{"id":119948,"date":"2023-09-18T13:09:04","date_gmt":"2023-09-18T13:09:04","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=119948"},"modified":"2023-09-18T13:09:06","modified_gmt":"2023-09-18T13:09:06","slug":"midterm-exams-nr511-nr-511-latest-2023-2024-updates-bundled-together-differential-diagnosis-and-primary-care-exam-reviews-weeks-1-4-covered-guide-with-questions-and-verified-answers-100-corre","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/18\/midterm-exams-nr511-nr-511-latest-2023-2024-updates-bundled-together-differential-diagnosis-and-primary-care-exam-reviews-weeks-1-4-covered-guide-with-questions-and-verified-answers-100-corre\/","title":{"rendered":"Midterm Exams: NR511 \/ NR 511 (Latest 2023\/ 2024 UPDATES BUNDLED TOGETHER) Differential Diagnosis and Primary Care Exam Reviews| Weeks 1-4 Covered| Guide with Questions and Verified Answers| 100% Correct- Chamberlain"},"content":{"rendered":"\n<p>Midterm Exam: NR511 \/ NR 511 (Latest<br>2023\/ 2024) Differential Diagnosis and<br>Primary Care Exam Study Guide| Weeks 1-4<br>Covered| Guide with Verified Answers| 100%<br>Correct- Chamberlain<br>\u2756 Gastrointestinal Disorders: Appendicitis<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Constant periumbilical pain shifting to the right lower quadrant; vomiting following<br>the pain; a small volume of diarrhea;<\/li>\n\n\n\n<li>Fecalith: most common cause\u2014stone made of feces typically found in the colon<\/li>\n\n\n\n<li>no systemic symptoms, such as a headache, malaise, or myalgia;<\/li>\n\n\n\n<li>a mild elevation of the white blood cell count with an early left shift; and white blood<br>cells (WBCs) or red blood cells (RBCs) in the urine are indications of appendicitis.<\/li>\n\n\n\n<li>The WBC count becomes high only with gangrene or perforation of the appendix.<br>The urine may have WBCs or RBCs if the bladder is irritated and ketonuria if there is<br>prolonged vomiting.<\/li>\n\n\n\n<li>Obturator sign: is elicited when, with the patient\u2019s right hip and knee flexed, the<br>examiner slowly rotates the right leg internally, which stretches the obturator muscle.<br>Pain over the right lower quadrant (RLQ) is considered a positive sign.<br>\u2756 Gastrointestinal Disorders: Inflammatory Bowel Disease<\/li>\n\n\n\n<li>Crohn disease show\u2019s transmural inflammation, granulomas, focal involvement of the<br>colon with some skipped areas, and sparing of the rectal mucosa. the inflammation<br>extends deeper into the intestinal wall.<\/li>\n\n\n\n<li>Crohn&#8217;s disease can involve all or any layer of the bowel wall and any portion of the<br>GI tract from the mouth to the anus. Any portion of the GI tract can be affected but<br>80% of patients have small bowel involvement. In advanced disease, perianal lesions,<br>fistulas, strictures and obstructions are common in CD. Folic acid and serum levels of<\/li>\n<\/ul>\n\n\n\n<p>most vitamins, including A, B complex, C, and the fat-soluble vitamins, are decreased<br>in Crohn\u2019s disease as a result of malabsorption. Sed rate, bilirubin and liver enzymes<br>are increased.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ulcerative colitis is a disease only of the colon. While it is not the first treatment<br>choice, total colectomy is a treatment option that can completely resolve this problem.<\/li>\n\n\n\n<li>In UC, the mucosal surface of the colon is inflamed. This ultimately results in<br>friability, erosions, and bleeding. It most often occurs in the rectosigmoid areas but<br>can involve the entire colon. In Crohn&#8217;s disease, Patients with UC are more at risk for<br>colon perforation and should be followed closely by a surgeon.<br>\u2756 Gastrointestinal Disorders: GERD<\/li>\n\n\n\n<li>Symptoms occur at night with regurgitation; heartburn is classic for GERD (mild to<br>severe). Dysphagia is frequently a prominent symptom of GERD. It is usually<br>associated with other symptoms, including regurgitation, water brash (reflex<br>salivation), sour taste in the mouth in the morning, odynophagia, belching, coughing,<br>hoarseness, or wheezing, usually at night.