2025 Walden 6531 Primary Care of Adults Across the Lifespan –
Midterm Exam Spring 2023 (Updated April) | Complete
Questions & Answers Study Guide
1. What is the purpose of clinical research trials in the spectrum of translational research?
To describe relationships among characteristics or variables
2. All of the following are core quality competencies expected of APRNs except:
B. Assumes advanced leadership role
C. Applies skills in peer review to promote culture of excellence
D. Evaluates organizational structures to improved
3. What was an important finding of the Advisory Board of 2014 about primary care
A. Associations with area hospitals
B. Costs of ambulatory care
C. Ease of access to care.
D. The ratio of providers to patients
, 7. To reduce adverse events associated with care transitions, the Centers for Medicare
and Medicaid Service have implemented which policy?
A. Mandates for communication among primary caregivers and hospitalists
B. Penalties for failure to perform medication reconciliations at time of discharge
C. Reduction of payments for patients readmitted within 30 days after discharge
D. Requirements for written discharge instructions for patients and d. caregivers
8. Rules proposed by the various State Boards of Nursing must be approved by the
state Legislatures.
A. True
False
Medicare and
9. to reduce
Medicaid adverse
Service events
have associatedwhich
implemented with care transitions, the Centers for
policy?
10. What was an important finding of the Advisory Board survey of 2014 about primary
care preferences of patients?
11. The Consensus Model for APRN regulation consists of which of the following roles?
A. CNM
B. CRNA
C. APN
D. CNS
E All the Above
A, B & C F. only
12. In reviewing the Total Percentage of Body surface area for adult burn patients each,
leg, arm and head are noted evaluated at 9%.
A. True
B. False
13. What is the initial approach when obtaining a biopsy of a potential malignant
melanoma lesion?
A. Excisional biopsy
B. Punch biopsy
C. Shave biopsy
D. Wide excision
14. Which of the following are independent practice competencies for APRNs?
A. Prescribes medications
B. Functions as an independent practitioner
C. Employs screening and diagnostic strategies to arrive at diagnoses
D. Manages health/illness strategies of patients and families over time.
E. All the Above
F. A, C & D only
15. A female patient is diagnosed with androgenetic alopecia. Which medication will
the primary health care provider prescribe?
a. Anthralin
b. Cyclosporine
c. Finasteride
d Minoxidil
,16. Agnes is a 72 y/o grandmother who comes to the clinic with an acute onset of severe eye
pain. She has been having headaches, nausea and vomiting, and seeing halos around
lights. Eye exam reveals cupping of optic nerve the pupil is oval and the cornea is
cloudy. Her most likely diagnosis is:
17. Mikey is a 19 y/o male who is brought to the clinic because he has a fever, sore throat,
pain on swallowing and mildly enlarged submandibular nodes. The most likely
diagnosis for Mikey is:
, 18. A 50-year-old, previously healthy patient has developed gastritis. What is the most
likely cause of this condition?
a. H. pylori infection
b. NSAID use
c. Parasite infestation
d. Viral gastroenteritis
19. Which diagnostic test will the provider safely order for a 30-year-old woman
reporting right upper quadrant abdominal pain, nausea, and vomiting?
a. Abdominal computed tomography (CT) with contrast
b. Abdominal ultrasound
c. Magnetic resonance imaging (MRI) of the abdomen
20. A patient, who first developed acute diarrhea 2 weeks ago, presents to clinic reporting
profuse watery, bloody diarrheal stools 6 to 8 times daily. The provider notes a toxic
appearance with moderate dehydration. Which test is indicated to diagnose this problem?
a. Qualitative and quantitative fecal fat
b. Stool collection for 24-hour stool pH
c. Stool sample for C. difficile toxin
d. Wright stain of stool for white blood cells
21. A patient with a positive HbeAg indicates the patient has chronic Hepatitis B.
A. True
B. False
22. Classic pain of acute pancreatitis is severe midgastric pain that refers to the midback.
A. True I think
B. False
23. A patient with hemoptysis and no other symptoms has a normal chest radiograph (CXR),
computed tomography (CT), and fiberoptic bronchoscopy studies. What is the next action
in managing this patient?
