NR 511 Week 8 Exam Questions and Answers 100% Verified Solutions, Exams of Nursing

Download NR 511 Week 8 Exam Questions and Answers 100% Verified Solutions and more Exams Nursing in PDF only on Docsity! NR 511 Week 8 Exam Questions and Answers 100% Verified Solutions Question 1. The most cost-effective screening test for determining HIV status is which of the following? Student Answer: Western blot Enzyme-linked immunosorbent assay Venereal Disease Research Laboratory test Viral load Points Received: 0 of 2 Comments: Question 2.Question : Which blood test is a nonspecific method and most helpful for evaluating the severity and course of an inflammatory process? Student Answer: Erythrocyte sedimentation rate White blood cell count Polymorphonuclear cells C-reactive protein (CRP) inflammatory etiology to musculoskeletal pain? Student Answer: Decreased C-reactive protein Hyperalbuminemia Morning stiffness Weight gain Points Received: (not graded) Comments: Question 7.Question : Which causes the greatest percentage of mammalian bites? Student Answer: Dogs Cats Humans Rodents Points Received: (not graded) Comments: Question 8.Question : A 48-year-old woman is seen in the clinic with complaints of prolonged heavy menstrual periods. She is pale and states she can no longer exercise. Pelvic exam reveals a single, very large mass. Which of the following diagnostic tests should the clinician order first? Student Answer: Transvaginal ultrasound Endometrial biopsy MRI Abdominal computed tomography scan Points Received: (not graded) Comments: Question 9.Question : A diabetic patient asks the clinician why he needs to check his blood sugar at home even when he feels good. Which of the following responses would be most appropriate? Student Answer: "Control of glucose will help postpone or delay complications." "Regularly checking blood sugar will help establish a routine." "Monitoring glucose will promote a sense of control." All of the above Points Received: (not graded) Comments: Question 10.Question : A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain, and constipation for the past 3 months. On physical examination, the clinician notices a sinus bradycardia; muscular stiffness; coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which of the following tests should be ordered next? Student Answer: Serum calcium TSH Electrolytes Urine specific gravity Points Received: (not graded) Comments: Question 11.Question : Which of the following medications for type 2 diabetes mellitus should not be prescribed during pregnancy? Student Answer: Insulin Metformin Glucotrol Precose Points Received: (not graded) Comments: Question 12.Question : During a DRE on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious? Student Answer: An enlarged rubbery gland A hard irregular gland A tender gland A boggy gland Points Received: (not graded) Comments: Question 13.Question : Eddie, age 4, presents to the ED with a live insect trapped in his ear canal causing a lot of distress. What should be your first step? Student Answer: Remove the insect with tweezers. Immobilize the insect with 2% lidocaine. Sedate Eddie with diazepam. Shine a light in the ear for the insect to "find its way out." Points Received: (not graded) Comments: prescribe a splint. Send her to the emergency room for reduction of this obvious wrist fracture. Points Received: (not graded) Comments: Question 18.Question : The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excessive worry or apprehension must be present more days than not for at least: Student Answer: 1 month 3 months 6 months 12 months Points Received: (not graded) Comments: Question 19.Question : 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? Student Answer: The scrotum will be dark. The scrotum will appear light pink or yellow. The scrotum will appear milky white. The internal structures will be clearly visible. Points Received: (not graded) Comments: Question 20.Question : According to Kübler-Ross, the stages of grief occur in which order? Student Answer: Anger, denial, depression, bargaining, acceptance Anger, denial, bargaining, acceptance, depression Denial, anger, depression, bargaining, acceptance Denial, anger, bargaining, depression, acceptance Points Received: (not graded) Comments: Question 21.Question : Reuben, age 24, has HIV and just had a routine viral load test done. The results show a falling viral load. What does this indicate? Student Answer: A favorable prognostic trend Disease progression The need to be more aggressive with Reuben's medications The eradication of the HIV Points Received: (not graded) Comments: Question 22.Question : The exanthem of Lyme disease is: Student Answer: Erythema infectiosum Laterothoracic exanthem Erythema migrans Morbilli exanthem Points Received: (not graded) Comments: Question 23.Question : You have detected the presence of crepitus on examination of a patient with a musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with both active and passive movement. These findings suggest that the origin of the musculoskeletal complaint is: Student Answer: Articular Inflammatory Nonarticular A and B Points Received: (not graded) Comments: Question 24.Question : What is the recommended daily calcium intake for adults over the age of 50 with low bone mass? Student Answer: 1,200 mg/day 1,000 mg/day 1,300 mg/day 1,500 mg/day Points Received: (not graded) Comments: Question 25.Question : When assessing a