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Exam (elaborations)

NR 511 Midterm Exam (70+ Qs) – Diagnostic Reasoning, Skin, ENT, Reimbursement

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This midterm review contains 70+ clinically relevant multiple-choice questions and answers from NR 511: Advanced Physical Assessment and Diagnostic Reasoning, used at United States University during the 2021 academic year. Though based on an earlier version of the course, the document remains highly relevant for nurse practitioner students due to its comprehensive coverage of foundational topics in diagnostic reasoning and primary care assessment. It emphasizes core clinical skills including history taking (OLDCARTS), SOAP note formatting, formulating differentials, and applying evidence-based treatment plans. Students are challenged to interpret patient symptoms in context—especially for skin conditions (e.g., impetigo, herpes zoster, tinea, dermatitis), ENT disorders (e.g., sinusitis, otitis, pharyngitis, mononucleosis), and eye infections (e.g., conjunctivitis). The document also incorporates: Understanding of CMS documentation levels and billing codes Use of diagnostic tools such as rapid strep, monospot, Weber and Rinne tests Red flag symptoms for immediate referral Antimicrobial selection based on condition and patient history Best suited for: NP students in primary care or family nurse practitioner tracks Graduate-level nursing students preparing for clinical midterms or board exams Students needing structured reinforcement of midterm-level diagnostic content Keywords: NR 511 midterm SOAP note differential diagnosis OLDCARTS impetigo herpes zoster sinusitis pharyngitis mononucleosis otitis externa conjunctivitis CMS documentation Medicare reimbursement Weber and Rinne test clinical assessment United States University

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NR511
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Uploaded on
November 27, 2025
Number of pages
41
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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NR511 Midterm 2025/2026 Exam
Questions with 100% Correct Answers |
Latest Update



High specificity - 🧠 ANSWER ✔✔high percentage of healthy individuals will

show a normal result


Low specificity - 🧠 ANSWER ✔✔-getting a positive result when it i not

present

-a high number of false-positives- meaning that a healthy person has a

disease when they actually do not


Sensitivity - 🧠 ANSWER ✔✔the proportion of true positives out of all

patients with a designated condition

,If a diagnostic study has a high specificity: - 🧠 ANSWER ✔✔then a high %

of health individuals will show a normal result


If a diagnostic study has a high sensitivity: - 🧠 ANSWER ✔✔then a high

percentage of persons with the given condition will have an abnormal result


Part A medicare covers: - 🧠 ANSWER ✔✔inpatient hospital stay; skilled

nursing care; hospice; and home care


Part B medicare covers: - 🧠 ANSWER ✔✔outpatient services; provider

visits; surgery; lab tests; medical equipment; and preventive exams


Part C medicare covers: - 🧠 ANSWER ✔✔vision exams, hearing exams,

eye glasses, and hearing aids


Part D medicare covers: - 🧠 ANSWER ✔✔prescription drugs


Tinea vesicolor - 🧠 ANSWER ✔✔flat to slightly elevated brown papules and

plaques that scale when they are rubbed along with areas of

hypopigmentation;prurtis; most commonly found on trunk and shoulders


Balantitis - 🧠 ANSWER ✔✔candidiasis in the glans of the penis


Tinea corporis - 🧠 ANSWER ✔✔Annual lesions with scaly borders and

central clearing on the trunk; has ring-shaped lesions (ring worm) with scaly

,borders and central clearing or scaly patches with distinct borders on

exposed skin surfaces or on the trunk.


Tinea pedis - 🧠 ANSWER ✔✔athletes foot-feet and between toes


Tinea cruis - 🧠 ANSWER ✔✔jock-itch in groin area


Tinea unguium - 🧠 ANSWER ✔✔white or yellow nail discoloration,

thickening of the nail and separation of the nail from the nail bed (most

common in toe nails)


Cellulitis - 🧠 ANSWER ✔✔spreading infection of the epidermis and

subcutaneous tissues that usually begins after a break in the skin


Folliculitis - 🧠 ANSWER ✔✔bacterial infection of the hair follicle (think

papules)


Impetigo - 🧠 ANSWER ✔✔-highly contagious


-symptoms may be burning and itching with lymphadenopathy


Epidermal inclusion cyst - 🧠 ANSWER ✔✔history of cyst on the same site

for months to years, may have cheesy white discharge with strong odor

when expressed




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3

, Cholinergic urticaria - 🧠 ANSWER ✔✔hives or wheels that are pruritic and

occur on the trunk and arms following exercise, anxiety, elevated body

temperature, or hot baths/showers




*treat with antihistamine


Atopic dermatitis - 🧠 ANSWER ✔✔extremely low threshold for pruritus and

the "itch" often appears before the rash

-cardinal sign is severe pruritus


Herpes simplex - 🧠 ANSWER ✔✔Symptoms include:


-blistering sores

-itching

-pain during urination (during genital outbreak)

-fever

-headache

-tiredness

-lack of appetite

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