NR 511 FINAL EXAM WITH CORRECT
LATEST 100% QUESTIONS AND VERIFIED
QUESTIONS GRADED A+
Define Diagnostic Reasoning - ANS-To solve problems, to promote health, and to screen for disease or
illness. All require a sensitivity to complex stories, to contextual factors, and to sense of probability and
uncertainty.
Can be seen as a kind of critical thinking.
Discuss and identify subjective data - ANS-reports, complaints of , replies to provider questions, includes
ROS, CC, HPI
Discuss and identify objective data - ANS-what you can see, hear, or feel as part of a clinical exam. Also
includes laboratory data and test results.
Discuss and identify the components of and HPI - ANS-OLDCARTS
Onset of CC, Location of CC, Duration of CC, Characteristics of CC, Aggravating factors of CC, Relieving
factors of CC, Treatment of CC, Severity of CC
Medical coding - ANS-the use of codes to communicate with payers about which procedures were
performed and why
,Medical billing - ANS-the process of submitting and following up on claims made to a payer in order to
receive payment for medical services rendered by a healthcare provider
2 Coding Classification systems that are currently used in the US healthcare system - ANS-CPT-
recognized universally and provide logical means to be able to track healthcare data, trends, and
outcomes.
ICD-10-shorthand for the patient's diagnosis, which are used to provide the payer information on the
necessity of the visit or procedures performed.
Specificity - ANS-referring to the ability of the test to correctly detect a specific condition
Sensitivity - ANS-a test with a few false negatives
Predictive value - ANS-likelihood the patient actually has a condition and is in part dependent upon the
prevalence of the condition in the population
Elements needed when developing a plan - ANS-acknowledge the list, negotiate what to cover, be
honest, make a follow up
Components of medical decision making (E&M) coding - ANS-history, physical, medical decision making
E&M coding requires a medical decision maker
a way of quantifying the complexity of the thinking that is required for the visit-complexity=risk, data,
diagnosis
MDM score gives credit for the excess work involved in management of a more complex patient
Correctly order the E&M office visits based on complexity from least to most complex - ANS-99212-
99214
,Discuss a minimum of three purposes of the written H&P in relation to the importance of
documentation - ANS-Important reference document that gives concise information about a patient's
history and exam finding
Outlines a plan for addressing the issues that prompted the visit. This information should be presented
in a logical fashion that prominently features all data immediately relevant to the patient's condition
Means of communicating information to all providers who are involved in the care of a particular patient
Important medical-legal document
Essential in order to accurately code and bill for services
Accurately document why every procedure code must have a corresponding diagnosis code - ANS-every
procedure code needs a diagnosis to explain the necessity whether the code represents an actual
procedure performed or a nonprocedural encounter like an office visit
Correctly identify a patient as a new patient given the historical information - ANS-one who has not
received professional services from a provider from the same group practice within the past 3 year.
Correctly identify a patient as an established patient given the historical information - ANS-one who has
received professional service from a provider of the office within the past 3 years
Identify the 3 components required in determining an outpatient, office visit E&M code - ANS-place of
service-inpatient, outpatient
type of service-consultation, office visit, hospital admission
patient status-new-has not received professional service from a provider in the same practice within the
past 3 year
established-has received professional care within 3 year
Explain what a well rounded clinical experience is - ANS-Includes both children from birth through young
adult visits for well child and acute visits, as well as wellness, acute, and routine visits of adults
What is the maximum number of hours that can be spent rounding in a facility - ANS-<25%
, State 9 things that must be documented when inputting data into clinical encounters - ANS-Date of
service, gender and ethnicity, tests performed or orderd, visit E&M code, chief concerns, diagnosis, age,
procedures, level of involvement
Identify and explain each part of the acronym SNAPPS - ANS-S-summarize, N-narrow, A-analyze, P-
probe, P-plan-S-self-directing learning
Identify the most common type of pathogen responsible for acute gastroenteritis - ANS-viral: norovirus-
adults
rotovirus-0-2yrs
Assessing for prior antibiotic use is a critical part of the history in patients with presenting with
_______________ due to_________________ - ANS-Diarrhea/CDiff
Irritable bowel syndrome - ANS-disorder of the bowel function not from anatomic abnormality--
constipation, diarrhea, bloating, urgency w/diarrhea
+s/s--result from disordered sensations or abnormal function of the small and large bowel
NOT associated with serious medical conditions, IBD, CA
Inflammatory bowel disorder - ANS-chronic immunologic disease that manifests in intestinal
inflammation
Ulcerative colitis
crohn's disease
Two common inflammatory bowel diseases - ANS-Ulcerative colitis-mucosal surface of the colon is
inflamed and ultimately results in frability, erosions, and bleeding--most common in recto-sigmoid
colon. Can involve entire colon, pain in RLQ
Crohns disease-inflammation extends deeper into the intestional wall and can involve all or any layer of
the bowel wall and any portion of the GI tract from the mouth to the anus--skipped lesions, pain in LLQ
Diverticulitis - ANS-Symptoms: LLQ pain/tenderness, fever, N/V/D
LATEST 100% QUESTIONS AND VERIFIED
QUESTIONS GRADED A+
Define Diagnostic Reasoning - ANS-To solve problems, to promote health, and to screen for disease or
illness. All require a sensitivity to complex stories, to contextual factors, and to sense of probability and
uncertainty.
