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Exam (elaborations)

NR 511 Exam Review (80+ Qs) – Diagnostic Reasoning, SOAP, Skin & Eye Disorders

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This document offers over 80 midterm-level questions with A+ answers for NR 511: Advanced Physical Assessment and Diagnostic Reasoning, from the 2021 academic year at United States University. It is designed as a diagnostic reasoning resource covering symptom-based assessments, SOAP note documentation, and system-focused clinical content across dermatology, ophthalmology, ENT, and infectious diseases. Topics include clinical differentiation and diagnostic steps for conditions such as acne, impetigo, atopic dermatitis, herpes zoster, rosacea, otitis media/externa, sinusitis, blepharitis, conjunctivitis, hordeolum, and mononucleosis. Students are guided through case-based scenarios that reinforce OLDCARTS assessment, clinical red flags, antibiotic selection, and primary care decision-making principles. The material also integrates E&M coding, reimbursement models, and documentation requirements relevant to NP practice. Core themes: Skin and mucosal infections and management Eye conditions: bacterial vs viral conjunctivitis, hordeolum vs chalazion Differentiating allergic rhinitis, sinusitis, and pharyngitis SOAP documentation with focused HPI Use of diagnostic testing and treatment thresholds Preventive screening and immunization guidelines Best suited for: NP students preparing for midterms, OSCEs, or board certification Graduate nursing students reviewing diagnostic logic and clinical documentation FNP, AGNP, and DNP programs focused on outpatient/primary care training Keywords: NR 511 exam 2021 diagnostic reasoning SOAP notes OLDCARTS rosacea vs acne hordeolum vs chalazion bacterial vs viral conjunctivitis otitis media sinusitis impetigo treatment mononucleosis pharyngitis E&M coding reimbursement primary care assessment United States University

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NR511 2025/2026 Exam Questions and
Verified Answers | Already Graded A+



Mr. Johnson, age 69, has had Meniere disease for several years. He has

some hearing loss but now has persistent vertigo. What treatment might be

instituted to relieve the vertigo?

1.A labyrinthectomy.

2.Pharmacological therapy.

3.A vestibular neurectomy.

4.Wearing an earplug in the ear that has the most hearing loss. - 🧠

ANSWER ✔✔3.


A vestibular neurectomy.

,Treatment for achalasia may include:

1. Balloon dilation of the lower esophageal sphincter.

2. Beta blockers.

3. A fundoplication.


4. An esophagogastrectomy. - 🧠 ANSWER ✔✔1. Balloon dilation of the

LES

Which oral medication might be used to treat a client with chronic

cholelithiasis who is a poor candidate for surgery?

1.Ursodiol (Actigall).

2.Ibuprofen (Advil).

3.Prednisone (Deltasone).


4.Surgery is the only answer. - 🧠 ANSWER ✔✔1. Ursodiol (Actigall)


All of the following medications are used for the control of nausea and

vomiting. Which medication works by affecting the chemoreceptor trigger

zone, thereby stimulating upper gastrointestinal motility and increasing

lower esophageal sphincter pressure?

1.Anticholinergics, such as scopolamine (Donnatal).

,2.Antidopaminergic agents, such as prochlorperazine (Compazine).

3.Antidopaminergic and cholinergic agents, such as metoclopramide

(Reglan).

4.Tetrahydrocannabinols, such as dronabinol (Marinol). - 🧠 ANSWER

✔✔3.Antidopaminergic and cholinergic agents, such as metoclopramide

(Reglan).

You auscultate Julie's abdomen and hear a peritoneal friction rub. Which

condition do you rule out?

1.Peritonitis.

2.A liver or spleen abscess.

3.A liver or spleen metastatic tumor.


4.Irritable bowel syndrome. - 🧠 ANSWER ✔✔4. IBS


Which is the most common presenting symptom of gastric cancer?

1.Weight loss.

2.Dysphagia.

3.Hematemesis.


4.Gastrointestinal bleeding. - 🧠 ANSWER ✔✔1. Weight loss

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3

, The metabolism of which drug is not affected in Marsha, age 74?

1.Alcohol.

2.Anticonvulsants.

3.Psychotropics.


4.Oral anticoagulants. - 🧠 ANSWER ✔✔1. Alcohol


Nausea is difficult to discern in a young child. What question might you ask

to determine if a child has nausea?

1."Are you sick to your tummy?"

2."Are you hungry?"

3."Are you eating the way you normally eat?"


4."Are you nauseous?" - 🧠 ANSWER ✔✔2.


"Are you hungry?"

Zena just had a hemorrhoidectomy. You know she has not understood your

teaching when she tells you she will:

1.Take a sitz bath after each bowel movement for 1 to 2 weeks after

surgery.

2.Drink at least 2000 mL of fluids per day.

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