Download NR511 MIDTERM CHAMBERLAIN ACTUAL EXAM COMPLETE QUESTIONS AND DETAILED ANSWERS|ALREADY GR and more Exams Nursing in PDF only on Docsity!
NR511 MIDTERM CHAMBERLAIN ACTUAL EXAM
COMPLETE QUESTIONS AND DETAILED
ANSWERS|ALREADY GRADED
A 10-year-old client was prescribed amoxicillin for otitis media. The FNP receives a call. From the parents that the client has developed a rash on the trunk. What is the most appropriate next activity by the FNP? Correct Answers Stop the medication A 14 year old child is brought to the office by the parent with a complaint of sore throat., difficulty swallowing, copious oral secretions, respiratory difficulty, stridor, in a temperature of 102. No pharyngeal edema or cough is noted. What is the most likely diagnosis? Correct Answers Epiglottitis A 16-year-old client presents to the clinic with right ear pain for two days following participating in high school swim meet. The eardrum demonstrates tenderness with traction of the pinna and tragus pain, when pressure is applied. The ear canal is red and swollen to the point that the tympanic membrane cannot be visualized. Which of the following is the most likely diagnosis? Correct Answers Otitis externa A 16-year-old client presents to the office with redness of the right eye. After diagnosing bacterial conjunctivitis. The NP should prescribe? Correct Answers Gentamicin. Sulfate.0.03% ophthalmic A 35 year old client presents to the office with right ear pain. The client recently flew back from vacation, and the NP diagnosis barotrauma to the right ear. What is the appropriate management
plan? Correct Answers Prescribe nasal steroids and oral decongestants A 35-year-old client presents to the office with an upper respiratory infection for the last 10 days. Which of the following accompanying symptoms would confirm a diagnosis of sinusitis? Correct Answers Facial pain and headache A 45-year-old client with a history of a total thyroidectomy comes to the office concerned with a rash. That has developed around a new tracheostomy site. Upon exam, the NP notes a papular rash with satellite lesions surrounding the stoma. What does this indicate? Correct Answers A fungal infection A 55-year-old client presents to the office complaining of bilateral, high- pitched tinnitus. What is the best assessment to complete at this time? Correct Answers Assessment of the client's blood pressure A 67 year old male client presents to the clinic with several lesions that appear to be actinic keratosis. Which of the following statements is true? Correct Answers Sun exposure increases the characteristics of the actinic keratosis lesions A 68 year old client reports a bright red spot located on the scale era of the right eye for five days. The client denies any trauma to the eye or headaches. His past medical history is unremarkable except for chronic constipation treated with laxative as needed. Which of the following is the most likely diagnosis? Correct Answers Subconjunctival hemorrhage
rubbery., smooth, and round mass of tissue fat is compressible and has a soft texture. What is the most likely diagnosis? Correct Answers Lipoma A client presents with a complaint of swollen nodes under his arm. The area is tender, and the node has increased in size over the past few days. Which of the following should be included in the differential diagnosis? Correct Answers Hidradenitis suppurotiva A client suffers a laceration of the Shin 3 days ago, and today presents with a painful, warm, red, swollen region around the area. The laceration has purulent exudate. What is the appropriate diagnosis for this client? Correct Answers Cellulitis A complete blood count (CBC) may identify which of the following as a cause of tinnitus? Correct Answers Anemia A four-year-old child, complaints of right ear pain for three days that was resolved with acetaminophen. The pain was accompanied by fevers of 101.4. Over the last two nights. The child had a nonproductive cough for seven days prior to the ear pain. The child attends daycare five days per week. The physical exam findings include. (-) Tenderness with tugging The Oracle of the ear; the tympanic membranes is erythematous and full on inspection and immobile with pneumatic otoscopy; (-) drainage from the ear; (-) Mastoid tenderness. What is the appropriate next step? Correct Answers Amoxicillin, 80 to 90 MG./Hg/day
A parent of a 7-year-old child being treated for acute otitis media caused the office, after 48 hours of initiating treatment, to report that the child's symptoms are still present. Which of the following is the NP's best action? Correct Answers Schedule a follow-up visit A parent of a school age child reports spreading red., crusty rash on the face. The NP diagnosis, the client with bulbous impetigo. Which of the following additional findings was most likely found on the assessment of a child? Correct Answers Sore throat An 11 year old is diagnosed with Pediculosis and treatment is prescribed. What teaching is essential before the child and parent the office? Correct Answers Expect itching to continue for up to a week after successful treatment An 86-year-old client with poor hearing refuses to wear his hearing aid. Other than possible hearing aid malfunction, What is the most likely reason for not wearing the hearing aid? Correct Answers Cerumen impaction An inflammation of the conjunctiva (the clear membrane that covers the white part of the eye and lines the inside of the eyelids) would be what diagnosis? Correct Answers Conjunctivitis (Pink eye) How do Most clients on traditional Medicare cover their out-of-pocket expenses? Correct Answers Acquiring a secondary insurance plan
The NP is treating a 17 year old for acne. What teaching should be provided? Correct Answers Sunscreen should be used with all acne medications The OLDCARTS Mnemonic is best used in which part of the chart note? Correct Answers History of present illness. (HPI) What is the indication of a diagnostic study with high sensitivity? Correct Answers High percentage of persons with the given condition will have an abnormal result. What is the most appropriate prescription for 29 year old female diagnosed with Urticaria? Correct Answers Antihistamines What is the most likely diagnosis for a client who presents with localized eye tenderness, redness at the margin of the eyelid, and internal swelling? Correct Answers Hordeolum What is the safest drug to prescribe for a 6 year old with a perforated and panic membrane? Correct Answers Ciproloxin 0.3%and dexamethasone 0.1% What is the standard dose of antibiotic for a healthy child with mild symptoms of otitis media who has no antibiotics in the past 90 days? Correct Answers Amoxicillin 80-90 mg/kg/day po in 2 divided doses for 10 days
When performing an exam in the office setting to determine the cause of a clients hearing loss. Which test should be completed first? Correct Answers Weber test Where is a rash most likely to appear in children with atopic dermatitis? Correct Answers Antecubital fossa Which is the most appropriate diagnosis for client who describes painless, blurry vision and being bothered? Correct Answers Cataracts Which of the following are major characteristics of filiform/digitate warts? Correct Answers They are easily treated but reoccur Which of the following bedside tests can be performed to differentiate conductive from sensory neural hearing loss? Correct Answers Weber test Which of the following can be used to assist in sound clinical decision making? Correct Answers - Algorithm pushed in a peer reviewed journal article.
- Clinical practice guidelines.
- Evidence based research. *All answers are correct
Which of the following is a differential diagnosis for conductive hearing loss? Correct Answers Otitis externa Which of the following is a differential diagnosis for sensorineural hearing loss? Correct Answers Meniere's disease Which of the following is an appropriate differential diagnosis for seborrhea keratosis? Correct Answers - Benign pigmented naevi
- Pigmented basal cell carcinoma
- Malignant Melanoma *All choices are correct Which of the following is associated with presbycusis? Correct Answers High frequency loss Which of the following is associated with severe tinnitus? Correct Answers Depression Which of the following is differential diagnosis for ear pain? Correct Answers Otitis externa Which of the following is essential when considering prescribing a local retinoid for acne vulgaris? Correct Answers Retnoids are not recommended for use in pregnancy unless otherwise stated
Which of the following is the appropriate treatment for epiphora (excessive tearing) due to trauma or infection? Correct Answers Topical antibiotics Which of the following is the best systemic treatment for common scabies refactoring to topical treatment? Correct Answers Ivermectin Which of the following is the mainstay treatment for rosacea? Correct Answers Metronidazole cream (0.75- 1 %) Which of the following is the most common causative pathogen for folliculitis? Correct Answers Staphylococcus Which of the following is true about seborrhea ketatosis? Correct Answers It presents as superficial epithelial growths that originate from the horny layer of the epidermis Which of the following is true regarding atopic dermatitis? Correct Answers The client complaints of itching before the rash appears Which of the following is true regarding scabies? Correct Answers A diagnosis isn't made until hypersensitivity occurs Which of the following is true regarding the payment of nurse practitioners by the Centers for Medicare and Medicaid Services (CMS)? Correct Answers NPs are reimbursed at 85% of the physician fee
Which part of Medicare covers outpatient services? Correct Answers Medicare Part B Which statement by the client indicates that additional teaching is needed for a client with acute sinusitis? Correct Answers I can use my nasal decongestant spray until the congestion is all gone Which the following is the best way to differentiate between pediculosis (lice) and dandruff? Correct Answers lice nits cement firmly in place on the hair shaft
