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NR 511 Final Exam Chamberlain College of Nursing
Questions and Answers Graded A
Phalen's test Positive result?
tingling, numbness, burning, or pain over first three digitis
Which of the following is used to confirm the hashimotos thryoid?
Anti T-P-O
You are performing a school physical examination on a 5 year old boy. You are unable to pull the skin back on the penis. what is this called?
Phimosis
Sandra, a computer programmer, has just been given a new diagnosis of carpal tunnel syndrome. Your next step is to A. refer her to a hand surgeon. B. take a more complete history. C. try neutral position wrist splinting and order an oral NSAID. D. order a nerve conduction study such as an electromyography (EMG).
C. try neutral position wrist splinting and order anoral NSAID.
A woman presents to your primary care office for an annual physical. She denies any complaints other than having heavy menstrual bleeding which is something she has experienced her whole life. On routing CBC evaluation, her hemoglobin is 11. Other values; dec ferritin, elevated total iron binding compacity. mcv is 75. Which is the most likely cause of her anemia.
1.Iron deficiency anemia.
2.Thalassemia.
3.Sideroblastic anemia.
4.Anemia of chronic disease (ACD).
- iron deficiency anemia
102.How soon after a facial laceration should sutures be removed? a. 4 to 6 days. b. 3 to 4 days.
c. 7 to 10 days. d. 10 to 14 days.
4 to 6 days
a 51 year old diabetic male presents to the clinic after sustaining a deep scalp laceration at a construction site 1 hour ago. The dr cleans and irrigates and sutures. Prophylactic antibiotics are ordered... which antibiotics in addition to Cephtriaxone
Azithryo
Cephlex
Cipro
Cephlexin?
a 4 year old boy is brought to the office by his mother. His symptoms include pallor, fatigue, fever, bone pain, adenopathy, arthralgia and hepatosplenomegaly. A cbc with differential diagnosis him with leukemia. Which of the following is the next best step to take?
elsa test
monospot test
ultra sound
refer to peds oncologist
order pt/ptt and bleeding time
Bone Marrow Smear; elsa test
Which of the following are expected findings with a A lumbar disc herniation compressing the L5 ribs.
Weakness in great toe extension
weakness in the great toe flexion
Weakness in the ankle dorseflexion
Weakness in the ankle flexion
Which of the following is true regarding polycythemia?
increases in high altitude
men vs women
Elevation
PSA to remain stable
A significant to PSA should occur by 50%
...
Your client Shirley has an elevated mean corpuscular volume (MCV). What should you be considering in terms of diagnosis? Iron deficiency anemias Hemolytic anemias Lead poisoning Liver disease
Liver disease
An 18 year old male fell while running and has a 5 cm simple linear cut on the face and uses a 3.0 nylon. When should the patient return to get them removed? a. 4 to 6 days. b. 3 to 4 days. c. 7 to 10 days. d. 10 to 14 days.
4 - 6 days
Which of the following medications is appropriate during an exacerbation of gout? tylenol norco allopurinol indomethacin colchicine
indomethacin
What is the first line treatment for a patient with cervical spondylosis without myelopathy symptoms?
Physical therapy
Which of the following medication classes can be associated with erectile dysfunction?
beta blockers
anibolic steroids
nsaids
antibiotics
Beta blockers
Carpal tunnel syndrome is due to inflammation of which nerve?
The median nerve
A 59 year old presents to the er with a diagnosis of priaprism. Despite application of pain meds, what medication should be given as well?
Phenylephrine
a 74 year old male presents with bilateral back and leg pain for 6 months. The leg pain is greater than the back pain and describes it as a shooting down her legs? What in the history makes you think it is lumbar spinal stenosis?
Leaning on grocery cart
Stu, age 49, has slightly reduced hemoglobin and hematocrit readings. What is your next action after you ask him about his diet?
- Repeat the laboratory tests.
- Perform a fecal occult blood test.
- Start him on an iron preparation.
- Start him on folic acid.
Perform a fecal occult blood test
a 35 YEAR OLD sexually active man has pain over left scrotum, with urinary frequency and dysuria. The scrotum is edematous and tender to touch.
