NR576 Midterm Exam 2026/2027 |100% Verified Answers | Latest Updated Edition

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NR576 Midterm Exam 2026/2027 |100% Verified Answers | Latest Updated Edition

A 16-year-old female presents to the clinic complaining of severe left sided sore throat and pain with swallowing for 1 day. Upon examination the patient appears uncomfortable and is febrile (101 degrees F). Oropharynx is beefy red with significant swelling and a pocket of pus above the left tonsil causing deviation of the soft palate and uvula. Cervical adenopathy is present on the left side. She has difficulty fully opening her jaw. What should the AGPCNP’s next step be?

1. Complete Blood Count (CBC)
2. Refer the patient to the Emergency Room ✅
3. Throat culture
4. Supportive care

 

A 23-year-old patient presents with sneezing, clear rhinorrhea, and nasal congestion for 3 days. Which additional symptom would most strongly support a diagnosis of allergic rhinitis rather than viral rhinitis?

1. Sore throat and hoarseness
2. Pruritus of the nose and palate ✅
3. Malaise and headache
4. Low-grade fever and cough

 

A patient presents with symptoms consistent with acute rhinosinusitis. Which physical examination finding would most strongly support the diagnosis?

1. Cervical lymphoid swelling
2. White plaques on the tongue
3. Purulent nasal discharge ✅
4. Bulging tympanic membrane

 

An AGPCNP is searching for the strongest available evidence to guide management of a common clinical condition. Which source should be prioritized first?

1. Systematic review and meta-analysis ✅
2. Randomized controlled trial
3. Expert opinion
4. Qualitative research study

A 35-year-old patient presents with recurrent painful nodules in the axilla. On examination, multiple hypertrophic scars and sinus tracts are present. Which diagnosis is most likely?

1. Carbuncle
   B. Furuncle
   C. Epidermoid inclusion cyst
   D. Hidradenitis suppurativa ✅

A 48-year-old male presents with chest discomfort that began 2 hours ago. While obtaining the health history, the AGPCNP asks about the onset, location, duration, characteristics, aggravating and relieving factors, timing, and severity of the pain. The information is documented in which section of the health history?

1. Social History (SH)
   B. Past Medical History (PMH)
   C. Review of Systems (ROS)
   D. History of Present Illness (HPI) ✅

A 76-year-old patient reports gradually worsening difficulty understanding speech, particularly in crowded restaurants. Otoscopic examination is normal. Which finding is most consistent with presbycusis?

1. Unilateral high-frequency hearing loss
   B. Unilateral low-frequency hearing loss
   C. Bilateral low-frequency hearing loss
   D. Bilateral high-frequency hearing loss ✅

A patient presents with polymorphous lesions consisting of small red papules and vesicles, with several eroded and crusted lesions. Which diagnosis is least likely?

1. Contact dermatitis
   B. Bacterial folliculitis ✅
   C. Herpes simplex
   D. Varicella

An AGPCNP recommends two evidence-based treatment options for a patient with newly diagnosed hypertension. The patient expresses concern about medication side effects and asks whether lifestyle changes could be tried first. Which response by the AGPCNP best demonstrates shared decision making?

1. Provide educational materials and schedule a follow-up visit so the patient can decide independently.
2. Recommend the treatment with the strongest evidence because clinical guidelines should determine management.
3. Recommend lifestyle modification because it is the patient’s preferred treatment.
4. Review the benefits and risks of each treatment option, explore the patient’s goals and preferences, and develop a treatment plan together. ✅

A 45-year-old male presents with mucopurulent nasal drainage, facial pain, nasal congestion, and symptoms that have persisted for more than 10 days without improvement. Which diagnosis is most likely?

1. Nasal polyposis
   B. Acute bacterial rhinosinusitis ✅
   C. Allergic rhinitis
   D. Viral upper respiratory infection

Your patient accidentally cut his cheek while shaving 3 days ago. Today, the region is warm, erythematous, swollen, and has the appearance of an orange peel. There is a serous exudate coming from the wound. This is most likely due to:

1. Sialadenitis
   B. Suppurative parotitis
   C. Folliculitis
   D. Cellulitis ✅

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