{"id":126873,"date":"2023-11-25T15:26:01","date_gmt":"2023-11-25T15:26:01","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=126873"},"modified":"2023-11-25T15:26:03","modified_gmt":"2023-11-25T15:26:03","slug":"nr511-nr-511-midterm-exam-q-a-latest-2023-2024-differential-diagnosis-primary-care-practicum-chamberlain-2","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/11\/25\/nr511-nr-511-midterm-exam-q-a-latest-2023-2024-differential-diagnosis-primary-care-practicum-chamberlain-2\/","title":{"rendered":"NR511 \/ NR 511 Midterm Exam Q &amp; A (Latest 2023 \/ 2024): Differential Diagnosis &amp; Primary Care Practicum &#8211; Chamberlain"},"content":{"rendered":"\n<p>NR511 \/ NR 511 Midterm Exam Q &amp; A (Latest 2023 \/ 2024): Differential Diagnosis &amp; Primary Care Practicum &#8211; Chamberlain<\/p>\n\n\n\n<p>NR-511 Differential Diagnosis &amp; Primary Care Practicum<\/p>\n\n\n\n<p>NR511 Midterm Exam Q &amp; A<br>When you are assessing the internal structure of the eye of your 59-year-old patient, the<br>absence of a red reflex may indicate:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A cataract or hemorrhage into the vitreous humor.<br>What significant finding(s) in a 3-year-old child with otitis media with effusion would prompt<br>more<\/li>\n\n\n\n<li>There is a change in the child&#8217;s hearing threshold to greater than 25 dB.<br>Max, age 35, states that he thinks he has an ear infection because he just flew back from a<br>business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next<br>action?<\/li>\n\n\n\n<li>Prescribe nasal steroids and oral decongestants.<br>Susan is a 19-year-old college student and avid swimmer. She frequently gets swimmer&#8217;s ear<br>and asks if there is anything, she can do to help prevent it other than wearing earplugs, which<br>do not really work for her. What do you suggest?<\/li>\n\n\n\n<li>Start using a cotton-tipped applicator to dry the ears after swimming.<br>Use ear drops made of a solution of equal parts alcohol and vinegar in each ear after<br>swimming.<br>Mary, age 82, presents with several eye problems. She states that her eyes are always dry and<br>look &#8220;sunken in.&#8221; What do you suspect?<\/li>\n\n\n\n<li>Normal age-related changes.<\/li>\n<\/ul>\n\n\n\n<p>Nystatin (Mycostatin) is ordered for Michael, a 56-year-old banker who has an oral fungal<br>infection. What instructions for taking the medication do you give Michael?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>&#8220;Swish and swallow the medication.&#8221;<br>The most common cause of a white pupil (leukokoria or leukocoria) in a newborn is:<\/li>\n\n\n\n<li>A congenital cataract.<br>You diagnose acute epiglottitis in Sally, age 5, and immediately send her to the local emergency<br>room. Which of the following symptoms would indicate that an airway obstruction is<br>imminent?<\/li>\n\n\n\n<li>Stridor.<br>A 27-year-old female comes in to your primary care office complaining of a perioral rash. The<br>patient noticed burning around her lips a couple days ago that quickly went away. She awoke<br>from sleep yesterday and noticed a group of vesicles with erythematous bases where the<br>burning had been before. There is no burning today. She is afebrile and has no difficulty eating<br>or swallowing. What test would confirm her diagnosis?<\/li>\n\n\n\n<li>Tzanck smear.<br>Which condition is not included in the atopic triad?<\/li>\n\n\n\n<li>Aspirin sensitivity.<br>The ABCDEs of melanoma identification include which of the following?<\/li>\n\n\n\n<li>Asymmetry: one half does not match the other half.<br>Your 24-year-old client whose varicella rash just erupted yesterday asks you when she can go<br>back to work. What do you tell her?<\/li>\n\n\n\n<li>&#8220;Once all the vesicles are crusted over.&#8221;<\/li>\n<\/ul>\n\n\n\n<p>Tom, age 50, is complaining of an itchy rash that occurred about a half hour after putting on his<br>leather jacket. He recalls having a slightly similar rash last year when he wore his jacket. The<br>annular lesions are on his neck and both arms. They are erythematous, sharply circumscribed,<br>and both flat and elevated. His voice seems a little raspy, although he states that his breathing<br>is normal. What is your first action?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Determine the need for 0.5 mL 1:1000 epinephrine subcutaneously.