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SANNERS REVIEW - FINAL NR511 ACTUAL EXAM COMPLETE QUESTIONS AND DETAILED ANSWERS|ALREADY, Exams of Nursing

Yale UniversityNursing

SANNERS REVIEW - FINAL NR511 ACTUAL EXAM COMPLETE QUESTIONS AND DETAILED ANSWERS|ALREADY GRADED

Typology: Exams

2024/2025

Available from 08/07/2025

eduminty
eduminty 🇺🇸

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SANNERS REVIEW - FINAL NR511 ACTUAL EXAM
COMPLETE QUESTIONS AND DETAILED
ANSWERS|ALREADY GRADED
abscess care Correct Ans- relieve symptoms, promote healing, prevent
complications
-Tx: I&D, pain relief, abx, warm compress, wound care, follow up
Acute Lymphoblastic Leukemia (ALL) Correct Ans- most common
cancer in young children
-s&s: pallor, fatigue, bleeding, fever, bone pain, adenopathy, arthralgias
and hepatosplenomegaly, enlarged lymph nodes
-diagnosis: bone marrow bx, lumbar puncture, CBC shows leukopenia
with lymphoblasts
-Tx: chemo, radiation, stem cell transplant, support
*kids typically have better prognosis*
animal bites Correct Ans- clean with mild soap and water to remove
saliva
-wound should be irrigated with 18-20 gauge needle
*may need tetanus booster if its been more than 5 years*
-abx prophylaxis for 3-5 days
ankle sprain Correct Ans- first: ligament stretch not torn
second: most common, partial tearing of ligament
third: most severe, ligament is torn completely
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SANNERS REVIEW - FINAL NR511 ACTUAL EXAM

COMPLETE QUESTIONS AND DETAILED

ANSWERS|ALREADY GRADED

abscess care Correct Ans- relieve symptoms, promote healing, prevent complications

  • Tx: I&D, pain relief, abx, warm compress, wound care, follow up Acute Lymphoblastic Leukemia (ALL) Correct Ans- most common cancer in young children
  • s&s: pallor, fatigue, bleeding, fever, bone pain, adenopathy, arthralgias and hepatosplenomegaly, enlarged lymph nodes
  • diagnosis: bone marrow bx, lumbar puncture, CBC shows leukopenia with lymphoblasts
  • Tx: chemo, radiation, stem cell transplant, support kids typically have better prognosis animal bites Correct Ans- clean with mild soap and water to remove saliva
  • wound should be irrigated with 18-20 gauge needle may need tetanus booster if its been more than 5 years
  • abx prophylaxis for 3-5 days ankle sprain Correct Ans- first: ligament stretch not torn second: most common, partial tearing of ligament third: most severe, ligament is torn completely

EDUCATE WARM UP

  • alleviated with risk, aggravated with movement
  • treat with NSAIDs anterior drawer test Correct Ans- used in initial clinical assessment of suspected rupture of crucial ligaments of knee Appendicitis Correct Ans- constant periumbilical pain, shifting to RLQ, vomiting follows pain, small amount of diarrhea, fever, chills, malaise, loss of appetite, N/V
  • mild elevated WBC in urine maybe (only super high with gangrene or perforation)
  • Treatment: surgery, antibiotics bacterial prostatitis Correct Ans- recurrent bacterial infection of the prostate and urinary tract, affects men aged 50 to 80
  • s&s: bladder obstruction, hesitancy, dribbling, painful ejaculation
  • most commonly from E Coli, young adult males get it from gonorrhea or bacteria prostatic massage is contraindicated acute: always with UTI, fever, chills BPH Correct Ans- after 6 months of therapy w/ finasteride, PSA should decrease by 50%, if does not decrease suspect and evaluate for prostate cancer
  • severe: 10-15 watery stools/day, strong odor, acute abd secondary to megacolon w/ perforation, distention, fever, N/V carpal tunnel syndrome Correct Ans- inflammation of median nerve
  • characterized by: wrist achiness that radiates to the base of the hand, may be awakened at night with pain and numbness
  • initial tx: wrist splints and NSAIDs Cervical neck strain Correct Ans- associated with headache, occipital area (pain for few months) Chronic Lymphocytic Leukemia (CLL) Correct Ans- most common type in the US, median age onset is 70
  • s&s: fatigue, weakness, enlarged lymph node, recurrent infections, night sweats, weight loss, easy bruising/bleeding
  • tx: watchful waiting, chemo, immunotherapy, stem cell transplant, targeted therapy
  • prognosis based on stage, overall health diverticulitis Correct Ans- may present with bleeding, not associated with pain may also present with N/V and LLQ tenderness and anorexia
  • Need CT scan to R/O Diff Dx High fiber diet is the best management

education for bites and wounds Correct Ans- watch for redness, warmth, streaks, increasing pain, odor - go to ER

