NR 511 Midterm Final Exam Questions and Answers, Exams of Nursing

Download NR 511 Midterm Final Exam Questions and Answers and more Exams Nursing in PDF only on Docsity! NR 511 Midterm Final exam NR511 MIDTERM EXAM TEST BANK LATEST UPDATE QUESTIONS AND ANSWERS 1.A patient is diagnosed with gastroesophageal reflux disease (GERD), and his endoscopic report reveals the presence of Barrett's epithelium. Which of the following information should the clinician include in the explanation of the pathology report?: A) This is a premalignant tissue. B) This tissue is resistant to gastric acid. C) This tissue supports healing of the esophagus. D) All of the above Answer D 2.On further questioning, the 21-year-old patient with the chief complaints of fatigue, headache, anorexia, and a runny nose explains that she is sexually active only with her boyfriend, does not use injectable drugs, and works as an aide in a day- care center. Which of the following tests would be most helpful in confirming your diagnosis?: HAV IgM 3.Which statement about adenocarcinoma of the lung is accurate?: It is the most prevalent carcinoma of the lung in both sexes and in nonsmokers, representing 35% to 40% of all tumors. 4.Marci has a wart on her hand. She says she heard something about "silver duct tape therapy." What do you tell her about his?: It is a simple treatment that should be tried first. 1 / 10 . 5.Which patient is more likely to have a cluster headache?: A 45- year-old male awakened at night 6.Tinea unguium is also known as:: Onychomycosis. 7.Which of the following medications used in the treatment of glaucoma works by constricting the pupils to open the angle and allow aqueous fluid to escape?: Pilocarpine 8.George has cardiovascular disease (CVD), is 64 years old, has a total cholesterol of 280 mg/dL, has a systolic blood pressure (BP) of 158, and is being treated for hypertension. You are doing a Framingham Risk Assessment on him. Which assessment factor would give him the highest number of points on the scale?: His cholesterol level 9.Which of the following is "a linear crack extending from the epidermis to the dermis"?: A fissure 10. A patient is seen in the office with complaints of six to seven liquid bowel movements per day. Which of the following assessment findings would lead the clinician to a diagnosis of inflammatory bowel disease?: History of international travel 11. Which of the following is associated with celiac disease (celiac sprue)?: Malabsorption 12 In which of the following situations would referral to a specialist be needed for sinusitis?: A) Recurrent sinusitis B) Allergic sinusitis C) Sinusitis that is refractory to antibiotic therapy D) All of the injuries?: Silver sulfadiazine (Silvadene) 3 / 10 . 25.Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?: Decrease in level of consciousness (LOC) 26.George, aged 59, complains of a flulike illness, including fever, chills, and myalgia after returning from visiting his grandchildren in New England. He reports having discovered a rash or red spot that grew in size on his right leg. What disease are you considering?: Lyme disease 27.Infectious mononucleosis results from an acute infection with which of the following?: Epstein-Barr virus (EBV) 28.Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?: morning stiffness 29.Immunizations are an example of which type of prevention?: primary 30.Which of the following classes of drugs should be used as first-line therapy for treatment of delirium?: Antipsychotic 31.Clinicians who learn how to code and document Evaluation and Management (E&M) and clinician services will be more successful in gaining timely payment for care delivery. Which or the following Centers for Medicare and Medicaid Services (CMS) practices are designed to financially penalize clinicians who do not bill according to CMS guidelines?: Audits and probes 32. The current goal of treatment for a patient with HIV infection is which of the following?: Viral suppression of HIV to undetectable levels in the peripheral blood 33. The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the following neurotransmitters plays a role in anxiety?: - Gamma-aminobutyric acid (GABA) 34. The vegetarian patient with gout asks the clinician about food that he should avoid. The clinician should advise the patient to avoid which of the following foods?: spinach 35. What is the treatment of choice for a patient diagnosed with testicular cancer?: Radical orchidectomy 36. Which drug for Alzheimer's disease should be administered beginning at the time of diagnosis?: Cholinesterase inhibitors 37. The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (text revision) (DSM-IV- TR) state that excessive worry or apprehension must be present more days than not for at least:: 6 months 4 / 10 . 49.During a digital rectal exam (DRE) on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?: An enlarged rubbery gland 50 If a previously frostbitten area becomes frostbitten again after it has healed, what might occur?: Permanent tissue damage may occur, resulting in necrosis to that body part. 51.After removing a tack from a type 2 diabetic's heel and evaluating the site for infection, what is the best plan for this patient?: Refer to a podiatrist for a foot care treatment plan 52.Which type of burn injury results in destruction of epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact?: Deep partial- thickness burns 53.CPT coding offers the uniformed language used for reporting medical services and procedures performed by physician and nonphysician practitioners. Clinicians are paid based on calculated resource costs that are calculated based on practice components. Which of the following are part of the components used to calculate the per CPT code payment rate?: Clinician practice liability and malpractice expense 54.Triggering factors for acute exacerbations of the following condition include exposure to ultraviolet (UV)-B and UV-A rays.: Systemic lupus erythematosis (SLE) 55.What is the most common cause of generalized musculoskeletal pain in women aged 20 to 55 years?: Fibromyalgia syndrome (FMS) 56.Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of his left great toe. The clinician suspects acute gout. Which of the following should the clinician suspect in the initial test results for this patient?: Elevated uric acid level 57.The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs to manage his symptoms of pain and discomfort. Which of the following statements would be most appropriate when teaching Sam about the use of NSAIDs to manage his pain?: You should start with the lowest dose that is effective in managing your pain, because long-term use of NSAIDs can result in gastrointestinal (GI) disorders such as ulcers and hemorrhage. 6 / 10 . 58.Which of the following statements is true concerning the musculoskeletal exam?: The uninvolved side should be examined initially and compared to the involved side 59.In the consensus model for Advanced Practice Registered Nurse (APRN) regulation, the "C" of LACE represents?: certification 60.A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority?: a pregnancy test 61.The hallmark of an absence seizure is:: a blank stare 62 A sunscreen with a sun-protection factor (SPF) of at least what number will block most harmful ultraviolet (UV) radiation?: 15 63. A 60-year-old man presents with an enlarged scrotum. The clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to find?: The scrotum will appear light pink or yellow. 64. How often should the clinician examine the feet of a person with diabetes?: at every visit 65. A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram (ECG) changes should the clinician expect as a manifestation of the disease?: Sinus bradycardia 66. Which of the following statements is true concerning the management of the client with a herniated disc?: intolerable pain for more than a 3-month period is an indication for surgical intervention. 67. What is usually the first sign or symptom that a patient would present with that would make you suspect herpes zoster?: A vesicular skin lesion on one side of the body 68. A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease (STD) has she most probably been exposed to?: Chlamydia 69. A 64-year-old man with type 2 diabetes presents to the clinic with the complaint of "my feet feel like they are on 8 / 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her exam?: Human papillomavirus (HPV) 73. Women are at the highest risk for developing postpartum depression for up to how long after childbirth?: 6 months 74. Which blood test is a nonspecific method and most helpful for evaluating the severity and course of an inflammatory process?: C-reactive protein (CRP) 75. A 22-year-old male is seen in the clinic because he found a hard lump in his testicle when performing testicular self-examination (TSE). Which of the following should be included in the list of differential diagnoses?: Testicular cancer Inguinal hernia Varicocele D) All of the above Answer D 76. In an outpatient setting, what is the most common reason for a malpractice suit?: Failure to diagnose correctly 77. The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the clinician classify this patient?: Mild obesity 78. Patients with a spontaneous pneumothorax should be counseled that up to what percentage may experience a reoccurrence at some point?: 30% 79. Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall. She has been experiencing severe pain and limited range of motion in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation?: There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses. 80. Which of the following medications is the treatment of choice for trichomonas?: Metranidazole 81. Which of the following statements is true regarding the treatment of carpal tunnel syndrome?: A) The goal of treatment is to prevent flexion and extension movements of the wrist. 9 / 10