<\/li>\n\n\n\n<li>If patient has been treated with diet modifications and 6 weeks of omeprazole without<br>improvement of symptoms, the next step is an endoscopy<\/li>\n\n\n\n<li>a biopsy can be done and sent for H pylori at that time.<\/li>\n\n\n\n<li>Diverticular disease has been shown to be significantly increased with a low fiber diet<br>and diet that is high in fat and red meats. Obesity is associated with a higher risk for<br>diverticular disease.<\/li>\n\n\n\n<li>Clients with GERD should be instructed to avoid coffee, alcohol, chocolate,<br>peppermint, and spicy foods; eat smaller meals; stop smoking; remain upright for 2<br>hours after meals; elevate the head of the bed on 6- to 8-in blocks; and refrain from<br>eating for 3 hours before retiring.<br>\u2756 Gastrointestinal Disorders: Irritable Bowel Syndrome<\/li>\n\n\n\n<li>Antidiarrheals (Lomotil), laxatives, antispasmodics (Bentyl), Tricyclic<br>antidepressants, SSRIs (Prozac), and medications to increase the intestinal fluid<br>secretion and improve fecal transit (Linzess) are all used to treat IBS.<\/li>\n<\/ul>\n\n\n\n<p>Midterm Exam: NR511 \/ NR 511 (Latest<br>2022-2023) Differential Diagnosis and<br>Primary Care Exam Review | |Questions and<br>Answers |100% Correct- Chamberlain<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>What is the normal number for the Glasgow Coma Scale?<br>a. 7<br>b. 9<br>c. 10<br>d. 15<br>\u2713 Answer: d. 15<\/li>\n\n\n\n<li>Which solution should be used when irrigating lacerated tissue over a wound on the<br>arm?<br>a. Dilute povidone-iodine solution<br>b. Hydrogen peroxide (H2O2)<br>c. Saline solution infused with an antibiotic<br>d. Saline irrigation or soapy water<br>\u2713 Answer: d. Saline irrigation or soapy water<\/li>\n\n\n\n<li>Which ethical principle reflects respect for all persons and their self-determination?<br>a. Autonomy<br>b. Beneficence<br>c. Justice<br>d. Veracity<br>\u2713 Answer: a. Autonomy<\/li>\n\n\n\n<li>George, aged 59, complains of a flulike illness, including fever, chills, and myalgia after<br>returning from visiting his grandchildren in New England. He reports having discovered<br>a rash or red spot that grew in size on his right leg. What disease are you considering?<br>a. A viral syndromes<br>b. Lyme disease<br>c. Rocky Mountain spotted fever<br>d. Relapsing fever<br>\u2713 Answer: b. Lyme disease<\/li>\n\n\n\n<li>What is usually the first sign or symptom that a patient would present with that would<br>make you suspect herpes zoster?<br>a. A stabbing type of pain on one small area of the body<br>b. A vesicular skin lesion on one side of the body<br>c. A pain that is worse upon awakening<br>d. A lesion on the exterior ear canal<br>\u2713 Answer: A vesicular skin lesion on one side of the body<\/li>\n\n\n\n<li>Which drug commonly prescribed for burns is active against a wide spectrum of<br>microbial pathogens and is the most frequently used agent for partial- and full-thickness<br>thermal injuries?<br>a. Clotrimazole cream (Lotrimen)<br>b. Mafenide acetate (Sulfamylon)<br>c. Silver nitrate<br>d. Silver sulfadiazine (Silvadene)<br>\u2713 Answer: d. Silver sulfadiazine (Silvadene)<\/li>\n\n\n\n<li>Which of the following is a role of the advanced practice nurse in palliative cancer care?<br>a. Detecting cancer in asymptomatic patients or those with specific symptoms<br>b. Arranging for follow-up care, including psychosocial and spiritual support<br>c. Identifying and managing complications of care<br>d. All of the above<\/li>\n<\/ol>\n\n\n\n<p>\u2713 Answer: d. All of the above<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"8\">\n<li>The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of<br>the following neurotransmitters plays a role in anxiety?<br>a. Acetylcholine<br>b. Gamma-aminobutyric acid (GABA)<br>c. Dopamine<br>d. Serotonin<br>\u2713 Answer: Gamma-aminobutyric acid (GABA)<\/li>\n\n\n\n<li>A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of<br>the following tests should be the first priority?<br>a. Pregnancy test<br>b. Pelvic ultrasound<br>c. Endometrial biopsy<br>d. Platelet count<br>\u2713 Answer: a. Pregnancy test<\/li>\n\n\n\n<li>A bulla is:<br>a. A vesicle larger than 1 cm in diameter.