  • pain management: NSAIDs, tylenol, severe pain can use toradol erectile dysfunction Correct Ans- first perform a medical history
  • causes: antiandrogens, beta blockers, reserpine, anticholinergics, antidepressants, antipsychotics, CNS decreased, alcohol, tobacco flexor-tendon injury Correct Ans- usually require wound closure by ortho specialist
  • medical emergency Folic Acid and Vitamin B12 Anemias Correct Ans- causes macrocytic normochromic anemias in which size cell is large and irregular G6PD Deficiency Correct Ans- Genetically linked X-linked recessive disorder commonly seen in African American males
  • Causes episodic hemolytic anemia because of decreased ability of RBC's to deal with oxidative stress Gastroenteritis Correct Ans- characterized by irritation and inflammation of the stomach
  • s&s: watery diarrhea, N/V, abd pain and cramping, low grade fever, headache, dehydration

hypospadias Correct Ans- condition in which opening of penis is on the underside of the organ, more common in infants with family history

  • never do circumcision on infants, surgeon may need prepuce to correct
  • surgical correction should be done by the time they are in first grade inflammatory bowel disease Correct Ans- the mucosal surface of the colon is inflamed, most often occurs in the rectosigmoid areas but may involve the whole colon iron deficiency anemia Correct Ans- risks: older than 60, poverty, recent illness
  • s&s: pale conjunctiva and nail beds, tachycardic, heart murmur, cheilosis, stomatitis, splenomegaly, glossitis, koilonychia test for fecal occult
  • Tx: increase dietary iron, supplemental iron if necessary knee pain Correct Ans- patellofemoral dysfunction: encompasses a continuum of disorder due to overuse
    • management is conservative with NSAIDs and quad-strengthening exercises
  • McMurray test is used to evaluate individuals for tears in the meniscus low back pain Correct Ans- assess the cause, trauma?
  • patient history important
  • diff dx: ovarian cyst, ankylosing spondylitis and infection

lumbar spinal stenosis Correct Ans- often radicular complaints in the legs

  • progressing from proximal to distal direction and walking or prolonged standing causes pain and weakness in legs and butt
  • short term relief often reported w/ leaning forward (counters, grocery cart, etc) macrocytic anemia Correct Ans- increased MCV
  • vitamin b12, iron deficiency, pernicious anemia Mean Corpuscular Volume (MCV) Correct Ans- size of a red blood cell normal: 76 to 96 fL Microcytic anemia Correct Ans- decreased MCV (hypochromic with decreased MCHC)
  • order serum iron, ferritin, and TIBC Nerve Root Involvement Correct Ans- paresthesia over anterior thigh just above the knee indicates L4 involvement Obturator Sign Correct Ans- testing for appendicitis

pirapism Correct Ans- prolonged erection of penis, usually w/o sexual arousal

  • phenylephrine is drug of choice (1st line tx) prostate cancer Correct Ans- associated with human cytomegalovirus
  • latent s&s: bone pain, weight loss, anemia, SOB, lymphedema, lymphadenopathy
  • a man with a first degree relative is twice as likely to develop disease, increased meat, fat, and smoking as risks
  • tx: zoladex (goserelin acetate) and lypron (leuprolide acetate) block release of FSH and LH, administer IM Reticulocyte count Correct Ans- percentage of newly maturing RBCs released into the circulating blood from the bone marrow
  • increase in blood loss as body tries to replace loss or during tx of anemias or bone marrow disorders Rotavirus Correct Ans- common in children younger than 3
  • symptoms: fever, loss of appetite, copious diarrhea, flatulence, vomiting, stomach cramps
  • treatment: fluids, supportive care, antibiotics Samonella Correct Ans- causes: consumption of raw or undercooked poultry, eggs, meat and dairy products
  • s&s: diarrhea, N/V, fever, headache
  • tx: fluid replacement, abx in severe cases proper food handling shoulder dislocation Correct Ans- assessment: pain with shrugging shoulders
  • due to excessive pressure on shoulders shoulder pain Correct Ans- - older patients (>55) more likely to have rotator cuff tears or degenerative arthritis
  • fractures and dislocations related to falls
  • <30 years typically dislocation injury
  • impingement syndrome in middle age Sickle Cell Anemia - Gold Standard Correct Ans- Hemoglobin electrophoresis, a test that determines the presence of hemoglobin S
  • Teach patients signs of enlarged spleen sideroblastic anemia Correct Ans- group of blood disorders in which the body has enough iron but is unable to use it to make hemoglobin, as a results iron accumulates in mitochondria of RBCs (giving ring appearance) The prussian blue stain is diagnostic test spinal fracture Correct Ans- can present as low back pain

catheterization to assess post-void residual volume is important on initial evaluation UTI Correct Ans- made based on subjective complaints

  • clean catch urine showing presence of bacteria culture is gold standard, but rapid results in primary care with urinalysis is beneficial
  • pyridium is used for relief of pain, burning, urgency, and frequency varicocele Correct Ans- may describe testicular pain, bag of worms
  • on exam: soft, moveable blood vessels underneath scrotal skin vertebral fractures Correct Ans- osteoporosis is most commonly the cause what should level to check on kids before starting iron? Correct Ans- LEAD LEVEL always check a lead level before starting iron on children because an increased lead level will cause anemia despite normal iron level. wounds and lacerations Correct Ans- Tetanus immunization: All patients with wounds should be asked about prior tetanus immunization. If more than 5 years have elapsed, a tetanus booster should be administered.
  • suture removal: face (4-6 days), scalp (6-10 days), trunk (7-10 days), arms and legs (10-14 days)
  • abx prophylaxis for wounds