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Exam (elaborations)

NR 511 Midterm Exam (100+ Qs) – Diagnostic Reasoning, ENT, Dermatology, Reimbursement

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This document contains over 100 high-yield midterm questions and A+ answers from the NR 511 Advanced Physical Assessment and Diagnostic Reasoning course at United States University, prepared for the 2025/2026 academic year. It serves as a complete midterm review focused on clinical decision-making, accurate diagnosis, patient assessment, and reimbursement practices in primary care. Topics span across dermatology (e.g., atopic dermatitis, seborrheic keratosis, rosacea, impetigo, furuncles, and melanoma), ENT disorders (e.g., otitis media/externa, tinnitus, sinusitis, epiglottitis, hordeolum, blepharitis, and dry eyes), and infectious diseases (e.g., mononucleosis, pharyngitis, conjunctivitis, pediculosis, cellulitis, herpes simplex). The document also includes core NP competencies like SOAP documentation, OLDCARTS history-taking, differential diagnosis formulation, and test interpretation (e.g., Weber, Rinne, Schirmer, and audiometry). Additional emphasis is placed on: Medicare/Medicaid reimbursement and coverage guidelines Safe prescribing practices for pediatrics and immunocompromised patients Non-pharmacologic management and patient education Diagnostic tools with high sensitivity/specificity Skin lesion differentiation and red-flag signs Ideal for: Family Nurse Practitioner (FNP) and Adult-Gerontology NP students Graduate nursing students in diagnostic reasoning or clinical assessment courses Learners preparing for midterms, OSCEs, or board certification exams (AANP/ANCC) Students seeking focused and clinical exam-level content for success in NR 511 Keywords: NR 511 midterm, diagnostic reasoning, OLDCARTS, SOAP notes, tinnitus causes, otitis externa, hordeolum, conjunctivitis, acne treatment, rosacea, seborrheic keratosis, cellulitis, impetigo, epiglottitis, Medicare reimbursement, dry eyes, blepharitis, sinusitis, mononucleosis, furuncle, herpes simplex, melanoma risk, United States University

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Uploaded on
November 27, 2025
Number of pages
32
Written in
2025/2026
Type
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NR 511 Midterm 2025/2026 Exam
Questions and Answers | A+ Score
Assured



Which of the following is associated with severe tinnitus?

Depressive Disorder

HTN

Stroke


diabetic retinopathy - 🧠 ANSWER ✔✔HTN


How do most clients on traditional Medicare cover their out of pocket

expenses?

Acquiring Medicare Part Being

,Acquiring a secondary insurance plan

Setting up a monthly payment plan


Paying after the service has been rendered. - 🧠 ANSWER ✔✔Acquiring a

secondary insurance plan.

Which of the following is true regarding atopic dermatitis?

The client complains of itching after the rash appears

The cardinal sign is puritas


Puritas occurs during the acute phase of the rash - 🧠 ANSWER ✔✔The

client complains of itching after the rash appears

A 16 year old client presents to the clinic with right ear pain for two days

following participating in HS swim meet. 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?

Foreign body in ear

Otitis media

,Otitis externa


Ruptured tympanic membrane - 🧠 ANSWER ✔✔Otitis externa


A 10 year old boy was prescribed amoxicillin for otitis media. The FNP

receives a call. From the parents that the client has developed a rash on

the truck. What is the most appropriate next activity by the FNp??

Stop the medication

Prescribe systemic antihistamines

Prescribe a short course of systemic steroids


Continue the drug since it is expected early reaction - 🧠 ANSWER ✔✔Stop

the medication

Which of the following statements regarding the client history is true?

History of present illness (HPI) is a detailed breakdown of the clients chief

complaint.

Objective findings are reported in the review of systems (ROS).

The OLDCART Acronym represents the clients previous medical history.




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3

, Objective findings are reported in the history of present illness (HPI) - 🧠

ANSWER ✔✔History of present illness (HPI) is a detailed breakdown of the

clients chief complaint.

Which of the following individuals is at MOST RISK for developing epiphora

(excessive tearing)?

A 15 year old soccer player.

A 76 year old type 2 diabetic:

A 40 year old with HTN.


A 30 year old computer programmer. - 🧠 ANSWER ✔✔A 76 year old type 2

diabetic.

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 fat, it is compressible and has a soft

texture. What is the most likely diagnosis?

Acrochordons

Skin tags

Nevi

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