Page 1 of 313
MIDTERM WEEK 1 - 4 : NR511 / NR-511 (LATEST 2025 /
2026 UPDATES STUDY BUNDLE WITH COMPLETE
SOLUTIONS) DIFFERENTIAL DIAGNOSIS & PRIMARY
CARE PRACTICUM | QUESTIONS AND ANSWERS |
100% CORRECT | GRADE A - CHAMBERLAIN
All of the following medications are used for the control of
nausea and vomiting. Which medication works by affecting the
chemoreceptor trigger zone, thereby stimulating upper
gastrointestinal motility and increasing lower esophageal
sphincter pressure?
1.Anticholinergics, such as scopolamine (Donnatal).
2.Antidopaminergic agents, such as prochlorperazine
(Compazine).
,Page 2 of 313
3.Antidopaminergic and cholinergic agents, such as
metoclopramide (Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol)
.....ANSWER.....Antidopaminergic and cholinergic agents, such as
metoclopramide (Reglan)
rationale: Metoclopramide (Reglan) is used for diabetic
gastroparesis and postoperative nausea and vomiting. It works
by affecting the chemoreceptor trigger zone, thereby stimulating
upper gastrointestinal motility and increasing lower esophageal
sphincter pressure
You auscultate Julie's abdomen and hear a peritoneal friction
rub. Which condition do you rule out?
1.Peritonitis.
2.A liver or spleen abscess.
3.A liver or spleen metastatic tumor.
,Page 3 of 313
4.Irritable bowel syndrome.
.....ANSWER.....IBS
rationale: IBS does not produce a friction rub
You are counseling Lillian, who is lactose intolerant, about foods
to avoid. You know she misunderstands the teaching when she
tells you she can have:
1. Yogurt.
2.Foods containing whey.
3.Prehydrolyzed milk.
4.Oranges. .....ANSWER.....
Foods containing whey
rationale: Advise clients who are lactose intolerant to avoid
foods containing whey. Whey is a lactose-rich ingredient found in
some foods, so clients who are lactose intolerant need to read
labels on all foods. To control symptoms, dietary lactose should
, Page 4 of 313
be reduced or restricted by using lactose-reduced and lactose-
free dairy products or by eating lactose-rich foods in small
amounts or in combination with low-lactose or lactose-free foods.
Simon, age 72, states that he is worried because he has a bowel
movement only every third day. You respond:
1."You should have two to three stools per day."
2."You should defecate once a day."
3."You should have at least three stools per week."
4."There is no such thing as a 'normal' pattern of defecation."
.....ANSWER.....There is no such thing as a normal pattern of
defecation
rationale: There is no such thing as a "normal" pattern of
defecation. Patterns of defecation vary widely and may in part
be affected by dietary habits, fluid intake, bacteria in the stool,
psychological stress, or voluntary postponement of defecation.
MIDTERM WEEK 1 - 4 : NR511 / NR-511 (LATEST 2025 /
2026 UPDATES STUDY BUNDLE WITH COMPLETE
SOLUTIONS) DIFFERENTIAL DIAGNOSIS & PRIMARY
CARE PRACTICUM | QUESTIONS AND ANSWERS |
100% CORRECT | GRADE A - CHAMBERLAIN
All of the following medications are used for the control of
nausea and vomiting. Which medication works by affecting the
chemoreceptor trigger zone, thereby stimulating upper
gastrointestinal motility and increasing lower esophageal
sphincter pressure?
1.Anticholinergics, such as scopolamine (Donnatal).
2.Antidopaminergic agents, such as prochlorperazine
(Compazine).
,Page 2 of 313
3.Antidopaminergic and cholinergic agents, such as
metoclopramide (Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol)
.....ANSWER.....Antidopaminergic and cholinergic agents, such as
metoclopramide (Reglan)
rationale: Metoclopramide (Reglan) is used for diabetic
gastroparesis and postoperative nausea and vomiting. It works
by affecting the chemoreceptor trigger zone, thereby stimulating
upper gastrointestinal motility and increasing lower esophageal
sphincter pressure
You auscultate Julie's abdomen and hear a peritoneal friction
rub. Which condition do you rule out?
1.Peritonitis.
2.A liver or spleen abscess.
3.A liver or spleen metastatic tumor.
,Page 3 of 313
4.Irritable bowel syndrome.
.....ANSWER.....IBS
rationale: IBS does not produce a friction rub
You are counseling Lillian, who is lactose intolerant, about foods
to avoid. You know she misunderstands the teaching when she
tells you she can have:
1. Yogurt.
2.Foods containing whey.
3.Prehydrolyzed milk.
4.Oranges. .....ANSWER.....
Foods containing whey
rationale: Advise clients who are lactose intolerant to avoid
foods containing whey. Whey is a lactose-rich ingredient found in
some foods, so clients who are lactose intolerant need to read
labels on all foods. To control symptoms, dietary lactose should
, Page 4 of 313
be reduced or restricted by using lactose-reduced and lactose-
free dairy products or by eating lactose-rich foods in small
amounts or in combination with low-lactose or lactose-free foods.
Simon, age 72, states that he is worried because he has a bowel
movement only every third day. You respond:
1."You should have two to three stools per day."
2."You should defecate once a day."
3."You should have at least three stools per week."
4."There is no such thing as a 'normal' pattern of defecation."
.....ANSWER.....There is no such thing as a normal pattern of
defecation
rationale: There is no such thing as a "normal" pattern of
defecation. Patterns of defecation vary widely and may in part
be affected by dietary habits, fluid intake, bacteria in the stool,
psychological stress, or voluntary postponement of defecation.
