NR511 midterm exam from study guide
Questions and Overview Questions And
Answers, and Proven Strategies to Pass First
Try (2026 Edition)
A 42-year-old woman presents with fatigue and weight loss. You
begin by listing all possible causes based on her initial information
before ordering tests. Which step of diagnostic reasoning are you
performing?
Formulating the differential
A 60-year-old man presents with chest pain. After creating an
initial differential, you order troponin and an ECG to
confirm/refute diagnoses. This step is:
Diagnostic testing
A 24-year-old with abdominal pain is asked when the pain
started, where it is, and what affects it. Which HPI tool is this?
OLD CARTS
,"What were you doing when the pain began?" refers to which
part of OLD CARTS?
Onset
You collect an extensive history, exam findings, and diagnostic
tests. This step of diagnostic reasoning is:
Data gathering
You consider pneumonia, CHF, asthma, and PE as potential
causes of dyspnea. This describes:
Formulating differential diagnoses
In a PICO question, "reducing exacerbations" represents the:
Outcome
Reviewing an RCT for design, sample size, and bias involves which
EBP step?
Appraising the evidence
A test with 99% sensitivity means:
99% with disease test positive
High specificity is most useful for:
Ruling in a disease when positive
A test with low sensitivity risks:
High false negatives
After treating a patient, you review outcomes to improve future
care. This is:
,Reflection and learning
After finding several RCTs, your next step before choosing best
evidence is to:
Appraise quality and relevance
Before choosing a treatment, you discuss goals and preferences
with the patient.
Considering patient preferences
A highly sensitive, low-specificity rash test will:
Catch most cases but create many false positives
A highly sensitive test is positive, but the clinical picture doesn't
fit. Next step?
Order a more specific confirmatory test
Sharing improved outcomes from evidence-based changes with
colleagues represents:
Disseminating findings
Ranking diagnoses by likelihood, severity, and urgency
represents:
Narrowing the differential
A test correctly identifies 90 out of 100 diseased patients.
Sensitivity?
90%
GRADE primarily assesses:
, Quality and certainty of evidence
Medicare coverage for inpatient hospital care is:
Part A
Medicare prescription drug coverage is:
Part D
Medicare plan bundling A + B + usually D with extra benefits:
Medicare Advantage (Part C)
Employer-sponsored insurance is a:
Private third-party payer
Medicaid is best defined as:
Insurance for low-income individuals
Standard office visit CPT codes are:
category 1
Category II CPT codes track:
Quality metrics
Category III CPT codes refer to:
New/emerging technology
CBC for unexplained bruising is used to:
Check platelet count
CMP for a patient with dysrhythmias is to monitor:
Questions and Overview Questions And
Answers, and Proven Strategies to Pass First
Try (2026 Edition)
A 42-year-old woman presents with fatigue and weight loss. You
begin by listing all possible causes based on her initial information
before ordering tests. Which step of diagnostic reasoning are you
performing?
Formulating the differential
A 60-year-old man presents with chest pain. After creating an
initial differential, you order troponin and an ECG to
confirm/refute diagnoses. This step is:
Diagnostic testing
A 24-year-old with abdominal pain is asked when the pain
started, where it is, and what affects it. Which HPI tool is this?
OLD CARTS
,"What were you doing when the pain began?" refers to which
part of OLD CARTS?
Onset
You collect an extensive history, exam findings, and diagnostic
tests. This step of diagnostic reasoning is:
Data gathering
You consider pneumonia, CHF, asthma, and PE as potential
causes of dyspnea. This describes:
Formulating differential diagnoses
In a PICO question, "reducing exacerbations" represents the:
Outcome
Reviewing an RCT for design, sample size, and bias involves which
EBP step?
Appraising the evidence
A test with 99% sensitivity means:
99% with disease test positive
High specificity is most useful for:
Ruling in a disease when positive
A test with low sensitivity risks:
High false negatives
After treating a patient, you review outcomes to improve future
care. This is:
,Reflection and learning
After finding several RCTs, your next step before choosing best
evidence is to:
Appraise quality and relevance
Before choosing a treatment, you discuss goals and preferences
with the patient.
Considering patient preferences
A highly sensitive, low-specificity rash test will:
Catch most cases but create many false positives
A highly sensitive test is positive, but the clinical picture doesn't
fit. Next step?
Order a more specific confirmatory test
Sharing improved outcomes from evidence-based changes with
colleagues represents:
Disseminating findings
Ranking diagnoses by likelihood, severity, and urgency
represents:
Narrowing the differential
A test correctly identifies 90 out of 100 diseased patients.
Sensitivity?
90%
GRADE primarily assesses:
, Quality and certainty of evidence
Medicare coverage for inpatient hospital care is:
Part A
Medicare prescription drug coverage is:
Part D
Medicare plan bundling A + B + usually D with extra benefits:
Medicare Advantage (Part C)
Employer-sponsored insurance is a:
Private third-party payer
Medicaid is best defined as:
Insurance for low-income individuals
Standard office visit CPT codes are:
category 1
Category II CPT codes track:
Quality metrics
Category III CPT codes refer to:
New/emerging technology
CBC for unexplained bruising is used to:
Check platelet count
CMP for a patient with dysrhythmias is to monitor:
