NR511 MIDTERM NEWEST 2026 ACTUAL EXAM|
COMPLETE REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (BRAND
NEW!!) (CHAMBERLAIN)
How often should the clinician examine the feet of a person with diabetes?
a. Once a year
b. Every 6 months
c. Every 3 months
d. Every visit - ANSWER-d. Every visit
In an outpatient setting, what is the most common reason for a malpractice suit?
a. Failure to treat a condition
b. Failure to diagnose correctly
c. Ordering the wrong medication
d. Failure to manage care - ANSWER-Failure to diagnose correctly
Which of the following medications is the treatment of choice for trichomonas?
a. Metranidazole
b. Ceftriaxone
c. Diflucan
d. Doxycycline - ANSWER-a. Metranidazole
Endoscopic report reveals the presents of Barrett's epithelium. Which of the
following information should the clinician include in the explanations of the
pathology report?
a. this is a premalignant tissue
b. this tissue is resistant to gastric acid
c. this tissue supports healing of the esophagus
,d. all of the above - ANSWER-d. all of the above
Which of the following data are indicative of testicular torsion?
a. absent cremasteric reflux
b. pain relived on testicular elevation
c. testicle very low in the scrotum
d. swollen scrotum with a red dot sign - ANSWER-a. absent cremasteric reflux
Symptoms of acute angle closure glaucoma - ANSWER-Occurs suddenly with a
dramatic onset of symptoms, including blurred vision, red eye, unilateral
pain, pressure, headache, seeing halos around lights and photophobia
followed by loss of peripheral vision, then central vision loss
Mia, a 27-year-old school teacher, has a 2-day history of severe left ear pain that
began after 1 week of upper respiratory infection (URI) symptoms. On physical
examination, you find that she has acute otitis media (AOM). She has a severe
allergy to penicillin. The most appropriate antimicrobial option for this patient is: -
ANSWER-Azithromycin (Zithromax).
Mario, a 17-year-old high school student, came to the office for evaluation. He is
complaining of persistent sore throat, fever, and malaise not relieved by the
penicillin therapy prescribed recently at the urgent care center. As the nurse
practitioner, what would you order next? - ANSWER-A Monospot test.
What can cause severe damage to the optic nerve? - ANSWER-Sudden and
severe intraocular pressure elevation
Barotrauma of the auditory canal - ANSWER-May be relieved by the use of
nasal steroids and oral decongestants
Sensorineural hearing loss - ANSWER-Hearing loss caused by exposure to loud
noises, inner ear infections, congenital or familial disorders, Menier's disease,
ototoxic drugs, trauma
,Define diagnostic reasoning - ANSWER-Reflective thinking because the process
involves questioning one's thinking to determine if all possible avenues have been
explored and if the conclusions that are being drawn are based on evidence.
Seen as a kind of critical thinking.
A 16-year-old female patient with heavy menses has been diagnosed with iron
deficiency anemia. She is also having longer and more irregular periods than is
typical as well as extremely painful cramping. You would likely need to consider
which of the following diagnoses in your workup:
A -Sarcoidosis
B -Endometriosis
C -Pelvic inflammatory disease
D -Thalassemia - ANSWER-B -Endometriosis
Your 43-year-old female patient with no otherwise remarkable health history has a
routine health visit and when evaluating the lab work, you notice a platelet count of
80,000. Which of the following is a correct diagnosis for this patient?
A -Thrombastemia
B -Pancytopenia
C -Thrombocytopenia
D -Thrombocytosis - ANSWER-C -Thrombocytopenia
What is subjective data? - ANSWER-What the patient tells you, complains of, etc.
Chief complaint
HPI
ROS
During a post-hospital discharge visit, you notice your 71-year-old female patient
has been diagnosed with a "new murmur" found by the hospitalist during their
recent hospitalization for CHF exacerbation. In evaluating the patient, during
which phase of the cardiac cycle would you anticipate auscultation of a S3 or S4
heart sound?
A -Diastole
B -S3 in systole while S4 in diastole
C -Systole
D -S4 in diastole while S3 in systole - ANSWER-A -Diastole
, The nurse practitioner assessing the patient with a rapid cardiac rhythm may assess
for a pulse deficit by auscultating the patient's heart while watching the EKG
rhythm. Where would the S1 heart sounds correlate with the electrocardiographic
waves?
A -At the end of the T wave
B -At the start of the T wave
C -Peak of the R wave
D -At the start of the P wave - ANSWER-C -Peak of the R wave
What is objective data? - ANSWER-What YOU can see, hear, or feel as part of
your exam.
Includes lab data, diagnostic test results.
Components of HPI - ANSWER-Specifically related to the chief complaint only.
Detailed breakdown of CC.
OLDCART
Why must every procedure code have a corresponding diagnosis code? -
ANSWER-Diagnosis code explains the necessity of the procedure code.
Insurance won't pay if they don't correspond.
What are the three components required in determining an outpatient office visit
E&M code? - ANSWER-Place of service
Type of service
Patient status
What is medical coding? - ANSWER-The use of codes to communicate with
payers about which procedures were performed and why
What is medical billing? - ANSWER-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.
