NR 511 MIDTERM EXAM

Question 1.Question : Which of the following is a crucial element of developing a

guideline?

Student Answer: Creating a physician expert panel

Reviewing the literature with ratings of available evidence 

Conducting an external review of a guideline

Developing evidence-basedtables 

Points Received: 2 of 2

Comments:

Question 2.Question : African American patients seem to have a negative reaction

to which of the following asthma medications?

Student Answer: Inhaled corticosteroids

Long-term beta-agonist bronchodilators 

Leukotriene receptor agonists

Oral corticosteroids 

Points Received: 2 of 2

Comments:

Question 3.Question : Jolene has breast cancer that has been staged as T1, N0,

M0. What might this mean?

Student Answer: 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 cannot be evaluated otherwise.

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.

Points Received: 2 of 2

Comments:

Question 4.Question : 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?

Student Answer: Meclizine 

Diphenhydramine

Diamox 

Promethazine

Points Received: 0 of 2

Comments:

Question 5.Question : Mandy presents with a cauliflower-like wart in her anogenital

region. You suspect it was sexually transmitted and 

document this as a:

Student Answer: Filiform/digitate wart

Dysplastic cervical lesion 

Condyloma acuminata 

Koilocytosis

Points Received: 2 of 2

Comments:

Question 6.Question : Inattention and a sleep-wake cycle disturbance are the

hallmark symptoms of?

Student Answer: Dementia

Alzheimer's disease

Parkinson's disease

Delirium

Points Received: 2 of 2

Comments:

Question 7.Question : 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?

Student Answer: "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 now."

"Call 911."

Points Received: 2 of 2

Comments:

Question 8.Question : 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?

Student Answer:

NSAIDs

Beets 

Vitamin A 

Red meat

Points Received: 2 of 2

Comments:

Question 9.Question : Which of the following is an example of tertiary prevention in 

a patient with chronic renal failure?

Student Answer: Fluid restriction 

Hemodialysis 4 days a week 

High-protein diet

Maintenance of blood pressure at 120/80 

Points Received: 2 of 2