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NSG 6440 PRACTICE TEST /
RANDOM
The most cost-effective screening test for determining HIV status is which of the following? Western blot Enzyme-linked immunosorbent assay Venereal Disease Research Laboratory test Viral load - CORRECT ANSWER - Enzyme-linked immunosorbent assay Which blood test is a nonspecific method and most helpful for evaluating the severity and course of an inflammatory process? Erythrocyte sedimentation rate White blood cell count Polymorphonuclear cells C-reactive protein (CRP) - CORRECT ANSWER - C-reactive protein (CRP) Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter? GABA Acetylcholine Dopamine Serotonin - CORRECT ANSWER - Dopamine 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: 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 - CORRECT ANSWER - Pain at the elbow with resisted movements at the wrist and forearm Which of the following statements concerning the musculoskeletal examination is true? 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. - CORRECT ANSWER - The uninvolved side should be examined initially and then compared to the involved side. Which of the following signs or symptoms indicate an
"Regularly checking blood sugar will help establish a routine." "Monitoring glucose will promote a sense of control." All of the above - CORRECT ANSWER - All of the above "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." 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? Serum calcium TSH Electrolytes Urine specific gravity - CORRECT ANSWER - TSH Which of the following medications for type 2 diabetes mellitus should not be prescribed during pregnancy? Insulin
Metformin Glucotrol Precose - CORRECT ANSWER - Glucotrol 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? An enlarged rubbery gland A hard irregular gland A tender gland A boggy gland - CORRECT ANSWER - An enlarged rubbery gland 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? 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." - CORRECT ANSWER - Immobilize the insect with 2% lidocaine. What is the most common cause of microcytic anemia? Anemia of chronic disease Sideroblastic anemia
Make an immediate referral for an orthopedic evaluation without further assessment. Tell her that it takes time for these bruises to improve, so she should be patient. Obtain a wrist x-ray and place her wrist in a splint or prescribe a splint. Send her to the emergency room for reduction of this obvious wrist fracture. - CORRECT ANSWER - Obtain a wrist x-ray and place her wrist in a splint or prescribe a splint. 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: 1 month 3 months 6 months 12 months - CORRECT ANSWER - 6 months 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 be dark. The scrotum will appear light pink or yellow.
The scrotum will appear milky white. The internal structures will be clearly visible. - CORRECT ANSWER - The scrotum will appear light pink or yellow. According to Kübler-Ross, the stages of grief occur in which order? Anger, denial, depression, bargaining, acceptance Anger, denial, bargaining, acceptance, depression Denial, anger, depression, bargaining, acceptance Denial, anger, bargaining, depression, acceptance - CORRECT ANSWER - Denial, anger, bargaining, depression, acceptance 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? A favorable prognostic trend Disease progression The need to be more aggressive with Reuben's medications The eradication of the HIV - CORRECT ANSWER - A favorable prognostic trend
When assessing a woman for infertility, which of the following tests should be done first? Analysis of partner's sperm Magnetic resonance imaging (MRI) Hysterosalpingogram Estrogen level - CORRECT ANSWER - Analysis of partner's sperm 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? Superficial burns Superficial partial-thickness burns Deep partial-thickness burns Full-thickness burns - CORRECT ANSWER - Deep partial-thickness burns 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?
Human papillomavirus (HPV) Endometrial hyperplasia Vagismus Polycystic ovarian syndrome - CORRECT ANSWER - Human papillomavirus (HPV) As a rule of thumb, the estimated level of hematocrit is how many times the value of the hemoglobin? Two Three Four Five - CORRECT ANSWER - 3 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? 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 - CORRECT ANSWER - Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain A 30-year-old man is seen with a chief complaint of loss of
Osteoarthritis Systemic lupus erythematosus (SLE) Rheumatoid arthritis Sjögren's syndrome - CORRECT ANSWER - Rheumatoid arthritis The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the following neurotransmitters plays a role in anxiety? Acetylcholine Gamma-aminobutyric acid (GABA) Dopamine Serotonin - CORRECT ANSWER - Gamma-aminobutyric acid (GABA) A 14-year-old male is seen with complaints of severe testicular pain. The clinician suspects testicular torsion. Which of the following is the appropriate action? Refer to a urologist immediately. Obtain a computed tomography (CT) scan. Instruct the patient to elevate the scrotum. Prescribe ibuprofen. - CORRECT ANSWER - Refer to a urologist immediately Which of the following medications can cause hyperglycemia? - CORRECT ANSWER - prednisone
During treatment for anaphylaxis, what site is used for the initial injection of epinephrine? IV Abdomen Upper lateral thigh Deltoid - CORRECT ANSWER - Upper lateral thigh It is important to educate patients with depression and their family members about reporting signs of increasing depression and suicidal thoughts. This is especially true during which time period? 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 - CORRECT ANSWER - 1 to 2 weeks after the initiation of treatment What is the most common cause of secondary amenorrhea? Pregnancy Pituitary dysfunction Inadequate estrogen levels Genetic disorders - CORRECT ANSWER - Pregnancy
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? Valgus stress test McMurray circumduction test Lachman test Varus stress test - CORRECT ANSWER - McMurray circumduction test The cardinal subjective symptom of sickle cell crisis is which of the following? Pain Nausea Light-headedness Palpitations - CORRECT ANSWER - Pain 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? Pelvic inflammatory disease Endometriosis Sexually transmitted infections Ovarian cyst - CORRECT ANSWER - Endometriosis Which arthropod bite can contain cytotoxic and hemolytic toxins that may destroy tissue? Tick Brown recluse spider Wasp
Stinging caterpillar - CORRECT ANSWER - Brown recluse spider Janet is a 30-year-old who has recently been diagnosed with a herniated disc at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equina compression. Which of the following is a sign or symptom of cauda equina compression? Gastrocnemius weakness A reduced or absent ankle reflex Numbness in the lateral foot Paresthesia of the perineum and buttocks - CORRECT ANSWER - Paresthesia of the perineum and buttocks A 21-year-old woman is seen in the clinic requesting birth control pills. Which of the following tests is essential before prescribing any oral contraceptive? Pregnancy test Complete blood cell count Thyroid-stimulating hormone Urine dip for protein - CORRECT ANSWER - Pregnancy test A patient with type 2 diabetes comes to the clinic after
Allogeneic Syngeneic - CORRECT ANSWER - Syngeneic Pink, cherry red tissues and skin may result from which type of poisoning? Arsenic Lead Carbon monoxide Strychnine - CORRECT ANSWER - Carbon monoxide Basic human needs are identified as: Autonomy and feeling valued by others Exhilaration and productivity Spirituality Career success and material rewards - CORRECT ANSWER - Autonomy and feeling valued by others The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the clinician classify this patient? Overweight Mild obesity Moderate obesity
Morbid obesity - CORRECT ANSWER - Mild obesity 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 All of the above - CORRECT ANSWER - All of the above What is the treatment of choice for a patient diagnosed with testicular cancer? Radical orchidectomy Lumpectomy Radiation implants All of the above - CORRECT ANSWER - Radical orchidectomy Which method is used to remove heavy metals, such as lead, that are ingested as poisons? Chelation Dialysis Gastric lavage Bowel irrigation - CORRECT ANSWER - Chelation
