NR 511 MIDTERM EXAM ACTUAL EXAM QUESTIONS

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NR 511 MIDTERM EXAM ACTUAL EXAM QUESTIONS

AND ANSWERS VERSIONS (A, B, C & D) DIFFERENTIAL DIAGNOSIS & PRIMARY CARE PRACTICUM -

CHAMBERLAIN

NR 511 MIDTERM EXAM A

Which of the following is a crucial element of developing a guideline?

• Creating a physician expert panel
• Reviewing the literature with ratings of available evidence
• Conducting an external review of a guideline
• Developing evidence-based tables - ANSWER-B. Reviewing the literature with ratings of

available evidence

Question 2: African American patients seem to have a negative reaction to which of the following asthma medications?

• Inhaled corticosteroids

• Long-term beta-agonist bronchodilators
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• Leukotriene receptor agonist
• Oral corticosteroid - ANSWER-b. Long-term beta-agonist bronchodilators

Jolene has breast cancer that has been staged as T1, N0, M0. What might this mean?

• The tumor size cannot be evaluated, the cancer has not spread to the lymph nodes, and the

distant spread cannot be evaluated.

• The cancer is in situ, it is spreading into the lymph nodes, but the spread otherwise cannot be

evaluated.

• The cancer is less than 2 cm in size and has not spread to the lymph nodes or other parts of

the body.

• The cancer is about 5 cm in size, nearby lymph nodes cannot be evaluated, and there is no

evidence of distant spreading - ANSWER-c. The cancer is less than 2 cm in size and has not spread to the lymph nodes or other parts of the body

Sondra's peripheral vestibular disease causes dizziness and vertigo. Which of the following medications will help to decrease edema in the labyrinth of the ear?

• Meclizine
• Diphenhydramine
• Diamox 2 / 4

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• Promethazine - ANSWER-c. Diamox

Mandy presents with a cauliflower-like wart that is in her anogenital region. You suspect it was

sexually transmitted and document this as a:

• Filiform/digitate wart.

• Dysplastic cervical lesion.

• Condyloma accuminata.
• Koilocytosis. - ANSWER-Condyloma accuminata

Inattention and a sleep-wake cycle disturbance are the hallmark symptoms of?

• Dementia

• Alzheimer's disease

• Parkinson's disease
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• Delirium - ANSWER-d. Delirium

You have taught Jennifer, age 15, about using a flow meter to assess how to manage her asthma exacerbations. She calls you today because her peak expiratory flow rate is 65%. What would you tell her?

• "Take your short-acting beta-2 agonist, remain quiet, and call back tomorrow."
• "Use your rescue inhaler, begin the prescription of oral glucocorticoids you have, and call

back tomorrow."

• "Drive to the emergency room (ER) now."
• "Call 911." - ANSWER-b. "Use your rescue inhaler, begin the prescription of oral

glucocorticoids you have, and call back tomorrow."

A patient is seen in the clinic with hematuria confirmed on microscopic examination. The clinician should inquire about the ingestion of which of these substances that might be the cause of hematuria?

• NSAIDs

• Beets
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