woman for infertility, which of the following tests should be done first? symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc? Student Answer: Morning stiffness and limited mobility of the lumbar spine Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain Fever, chills, and elevated erythrocyte sedimentation rate Pathologic fractures, severe night pain, weight loss, and fatigue Points Received: (not graded) Comments: Question 30.Question : A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following laboratory tests would help establish a diagnosis? Student Answer: Testosterone level Prostate-specific antigen Nocturnal penile tumescence and rigidity Prolactin level Points Received: (not graded) Comments: Question 31.Question : The clinician prescribes glipizide (Glucotrol) for a diabetic patient. Which statement made by the patient would indicate that your teaching has been effective? Student Answer: "I'll take my pill at least 30 minutes before breakfast." "I'll take my Glucotrol before bedtime." "It is important to take my medication right after I eat." "Since I only like to eat two meals a day, I can take the pill between my meals." Points Received: (not graded) Comments: Question 32.Question : In the United States, what is the second most common connective tissue disease and the most destructive to the joints? Student Answer: Osteoarthritis Systemic lupus erythematosus (SLE) Rheumatoid arthritis Sjögren's syndrome Points Received: (not graded) Comments: during which time period? Student Answer: Before the initiation of treatment 1 to 2 weeks after the initiation of treatment When switching to a different medication 1 to 2 weeks after tapering off medications Points Received: (not graded) Comments: Question 38.Question : What is the most common cause of secondary amenorrhea? Student Answer: Pregnancy Pituitary dysfunction Inadequate estrogen levels Genetic disorders Points Received: (not graded) Comments: Question 39.Question : Which of the following is the only drug for bulimia approved by the U.S. Food and Drug Administration? Student Answer: Sertraline Fluoxetine Citoprolam Imipramine Points Received: (not graded) Comments: Question 40.Question : The goals of the 15-minute hour approach include: Student Answer: Enhance self-esteem, expand behavioral repertoire, prevent dire consequences, and reestablish premorbid levels of functioning Emerge with a higher level of functioning and commitment to long-term psychotherapy Accept need for antidepressant therapy and psychiatric referral; share concerns with primary care clinician Improve family functioning and sexual performance as well as accept need for antidepressant medication Points Received: (not graded) Comments: Question 41.Question : John is a 16-year-old boy who presents to the emergency room after hurting his knee in a football game. He described twisting his knee and then being unable to extend it completely. John tells the clinician that he heard a pop when the injury occurred and has been experiencing localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal tear? Student Answer: Valgus stress test McMurray circumduction test Lachman test Varus stress test Points Received:(not graded) Comments: Question 42.Question : The cardinal subjective symptom of sickle cell crisis is which of the following? Student Answer: Pain Nausea Light-headedness Palpitations Points Received: (not graded) Comments: Question 43.Question : A 25-year-old woman is seen in the clinic complaining of painful menstruation. Which of the following pelvic pathologies is the most common cause of dysmenorrhea? Student Answer: Pelvic inflammatory disease Endometriosis Sexually transmitted infections Ovarian cyst Points Received: (not graded) Comments: Question 44.Question : Which arthropod bite can contain cytotoxic and hemolytic toxins that may destroy tissue? Student Answer: Tick Brown recluse spider Wasp Stinging caterpillar Points Received: (not graded) Comments: SSRIs have a more favorable side-effect profile than TCAs. SSRIs are not lethal in overdose. Points Received: (not graded) Comments: Question 49.Question : Which type of bone marrow transplant is obtained from an identical twin? Student Answer: Autogenic Autologous Allogeneic Syngeneic Points Received: (not graded) Comments: Question 50.Question : Pink, cherry red tissues and skin may result from which type of poisoning? Student Answer: Arsenic Lead Carbon monoxide Strychnine Points Received: (not graded) Comments: Question 51.Question : Basic human needs are identified as: Student Answer: Autonomy and feeling valued by others Exhilaration and productivity Spirituality Career success and material rewards Points Received: (not graded) Comments: Question 52.Question : The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the clinician classify this patient? Student Answer: Overweight Mild obesity Moderate obesity Morbid obesity Points Received: (not graded) Comments: Question 53.Question : A 22-year-old male is seen in the clinic because he found a hard lump in his testicle when performing testicular self- Question 57.Question : A 36-year-old woman is seen with complaints of vaginal itching, burning, and discharge. On potassium hydroxide (KOH) wet mount of vaginal discharge, the clinician notices hyphae. Which of the following treatments would be appropriate? Student Answer: Fluconazole Estrogen vaginal cream Metronidazole Doxycycline Points Received: (not graded) Comments: Question 58.Question : 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? Student Answer: "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." "You should start with the lowest dose that is effective in managing your pain to avoid developing tolerance to the medication." "You should take the maximum recommended dose of NSAIDs so that you will not need to take narcotics to control your pain." "It is important to take NSAIDs on an empty stomach in order to increase absorption." Points Received: (not graded) Comments: Question 59.Question : A history of overuse or excessive force, as opposed to a fall, hyperextension, or the twisting of a joint, is more likely related to which musculoskeletal injury? Student Answer: A sprain A strain A partial fracture A fracture Points Received: (not graded) Comments: Question 60.Question : Which type of heat-related illness involves a core body temperature of at least 104.9°F, acute mental status changes, absent sweat, and tachypnea? Student Answer: Heat cramps Heat syncope Heat exhaustion Heat stroke Points Received: (not graded) Comments: Question 61.Question : Which of the following may be used to evaluate a person's suicide risk? Student Answer: CAGE SANE SAD PERSONAS DIGFAST Points Received: (not graded) Comments: Question 62.Question : One of the initial steps in assessing patients with musculoskeletal complaints is to determine whether the complaint is articular or nonarticular in origin. Which of the following is an example of an articular structure? Student Answer: Bone Synovium Tendons Fascia Points Received: (not graded) Comments: Question 63.Question : After returning from visiting his grandchildren in England, George, age 59, complains of a flulike illness, including fever, chills, and myalgia. He reports having discovered a rash or red spot that grew in size on his right leg. What disease are you considering? Student Answer: A viral syndrome Lyme disease Rocky Mountain spotted fever Relapsing fever Points Received: (not graded) Question 68.Question : Which of the following should be considered in a patient presenting with erectile dysfunction? Student Answer: Diabetes mellitus Hypertension Atherosclerosis All of the above Points Received: (not graded) Comments: Question 69.Question : Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal tunnel syndrome. She has two young children and asks the clinician what the chances are that they also will develop carpal tunnel syndrome. Which of the following responses would be correct regarding the risk of developing carpal tunnel syndrome? Student Answer: Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought to account for about one- half the risk of developing carpal tunnel. Only people with occupations that require repeated flexion extension of the wrist, use of hand tools that require forceful gripping, or use of hand tools that vibrate are at risk for developing carpal tunnel. An underlying musculoskeletal disorder must be present for a person to develop carpal tunnel. Carpal tunnel syndrome only occurs in the presence of a hormonal imbalance. Points Received: (not graded) Comments: Question 70.Question : A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea. Which of the following is the treatment of choice for gonorrhea? Student Answer: Ceftriaxone Doxycycline Acyclovir Metronidazole Points Received: (not graded) Comments: Question 71.Question : Which of the following statements is true regarding the treatment of carpal tunnel syndrome? Student Answer: The goal of treatment is to prevent flexion and extension movements of the wrist. Splints are used in carpal tunnel syndrome, because they allow for free movement of the fingers and thumb while first priority? Student Answer: Pregnancy test Pelvic ultrasound Endometrial biopsy Platelet count Points Received: (not graded) Comments: Question 76.Question : What is the most common cause of generalized musculoskeletal pain in women ages 20 to 55? Student Answer: Chronic fatigue syndrome (CFS) Anemia Fibromyalgia syndrome (FMS) Sports-related injuries Points Received: (not graded) Comments: Question 77.Question : If the international normalized ratio (INR) result is above the therapeutic range in a patient with atrial fibrillation on warfarin, what might the clinician do? Student Answer: Stop the warfarin for 1 week, and then repeat the INR. Withhold one or more days of anticoagulant therapy. Restart therapy at a lower dose immediately. The prothrombin time and INR should be reevaluated within 1 month of the dosage adjustments. Points Received: (not graded) Comments: Question 78.Question : A 32-year-old woman is seen in the clinic because she has been unable to get pregnant after 12 months of unprotected sex. In order to determine the cause of the infertility, the clinician should question her about which of these possible causes? Student Answer: Pelvic inflammatory disease Oral contraceptive use for 15 years Early menarche Diet high in soy protein Points Received: (not graded) Comments: Question 79.Question : Which of the following statements concerning the treatment of fibromyalgia syndrome is true? Student Answer: There is currently no cure for the disorder; however, patients should be made aware that symptom relief is possible. Treatment is directed toward controlling discomfort, improving sleep, and maintaining function. Fibromyalgia syndrome can be difficult to manage, requiring a variety of approaches and