NR511 Week 4: Midterm Exam

NR511 Week 4: Midterm Exam – [Mar-2026]

A 67-year-old male client presents to the clinic with several lesions that appear to be actinic keratosis. Which of the following statements is true?

Answers: A – D

1. Actinic keratosis lesions are precursors to squamous cell carcinoma ✅
2. Actinic keratosis is more common in individuals of Asian descent
3. Actinic keratosis can be treated with topical steroids
4. These lesions typically appear on areas of skin not exposed to the sun

A 29-year-old female presents with diffuse hair thinning. She is 6 months postpartum and has no other symptoms. What condition is the most likely cause of her hair loss?

Answers: A – D

1. Androgenetic alopecia
2. Scarring alopecia
3. Alopecia areata
4. Telogen effluvium ✅

What is the purpose of the differential diagnosis in the clinical reasoning process?

Answers: A – D

1. To establish a single working diagnosis
2. To confirm a diagnosis using subjective data only
3. To compare diagnostic test results to clinical symptoms
4. To list potential diagnoses causing the client’s chief complaint ✅

A 4-year-old child is brought to the office by the parent with a complaint of sore throat, difficulty swallowing, copious oral secretions, respiratory difficulty, stridor, and a temperature of 102°F. No pharyngeal erythema or cough is noted. What is the most likely diagnosis?

Answers: A – D

1. Epiglottitis ✅
2. Peritonsillar abscess
3. Tonsillitis
4. Group A beta-hemolytic streptococcal pharyngitis

A 55-year-old patient presents to the primary care clinic with sudden, painless loss of vision in the right eye that started an hour ago. The patient denies trauma but has a history of hypertension and diabetes. The nurse practitioner identifies no abnormalities of the external eye on inspection, including no redness or discharge. What is the nurse practitioner’s next step?

Answers: A – D

1. Refer the patient to an ophthalmologist immediately ✅
2. Start the patient on artificial tears and schedule a follow-up in one week
3. Advise the patient to monitor symptoms and return if they worsen
4. Prescribe antibiotic eye drops and reassess in 48 hours

A 70-year-old woman visits the audiology clinic for a hearing evaluation. She reports that over the past few years, she has noticed a gradual decrease in her ability to hear, particularly in noisy environments. She has difficulty understanding conversations, especially when multiple people are speaking at once. She also mentions that she often has to increase the volume on her television to hear clearly. The audiologist conducts a hearing test and notes a high-frequency sensorineural hearing loss. Which of the following is associated with presbycusis in this patient?

Answers: A – D

1. Age-related changes in the auditory system ✅
2. Acute otitis media
3. Cerumen impaction
4. Exposure to loud noises…………………………………..purchase all 100 questions and answers at $99 only