NR511 / NR 511Midterm Exam ( )
Differential Diagnosis & Primary Care Practicum
Questions ẇith Verified Ansẇers Grade A+ Guarantee
A 10-year-old male in 5th grade presents to the pediatric office with his mother complaining of itchy and
red eyes
for 1 day. The patient complains of watery drainage in both eyes, associated with repetitive itching. On
physical
exam, he has no fever or constitutional symptoms. His vision is normal, with no decrease in extraocular
movements.
The patient has a sibling that just started day care recently. He also has bilateral preauricular lymph
nodes that are
inflamed. What is the patient's diagnosis? - ANSWER-Viral conjunctivitis
A 25-year-old client who plays in a band complains that he finds it difficult to understand his fellow
musicians at
the end of a night of performing, a problem that is compounded by the noisy environment of the club.
These
symptoms are most characteristic of which of the following? - ANSWER-Sensorineural loss
A 6-year-old female presents to your pediatric office with her mother complaining of right ear pain for 3
days.
This pain resolved with Tylenol. The patient has also had noted fevers of 101.3°F over the last 2 nights.
The patient
had a nonproductive cough for 7 days prior to the ear pain. On physical exam, the patient has
tenderness with
tugging on the auricle of the ear. The tympanic membrane is not mobile with pneumatic otoscopy and is
erythematous and full. The patient has no drainage from the ear and no mastoid tenderness. What is
the next step? - ANSWER-Amoxicillin 80 to 90 mg/kg/d
A 64-year-old obese woman comes in complaining of difficulty swallowing for the past 3 weeks. She
states that
"some foods get stuck" and she has been having "heartburn" at night when she lies down, especially if
she has had a
,NR511 / NR 511Midterm Exam ( )
Differential Diagnosis & Primary Care Practicum
Questions ẇith Verified Ansẇers Grade A+ Guarantee
heavy meal. Occasionally, she awakes at night coughing. She denies weight gain and/or weight loss,
vomiting, or
change in bowel movements or color of stools. She denies alcohol and tobacco use. There is no
pertinent family
history or findings on review of systems (ROS). Physical examination is normal, with no abdominal
tenderness, and
the stool is occult blood (OB) negative. What is the most likely diagnosis? - ANSWER-Gastroesophageal
reflux disease (GERD)
A 75-year-old African American male presents to your family practice office complaining of visual
impairment.
He has worn corrective lenses for many years but has noticed that his vision has gotten progressively
worse the past
6 months. He denies pain. He states his vision is worse in both eyes in the peripheral aspects of his visual
field. He
also notes trouble driving at night and halos around street lights at night. You test his intraocular
pressure, and it is
23 mm Hg. What is his most likely diagnosis? - ANSWER-Open-angle glaucoma
A 75-year-old female presents to your office complaining of dizziness and hearing loss. The patient
states she
awoke yesterday with dizziness, which she described as feeling the room spinning. She also notes
intermittent
ringing in her ears. On physical exam, the patient has lateralization of her hearing loss to the unaffected
ear. Rinne
test shows air conduction lasts longer than bone conduction. What is the next step in helping this
patient's
symptoms? - ANSWER-Start the patient on a low-salt, low-caffeine diet and give her meclizine for
vertigo attacks
A lab value that is commonly decreased in older adults is: - ANSWER-Creatinine clearance
, NR511 / NR 511Midterm Exam ( )
Differential Diagnosis & Primary Care Practicum
Questions ẇith Verified Ansẇers Grade A+ Guarantee
A nurse practitioner is practicing based on the rule-based actions he was taught in school and doesn't
understand when/where those rules may be inappropriate. Which following statement best describes
this skill level - ANSWER-Novice
Advanced practice registered nurses (APRNs) are affected by laws and rules, although these vary by
state. Which of the following is affected by state laws and regulations? - ANSWER-Delegation of
authority by physicians
Alexandra, age 34, was treated with oral antibiotics 2 weeks ago for a urinary tract infection. She is seen
in the
office today for a follow-up visit. On physical examination, the nurse practitioner notices that she has
some painless,
white, slightly raised patches in her mouth. This is probably caused by: - ANSWER-Candidiasis
All of the following statements about the US Preventive Services Task Force (USPSTF) are true except? -
ANSWER-All of the recommendations made by the USPSTF are strong recommendations
An 80-year-old woman comes in to the office with complaints of a rash on the left side of her face that is
blistered and painful and accompanied by left-sided eye pain. The rash broke out 2 days ago, and she
remembers
being very tired and feeling feverish for a week before the rash appeared. On examination, the rash
follows the
trigeminal nerve on the left, and she has some scleral injection and tearing. You suspect herpes zoster
ophthalmicus.