<br>b. An elevated solid mass with a hard texture, and the shape and borders can be<br>regular or irregular.<br>c. A superficial elevated lesion filled with purulent fluid.<br>d. Thinning of the skin (epidermis and dermis) that appears white or translucent.<br>\u2713 Answer: a. A vesicle larger than 1 cm in diameter.<\/li>\n\n\n\n<li>Sam is a 25-year-old man who has been diagnosed with low back strain based on his<br>history of localized low back pain and muscle spasm along with a normal neurological<br>examination. As the clinician, you explain to Sam that low back pain is a diagnosis of<\/li>\n<\/ol>\n\n\n\n<p>exclusion. Which of the following symptoms would alert the clinician to the more<br>serious finding of a herniated nucleus pulposus or ruptured disc?<br>a. Morning stiffness and limited mobility of the lumbar spine<br>b. Unilateral radicular pain symptoms that extend below the knee and are equal to or<br>greater than the back pain<br>c. Fever, chills, and elevated erythrocyte sedimentation rate<br>d. Pathologic fractures, severe night pain, weight loss, and fatigue<br>\u2713 Answer: Unilateral radicular pain symptoms that extend below the knee<br>and are equal to or greater than the back pain<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"12\">\n<li>Which of the following statements is true concerning the musculoskeletal exam?<br>a. The uninvolved side should be examined initially and compared to the involved<br>side.<br>b. The part of the body that is causing the patient pain should be examined first.<br>c. The patient should not be asked to perform active range-of-motion (ROM)<br>exercises whenever possible to avoid causing pain.<br>d. Radiographs should always be obtained prior to examination so as not to cause<br>further injury to the patient.<br>\u2713 Answer: The uninvolved side should be examined initially and<br>compared to the involved side<\/li>\n\n\n\n<li>The current goal of treatment for a patient with HIV infection is which of the following?<br>a. Viral suppression of HIV to undetectable levels in the peripheral blood<br>b. Compete eradication of the virus<br>c. Encouraging the person to have no contact with uninfected individuals<br>d. Complete abstinence<br>\u2713 Answer: Viral suppression of HIV to undetectable levels in the<br>peripheral blood<\/li>\n<\/ol>\n\n\n\n<p>Midterm Exam: NR511 \/ NR 511 (Latest 2022-2023)<br>Differential Diagnosis and Primary Care Exam Review |<br>|Questions and Verified Answers | Grade A- Chamberlain<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Clinicians who learn how to code and document Evaluation and Management and<br>clinician services will be more successful in gaining timely payment for care delivery.<br>Which of the following CMS practices is designed to financially penalize clinicians who<br>do not bill according to CMS guidelines?<br>~ Answer: Audits and probes<\/li>\n\n\n\n<li>In the United States, what is the second most common connective tissue disease and the<br>most destructive to the joints?<br>~ Answer: Rheumatoid Arthritis<\/li>\n\n\n\n<li>If you suspect diverticulitis in a patient, you can treat with antibiotics alone, no imaging<br>is necessary.<br>True<br>False<br>~ Answer: False<\/li>\n\n\n\n<li>It is safe to use laxatives long term for the treatment of constipation.<br>True<br>False<br>~ Answer: T<\/li>\n\n\n\n<li>According to the American Cancer Society guidelines, African Americans with no other<br>risk factors for colon cancer should begin routine colon cancer screening at age 45.<\/li>\n<\/ol>\n\n\n\n<p>True<br>False<br>~ Answer: T<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"6\">\n<li>In ulcerative colitis, typical symptoms include abdominal cramping, fever, anorexia,<br>weight loss, spasm, flatulence, and RLQ pain or mass. Stools may contain blood, mucus,<br>and\/or pus.<br>True<br>False<br>~ Answer: F<\/li>\n\n\n\n<li>In diverticulitis, typical symptoms include bleeding, cramping pain, and the urge to<br>defecate. Stools are characteristically watery diarrhea with blood and mucus.