Week 7 Quiz: NR511 / NR 511 (Latest Update
) Differential Diagnosis &
Primary Care Practicum | Review Questions
& Verified Answers | 100% Correct | Grade A
– Chamberlain
Question 1
A 16-year-old male presents to the clinic after sustaining a football injury to his right knee. The
clinician elicits a positive anterior/posterior drawer sign. What area of the knee is likely injured?
A. Meniscus
B. Medial collateral ligament
C. Cruciate ligament
D. Patellar tendon
Answer: C. Cruciate ligament
Rationale: A positive anterior/posterior drawer sign indicates instability in the anterior or
posterior cruciate ligament (ACL or PCL), typically the ACL in sports injuries.
Question 2
A 55-year-old female presents with left hand and wrist pain and swelling after a slip and fall on
ice yesterday. On examination, the clinician notes tenderness at the anatomical snuffbox. What is
the most likely diagnosis?
A. Colles fracture
B. Scaphoid fracture
C. De Quervain tenosynovitis
D. Carpal tunnel syndrome
Answer: B. Scaphoid fracture
Rationale: Tenderness in the anatomical snuffbox after a fall suggests a scaphoid fracture, a
common wrist injury requiring imaging to confirm.
Question 3
Which of the following demonstrates a subjective finding?
, A. Blood pressure of 140/90 mmHg
B. Pain level
C. Heart rate of 100 bpm
D. Respiratory rate of 20 breaths/min
Answer: B. Pain level
Rationale: Pain level is a subjective finding, reported by the patient, unlike objective findings
like vital signs.
Question 4
The Affordable Care Act (2010) established health insurance exchanges for what purpose?
A. Subsidize private insurance companies
B. Create an online marketplace for health insurance
C. Provide free healthcare to all citizens
D. Replace Medicare and Medicaid
Answer: B. Create an online marketplace for health insurance
Rationale: The ACA’s health exchanges allow consumers to compare and purchase insurance
plans, improving access.
Question 5
What must an APRN do before billing for patient visits?
A. Obtain hospital privileges
B. Obtain a provider number and know third-party payer policies
C. Complete a fellowship program
D. Publish billing rates publicly
Answer: B. Obtain a provider number and know third-party payer policies
Rationale: A provider number is required for billing, and understanding payer policies ensures
compliance.
Question 6
Which statement does not belong in the past medical history section of a chart note?
A. History of hypertension
B. Recent lab results from last visit
C. Previous surgeries
D. Chronic conditions like diabetes
Answer: B. Recent lab results from last visit
Rationale: Lab results are documented in the objective section, not past medical history, which
includes diagnoses and surgeries.
) Differential Diagnosis &
Primary Care Practicum | Review Questions
& Verified Answers | 100% Correct | Grade A
– Chamberlain
Question 1
A 16-year-old male presents to the clinic after sustaining a football injury to his right knee. The
clinician elicits a positive anterior/posterior drawer sign. What area of the knee is likely injured?
A. Meniscus
B. Medial collateral ligament
C. Cruciate ligament
D. Patellar tendon
Answer: C. Cruciate ligament
Rationale: A positive anterior/posterior drawer sign indicates instability in the anterior or
posterior cruciate ligament (ACL or PCL), typically the ACL in sports injuries.
Question 2
A 55-year-old female presents with left hand and wrist pain and swelling after a slip and fall on
ice yesterday. On examination, the clinician notes tenderness at the anatomical snuffbox. What is
the most likely diagnosis?
A. Colles fracture
B. Scaphoid fracture
C. De Quervain tenosynovitis
D. Carpal tunnel syndrome
Answer: B. Scaphoid fracture
Rationale: Tenderness in the anatomical snuffbox after a fall suggests a scaphoid fracture, a
common wrist injury requiring imaging to confirm.
Question 3
Which of the following demonstrates a subjective finding?
, A. Blood pressure of 140/90 mmHg
B. Pain level
C. Heart rate of 100 bpm
D. Respiratory rate of 20 breaths/min
Answer: B. Pain level
Rationale: Pain level is a subjective finding, reported by the patient, unlike objective findings
like vital signs.
Question 4
The Affordable Care Act (2010) established health insurance exchanges for what purpose?
A. Subsidize private insurance companies
B. Create an online marketplace for health insurance
C. Provide free healthcare to all citizens
D. Replace Medicare and Medicaid
Answer: B. Create an online marketplace for health insurance
Rationale: The ACA’s health exchanges allow consumers to compare and purchase insurance
plans, improving access.
Question 5
What must an APRN do before billing for patient visits?
A. Obtain hospital privileges
B. Obtain a provider number and know third-party payer policies
C. Complete a fellowship program
D. Publish billing rates publicly
Answer: B. Obtain a provider number and know third-party payer policies
Rationale: A provider number is required for billing, and understanding payer policies ensures
compliance.
Question 6
Which statement does not belong in the past medical history section of a chart note?
A. History of hypertension
B. Recent lab results from last visit
C. Previous surgeries
D. Chronic conditions like diabetes
Answer: B. Recent lab results from last visit
Rationale: Lab results are documented in the objective section, not past medical history, which
includes diagnoses and surgeries.