Based on what you know to be complications of this disease, you explain to her that she needs: -
ANSWER-Ophthalmological consultation
An 81-year-old patient presents for a physical. She recently had a fall and now has problems walking up
her stairs. The only restroom in the house is on the second floor. She also has a flight of stairs outside
Differential Diagnosis & Primary Care Practicum
Questions ẇith Verified Ansẇers Grade A+ Guarantee
A 10-year-old male in 5th grade presents to the pediatric office with his mother complaining of itchy and
red eyes
for 1 day. The patient complains of watery drainage in both eyes, associated with repetitive itching. On
physical
exam, he has no fever or constitutional symptoms. His vision is normal, with no decrease in extraocular
movements.
The patient has a sibling that just started day care recently. He also has bilateral preauricular lymph
nodes that are
inflamed. What is the patient's diagnosis? - ANSWER-Viral conjunctivitis
A 25-year-old client who plays in a band complains that he finds it difficult to understand his fellow
musicians at
the end of a night of performing, a problem that is compounded by the noisy environment of the club.
These
symptoms are most characteristic of which of the following? - ANSWER-Sensorineural loss
A 6-year-old female presents to your pediatric office with her mother complaining of right ear pain for 3
days.
This pain resolved with Tylenol. The patient has also had noted fevers of 101.3°F over the last 2 nights.
The patient
had a nonproductive cough for 7 days prior to the ear pain. On physical exam, the patient has
tenderness with
tugging on the auricle of the ear. The tympanic membrane is not mobile with pneumatic otoscopy and is
erythematous and full. The patient has no drainage from the ear and no mastoid tenderness. What is
the next step? - ANSWER-Amoxicillin 80 to 90 mg/kg/d
A 64-year-old obese woman comes in complaining of difficulty swallowing for the past 3 weeks. She
states that
"some foods get stuck" and she has been having "heartburn" at night when she lies down, especially if
she has had a
,NR511 / NR 511Midterm Exam ( )
Differential Diagnosis & Primary Care Practicum
Questions ẇith Verified Ansẇers Grade A+ Guarantee
heavy meal. Occasionally, she awakes at night coughing. She denies weight gain and/or weight loss,
vomiting, or
change in bowel movements or color of stools. She denies alcohol and tobacco use. There is no
pertinent family
history or findings on review of systems (ROS). Physical examination is normal, with no abdominal
tenderness, and
the stool is occult blood (OB) negative. What is the most likely diagnosis? - ANSWER-Gastroesophageal
reflux disease (GERD)
A 75-year-old African American male presents to your family practice office complaining of visual
impairment.
He has worn corrective lenses for many years but has noticed that his vision has gotten progressively
worse the past
6 months. He denies pain. He states his vision is worse in both eyes in the peripheral aspects of his visual
field. He
also notes trouble driving at night and halos around street lights at night. You test his intraocular
pressure, and it is
23 mm Hg. What is his most likely diagnosis? - ANSWER-Open-angle glaucoma
A 75-year-old female presents to your office complaining of dizziness and hearing loss. The patient
states she
awoke yesterday with dizziness, which she described as feeling the room spinning. She also notes
intermittent
ringing in her ears. On physical exam, the patient has lateralization of her hearing loss to the unaffected
ear. Rinne
test shows air conduction lasts longer than bone conduction. What is the next step in helping this
patient's
symptoms? - ANSWER-Start the patient on a low-salt, low-caffeine diet and give her meclizine for
vertigo attacks
A lab value that is commonly decreased in older adults is: - ANSWER-Creatinine clearance
, NR511 / NR 511Midterm Exam ( )
Differential Diagnosis & Primary Care Practicum
Questions ẇith Verified Ansẇers Grade A+ Guarantee
A nurse practitioner is practicing based on the rule-based actions he was taught in school and doesn't
understand when/where those rules may be inappropriate. Which following statement best describes
this skill level - ANSWER-Novice
Advanced practice registered nurses (APRNs) are affected by laws and rules, although these vary by
state. Which of the following is affected by state laws and regulations? - ANSWER-Delegation of
authority by physicians
Alexandra, age 34, was treated with oral antibiotics 2 weeks ago for a urinary tract infection. She is seen
in the
office today for a follow-up visit. On physical examination, the nurse practitioner notices that she has
some painless,
white, slightly raised patches in her mouth. This is probably caused by: - ANSWER-Candidiasis
All of the following statements about the US Preventive Services Task Force (USPSTF) are true except? -
ANSWER-All of the recommendations made by the USPSTF are strong recommendations
An 80-year-old woman comes in to the office with complaints of a rash on the left side of her face that is
blistered and painful and accompanied by left-sided eye pain. The rash broke out 2 days ago, and she
remembers
being very tired and feeling feverish for a week before the rash appeared. On examination, the rash
follows the
trigeminal nerve on the left, and she has some scleral injection and tearing. You suspect herpes zoster
ophthalmicus.
Based on what you know to be complications of this disease, you explain to her that she needs: -
ANSWER-Ophthalmological consultation
An 81-year-old patient presents for a physical. She recently had a fall and now has problems walking up
her stairs. The only restroom in the house is on the second floor. She also has a flight of stairs outside
