoimmune deposition of IgA at the tips of dermal papillae
(happens in celiac disease)
pediculosis corporis - (ANSWER)an infestation with body lice or clothing louse
Feeds on human host but resides and lays eggs in clothing fibers
pediculosis corporis treatment - (ANSWER)-Infested clothing and bed linen heat washed and heat dried
(can be enough for treatment)
-Single application of Permethrin cream x 8-10 hours
-Topical corticosteroids
-Oral ivermectin
diagnosis of tinea corporis - (ANSWER)clinical evaluation of skin lesion
(Ring like lesions with bright red elevated border (collarette) that is covered with scales)
Diagnosis confirmed with microscopy in the clinic or a specimen (skin scraping) can be sent to the
laboratory in a sterile plastic cup
Treating fungal skin infections - (ANSWER)Most cases respond well to 2-4 week course of topical
treatment with azole-class drugs
Should be continued for at least 1 week after lesions have cleared
Should be applied a few centimeters beyond the edges of the skin lesions