<br>You suspect a platelet abnormality in a 40-year-old woman who presents to your clinic with:<\/li>\n\n\n\n<li>Red, flat, nonblanchable petechiae.<br>Justin, an obese 42-year-old, cut his right leg 3 days ago while climbing a ladder. Today his right<br>lower leg is warm, reddened, and painful, without a sharply demarcated border. What do you<br>suspect?<\/li>\n\n\n\n<li>Cellulitis<br>During a camping trip, Jim, age 35, abruptly developed fever, headache, and joint pain. A few<br>days after the onset of the fever, a blanchable macular rash began on his wrists and ankles and<br>quickly spread to the palms and soles before becoming generalized. The rash is now petechial.<br>You suspect Jim has:<\/li>\n\n\n\n<li>Rocky Mountain spotted fever.<br>You&#8217;re teaching Mitch, age 18, about his tinea pedis. You know he doesn&#8217;t understand your<br>directions when he tells you which of the following?<\/li>\n\n\n\n<li>&#8220;I should wear rubber shoes in the shower to prevent transmission to others.&#8221;<br>A 75-year-old female presents to your office complaining of dizziness and hearing loss. The<br>patient states she awoke yesterday with dizziness, which she described as feeling the room<br>spinning. She also notes intermittent ringing in her ears. On physical exam, the patient has<br>lateralization of her hearing loss to the unaffected ear. Rinne test shows air conduction lasts<br>longer than bone conduction. What is the next step in helping this patient&#8217;s symptoms?<\/li>\n\n\n\n<li>Start the patient on a low-salt, low-caffeine diet and give her meclizine for vertigo<br>attacks.<\/li>\n<\/ul>\n\n\n\n<p>Which of the following is not recommended for hoarseness?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Oral steroids.<br>Kevin, a 56-year-old lawyer, has throbbing pain in the left eye, an irregular pupil shape, marked<br>photophobia, and redness around the iris. What is your initial diagnosis?<\/li>\n\n\n\n<li>Iritis<br>You are the nurse practitioner caring for Martha, a 47-year-old accountant. You have made a<br>diagnosis of acute sinusitis based on Martha&#8217;s history and the fact that she complains of pain<br>behind her eye. Which sinuses are affected?<\/li>\n\n\n\n<li>Ethmoid<br>Marlene, a 57-year-old cashier, comes to the clinic because she is unable to differentiate<br>between sharp and dull stimulation on both sides of her face. You suspect:<\/li>\n\n\n\n<li>A lesion affecting the trigeminal nerve.<br>While doing a face, head, and neck examination on a 16-year-old patient, you note that the<br>palpebral fissures are abnormally narrow. What are you examining?<\/li>\n\n\n\n<li>The openings between the margins of the upper and lower eyelids.<br>A 44-year-old banker comes to your office for evaluation of a pulsating headache over the left<br>temporal region, and he rates the pain as an 8 on a scale of 1 to 10. The pain has been constant<br>for the past several hours and is accompanied by nausea and sensitivity to light. He has had<br>frequent, though less severe, headaches for many years, and they are usually relieved by overthe-counter medicines. He is unclear as to a precipitating event but notes that he has had visual<br>disturbances before each headache and he has been under a lot of stress in his job. Based on<br>this description, what is the most likely diagnosis of this type of headache?<\/li>\n\n\n\n<li>Migraine<br>Powered by <a href=\"https:\/\/learnexams.com\/search\/study?query=\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>NR511 \/ NR 511 Midterm Exam Q &amp; A (Latest 2023 \/ 2024): Differential Diagnosis &amp; Primary Care Practicum &#8211; Chamberlain NR-511 Differential Diagnosis &amp; Primary Care Practicum NR511 Midterm Exam Q &amp; AWhen you are assessing the internal structure of the eye of your 59-year-old patient, theabsence of a red reflex may indicate: Nystatin [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","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-126873","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/126873","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=126873"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/126873\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=126873"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=126873"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=126873"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}