NR 511 MIDTERM EXAM QUESTIONS
AND ANSWERS GRADED A+ 2025/2026
Which medications used to treat nausea and vomiting works by affecting the chemoreceptor
trigger zone, thereby stimulating upper gastrointestinal motility and increasing lower
esophageal sphincter pressure? - ANS Anticholinergics, such as scopolamine (Donnatal).
The antibiotic of choice for recurrent acute otitis media (AM) and/or
treatment failure in children is: - ANS Amoxicillin and potassium clavulanate (Augmentin).
A 67-year old female on multiple medications for chronic conditions
was just diagnosed with gastroesophageal reflux disease (GERD). In
teaching the patient about the disease, what medication should the
clinician recommend that the patient refrain from using? - ANS Nonsteroidal anti-
inflammatory drugs (NSAIDs).
A 30-year-old male presents to the clinic with intermittent diarrhea.
He is pretty sure that the antacids taken for heartburn are the cause
since the loose stools always occur within 30 minutes after taking
them. How should the clinician respond? - ANS Antacids may contain magnesium, which
decreases bowel
transit time and may contain poorly absorbed salts that result
in an osmotic draw iofufluid into the bowel resulting in diarrhea.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,When the Weber test is performed with a tuning fork to assess
hearing and there is no lateralization, the clinician should document
this finding as: - ANS A normal finding.
A 72-year-old male patient presents to the clinic for his annual
physical. He states that he is worried because he only has a bowel
movement every three days. How should the clinician respond? - ANS There is no such thing
as a "normal" pattern of defecation.
Patterns of defecation vary widely and may in part be affected
by dietary habits, fluid intake, bacteria in the stool,
psychological stress, or voluntary postponement of
defecation. Defecating every third day could be the routine
pattern for Simon. He should be questioned if this is routine
for him.
A 21-year-old female patient presents to the clinic for pre-operative
tonsillectomy clearance. She has heard about permanent taste
changes after a tonsillectomy and is concerned. What should the
clinician tell her? - ANS Although some clients report a significant subjective drop in
taste function following surgery, none have ongoing taste
dysfunction.
In a young child, unilateral purulent rhinitis is most often caused by: - ANS A foreign body.
Nausea is difficult to discern in a young child what question should the clinician asked to
determine if a child has nausea - ANS Are you hungry
A 38-year-old male has recently had an iliomy for ulcerative colitis which self-care measure
should the clinician teach him to relieve food blockade - ANS Massage the periosteum area
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,52 year old female as suspected of having a gastric ulcer and will undergo an EGD she's
concerned because she heard that gastric ulcers can be malignant how should the clinician
respond - ANS About 95% of gastric ulcers are Banan even though they seem to like a
malignant on x-ray
A 29 year old female just returned from Central America with travelers diarrhea and presents to
the clinic for evaluation which of the following is the best treatment - ANS Supportive care
A 75-year-old female presents to your office complaining of dizziness and ringing in both ears
for one day she describes the dizziness as feeling like the room is spinning on physical exam the
run test reveals the air connection is greater than bone conduction bilaterally the web or test
reveals lateralization to the left she is unable to hear the examiners whisper on the right but she
can hear the whisper on the left what is the next step to helping this patient symptoms -
ANS Start the patient on a low salt diet prescribe meclizine for vertigo and refer to ENT
An 82-year-old female has been diagnosed with IBS and chronic constipation and diverticulitis
following a colonoscopy what pharmacologic agent should the clinician recommend -
ANS Bulking agent
A 26-year-old male recently returned from a camping trip with symptoms of acute
gastroenteritis he reports that he only ate vegetables from his garden that he can't prior to the
attic which of the following pathogens might be causing his symptoms - ANS Clostridium
botulinum
A 20-year-old male presents to your office in summer complaining of chest discoloration he is a
lifeguard and has been out in the sun without a shirt for a long period of time his physical exam
so small flat circular hypopigmented macules on his chest that he states are mildly paretic what
is the treatment choice for this diagnosis - ANS Selenium sulfide shampoo
Mary H 82 presents with several other problems she states that her eyes are always draw and
look sunken in what do you suspect - ANS Age related changes
Sharon a 47-year-old bank taylor is saying by the nurse practitioner in the office for red are you
were trying to decide between a diagnosis of conjunctivitis in irritate us why distinguishing
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, character between the two is - ANS A Cillary flush when trying to decide between a diagnosis
of conjunctivitis and he irritates one distinguishing characteristic is the Silveri fret flush the toilet
present in irritate us
Which of the following patients does not have an increased risk of candidia - ANS A patient
with a history of coronary artery disease
A 25-year-old male present to your urgent care clinic complaining of genital pruritus. On
physical exam the patient has small erythematous excoriated papules on his pubic hair nomads
are identified there's no penile discharge and the patient has no constitutional symptoms he
sexually active but where is condoms during all sexual experiences what is the most likely
diagnosis - ANS Chlamydia
A rash that looks like the patient was slapped on the cheeks of the face is a hallmark
characteristics for what disease - ANS Fifths disease
A 27 year old mail comes into your primary care office complaining of a hairy oriole rash the
patient notice burning around her lips a couple days ago that quickly went away she awoke from
sleep yesterday and noticed a group of vesicles with erythematous faces were the burning had
been before there is no burning today she is afebrile and has no difficulty eating or swallowing
what test would confirm her diagnosis - ANS Tzanck smear
84-year-old male presents to your pediatric clinic with his mother complaining of an itchy rash
mostly between his fingers this is been going on for multiple days and has been getting worse
the patient recently started a new daycare on physical exam the patient is afebrile and has
multiple small one to two MM read papules and sets of three located on the web spaces
between his fingers he also has signs of excoriation what is the treatment of the problem -
ANS Permethrin lotion For the patient and also his family members
Mrs. Johnson of 54 year old accountant presents to the office with a painful read out without
discharge you should suspect - ANS Iritis
A three-year-old patient presents to your pediatric office with her mother she has recently
started a daycare her mother notice lot Perry orbital erythema on the right side of the patient's
mouth last night before bed the patient at work today with three small superficial honey
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
AND ANSWERS GRADED A+ 2025/2026
Which medications used to treat nausea and vomiting works by affecting the chemoreceptor
trigger zone, thereby stimulating upper gastrointestinal motility and increasing lower
esophageal sphincter pressure? - ANS Anticholinergics, such as scopolamine (Donnatal).
The antibiotic of choice for recurrent acute otitis media (AM) and/or
treatment failure in children is: - ANS Amoxicillin and potassium clavulanate (Augmentin).
A 67-year old female on multiple medications for chronic conditions
was just diagnosed with gastroesophageal reflux disease (GERD). In
teaching the patient about the disease, what medication should the
clinician recommend that the patient refrain from using? - ANS Nonsteroidal anti-
inflammatory drugs (NSAIDs).
A 30-year-old male presents to the clinic with intermittent diarrhea.
He is pretty sure that the antacids taken for heartburn are the cause
since the loose stools always occur within 30 minutes after taking
them. How should the clinician respond? - ANS Antacids may contain magnesium, which
decreases bowel
transit time and may contain poorly absorbed salts that result
in an osmotic draw iofufluid into the bowel resulting in diarrhea.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,When the Weber test is performed with a tuning fork to assess
hearing and there is no lateralization, the clinician should document
this finding as: - ANS A normal finding.
A 72-year-old male patient presents to the clinic for his annual
physical. He states that he is worried because he only has a bowel
movement every three days. How should the clinician respond? - ANS There is no such thing
as a "normal" pattern of defecation.
Patterns of defecation vary widely and may in part be affected
by dietary habits, fluid intake, bacteria in the stool,
psychological stress, or voluntary postponement of
defecation. Defecating every third day could be the routine
pattern for Simon. He should be questioned if this is routine
for him.
A 21-year-old female patient presents to the clinic for pre-operative
tonsillectomy clearance. She has heard about permanent taste
changes after a tonsillectomy and is concerned. What should the
clinician tell her? - ANS Although some clients report a significant subjective drop in
taste function following surgery, none have ongoing taste
dysfunction.
In a young child, unilateral purulent rhinitis is most often caused by: - ANS A foreign body.
Nausea is difficult to discern in a young child what question should the clinician asked to
determine if a child has nausea - ANS Are you hungry
A 38-year-old male has recently had an iliomy for ulcerative colitis which self-care measure
should the clinician teach him to relieve food blockade - ANS Massage the periosteum area
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,52 year old female as suspected of having a gastric ulcer and will undergo an EGD she's
concerned because she heard that gastric ulcers can be malignant how should the clinician
respond - ANS About 95% of gastric ulcers are Banan even though they seem to like a
malignant on x-ray
A 29 year old female just returned from Central America with travelers diarrhea and presents to
the clinic for evaluation which of the following is the best treatment - ANS Supportive care
A 75-year-old female presents to your office complaining of dizziness and ringing in both ears
for one day she describes the dizziness as feeling like the room is spinning on physical exam the
run test reveals the air connection is greater than bone conduction bilaterally the web or test
reveals lateralization to the left she is unable to hear the examiners whisper on the right but she
can hear the whisper on the left what is the next step to helping this patient symptoms -
ANS Start the patient on a low salt diet prescribe meclizine for vertigo and refer to ENT
An 82-year-old female has been diagnosed with IBS and chronic constipation and diverticulitis
following a colonoscopy what pharmacologic agent should the clinician recommend -
ANS Bulking agent
A 26-year-old male recently returned from a camping trip with symptoms of acute
gastroenteritis he reports that he only ate vegetables from his garden that he can't prior to the
attic which of the following pathogens might be causing his symptoms - ANS Clostridium
botulinum
A 20-year-old male presents to your office in summer complaining of chest discoloration he is a
lifeguard and has been out in the sun without a shirt for a long period of time his physical exam
so small flat circular hypopigmented macules on his chest that he states are mildly paretic what
is the treatment choice for this diagnosis - ANS Selenium sulfide shampoo
Mary H 82 presents with several other problems she states that her eyes are always draw and
look sunken in what do you suspect - ANS Age related changes
Sharon a 47-year-old bank taylor is saying by the nurse practitioner in the office for red are you
were trying to decide between a diagnosis of conjunctivitis in irritate us why distinguishing
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, character between the two is - ANS A Cillary flush when trying to decide between a diagnosis
of conjunctivitis and he irritates one distinguishing characteristic is the Silveri fret flush the toilet
present in irritate us
Which of the following patients does not have an increased risk of candidia - ANS A patient
with a history of coronary artery disease
A 25-year-old male present to your urgent care clinic complaining of genital pruritus. On
physical exam the patient has small erythematous excoriated papules on his pubic hair nomads
are identified there's no penile discharge and the patient has no constitutional symptoms he
sexually active but where is condoms during all sexual experiences what is the most likely
diagnosis - ANS Chlamydia
A rash that looks like the patient was slapped on the cheeks of the face is a hallmark
characteristics for what disease - ANS Fifths disease
A 27 year old mail comes into your primary care office complaining of a hairy oriole rash the
patient notice burning around her lips a couple days ago that quickly went away she awoke from
sleep yesterday and noticed a group of vesicles with erythematous faces were the burning had
been before there is no burning today she is afebrile and has no difficulty eating or swallowing
what test would confirm her diagnosis - ANS Tzanck smear
84-year-old male presents to your pediatric clinic with his mother complaining of an itchy rash
mostly between his fingers this is been going on for multiple days and has been getting worse
the patient recently started a new daycare on physical exam the patient is afebrile and has
multiple small one to two MM read papules and sets of three located on the web spaces
between his fingers he also has signs of excoriation what is the treatment of the problem -
ANS Permethrin lotion For the patient and also his family members
Mrs. Johnson of 54 year old accountant presents to the office with a painful read out without
discharge you should suspect - ANS Iritis
A three-year-old patient presents to your pediatric office with her mother she has recently
started a daycare her mother notice lot Perry orbital erythema on the right side of the patient's
mouth last night before bed the patient at work today with three small superficial honey
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
