Download NR 511 Week 8 Exam Questions with Answers Tested and Verified Solutions 2024 Updates and more Exams Nursing in PDF only on Docsity! NR 511 Week 8 Exam Questions with Answers Tested and Verified Solutions 2024 Updates 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) Points Received: 0 of 2 Comments: Question 3.Question : Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter? Student Answer: GABA Acetylcholi ne Dopamine Serotonin Points Received: 0 of 2 Comments: Question 4.Question : Mrs. Thomas was seen in the office complaining of pain and point tenderness in the area of her elbow. The pain has increased following a day of gardening one week ago. A physical finding that differentiates the diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is: Student Answer: Ecchymosis, edema, and erythema over the lateral epicondyle Pain at the elbow with resisted movements at the wrist and forearm Inability to supinate and pronate the arm Inability to flex or extend the elbow against resistance Points Received: 2 of 2 Comments: Question 5.Question : Which of the following statements concerning the musculoskeletal examination is true? Student Answer: The uninvolved side should be examined initially and then compared to the involved side. The part of the body that is causing the patient pain should be examined first. When possible, the patient should not be asked to perform active range-of-motion (ROM) exercises to avoid causing pain. Radiographs should always be obtained prior to examination so as not to cause further injury to the patient. 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 Electrolyte s 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 Metform in Glucotro l 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: Question 14.Question : What is the most common cause of microcytic anemia? Student Answer: Anemia of chronic disease Sideroblastic anemia Iron- deficiency anemia Thalassemia Points Received: (not graded) Comments: Question 15.Question : An 82-year-old man is seen in the primary care office with complaints of dribbling urine and difficulty starting his stream. Which of the following should be included in the list of differential diagnoses? Student Answer: Benign prostatic hyperplasia (BPH) Parkinson's disease Prostate cancer All of the above Points Received: (not graded) Comments: Question 16.Question : Early rheumatoid disease is characterized by: Student Answer: Pain and swelling in both small and large peripheral joints Rigid joints with diminished range of motion Joint swelling and immobility on rising 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 Inflammato ry Nonarticul ar 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/da y 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? Student Answer: Analysis of partner's sperm Magnetic resonance imaging (MRI) Hysterosalpingogram Estrogen level Points Received: (not graded) Comments: Question 26.Question : Which type of burn injury results in destruction of the epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact? Student Answer: Superficial burns Superficial partial- thickness burns Deep partial-thickness burns Full- thickness burns Points Received: (not graded) Comments: Question 27.Question : A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her examination? Student Answer: Human papillomavirus (HPV) Endometrial hyperplasia Vagismus Polycystic ovarian syndrome Points Received: (not graded) Comments: Question 28.Question : As a rule of thumb, the estimated level of hematocrit is how many times the value of the hemoglobin? Student Answer: Two Thre e Four Five Points Received: (not graded) Comments: Question 29.Question : Sam is a 25-year-old who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following 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 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 Citoprola m 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 Nause a 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 50.Question : Pink, cherry red tissues and skin may result from which type of poisoning? Student Answer: Arseni c 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: Overweig ht 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-examination (TSE). Which of the following should be included in the list of differential diagnoses? Student Answer: Testicular cancer Inguinal hernia Varicocele All of the above Points Received: (not graded) Comments: Question 54.Question : What is the treatment of choice for a patient diagnosed with testicular cancer? Student Answer: Radical orchidectomy Lumpectomy Radiation implants All of the above Points Received: (not graded) Comments: Question 55.Question : Which method is used to remove heavy metals, such as lead, that are ingested as poisons? Student Answer: Chelatio n Dialysis Gastric lavage Bowel irrigation Points Received: (not graded) Comments: Question 56.Question : A 58-year-old woman presents with a breast mass. Which of the following responses by the clinician would be most appropriate? Student Answer: "It is probably just a cyst because that is the most common breast mass." "We will order a mammogram and ultrasound to help establish a diagnosis." "We will go ahead and schedule you for a biopsy because that is the only way to know for sure." "Because your lump is painful, it is most likely not cancer." Points Received: (not graded) Comments: 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 Progesterone level LH level Points Received: (not graded) Comments: Question 66.Question : After 6 months of Synthroid therapy, the clinician should expect which of the following in the repeat thyroid studies? Student Answer: Elevated TSH Normal TSH Low TSH Undetectable TSH Points Received: (not graded) Comments: Question 67.Question : A patient is 66 inches in height, weighing 200 pounds, and newly diagnosed with type 2 diabetes mellitus (DM). Her fasting plasma glucose level is 215 mg/dL. What is the best initial treatment? Student Answer: No treatment at this time Diet and exercise for 6-week trial Diet, exercise, and oral medication Diet, exercise, and exogenous insulin Points Received: (not graded) Comments: Question 68.Question : Which of the following should be considered in a patient presenting with erectile dysfunction? Student Answer: Diabetes mellitus Hypertension Atherosclerosi s 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 Doxycyclin e Acyclovir Metronidazo le 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 maintaining the wrist in a neutral position. Corticosteroid injections are discouraged in the treatment of carpal tunnel syndrome because of the risks for median nerve damage, scarring, and infection. All of the above Points Received: (not graded) Comments: Question 72.Question : 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 expect in the initial test results for this patient? Student Answer: Elevated uric acid level Elevated blood urea nitrogen Decreased urine pH Decreased C-reactive protein Points Received: (not graded) Comments: Question 73.Question : Which of the following data is indicative of testicular torsion? Student Answer: Absent cremasteric reflex Pain relieved on testicular elevation Testicle very low in the scrotum Swollen scrotum with "red dot sign" Points Received: (not graded) Comments: Question 74.Question : A patient with type 2 diabetes asks the clinician why she needs to exercise. In order to answer her, the clinician must understand that exercise has what effect on the patient with type 2 diabetes? Student Answer: Reduces postprandial blood glucose Reduces triglycerides and increases 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: Question 83.Question : Which of the following is identified as an eating disorder in which a person craves food substitutes, such as clay, ice chips, and cotton, and is considered an objective finding associated with severe iron deficiency? Student Answer: Ferritin Porter's syndrome Hypochromasia Pica Points Received: (not graded) Comments: Question 84.Question : The clinician suspects that a client seen in the office has hyperthyroidism. Which of the following tests should the clinician order on the initial visit? Student Answer: High sensitivity thyroid-stimulating hormone (TSH) and free T4 Free T4 and serum calcium Free T3 and T4 TSH and thyroxin antibodies Points Received: (not graded) Comments: Question 85.Question : The clinician has been doing diabetic teaching for a patient with type 1 diabetes. Which of the following statements by the patient would indicate that teaching has been effective? Student Answer: "As long as I don't need glasses, I don't have to worry about going blind." "I know I need to have my eyes checked every year." "My optometrist checks my eyes." "I will see my eye doctor when my vision gets blurry." Points Received: (not graded) Comments: Question 86.Question : Triggering factors for acute exacerbations of which of the following conditions include exposure to ultraviolet (UV)- B and UV-A rays? Student Answer: Rheumatoid arthritis Scleroderm a SLE 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 Student Answer: Inability to bear weight immediately after the injury Development of marked ankle swelling and discoloration after the injury Crepitation with palpation or movement of the ankle 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 Potatoe s 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: