NR 511 Final Exam Questions and
Answers 2023
A 32 year old male patient presents to the clinic with a 2 day history of hoarseness, sore
throat and dry cough. The NP diagnoses him with laryngititis. Which is the best
treatment?
a. bactrim
b.supportive care
c.amoxicillin
d. levo
b. supportive care
Medicare part a covers which of the following services:
a.outpt provider visits
b.eye glasses and routine dental
c.hospital
services C.
Hospital
Services
A 35 year old male uses high potency corticosteroid cream for dermatosis, he also currently
has tinea corporis. Which should the clinician advise regarding the cream.
a."You must use this for an extended period of time for it to be effective."
b."It will work better if you occlude the area."
c."It may exacerbate your concurrent tinea corporis."
d."Be sure to use it daily."
c. "It may exacerbate your concurrent tinea corporis." If a client uses a high-potency
corticosteroid cream for a dermatosis, tell the client that it may exacerbate concurrent
conditions such as tinea corporis and acne. Topical corticosteroids should not be used
indiscriminately on all cutaneous eruptions.
Topical corticosteroids should not be used for an extended period of time. The area should
not be occluded. If a client uses a high-potency corticosteroid cream for a dermatosis, tell
the client that it may exacerbate concurrent conditions such as tinea corporis and acne.
Topical corticosteroids should not be used indiscriminately on all cutaneous
eruptions.Intermittent therapy with high-potency agents, such as every other day, or 3 to
4 consecutive days per week, may be more effective and cause fewer adverse effects
than continuous regimens. This is also true of lower potency corticosteroids.
a 21 year old male presents to the clinic with pruritic and emacerated skin in the groin
area. Which is this? tinea cruris
,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
• Group A beta-hemolytic streptococcal pharyngitis
• Tonsillitis
• Diphtheria
• 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 is indicative of epiglottitis)
(Streptococcal pharyngitis presents with cervical adenitis, petechiae, a beefy-red uvula, and
a tonsillar exudate) (A mild case of tonsillitis may appear to be only a slight sore throat. A
more severe case would involve inflamed, swollen tonsils; a very sore throat; and a high
fever) (Diphtheria starts with a sore throat, fever, headache, and nausea, and then
progresses to patches of grayish or dirty-yellowish membranes in the throat that
eventually grow into 1 membrane)
Peptic ulcer disease symptom
Burning/nawing
you are assessing a first grader, and find that the tonsils are
touching the uvula: 3
(Grade 1 indicates the tonsils are visible)
(Grade 2 indicates the tonsils are halfway between the tonsillar pillars and the uvula)
(Grade 3 indicates the tonsils are touching the uvula. Tonsils are enlarged to 2, 3, or 4
with an acute infection)
(Grade 4 indicates the tonsils are touching each other)
A 54-year-old female presents to your primary care office for routine reevaluation for
gastroesophageal reflux disease (GERD). She has been treated with diet modifications and
6 weeks of omeprazole without improvement of her symptoms. What is the next step in
management of this patient's GERD?
• Order an endoscopy
• Order a Helicobacter pylori blood test
• Try adding ranitidine to the patient's regimen
• Try adding bismuth to the patient's regimen
• Order an endoscopy (This is the next step in treatment in order to evaluate the
etiology of the patient's GERD and consider biopsy if necessary)
(The next step in care is an endoscopy. If warranted, a biopsy can be done and sent for H
pylori at that time) (H2 antagonists are considered a less aggressive treatment for GERD
and would likely not help the patient's symptoms) (Bismuth can be added to help treat
Helicobacter pylori, but that diagnosis has not yet been made)
Answers 2023
A 32 year old male patient presents to the clinic with a 2 day history of hoarseness, sore
throat and dry cough. The NP diagnoses him with laryngititis. Which is the best
treatment?
a. bactrim
b.supportive care
c.amoxicillin
d. levo
b. supportive care
Medicare part a covers which of the following services:
a.outpt provider visits
b.eye glasses and routine dental
c.hospital
services C.
Hospital
Services
A 35 year old male uses high potency corticosteroid cream for dermatosis, he also currently
has tinea corporis. Which should the clinician advise regarding the cream.
a."You must use this for an extended period of time for it to be effective."
b."It will work better if you occlude the area."
c."It may exacerbate your concurrent tinea corporis."
d."Be sure to use it daily."
c. "It may exacerbate your concurrent tinea corporis." If a client uses a high-potency
corticosteroid cream for a dermatosis, tell the client that it may exacerbate concurrent
conditions such as tinea corporis and acne. Topical corticosteroids should not be used
indiscriminately on all cutaneous eruptions.
Topical corticosteroids should not be used for an extended period of time. The area should
not be occluded. If a client uses a high-potency corticosteroid cream for a dermatosis, tell
the client that it may exacerbate concurrent conditions such as tinea corporis and acne.
Topical corticosteroids should not be used indiscriminately on all cutaneous
eruptions.Intermittent therapy with high-potency agents, such as every other day, or 3 to
4 consecutive days per week, may be more effective and cause fewer adverse effects
than continuous regimens. This is also true of lower potency corticosteroids.
a 21 year old male presents to the clinic with pruritic and emacerated skin in the groin
area. Which is this? tinea cruris
,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
• Group A beta-hemolytic streptococcal pharyngitis
• Tonsillitis
• Diphtheria
• 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 is indicative of epiglottitis)
(Streptococcal pharyngitis presents with cervical adenitis, petechiae, a beefy-red uvula, and
a tonsillar exudate) (A mild case of tonsillitis may appear to be only a slight sore throat. A
more severe case would involve inflamed, swollen tonsils; a very sore throat; and a high
fever) (Diphtheria starts with a sore throat, fever, headache, and nausea, and then
progresses to patches of grayish or dirty-yellowish membranes in the throat that
eventually grow into 1 membrane)
Peptic ulcer disease symptom
Burning/nawing
you are assessing a first grader, and find that the tonsils are
touching the uvula: 3
(Grade 1 indicates the tonsils are visible)
(Grade 2 indicates the tonsils are halfway between the tonsillar pillars and the uvula)
(Grade 3 indicates the tonsils are touching the uvula. Tonsils are enlarged to 2, 3, or 4
with an acute infection)
(Grade 4 indicates the tonsils are touching each other)
A 54-year-old female presents to your primary care office for routine reevaluation for
gastroesophageal reflux disease (GERD). She has been treated with diet modifications and
6 weeks of omeprazole without improvement of her symptoms. What is the next step in
management of this patient's GERD?
• Order an endoscopy
• Order a Helicobacter pylori blood test
• Try adding ranitidine to the patient's regimen
• Try adding bismuth to the patient's regimen
• Order an endoscopy (This is the next step in treatment in order to evaluate the
etiology of the patient's GERD and consider biopsy if necessary)
(The next step in care is an endoscopy. If warranted, a biopsy can be done and sent for H
pylori at that time) (H2 antagonists are considered a less aggressive treatment for GERD
and would likely not help the patient's symptoms) (Bismuth can be added to help treat
Helicobacter pylori, but that diagnosis has not yet been made)
