and Primary Care Practicum | Actual Questions and
Answers Latest Updated 2025/2026 (Graded A+)–
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Midterm Exam: NR 511 / NR511 Differential Diagnosis and Primary Care
Practicum
1 of 200
Term
A patients vision is recorded as 20/30 when the Snellen eye chart is
used. The nurse interprets these results to indicate that:
a. At 30 feet the patient can read the entire chart. b. The patient can
read at 20 feet what a person with normal vision can read at 30 feet. c.
The patient can read the chart from 20 feet in the left eye and 30 feet
in the right eye. d. The patient can read from 30 feet what a person
with normal vision can read from 20 feet
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b. It loosens pore plugs b. The patient can read at 20
f. It prevents occurrence of feet what a person with normal
comedomes. vision can read at 30 feet
c. "The cause is unknown, but we
b. Use rubbing alcohol or 2% acetic
suspect it is due to an immunologic
acid eardrops after every swim.
mechanism."
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2 of 200
Definition
b. Wash area with copious amounts of water
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What is the initial intervention for relief of the pruritus of dermatitis venenata?
a. Apply baking soda to lesions b. Wash area with copious amounts of water c.
Apply cool compresses continuously d. Expose area to air
Which of the following is a function of interferons? a. They block the invasion of
pathogenic bacteria. b. They reduce the inflammatory response to local infection. c.
They increase host cell resistance to viral invasion. d. They may facilitate the spread
of some cancer cells
Which of the following would be considered the research design for Level VI
evidence? a. Systematic reviews of descriptive or qualitative studies b. Opinion of
, authorities and expert committees c. Well-designed case control or cohort studies
d. Single descriptive or qualitative study
Which of the following is a characteristic of rickettsia? a. It is a very small gram-
negative intracellular microbe. b. It exists in three forms. c. It causes sexually
transmitted disease. d. It reproduces by budding
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3 of 200
Term
A 2-week-old infant can fixate on an object but cannot follow a light or
bright toy. The nurse would:
a. Consider this a normal finding. b. Assess the pupillary light reflex for
possible blindness. c. Continue with the examination, and assess visual
fields. d. Expect that a 2-week-old infant should be able to fixate and
follow an object.
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a. Consider this a normal a. Optic disc that is a yellow-orange
finding. color
a. Pulling the pinna down b. Is a characteristic of recruitment.
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, 4 of 200
Definition
c. A throat culture should be performed to confirm the results of the
rapid strep test.
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The nurse is performing a middle ear assessment on a 15-year-old patient who has
had a history of chronic ear infections. When examining the right tympanic
membrane, the nurse sees the presence of dense white patches. The tympanic
membrane is otherwise unremarkable. It is pearly, with the light reflex at 5 oclock
and landmarks visible. The nurse should:
a. Refer the patient for the possibility of a fungal infection. b. Know that these are
scars caused from frequent ear infections. c. Consider that these findings may
represent the presence of blood in the middle ear. d. Be concerned about the
ability to hear because of this abnormality on the tympanic membrane.
The principle of Universal Precautions is based on: a. using disinfectants at all times
to eliminate cross-infections. b. not touching any open or bleeding lesions. c.
sterilizing all instruments and equipment after each use. d. assuming that all body
fluids from all individuals are possible sources of infection