Acute epidymitis
A 49 year old female presents with pain on soul of her foot between 3-4 toe, feels like a pebble in her shoe. what is this?
morton's neuroma
Tina, age 2, had a complete blood count (CBC) drawn at her last visit. It indicates that she has a microcytic hypochromic anemia. What should you do now at this visit?
- Obtain a lead level.
- Instruct Tina's parents to increase the amount of milk in her diet.
- Start Tina on ferrous sulfate (Feosol) and check the CBC in 6 weeks.
- Recheck the CBC.
Obtain a lead level
g6p deficiency
a 16 year old male presents to the clinic following a domestic cat bite on his hands. On exam two small puncture wounds are noted without discharge, no evidence of foreign body, and does not require treatment. What to do?
Give antibiotics
Mr. McKinsey, age 69, was recently given a diagnosis of degenerative joint disease. Which assessment should the nurse practitioner use to check for effusion of the patient's knee? a. Thomas test b. Tinel Test c. Bulge test d. Phalen test
Bulge test
- Sherri's blood work returns with a decreased mean corpuscular volume (MCV) and a decreased mean corpuscular hemoglobin concentration (MCHC). What should you do next?
- Order a serum iron level and a total iron-binding capacity (TIBC) level.
- Order a serum ferritin level.
- Order a serum folate level.
- Order a serum iron level, a total iron-binding capacity (TIBC) level, and a serum ferritin level.
Order a serum iron level, a total iron-binding capacity level, and a serum ferritin level.
A 15-year-old boy presents to the clinic after sustaining an ankle injury. He jumped for a rebound and landed and felt immediate pain and heard a pop. EXAM: Mod swelling and ecchymosis over right lateral ankle extending to the fifth metatarsal. Bearing minimal weight. Based on H&P, what injury is most likely?
Grade 3
To reduce the incidence of flares, foods High in what amino acid needs to be limited in the diets of patients with gout? a. Purine. b. Glutamine. c. Phenylalanine. d. Alanine.
Purine
The lachman manuever is used to detect which of the following?
ACL
Jeff, age 20, presents to the college health clinic with complaints of difficulty passing his urine and a discharge from his penis. Upon further investigation, you note that the discharge is urethral in origin. The most common cause of these symptoms in the young adult male population is:
- Chronic prostatitis.
- Prostatic abscess.
- Acute prostatitis.
- Prostatic hyperplasia.
Acute prostatitis
Mr. Reynolds is on the antithyroid drug (ATD) methimazole (Tapazole), so you make it a point to check his: a. Glycated hemoglobin (HbA1c). b. Complete blood count (CBC) and liver transaminases. c. Uric acid level. d. Total thyroxine (T4).
CBC and liver transaminases
Hashimotos occurs most commonly in what population?
Middle aged women
Macrocytic normochromic anemia are caused by
- Acute blood loss.
- An infection or tumor.
- A nutritional deficiency of iron.
- A deficiency of folic acid.
Deficiency of folic acid
a 32 Year old male is brought to the clinic with a gout attack. He had 1 other within last 6 months. Upon examination they note the joint on the right great toe is swollen. Indomethacin and colchicine. What to teach the patient about colchicine?
1 tablet every 1-2 hours until relief is obtained, or until abdominal pain.
a 40 year old female has been just diagnosed with graves. She lost 25 lbs, has palpitations and is irritable. What is this most likely? Tumor auto immune thyroid carcinoma hyperplasia
auto immune
a 19 year old female was diagnosed with iron deficiency d/t menorrhia. What education should you give? Take it on an empty stomach take with food take with OJ Take before bed
Take on an empty stomach
10 year old boy presents to the clinic following a soccer injury. The clinician says this is a positive mcmurray sign. What does this finding mean?
Tear of meniscus
Lorie, age 29, appears with the following signs: pale conjunctivae and nail beds, tachycardia, heart murmur, cheilosis, stomatitis, splenomegaly, koilonychia, and glossitis. What do you suspect?
- Vitamin B12 deficiency.
- Folate deficiency.
- Iron deficiency anemia.
- Chronic fatigue syndrome.
iron deficiency anemia
. In which of the following circumstances is the reticulocyte count elevated?
- Aplastic anemia.
- Iron deficiency anemia.
- Poisoning.
- Acute blood loss.
Acute blood loss
A new mother wants her son to be circumcised, but has hypospadius.