<br>True<br>False<br>~ Answer: F<\/li>\n\n\n\n<li>In diverticulitis, typical symptoms include LLQ pain and tenderness, fever, change in<br>bowel habits (usually diarrhea), and sometimes nausea\/vomiting.<br>True<br>False<br>~ Answer: T<\/li>\n\n\n\n<li>Acute gastroenteritis is the most common cause of nausea and vomiting.<br>True<br>False<br>~ Answer: T<\/li>\n<\/ol>\n\n\n\n<p>Midterm Exam: NR511 \/ NR 511 (Latest 2023<br>\/ 2024): Differential Diagnosis &amp; Primary<br>Care Practicum Quiz Bank | Questions and<br>Verified Answers| 100% CorrectChamberlain<br>A useful maneuver test to confirm a cervical spine sprain\/pain is:<br>Spurling&#8217;s Test<br>Patrick&#8217;s Test<br>Obrien&#8217;s Test<br>Neer&#8217;s Test<br>Answer:<br>Acute low back pain does not warrant radiographic imaging unless there is evidence of<br>neurological dysfunction.<br>True<br>False<br>Answer: True<br>The preferred imaging to determine the degree of spinal canal narrowing and facet arthroplasty<br>resulting in nerve impingement is what?<br>X-ray<br>Magnetic resonance imaging<br>Ultasound<br>Computed tomography<br>Answer: Magnetic resonance imaging<br>Which of the following is not a maneuver test to assess for lumbosacral pain?<br>Straight leg raise<\/p>\n\n\n\n<p>Gaenslen&#8217;s<br>Hawkins<br>Faber<br>Answer: Hawkins<br>auda equina syndrome should prompt a yellow flag for the provider.<br>True<br>False<br>Answer: False<br>To determine whether the patient has normal thyroid function, the initial test should be <strong>_<\/strong>.<br>thyroglobulin antibodies<br>thyroperoxidase antibodies<br>TSH with reflex to FT4<br>TT3<br>Answer: TSH with reflex to FT4<br>Your patient is symptomatic with complains of fatigue, weight gain, constipation, and hair loss.<br>The patient&#8217;s labs return with a TSH of 7 and a normal FT4. Without considering a patient&#8217;s<br>weight (she refuses to get on the scale today), what dose of medication would you chose based<br>on the lab values?<br>Synthroid 75 mcg<br>Synthroid 50 mcg<br>Synthroid 25 mcg<br>I would not medicate this patient.<br>Answer: Synthroid 25 mcg<br>A maximum of 20 alternative hours can be used as part of the 125 hour practicum requirement<br>for each clinical course&#8211;&gt; T\/F<\/p>\n\n\n\n<p>Answer: Fasle- Can use only 15<br>Maddie has a history of asthma that is classified as mild, intermittent asthma. She comes to the<br>office today with wheezing which is not improving with her inhaler. Which would be the best<br>ICD-10 code to apply wiith only the information given?<br>A. Severe persistent asthma (J45.5)<br>B. Mild intermittent asthma with acute exacerbation (J45.21)<br>C. Unspecified asthma with acute exacerbation (J45.901)<br>D. Other asthma (J45.998)<br>Answer: Mild intermittent asthma with acute exacerbation (J45.21)<br>Morbidity refers to the number of people who have died from a particular disease T\/F<br>Answer: False<br>The number of new cases of a particular disease in a population at a given time is known as:<br>A. Prevalence<br>B. Risk<br>C. Incidence<br>D. Morbidity<br>Answer: Incidence<br>Seat belt use is considered <strong><em><strong><em>_____<\/em><\/strong><\/em><\/strong> prevention:<br>A. Primary<br>B. Secondary<br>C. Tertiary<br>D. Unnessary<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Midterm Exam: NR511 \/ NR 511 (Latest2023\/ 2024) Differential Diagnosis andPrimary Care Exam Study Guide| Weeks 1-4Covered| Guide with Verified Answers| 100%Correct- Chamberlain\u2756 Gastrointestinal Disorders: Appendicitis most vitamins, including A, B complex, C, and the fat-soluble vitamins, are decreasedin Crohn\u2019s disease as a result of malabsorption. Sed rate, bilirubin and liver enzymesare increased. Midterm Exam: [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-119948","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/119948","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=119948"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/119948\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=119948"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=119948"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=119948"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}