COMPLETE REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (BRAND
NEW!!) (CHAMBERLAIN)
How often should the clinician examine the feet of a person with diabetes?
a. Once a year
b. Every 6 months
c. Every 3 months
d. Every visit - ANSWER-d. Every visit
In an outpatient setting, what is the most common reason for a malpractice suit?
a. Failure to treat a condition
b. Failure to diagnose correctly
c. Ordering the wrong medication
d. Failure to manage care - ANSWER-Failure to diagnose correctly
Which of the following medications is the treatment of choice for trichomonas?
a. Metranidazole
b. Ceftriaxone
c. Diflucan
d. Doxycycline - ANSWER-a. Metranidazole
Endoscopic report reveals the presents of Barrett's epithelium. Which of the
following information should the clinician include in the explanations of the
pathology report?
a. this is a premalignant tissue
b. this tissue is resistant to gastric acid
c. this tissue supports healing of the esophagus
,d. all of the above - ANSWER-d. all of the above
Which of the following data are indicative of testicular torsion?
a. absent cremasteric reflux
b. pain relived on testicular elevation
c. testicle very low in the scrotum
d. swollen scrotum with a red dot sign - ANSWER-a. absent cremasteric reflux
Symptoms of acute angle closure glaucoma - ANSWER-Occurs suddenly with a
dramatic onset of symptoms, including blurred vision, red eye, unilateral
pain, pressure, headache, seeing halos around lights and photophobia
followed by loss of peripheral vision, then central vision loss
Mia, a 27-year-old school teacher, has a 2-day history of severe left ear pain that
began after 1 week of upper respiratory infection (URI) symptoms. On physical
examination, you find that she has acute otitis media (AOM). She has a severe
allergy to penicillin. The most appropriate antimicrobial option for this patient is: -
ANSWER-Azithromycin (Zithromax).
Mario, a 17-year-old high school student, came to the office for evaluation. He is
complaining of persistent sore throat, fever, and malaise not relieved by the
penicillin therapy prescribed recently at the urgent care center. As the nurse
practitioner, what would you order next? - ANSWER-A Monospot test.
What can cause severe damage to the optic nerve? - ANSWER-Sudden and
severe intraocular pressure elevation
Barotrauma of the auditory canal - ANSWER-May be relieved by the use of
nasal steroids and oral decongestants
Sensorineural hearing loss - ANSWER-Hearing loss caused by exposure to loud
noises, inner ear infections, congenital or familial disorders, Menier's disease,
ototoxic drugs, trauma
,Define diagnostic reasoning - ANSWER-Reflective thinking because the process
involves questioning one's thinking to determine if all possible avenues have been
explored and if the conclusions that are being drawn are based on evidence.
Seen as a kind of critical thinking.
A 16-year-old female patient with heavy menses has been diagnosed with iron
deficiency anemia. She is also having longer and more irregular periods than is
typical as well as extremely painful cramping. You would likely need to consider
which of the following diagnoses in your workup:
A -Sarcoidosis
B -Endometriosis
C -Pelvic inflammatory disease
D -Thalassemia - ANSWER-B -Endometriosis
Your 43-year-old female patient with no otherwise remarkable health history has a
routine health visit and when evaluating the lab work, you notice a platelet count of
80,000. Which of the following is a correct diagnosis for this patient?
A -Thrombastemia
B -Pancytopenia
C -Thrombocytopenia
D -Thrombocytosis - ANSWER-C -Thrombocytopenia
What is subjective data? - ANSWER-What the patient tells you, complains of, etc.
Chief complaint
HPI
ROS
During a post-hospital discharge visit, you notice your 71-year-old female patient
has been diagnosed with a "new murmur" found by the hospitalist during their
recent hospitalization for CHF exacerbation. In evaluating the patient, during
which phase of the cardiac cycle would you anticipate auscultation of a S3 or S4
heart sound?
A -Diastole
B -S3 in systole while S4 in diastole
C -Systole
D -S4 in diastole while S3 in systole - ANSWER-A -Diastole
, The nurse practitioner assessing the patient with a rapid cardiac rhythm may assess
for a pulse deficit by auscultating the patient's heart while watching the EKG
rhythm. Where would the S1 heart sounds correlate with the electrocardiographic
waves?
A -At the end of the T wave
B -At the start of the T wave
C -Peak of the R wave
D -At the start of the P wave - ANSWER-C -Peak of the R wave
What is objective data? - ANSWER-What YOU can see, hear, or feel as part of
your exam.
Includes lab data, diagnostic test results.
Components of HPI - ANSWER-Specifically related to the chief complaint only.
Detailed breakdown of CC.
OLDCART
Why must every procedure code have a corresponding diagnosis code? -
ANSWER-Diagnosis code explains the necessity of the procedure code.
Insurance won't pay if they don't correspond.
What are the three components required in determining an outpatient office visit
E&M code? - ANSWER-Place of service
Type of service
Patient status
What is medical coding? - ANSWER-The use of codes to communicate with
payers about which procedures were performed and why
What is medical billing? - ANSWER-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.