We have to check and see where the opening is
Your son should not be circumsized
Surgeon might need to use that tissue
Surgeon might need to use that tissue
The foreskin is needed for repair.A child's foreskin is not removed since it is needed to help repair a hypospadias. Once the hypospadias is repaired, a circumcision can be performed at the same time.
Disc herniation occurs most commonly at which level of the spine?
L4-L
Most common cancer in young kids?
ALL
Caroline, 65, is homeless and has iron deficiency anemia. She smokes and drinks when she can and has a stomach ulcer. Which of the following is not one of her risk factors for iron deficiency anemia?
- Smoking.
- Poverty.
- Ulcer.
- Age greater than 60.
Smoking
Dietary modifications for the treatment of gout includes which of the following restrictions? eggs nuts cheese alcohol
alcohol
Jill, age 49, has recently begun a rigorous weightlifting regimen. She presents to the primary care office with a shoulder dislocation. Which of the following clinical manifestations leads the nurse practitioner to suspect an anterior shoulder dislocation over a posterior dislocation? Inability to shrug the shoulder. Absence of pain. Inability to rotate the shoulder externally. Adequate to perform only a few or none of the duties of usual occupation or self-care. Herniated nucleus pulposus. Shortening of the arm.
inability to shrug the shoulder
Which of the following can cause ED in patients?
lasix
prilosec
isosorbide
imdur
reserpine
Reserpine
colchicine
Which treatment should the clinician recommend to the patient with patella-femoral dysfunction due to over use? immobilization corticosteroid quadricept strengthening excercises
quadricept strengthening excercises
Which of the following is the most common kind of cancer in kids and adults?
ALL in kids and AML in adults
a 67 year old female presents to the office with weight gain, dry hair, fatigue, weight gain. TSH is 10 and a FT4 at .2. Which of the following should you prescribe of levothyroxine?
...
The nurse practitioner (NP) suspects a herniated disk in a 72-year-old patient. The NP elevates the patient's affected leg when she is in the supine position, and it elicits back and sciatic nerve pain, which indicates a positive test. This is known as which test or sign? a. Femoral stretch test. b. Crossed straight leg raise test. c. Doorbell sign. d. Straight leg raise test.
Straight leg raise
which of the following is the most commonly associated with vertebral fractures?
osteoporosis
What slows levothyroxine absorption?
ferrous sulfate
26 yr old female has secondary obesity. Which of the following could be a cause?
PCOS
A boy comes in and complains that his testicles feels like a bag of worms, what can this be?
Varicecole
A 12 YEAR old presents with another sprain. The NP thinks she may have never been taught on injury management. What could she teach him?
Stretching is important
15 year old bitten by neighbors dog. The mother asks the clinician whether or not her son will need the rabies vaccine. The clinician knows that when a domestic dog is suspected of being infected,...what is the minimum number of days a dog suspected should be under quarantine?
10 days
Which of the following drugs used in the treatment of BPH is considered a 5-alpha-reductase inhibitor? flomax viagra proscar
proscar
Gold standard for definitive diagnosis of sickle cell?
Hemoglobin electophoresis
what will a cbc with differential reveal with pernicious anemia?
macrocytic and normochromic
Hilda, age 73, presents with a complaint of low back pain. Red flags in her history of a minor fall, osteopenia, and prolonged steroid use for systemic lupus erythematosus suggest the possibility of which of the following serious underlying conditions as the cause of her low back pain? a. Cancer. b. Cauda equina syndrome. c. Neurologic compromise. d. Spinal fracture.
spinal fracture
Which of the following diagnostic tests confirms sideroblastic anemia?
perusian blue stain
Which finding is associated with thyroid hypo function? exopthalmus tremor macroglossia pretibial edema
macroglossia
The clinician suspects testicular torsion. What finding confirms this?
high fat diet obesity
circumscision
acute knee pain after a football game, clinician elicits a positive mcmurrays sign, meaning:
torn meniscus
A patient has just been diagnosed with chronic CLL. According to the REI classification system, which of the following is stage 3?
Lymphocte count >
Thromboctopenia
liver and spleen
Thrombocytopenia
Adhesive capsulitis risk factors: hyperthyroid hypothyroid diabetes
diabetes
