NR511- Midterm Exam UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Purpose of differential diagnoses - CORRECT ANSWER - List of possible diagnoses to
be sure nothing is missed
SOAP note- where to document the diagnosis - CORRECT ANSWER - The assessment
section
Disease specificity - CORRECT ANSWER - Refers to a test's ability to correctly identify
individuals who do not have the disease
Disease sensitivity - CORRECT ANSWER - Refers to the test's ability to correctly
identify individuals who have the disease
Sources that NPs use to help with clinical decision making - CORRECT ANSWER -
Clinical practice guidelines
Evidence based research
Definition of evidence based practice - CORRECT ANSWER - Clinical practice in
healthcare is increasingly based on the best research evidence derived from the body of
knowledge on the topic
Systematic literature reviews - CORRECT ANSWER - Considered one of the highest
levels of evidence on which to base a change in practice
Includes all RCT studies and quantitative studies with similar methods that address a clinical
question
,Rubella (German Measles) - CORRECT ANSWER - A highly contagious viral disease,
especially affecting children, that causes swelling of the lymph glands and a reddish pink rash;
may be harmful to the unborn baby of a pregnant woman who contracts it
Severe disease can cause encephalitis
Telogen effluvium - CORRECT ANSWER - Premature shedding of hair during the resting
stage
Can be caused by stress, fever, certain drugs, pregnancy, childbirth, extreme weight loss, and
general anesthesia
Management of intensely dry skin - CORRECT ANSWER - Avoidance of strong soaps
Taking shorter showers instead of hot baths
Use of effective emollients
Mild bland soaps are recommended
Management of severe dry skin - CORRECT ANSWER - Soak and smear method
Wetting the skin for 20 minutes and then applying ointment directly to wet skin
Management of urticaria - CORRECT ANSWER - The goal of treatment is to identify the
cause and stop exposure
Avoid tight clothing
Avoid showering and bathing with hot water
Cool temperatures are helpful and aid in sleep
Scabies symptoms - CORRECT ANSWER - Intense itching more severe at night
Itching common in web spaces such as wrists, anterior axillary folds, peri umbilical, pelvic
girdle, penis and ankles
Children more irritable and tired
Some have a rash some have itching with no rash
, Scabies differential diagnosis - CORRECT ANSWER - Main points to differentiate:
Location - finger webs, wrists, side of fingers
Worse at night
No history of allergies in general or skin allergies decreases the likelihood of it being contact
dermatitis
scabies differential diagnosis examples - CORRECT ANSWER - Scabies
Nodular scabies
Crusted scabies
Systemic treatment for scabies - CORRECT ANSWER - For relief of severe pruritis from
hypersensitivity to scabicide products
Ivermectin 200 mcg/kg single dose followed by another dose 1 to 2 weeks later
Lice treatment - CORRECT ANSWER - Shampoos, cream rinses, and lotions containing
benzyl alcohol, ivermectin, permethrin, spinosad, pyrethrin, and malathion are commonly used to
kill lice
Lindane is a second line treatment due to possible CNS toxicity
Dermatitis herpetiformis - CORRECT ANSWER - Differential diagnosis for scabies and
pediculosis
Dermatitis herpetiformis - CORRECT ANSWER - Autoimmune deposition of IgA at the
tips of dermal papillae (happens in celiac disease)
pediculosis corporis - CORRECT ANSWER - an infestation with body lice or clothing
louse
Feeds on human host but resides and lays eggs in clothing fibers
ACTUAL Exam Questions and CORRECT
Answers
Purpose of differential diagnoses - CORRECT ANSWER - List of possible diagnoses to
be sure nothing is missed
SOAP note- where to document the diagnosis - CORRECT ANSWER - The assessment
section
Disease specificity - CORRECT ANSWER - Refers to a test's ability to correctly identify
individuals who do not have the disease
Disease sensitivity - CORRECT ANSWER - Refers to the test's ability to correctly
identify individuals who have the disease
Sources that NPs use to help with clinical decision making - CORRECT ANSWER -
Clinical practice guidelines
Evidence based research
Definition of evidence based practice - CORRECT ANSWER - Clinical practice in
healthcare is increasingly based on the best research evidence derived from the body of
knowledge on the topic
Systematic literature reviews - CORRECT ANSWER - Considered one of the highest
levels of evidence on which to base a change in practice
Includes all RCT studies and quantitative studies with similar methods that address a clinical
question
,Rubella (German Measles) - CORRECT ANSWER - A highly contagious viral disease,
especially affecting children, that causes swelling of the lymph glands and a reddish pink rash;
may be harmful to the unborn baby of a pregnant woman who contracts it
Severe disease can cause encephalitis
Telogen effluvium - CORRECT ANSWER - Premature shedding of hair during the resting
stage
Can be caused by stress, fever, certain drugs, pregnancy, childbirth, extreme weight loss, and
general anesthesia
Management of intensely dry skin - CORRECT ANSWER - Avoidance of strong soaps
Taking shorter showers instead of hot baths
Use of effective emollients
Mild bland soaps are recommended
Management of severe dry skin - CORRECT ANSWER - Soak and smear method
Wetting the skin for 20 minutes and then applying ointment directly to wet skin
Management of urticaria - CORRECT ANSWER - The goal of treatment is to identify the
cause and stop exposure
Avoid tight clothing
Avoid showering and bathing with hot water
Cool temperatures are helpful and aid in sleep
Scabies symptoms - CORRECT ANSWER - Intense itching more severe at night
Itching common in web spaces such as wrists, anterior axillary folds, peri umbilical, pelvic
girdle, penis and ankles
Children more irritable and tired
Some have a rash some have itching with no rash
, Scabies differential diagnosis - CORRECT ANSWER - Main points to differentiate:
Location - finger webs, wrists, side of fingers
Worse at night
No history of allergies in general or skin allergies decreases the likelihood of it being contact
dermatitis
scabies differential diagnosis examples - CORRECT ANSWER - Scabies
Nodular scabies
Crusted scabies
Systemic treatment for scabies - CORRECT ANSWER - For relief of severe pruritis from
hypersensitivity to scabicide products
Ivermectin 200 mcg/kg single dose followed by another dose 1 to 2 weeks later
Lice treatment - CORRECT ANSWER - Shampoos, cream rinses, and lotions containing
benzyl alcohol, ivermectin, permethrin, spinosad, pyrethrin, and malathion are commonly used to
kill lice
Lindane is a second line treatment due to possible CNS toxicity
Dermatitis herpetiformis - CORRECT ANSWER - Differential diagnosis for scabies and
pediculosis
Dermatitis herpetiformis - CORRECT ANSWER - Autoimmune deposition of IgA at the
tips of dermal papillae (happens in celiac disease)
pediculosis corporis - CORRECT ANSWER - an infestation with body lice or clothing
louse
Feeds on human host but resides and lays eggs in clothing fibers
