NR511 Final Complete Questions and Correct
Detailed Answers (Verified Answers)
Question: Define diagnostic reasoning
Ans: -A type of critical thinking
-Includes systematic way of thinking that evaluates each new piece of data to
support some hypothesis and reduce others
-Evaluates if all the avenues have been explored and that the conclusion is
based on evidence
-To solve problems, promote health, screen for dz/illness: all require
sensitivity to complex stories, contextual factors, sense of
probability/uncertainty
Question: Discuss & identify subjective & objective data
Ans: Subjective: what a pt reports, complains of, tells me in response to my
questions.
Includes ROS, CC, HPI
Objective: info you can see/feel
Lab results/data
Question: Discuss & identify the components of the HPI
Master01 | 2025/2026 | Latest update
, 2
Ans: O: onset
L: location
D: duration (does it come and go?)
C: characteristics
A: aggravating factors
R: relieving factors
T: treatments attempted
S: severity of pain
Question: Describe the differences between medical billing and
medical coding
Ans: Billing: process of submitting and following up on claims made to a payer
in order to receive payment for medical services rendered by healthcare
provider.
Coding: the use of codes to communicate with payers about which procedures
were performed and why.
Question: Compare & contrast the 2 coding classification systems that
are currently used in the US healthcare system
Master01 | 2025/2026 | Latest update
, 3
Ans: CPT: common procedural terminology
Offical procedural rules and guidelines required when reporting
services/procedures performed by providers
Recognized universally
Provide logical means to be able to tract healthcare data, trends, outcomes
Represented by 5 digit code
Every CPT must have dx that corresponds/explains why procedure was done
ICD-10: 10th version
Shorthand for pt's dx used to provide payer info on necessity of
visit/procedure
Question: Discuss how specificity, sensitivity, predictive value
contribute to usefulness of diagnostic data
Master01 | 2025/2026 | Latest update
, 4
Ans: Specificity: greater when it has few false positives
The number of true negatives divided by the number of all tested individuals
who do not have the dz
Sensitivity: greater when it has few false negatives
The number of true positives divided by the number of tested individuals that
do have the dz
Predictive value: in part dependent on prevalence of condition
Positive predictive value: the number of true positives divided by all those
that are positive
Negative predictive value: the number of true negatives divided by all those
that are negative
False positive: when a pt does NOT have dz, but has positive reading
False negative: when a pt that DOES have dz, but has negative reading
Question: Discuss the elements that need to be considered when
developing a plan
Master01 | 2025/2026 | Latest update