Week 2 - NR511 Week 2 Davis Edge
Questions With complete solution pack 2022
Week 2 Practice Questions
1. Jill, a 34-year-old bank teller, presents with symptoms of hay fever. She complains of nasal
congestion, runny nose with clear mucus, and itchy nose and eyes. On physical assessment, you
observe that she has pale nasal turbinates. What is your diagnosis?
Allergic rhinitis (The symptoms of hay fever, also called allergic rhinitis, are similar to those
of viral rhinitis but usually persist and are seasonal in nature. When assessing the nasal
mucosa, you will observe that the turbinates are usually pale or violaceous because of venous
engorgement)
Viral rhinitis (with viral rhinitis, the turbinates are typically erythematous)
Nasal polyps (With nasal polyps, there are usually yellowish, boggy masses of hypertrophic
mucosa)
Nasal vestibulitis from folliculitis (Nasal vestibulitis usually results from folliculitis of the
hairs that line the nares)
2. 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?
Open-angle glaucoma (This is the typical presentation of chronic, or open-angle, glaucoma)
Angle-closure glaucoma (This is an acute, painful form of glaucoma)
Cataracts (This is a loss of central vision)
Macular degeneration (This also affects central vision)
3. Which of the following is not a cause of conductive
hearing loss?
Presbycusis (This is a cause of sensorineural hearing
loss)
Cerumen impaction.
Otitis media.
Otosclerosis.
4. Which of the following is not a complication of untreated group A streptococcal pharyngitis?
Week 2 - NR511 Week 2 Davis Edge
Questions With complete solution pack 2022
, Week 2 - NR511 Week 2 Davis Edge
Questions With complete solution pack 2022
Glomerulonephritis.
Rheumatic heart disease.
Scarlet fever.
Hemolytic anemia (This is a complication of mononucleosis)
5. 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:
Herpes simplex (Herpes simplex (a viral infection) sores are usually discrete and not spread
over a large area)
Aphthous ulcers (Aphthous ulcers (canker sores) are extremely painful)
Candidiasis (Painless, white, slightly raised patches in a client’s mouth are probably caused by
candidiasis (thrush)
Oral cancer (Cancerous lesions are usually discrete and not spread over a large area)
6. Mattie, age 64, presents with blurred vision in 1 eye and states that it felt like “a curtain came down
over my eye.” She doesn’t have any pain or redness. What do you suspect?
Retinal detachment (The classic sign of retinal detachment is a client stating that “a curtain came
down over my eye.” Typically, the person presents with blurred vision in 1 eye that becomes
progressively worse, with no pain or redness)
Acute angle-closure glaucoma (In older adults with acute angle-closure glaucoma, there is a
rapid onset, with severe pain and profound visual loss. The eye is red, with a steamy cornea
and a dilated pupil)
Open-angle glaucoma (In older adults with open-angle glaucoma, there is an insidious onset, a
gradual loss of peripheral vision over a period of years, and a perception of “halos” around
lights)
Cataract (With a cataract, there is blurred vision that is progressive over months or years and
no pain or redness)
7. While doing a face, head, and neck examination on a 16-year-old patient, you note that the palpebral
fissures are abnormally narrow. What are you examining?
The nasolabial folds (The nasolabial folds are the skin creases that extend from the angle of the
nose to the corners of the mouth)
The openings between the margins of the upper and lower eyelids (The palpebral fissures are the
Week 2 - NR511 Week 2 Davis Edge
Questions With complete solution pack 2022
, Week 2 - NR511 Week 2 Davis Edge
Questions With complete solution pack 2022
openings between the margins of the upper and lower eyelids. Someone who appears to be
squinting is said to have narrow palpebral fissures)
The thyroid gland in relation to the trachea (The thyroid is a butterfly-shaped gland located in
the front of the neck, just below the Adam’s apple; it is wrapped around the trachea)
The distance between the trigeminal nerve branches (The trigeminal nerve is the fifth cranial
nerve located within the brain. It is composed of 3 branches—ophthalmic, maxillary, and
mandibular—and is primarily responsible for transmitting sensations from the face to the brain.
It is also the nerve that controls the muscles used for chewing)
8. When the Weber test is performed with a tuning fork to assess hearing and there is no
lateralization, the nurse practitioner should document this finding as:
Conductive deafness (With conductive deafness, sound lateralizes to the defective ear
because it is transmitted through bone rather than air)
Perceptive deafness (With perceptive deafness, sound lateralizes to the better ear)
A normal finding (A Weber test assesses hearing by bone conduction. With normal hearing,
sound is heard equally well in both ears, meaning there is no lateralization)
Nerve damage (Damage to cranial nerve VIII (CN VIII), the vestibulocochlear nerve, causes
symptoms of hearing loss, vertigo, and loss of equilibrium)
9. What significant finding(s) in a 3-year-old child with otitis media with effusion would prompt more
aggressive treatment and referral?
There is a change in the child’s hearing threshold to greater than 25 dB (If a child with otitis
media with effusion has a change in the hearing threshold greater than 25 dB and has notable
speech and language delays, more aggressive treatment is indicated. When the child’s hearing
examination reveals a change in the hearing threshold, it is extremely important that the
provider evaluate the child’s achievement of developmental milestones in speech and language.
Any abnormal findings warrant referral)
The child has become a fussy eater.
The child’s speech and language skills seem slightly delayed.
Persistent rhinitis is present.
10. 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?
Week 2 - NR511 Week 2 Davis Edge
Questions With complete solution pack 2022
, Week 2 - NR511 Week 2 Davis Edge
Questions With complete solution pack 2022
Sensorineural loss (Sensorineural loss comes from exposure to loud noises, inner ear
infections, tumors, congenital and familial disorders, and aging. The results of the Weber and
Rinne tests will assist in the diagnosis)
Conductive loss (The etiology of conductive loss includes ear infection, presence of a
foreign body, perforated drum, and otosclerosis of the ossicles)
Tinnitus (Tinnitus is ringing in the ears. The client does not complain of this symptom)
Vertigo (Vertigo is dizziness associated with inner ear dysfunction. The client does not
complain of this symptom)
11. 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 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?
Esophageal varices.
Esophageal cancer.
Gastroesophageal reflux disease (GERD) (Though the historical data are incomplete, this client
has no obvious risk factors for esophageal varices or esophageal cancer. She is a nondrinker and
denies weight loss and changes in bowel function or color of stools, which could be a clue to a
gastrointestinal bleed. The fact that her worst symptoms occur at night with regurgitation and
heartburn is classic for GERD.
Dysphagia is frequently a prominent symptom of GERD. She has no abdominal tenderness, and
aside from the nighttime symptoms and dysphagia, she reports no symptoms with food or lack of
food)
Peptic ulcer disease (PUD).
12. Marcia, age 4, is brought in to the office by her mother. She has a sore throat, difficulty swallowing,
copious oral secretions, respiratory difficulty, stridor, and a temperature of 102°F but no pharyngeal
erythema or cough. What do you suspect?
Epiglottitis (A symptom cluster of severe throat pain with difficulty swallowing, copious oral
secretions, respiratory difficulty, stridor, and fever but without pharyngeal erythema or cough
Week 2 - NR511 Week 2 Davis Edge
Questions With complete solution pack 2022
Questions With complete solution pack 2022
Week 2 Practice Questions
1. Jill, a 34-year-old bank teller, presents with symptoms of hay fever. She complains of nasal
congestion, runny nose with clear mucus, and itchy nose and eyes. On physical assessment, you
observe that she has pale nasal turbinates. What is your diagnosis?
Allergic rhinitis (The symptoms of hay fever, also called allergic rhinitis, are similar to those
of viral rhinitis but usually persist and are seasonal in nature. When assessing the nasal
mucosa, you will observe that the turbinates are usually pale or violaceous because of venous
engorgement)
Viral rhinitis (with viral rhinitis, the turbinates are typically erythematous)
Nasal polyps (With nasal polyps, there are usually yellowish, boggy masses of hypertrophic
mucosa)
Nasal vestibulitis from folliculitis (Nasal vestibulitis usually results from folliculitis of the
hairs that line the nares)
2. 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?
Open-angle glaucoma (This is the typical presentation of chronic, or open-angle, glaucoma)
Angle-closure glaucoma (This is an acute, painful form of glaucoma)
Cataracts (This is a loss of central vision)
Macular degeneration (This also affects central vision)
3. Which of the following is not a cause of conductive
hearing loss?
Presbycusis (This is a cause of sensorineural hearing
loss)
Cerumen impaction.
Otitis media.
Otosclerosis.
4. Which of the following is not a complication of untreated group A streptococcal pharyngitis?
Week 2 - NR511 Week 2 Davis Edge
Questions With complete solution pack 2022
, Week 2 - NR511 Week 2 Davis Edge
Questions With complete solution pack 2022
Glomerulonephritis.
Rheumatic heart disease.
Scarlet fever.
Hemolytic anemia (This is a complication of mononucleosis)
5. 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:
Herpes simplex (Herpes simplex (a viral infection) sores are usually discrete and not spread
over a large area)
Aphthous ulcers (Aphthous ulcers (canker sores) are extremely painful)
Candidiasis (Painless, white, slightly raised patches in a client’s mouth are probably caused by
candidiasis (thrush)
Oral cancer (Cancerous lesions are usually discrete and not spread over a large area)
6. Mattie, age 64, presents with blurred vision in 1 eye and states that it felt like “a curtain came down
over my eye.” She doesn’t have any pain or redness. What do you suspect?
Retinal detachment (The classic sign of retinal detachment is a client stating that “a curtain came
down over my eye.” Typically, the person presents with blurred vision in 1 eye that becomes
progressively worse, with no pain or redness)
Acute angle-closure glaucoma (In older adults with acute angle-closure glaucoma, there is a
rapid onset, with severe pain and profound visual loss. The eye is red, with a steamy cornea
and a dilated pupil)
Open-angle glaucoma (In older adults with open-angle glaucoma, there is an insidious onset, a
gradual loss of peripheral vision over a period of years, and a perception of “halos” around
lights)
Cataract (With a cataract, there is blurred vision that is progressive over months or years and
no pain or redness)
7. While doing a face, head, and neck examination on a 16-year-old patient, you note that the palpebral
fissures are abnormally narrow. What are you examining?
The nasolabial folds (The nasolabial folds are the skin creases that extend from the angle of the
nose to the corners of the mouth)
The openings between the margins of the upper and lower eyelids (The palpebral fissures are the
Week 2 - NR511 Week 2 Davis Edge
Questions With complete solution pack 2022
, Week 2 - NR511 Week 2 Davis Edge
Questions With complete solution pack 2022
openings between the margins of the upper and lower eyelids. Someone who appears to be
squinting is said to have narrow palpebral fissures)
The thyroid gland in relation to the trachea (The thyroid is a butterfly-shaped gland located in
the front of the neck, just below the Adam’s apple; it is wrapped around the trachea)
The distance between the trigeminal nerve branches (The trigeminal nerve is the fifth cranial
nerve located within the brain. It is composed of 3 branches—ophthalmic, maxillary, and
mandibular—and is primarily responsible for transmitting sensations from the face to the brain.
It is also the nerve that controls the muscles used for chewing)
8. When the Weber test is performed with a tuning fork to assess hearing and there is no
lateralization, the nurse practitioner should document this finding as:
Conductive deafness (With conductive deafness, sound lateralizes to the defective ear
because it is transmitted through bone rather than air)
Perceptive deafness (With perceptive deafness, sound lateralizes to the better ear)
A normal finding (A Weber test assesses hearing by bone conduction. With normal hearing,
sound is heard equally well in both ears, meaning there is no lateralization)
Nerve damage (Damage to cranial nerve VIII (CN VIII), the vestibulocochlear nerve, causes
symptoms of hearing loss, vertigo, and loss of equilibrium)
9. What significant finding(s) in a 3-year-old child with otitis media with effusion would prompt more
aggressive treatment and referral?
There is a change in the child’s hearing threshold to greater than 25 dB (If a child with otitis
media with effusion has a change in the hearing threshold greater than 25 dB and has notable
speech and language delays, more aggressive treatment is indicated. When the child’s hearing
examination reveals a change in the hearing threshold, it is extremely important that the
provider evaluate the child’s achievement of developmental milestones in speech and language.
Any abnormal findings warrant referral)
The child has become a fussy eater.
The child’s speech and language skills seem slightly delayed.
Persistent rhinitis is present.
10. 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?
Week 2 - NR511 Week 2 Davis Edge
Questions With complete solution pack 2022
, Week 2 - NR511 Week 2 Davis Edge
Questions With complete solution pack 2022
Sensorineural loss (Sensorineural loss comes from exposure to loud noises, inner ear
infections, tumors, congenital and familial disorders, and aging. The results of the Weber and
Rinne tests will assist in the diagnosis)
Conductive loss (The etiology of conductive loss includes ear infection, presence of a
foreign body, perforated drum, and otosclerosis of the ossicles)
Tinnitus (Tinnitus is ringing in the ears. The client does not complain of this symptom)
Vertigo (Vertigo is dizziness associated with inner ear dysfunction. The client does not
complain of this symptom)
11. 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 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?
Esophageal varices.
Esophageal cancer.
Gastroesophageal reflux disease (GERD) (Though the historical data are incomplete, this client
has no obvious risk factors for esophageal varices or esophageal cancer. She is a nondrinker and
denies weight loss and changes in bowel function or color of stools, which could be a clue to a
gastrointestinal bleed. The fact that her worst symptoms occur at night with regurgitation and
heartburn is classic for GERD.
Dysphagia is frequently a prominent symptom of GERD. She has no abdominal tenderness, and
aside from the nighttime symptoms and dysphagia, she reports no symptoms with food or lack of
food)
Peptic ulcer disease (PUD).
12. Marcia, age 4, is brought in to the office by her mother. She has a sore throat, difficulty swallowing,
copious oral secretions, respiratory difficulty, stridor, and a temperature of 102°F but no pharyngeal
erythema or cough. What do you suspect?
Epiglottitis (A symptom cluster of severe throat pain with difficulty swallowing, copious oral
secretions, respiratory difficulty, stridor, and fever but without pharyngeal erythema or cough
Week 2 - NR511 Week 2 Davis Edge
Questions With complete solution pack 2022