Can be seen as a kind of critical thinking.
Discuss and identify subjective data - ANS-reports, complaints of , replies to provider questions, includes
ROS, CC, HPI
Discuss and identify objective data - ANS-what you can see, hear, or feel as part of a clinical exam. Also
includes laboratory data and test results.
Discuss and identify the components of and HPI - ANS-OLDCARTS
Onset of CC, Location of CC, Duration of CC, Characteristics of CC, Aggravating factors of CC, Relieving
factors of CC, Treatment of CC, Severity of CC
Medical coding - ANS-the use of codes to communicate with payers about which procedures were
performed and why
,Medical billing - ANS-the process of submitting and following up on claims made to a payer in order to
receive payment for medical services rendered by a healthcare provider
2 Coding Classification systems that are currently used in the US healthcare system - ANS-CPT-
recognized universally and provide logical means to be able to track healthcare data, trends, and
outcomes.
ICD-10-shorthand for the patient's diagnosis, which are used to provide the payer information on the
necessity of the visit or procedures performed.
Specificity - ANS-referring to the ability of the test to correctly detect a specific condition
Sensitivity - ANS-a test with a few false negatives
Predictive value - ANS-likelihood the patient actually has a condition and is in part dependent upon the
prevalence of the condition in the population
Elements needed when developing a plan - ANS-acknowledge the list, negotiate what to cover, be
honest, make a follow up
Components of medical decision making (E&M) coding - ANS-history, physical, medical decision making
E&M coding requires a medical decision maker
a way of quantifying the complexity of the thinking that is required for the visit-complexity=risk, data,
diagnosis
MDM score gives credit for the excess work involved in management of a more complex patient
Correctly order the E&M office visits based on complexity from least to most complex - ANS-99212-
99214
,Discuss a minimum of three purposes of the written H&P in relation to the importance of
documentation - ANS-Important reference document that gives concise information about a patient's
history and exam finding
Outlines a plan for addressing the issues that prompted the visit. This information should be presented
in a logical fashion that prominently features all data immediately relevant to the patient's condition
Means of communicating information to all providers who are involved in the care of a particular patient
Important medical-legal document
Essential in order to accurately code and bill for services
Accurately document why every procedure code must have a corresponding diagnosis code - ANS-every
procedure code needs a diagnosis to explain the necessity whether the code represents an actual
procedure performed or a nonprocedural encounter like an office visit
Correctly identify a patient as a new patient given the historical information - ANS-one who has not
received professional services from a provider from the same group practice within the past 3 year.
Correctly identify a patient as an established patient given the historical information - ANS-one who has
received professional service from a provider of the office within the past 3 years
Identify the 3 components required in determining an outpatient, office visit E&M code - ANS-place of
service-inpatient, outpatient
type of service-consultation, office visit, hospital admission
patient status-new-has not received professional service from a provider in the same practice within the
past 3 year
established-has received professional care within 3 year
Explain what a well rounded clinical experience is - ANS-Includes both children from birth through young
adult visits for well child and acute visits, as well as wellness, acute, and routine visits of adults
What is the maximum number of hours that can be spent rounding in a facility - ANS-<25%
, State 9 things that must be documented when inputting data into clinical encounters - ANS-Date of
service, gender and ethnicity, tests performed or orderd, visit E&M code, chief concerns, diagnosis, age,
procedures, level of involvement
Identify and explain each part of the acronym SNAPPS - ANS-S-summarize, N-narrow, A-analyze, P-
probe, P-plan-S-self-directing learning
Identify the most common type of pathogen responsible for acute gastroenteritis - ANS-viral: norovirus-
adults
rotovirus-0-2yrs
Assessing for prior antibiotic use is a critical part of the history in patients with presenting with
_______________ due to_________________ - ANS-Diarrhea/CDiff
Irritable bowel syndrome - ANS-disorder of the bowel function not from anatomic abnormality--
constipation, diarrhea, bloating, urgency w/diarrhea
+s/s--result from disordered sensations or abnormal function of the small and large bowel
NOT associated with serious medical conditions, IBD, CA
Inflammatory bowel disorder - ANS-chronic immunologic disease that manifests in intestinal
inflammation
Ulcerative colitis
crohn's disease
Two common inflammatory bowel diseases - ANS-Ulcerative colitis-mucosal surface of the colon is
inflamed and ultimately results in frability, erosions, and bleeding--most common in recto-sigmoid
colon. Can involve entire colon, pain in RLQ
Crohns disease-inflammation extends deeper into the intestional wall and can involve all or any layer of
the bowel wall and any portion of the GI tract from the mouth to the anus--skipped lesions, pain in LLQ
Diverticulitis - ANS-Symptoms: LLQ pain/tenderness, fever, N/V/D
