NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing, Exams of Nursing

Download NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing and more Exams Nursing in PDF only on Docsity! NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing 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. NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing 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). 1. iron deficiency anemia 102.How soon after a facial laceration should sutures be removed? a. 4 to 6 days. b. 3 to 4 days. NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing decreases with age increases with age ... a 26 year old male complains of painful contraction in his calf muscles after running a marathon, what is the problem? hyponatremia a 79 year old male reports neck stiffness and aching discomfort on his right. The pain is aggravated with activity and has been progressing over the last year. full strength of the others and the DTRs are 2+, slightly limited of neck towards the right. Plain radiograph shows degeneration. Cervical spondylosis 70 year old man diagnosed with hypothyroidism. The dr prescribes levo. It is started with a lower dose why? R/O cardiovascular disease in which of the following situations would wound closure be appropriate? over a joint superficial lateral NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing 6cm superficial laceration a boy is receiving radiation for ALL. What cancer is he more at risk for when hes an adult? Brain tumor A 60 year old male presents to the clinic after stepping on a nail. What is the next step after assessing his vaccination status? Booster should be given if more that 5 years Booster should be given if less than 5 years If it's been more than 5 years A 36 year old male presents to the office with complaints of right arm and elbow pain for two weeks. Works at amazon handling packageges. Has pain at elbow; what do you think it could be. Lateral epicondylitis a 63 year old male has been on bph medications, and a decrease in his PSA has not decreased by 50%. What is the expected outcome? Elevation PSA to remain stable A significant to PSA should occur by 50% NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing ... 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 NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing 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? 1. Obtain a lead level. 2. Instruct Tina's parents to increase the amount of milk in her diet. 3. Start Tina on ferrous sulfate (Feosol) and check the CBC in 6 weeks. 4. Recheck the CBC. Obtain a lead level A 20 year old male presents to the clinic complaining of right knee pain from a soccer injury today. He felt his right ankle twist. He cannot bear weight. He now reports the knee locks up when he tries to straighten it. What could this be? Meniscus, tested by mcmurray What is the expected objective finding in BPH? Boggy and warm rubbery and uniformly enlarged hard indurated tender nodules on lateral side of gland Enlarged rubbery gland Which of the following is not a recommended treatment option for myofacial pain? NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing Corticosteroids dry needle trigger point injection massage therapy Diathermy? heat? A 52 year old OBESE male presents to the clinic with complaints of numbness and tingling in the right leg for a month. He denies pains but feels pins and needles in the anterior right thigh. He cannot recall a trigger. Nothing relieves or aggravates. Physical exam shows negative straight leg raise. Dull sensation on needle prick to left thigh. DTR are 3+. The clinician looks back and sees theres been no changes, except that the patient has gained 25 lbs. Based on these findings, which should be included in the differential diagnosis? cauda equina Proximal hip fx vascular necrosis neuralgia parethetica Neuralgia Paresthesia Which of the following is contraindicated with acute prostitis? Prostate message x-linked recessive disorder commonly seen in AA males? NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing 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 54. 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? 1. Order a serum iron level and a total iron-binding capacity (TIBC) level. 2. Order a serum ferritin level. 3. Order a serum folate level. 4. Order a serum iron level, a total iron-binding capacity (TIBC) level, and a serum ferritin level. NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing 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 what lab would you expect in a pt with hyperthryoidism? Elevated TSH and elevated t4 a 51 year old female patient was just diagnosed with acute gout. Which of the following foods would be allowed? mushrooms beans NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing asparagus broccoli broccoli A patient presents feeling more tired, and a harder time losing weight. Thyroid results reveal an elevated thryoid and a normal t4, what is it? Subclinical hypothryoidism What type of anemia is beta thalacemia minor Micro A 45 year old male presents with gouty arthritis in the right toe. He has no pain, swelling or redness upon exam. The patient is in which stage of gout? Stage 3 interval between acute attacks Which