NR 511 Midterm Exam Study Guide
(Latest 2025/ 2026 Update)
Which of the following is associated with severe tinnitus?
Hypertension; bi-l high-pitched tinnitus
How do Most clients on traditional Medicare cover their out-of-pocket expenses?
Acquiring a secondary insurance plan
Which of the following is true regarding atopic dermatitis?
The client complains of severe itching (pruritus) before the rash appears.
A 16-yo client presents to the clinic with R ear pain for two days following participating in a high
school swim meet. The eardrum demonstrates tenderness w/ traction of the pinna & tragus
pain when pressure is applied. The ear canal is red & swollen to the point that the tympanic
membrane cannot be visualized. Which of the following is the Most Likely diagnosis?
Otitis externa
pg. 1
,A 10 yo client was prescribed amoxicillin for otitis media. The FNP receives a call from the
parents that the client has developed a rash on the trunk. What is the most appropriate next
activity by the FNP?
Stop the medication
Which of the following statements regarding the client Hx is true?
Hx of Present Illness (HPI) is a detailed breakdown of the client's chief complaint.
Which of the following individuals is at most risk for epiphora (excessive tearing)?
a 76yo with Type II diabetes
A client presents to the office complaining of skin irritation, redness, and tenderness on the
back of his neck. Examination reveals a rubbery, smooth & round mass of tissue. Fat is
comprehensible & has a soft texture. What is the Most likely diagnosis?
Lipoma (benign)
*neck, shoulders, armpits & thighs
A CBC may identify which of the following as a cause of tinnitus.
Anemia
pg. 2
,A 45yo client with a Hx of a total thyroidectomy comes to the office concerned with a rash that
has developed around a new tracheostomy site. Upon exam, the NP notes a papular rash with
satellite lesions surrounding the stoma. What does this indicate?
a fungal infection
What is the most likely diagnosis for a client with localized eye tenderness, redness & hot at the
margin/edge of the eyelid, & internal swelling?
Hordeolum
What is the indication of a diagnostic study with high sensitivity?
Highly sensitive tests will be positive for patients with the disease. ( the portion of true positives
out of all the patients with the dz)
Which of the following is the best systemic treatment for common scabies referring to topical
treatment?
Ivermectin (stromectol)
A four-year-old child, complains of right ear pain for three days that was resolved with
acetaminophen. The pain was accompanied by a fever of 101.4. Over the last two nights the
child had a nonproductive cough for seven days prior to the ear pain. The child attends daycare
five days per week. The physical exam findings include. (-) Tenderness with tugging The Oracle
of the ear; the tympanic membranes is erythematous and full on inspection and immobile with
pneumatic otoscopy; (-) drainage from the ear; (-) Mastoid tenderness. What is the appropriate
next step?
pg. 3
, Amoxicillin, 80 to 90 MG./Hg/day
A picture of pink eye
What is the standard dose of antibiotics for a healthy child with mild symptoms of otitis media
who has had no antibiotics in the past 90 days?
Amoxicillin 80-90 mg/kg/day po in 2 divided doses for 10 days
Which of the following should be included in the teaching plan for a client with acne?
Wash the face gently at least twice daily with antibacterial soap.
Which of the following can be used to assist in sound clinical decision making?
ALL THE ABOVE: Algorithm pushed in a peer reviewed journal article. Clinical practice
guidelines. Evidence-based research.
A 72yo client presents with a sudden sense of sensorineural hearing loss. What is the most
appropriate next action by the NP?
Refer to an otorhinolaryngologist.
pg. 4
(Latest 2025/ 2026 Update)
Which of the following is associated with severe tinnitus?
Hypertension; bi-l high-pitched tinnitus
How do Most clients on traditional Medicare cover their out-of-pocket expenses?
Acquiring a secondary insurance plan
Which of the following is true regarding atopic dermatitis?
The client complains of severe itching (pruritus) before the rash appears.
A 16-yo client presents to the clinic with R ear pain for two days following participating in a high
school swim meet. The eardrum demonstrates tenderness w/ traction of the pinna & tragus
pain when pressure is applied. The ear canal is red & swollen to the point that the tympanic
membrane cannot be visualized. Which of the following is the Most Likely diagnosis?
Otitis externa
pg. 1
,A 10 yo client was prescribed amoxicillin for otitis media. The FNP receives a call from the
parents that the client has developed a rash on the trunk. What is the most appropriate next
activity by the FNP?
Stop the medication
Which of the following statements regarding the client Hx is true?
Hx of Present Illness (HPI) is a detailed breakdown of the client's chief complaint.
Which of the following individuals is at most risk for epiphora (excessive tearing)?
a 76yo with Type II diabetes
A client presents to the office complaining of skin irritation, redness, and tenderness on the
back of his neck. Examination reveals a rubbery, smooth & round mass of tissue. Fat is
comprehensible & has a soft texture. What is the Most likely diagnosis?
Lipoma (benign)
*neck, shoulders, armpits & thighs
A CBC may identify which of the following as a cause of tinnitus.
Anemia
pg. 2
,A 45yo client with a Hx of a total thyroidectomy comes to the office concerned with a rash that
has developed around a new tracheostomy site. Upon exam, the NP notes a papular rash with
satellite lesions surrounding the stoma. What does this indicate?
a fungal infection
What is the most likely diagnosis for a client with localized eye tenderness, redness & hot at the
margin/edge of the eyelid, & internal swelling?
Hordeolum
What is the indication of a diagnostic study with high sensitivity?
Highly sensitive tests will be positive for patients with the disease. ( the portion of true positives
out of all the patients with the dz)
Which of the following is the best systemic treatment for common scabies referring to topical
treatment?
Ivermectin (stromectol)
A four-year-old child, complains of right ear pain for three days that was resolved with
acetaminophen. The pain was accompanied by a fever of 101.4. Over the last two nights the
child had a nonproductive cough for seven days prior to the ear pain. The child attends daycare
five days per week. The physical exam findings include. (-) Tenderness with tugging The Oracle
of the ear; the tympanic membranes is erythematous and full on inspection and immobile with
pneumatic otoscopy; (-) drainage from the ear; (-) Mastoid tenderness. What is the appropriate
next step?
pg. 3
, Amoxicillin, 80 to 90 MG./Hg/day
A picture of pink eye
What is the standard dose of antibiotics for a healthy child with mild symptoms of otitis media
who has had no antibiotics in the past 90 days?
Amoxicillin 80-90 mg/kg/day po in 2 divided doses for 10 days
Which of the following should be included in the teaching plan for a client with acne?
Wash the face gently at least twice daily with antibacterial soap.
Which of the following can be used to assist in sound clinical decision making?
ALL THE ABOVE: Algorithm pushed in a peer reviewed journal article. Clinical practice
guidelines. Evidence-based research.
A 72yo client presents with a sudden sense of sensorineural hearing loss. What is the most
appropriate next action by the NP?
Refer to an otorhinolaryngologist.
pg. 4