24. Jeremy is an 18 y/o male who comes to the clinic with a chief complaint of periumbilical
pain. Over the past 24 hours he has had bouts of nausea and diarrhea and pain at
NdC ! /!W d ! ! ! !b ! !b ! !d
J diagnosis:
A. Psoas Sign
B. Obturator Sign
C. N Sign
D. All the Above
E. A & B only
Midterm Exam Spring 2023 (Updated April) | Complete
Questions & Answers Study Guide
1. What is the purpose of clinical research trials in the spectrum of translational research?
To describe relationships among characteristics or variables
2. All of the following are core quality competencies expected of APRNs except:
B. Assumes advanced leadership role
C. Applies skills in peer review to promote culture of excellence
D. Evaluates organizational structures to improved
3. What was an important finding of the Advisory Board of 2014 about primary care
A. Associations with area hospitals
B. Costs of ambulatory care
C. Ease of access to care.
D. The ratio of providers to patients
, 7. To reduce adverse events associated with care transitions, the Centers for Medicare
and Medicaid Service have implemented which policy?
A. Mandates for communication among primary caregivers and hospitalists
B. Penalties for failure to perform medication reconciliations at time of discharge
C. Reduction of payments for patients readmitted within 30 days after discharge
D. Requirements for written discharge instructions for patients and d. caregivers
8. Rules proposed by the various State Boards of Nursing must be approved by the
state Legislatures.
A. True
False
Medicare and
9. to reduce
Medicaid adverse
Service events
have associatedwhich
implemented with care transitions, the Centers for
policy?
10. What was an important finding of the Advisory Board survey of 2014 about primary
care preferences of patients?
11. The Consensus Model for APRN regulation consists of which of the following roles?
A. CNM
B. CRNA
C. APN
D. CNS
E All the Above
A, B & C F. only
12. In reviewing the Total Percentage of Body surface area for adult burn patients each,
leg, arm and head are noted evaluated at 9%.
A. True
B. False
13. What is the initial approach when obtaining a biopsy of a potential malignant
melanoma lesion?
A. Excisional biopsy
B. Punch biopsy
C. Shave biopsy
D. Wide excision
14. Which of the following are independent practice competencies for APRNs?
A. Prescribes medications
B. Functions as an independent practitioner
C. Employs screening and diagnostic strategies to arrive at diagnoses
D. Manages health/illness strategies of patients and families over time.
E. All the Above
F. A, C & D only
15. A female patient is diagnosed with androgenetic alopecia. Which medication will
the primary health care provider prescribe?
a. Anthralin
b. Cyclosporine
c. Finasteride
d Minoxidil
,16. Agnes is a 72 y/o grandmother who comes to the clinic with an acute onset of severe eye
pain. She has been having headaches, nausea and vomiting, and seeing halos around
lights. Eye exam reveals cupping of optic nerve the pupil is oval and the cornea is
cloudy. Her most likely diagnosis is:
17. Mikey is a 19 y/o male who is brought to the clinic because he has a fever, sore throat,
pain on swallowing and mildly enlarged submandibular nodes. The most likely
diagnosis for Mikey is:
, 18. A 50-year-old, previously healthy patient has developed gastritis. What is the most
likely cause of this condition?
a. H. pylori infection
b. NSAID use
c. Parasite infestation
d. Viral gastroenteritis
19. Which diagnostic test will the provider safely order for a 30-year-old woman
reporting right upper quadrant abdominal pain, nausea, and vomiting?
a. Abdominal computed tomography (CT) with contrast
b. Abdominal ultrasound
c. Magnetic resonance imaging (MRI) of the abdomen
20. A patient, who first developed acute diarrhea 2 weeks ago, presents to clinic reporting
profuse watery, bloody diarrheal stools 6 to 8 times daily. The provider notes a toxic
appearance with moderate dehydration. Which test is indicated to diagnose this problem?
a. Qualitative and quantitative fecal fat
b. Stool collection for 24-hour stool pH
c. Stool sample for C. difficile toxin
d. Wright stain of stool for white blood cells
21. A patient with a positive HbeAg indicates the patient has chronic Hepatitis B.
A. True
B. False
22. Classic pain of acute pancreatitis is severe midgastric pain that refers to the midback.
A. True I think
B. False
23. A patient with hemoptysis and no other symptoms has a normal chest radiograph (CXR),
computed tomography (CT), and fiberoptic bronchoscopy studies. What is the next action
in managing this patient?
24. Jeremy is an 18 y/o male who comes to the clinic with a chief complaint of periumbilical
pain. Over the past 24 hours he has had bouts of nausea and diarrhea and pain at
NdC ! /!W d ! ! ! !b ! !b ! !d
J diagnosis:
A. Psoas Sign
B. Obturator Sign
C. N Sign
D. All the Above
E. A & B only