of the following is true regarding bph? The size of prostate correlates with symptoms it occurs to 50% of men older than 30 Saw palmetto is first line treatment the prostate is smooth and enlarged. the prostate is smooth and enlarged. NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing Which of the following medications does not have a part in the acute treatment of gout? allopurinol cochicine prednisone allopurinol 67 yr old female presents with low back pain, pain above lower back pain and spine without sciatica. What can this be? Musculosketal sprain 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 NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing 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 Which of the following groups has been recommended for thyroid testing? women 50+ 35-year-old female presents to your primary care office for review of her laboratory results. Her physical NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing exam shows a blood pressure (BP) have 140/90, pulse (P) of 105, oxygen saturation of 97%, and temperature of 98.6o F. She has complaints of palpitations, weight loss, hair loss, and anxiety. Her labs are all normal except for a low thyroid stimulating hormone (TSH) and an elevated thyroxine (T4). what would be your next course of treatment be? a. Start metoprolol and propylthiouracil (PTU). b. Refer the patient to psychiatry for treatment of anorexia. c. Refer the patient for radioactive iodine treatment. d. Refer the patient for thyroidectomy. a. Start metoprolol and propylthiouracil (PTU). A 55-year-old Asian male presents with a history of severe left great toe pain. He states he cannot even touch the toe with a sheet without it causing pain. He denies trauma but states he cannot ambulate without paying. He admits to drinking alcohol but not to excess. On physical exam, he has normal vital signs, and you know that your erythema on the great toe at the interphalangeal (IP) joint. Which of the following is the gold standard for diagnosis of this problem? a. Joint aspiration with crystal analysis b. Serum uric acid level c. X-ray. d. Diagnosis is made with physical exam only joint aspiration Prostate cancer is associated with what virus? NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing EBarr? Human Papilloma? TD put CMV You are referring a 73-year-old client for management of his prostate cancer with hormonal therapy. It is understood that goserelin acetate (Zoladex) acts as a method of androgen ablation by: 1. Blocking the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH). 2. Blocking 5-alpha-reductase, which converts testosterone into dihydrotestosterone. 3. Inhibiting the binding of testosterone to cancer cells. 4. Inhibiting the progression of cancer cells through the cell cycle. blocking the release of lH and FSH What does not lower uric acid levels in management of gout? Allopurinol colchicine euloric colchicine Which treatment should the clinician recommend to the patient with patella-femoral dysfunction due to over use? immobilization corticosteroid quadricept strengthening excercises NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing 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 NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing Which finding is associated with thyroid hypo function? exopthalmus tremor macroglossia pretibial edema macroglossia The clinician suspects testicular torsion. What finding confirms this? absence of cremasture reflex A nurse practitioner is trying to distinguish between an articular and a nonarticular musculoskeletal complaint in a 26-year-old patient complaining of pain in the elbow area. Which of the following would characterize nonarticular bursitis? a. Deep or diffuse pain. b. Limited range of motion (ROM) on active and passive movement. c. Point or focal tenderness. d. Swelling and instability. Point or focal tenderness Anne, age 67, sustained a fall on an outstretched hand. She presents holding her arm against her chest with her elbow flexed. Based on the specific location of her pain, you suspect a radial head fracture. The best initial strategy to assess for a radial head fracture would be: a. To palpate for tenderness, swelling, and crepitus just distal to the lateral epicondyle. NR 511 Final Exam Questions and Answers Graded A+ Chamberlain College of Nursing b. To palpate for tenderness, swelling, and crepitus along the radial wrist. c. To palpate for tenderness in the "anatomical snuffbox." d. To order an x-ray of the wrist. a. To palpate for tenderness, swelling, and crepitus just distal to the lateral epicondyle. Which of the following reflects the sickle cell anemia heritary? Sickle cell is autosomal recessive a 22 year old man is diagnosed with acute low back strains and is given nsaids. what educated is needed? Where brace at night call office lower back strengthening exercises lower back strengthening exercises 6. Sigrid, age 48, appears with a 3-month history of heat intolerance, increased sweating, palpitations, tachycardia, nervousness, irritability, fatigue, and muscle weakness. Which test would you order first? a. A blood chemistry panel. b. Thyroid-stimulating hormone (TSH) level. c. Liver function studies. d. Electrocardiogram. TSH level