multiple medications. All of the above Points Received: (not graded) Comments: Question 80.Question : The clinician should prescribe an antibiotic that covers which of these organisms for a patient with acute prostatitis? Student Answer: Gram-positive cocci Gram-negative cocci Gram-positive bacillus Gram-negative bacillus Points Received: (not graded) Comments: Question 81.Question : Which household solution should be used to clean a bathroom if sharing with a friend who has HIV? Student Answer: 100% bleach 50% bleach and 50% vinegar Nine parts H2O to one part bleach The friend must have his or her own bathroom. Points Received: (not graded) Comments: Question 82.Question : Sandra is 42 years old and has just been diagnosed with leukemia. She is complaining of bone and joint pain. Which type of leukemia is most likely the culprit? Student Answer: Acute lymphocytic leukemia Acute myelogenous leukemia Chronic myelogenous leukemia Chronic lymphocytic leukemia Points Received: (not graded) Comments: Sjögren's syndrome Points Received: (not graded) Comments: Question 87.Question : Which of the following characteristics separates anaphylaxis from a vasovagal reaction? Student Answer: Bradycardia Extreme diaphoresis Severe bronchoconstriction Hypotension Points Received: (not graded) Comments: Question 88.Question : Mr. Jackson is a 65-year-old man recently diagnosed with osteoarthritis. The clinician has explained to Mr. Jackson that the goals for managing osteoarthritis include controlling pain, maximizing functional independence and mobility, minimizing disability, and preserving quality of life. Mr. Jackson explains to the clinician that his first choice would be to use complementary therapies to control his condition and asks what therapies are most effective in treating osteoarthritis. What would be the most appropriate response from the clinician? Student Answer: "Complementary therapies should be considered only if surgical interventions are not successful." "I am unfamiliar with the available complementary therapies for osteoarthritis and prefer to discuss more mainstream treatments, such as NSAIDs and physical therapy, to manage your condition." "I would be happy to discuss all the treatment options available to you. Complementary therapies, such as acupuncture, acupressure, and tai-chi, are being studied for use in the treatment of osteoarthritis and have shown promise when used with standard medical therapy." "It would be crazy to use complementary therapies to treat such a serious condition." Points Received: (not graded) Comments: Question 89.Question : One benefit of motivational interviewing (MI) is: Student Answer: It assumes that ambivalence is a normal part of the change process. It can be utilized during routine office visits. It is a therapeutic technique which is not necessarily time intensive. ¥ \- Allare benefits of MI. Points Received: (not graded)  All of the above Points Received: (not graded) Comments: Question 94.Question : A vegetarian patient with gout asks the clinician about food he should avoid. The clinician should advise the patient to avoid which of the following foods? Student Answer: Rice Carrots Spinach Potatoes Points Received: (not graded) Comments: Question 95.Question : A patient with a basilar skull fracture may experience an impaired downward gaze or diplopia from which affected cranial nerve? Student Answer: CN II CN III CN IV CN V Points Received: (not graded) Comments: Question 96.Question : A patient presents to the clinician after experiencing four episodes in the last month of sweating, palpitations, chest pain, nausea, and shaking. Each episode lasted about 10 minutes. The patient is now becoming very fearful of future events and has been reluctant to leave the house. The clinician suspects panic disorder but wants to rule out any possible medical causes. Which of the following medical conditions can mimic the symptoms of a panic attack? Student Answer: Pheochromocytoma Hyperthyroidism Cardiac arrhythmias All of the above Points Received: (not graded) Comments: Question 97.Question : Which test is used to confirm a diagnosis of epididymitis? Student Answer: Urinalysis Gram stain of urethral discharge Complete blood cell count with differential Ultrasound of the scrotum Points Received: (not graded) Comments: Question 98.Question : BATHEing the patient refers to: Student Answer: A technique used in primary care to get the patient to accept the need for psychological or psychiatric referral A technique used to facilitate cultural understanding A technique used to perform psychotherapy A technique that is a quick screen for psychiatric issues and interventions for psychological problems Points Received: (not graded) Comments: Question 99.Question : BATHEing the patient is an advanced practice nursing intervention that allows the practitioner to: Student Answer: Develop a therapeutic relationship without "owning" the patient's problem Conduct psychological counseling within the context of the primary care encounter Focus on the "process" and not the assessment Make the patient and family happier Points Received: (not graded) Comments: Question 100.Question : A 45-year-old woman is seen in the clinic with abnormal uterine bleeding and pain during intercourse. The clinician should consider which of the following diagnoses? Student Answer: Leiomyoma Pregnancy Ovarian cancer All of the above Points Received: (not graded) Comments: