NR 511 midterm questions and answers 2022

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Question 2: Which drug for Alzheimer's disease should be administered beginning at the time of diagnosis? a. Cholinesterase inhibitors b. Anxiolytics c. Antidepressants d. Atypical antipsychoti... cs - ANSWER a. cholinesterase inhibitors pg Question 3: Most adult poisonings are: a. intentional and self-inflicted. b. accidental. c. caused by someone wishing to do harm to the person. d. not attributed to any reason. - ANSWER b. accidental. Question 4: A 58-year-old woman presents with a breast mass. Which of the following responses by the clinician would be most appropriate? a. "It is probably just a cyst, because that is the most common breast mass." b. "We will order a mammogram and ultrasound to help establish a diagnosis." c. "We will go ahead and schedule you for a biopsy because that is the only way to know for sure." d. "Because your lump is painful, it is most likely not cancer." - ANSWER "We will order a mammogram and ultrasound to help establish a diagnosis." Question 5: Which of the following is a specific test for multiple sclerosis (MS)? a. Magnetic resonance imaging (MRI) b. Computed tomography (CT) scan c. A lumbar puncture d. There is no specific test. - ANSWER d. There is no specific test. Question 7: Which characteristic of delirium helps to distinguish delirium from dementia? a. Abrupt onset b. Impaired attention c. Affective changes d. Delusions - ANSWER Abrupt onset Question 8: Which clinical feature is the first to be affected in increased intracranial pressure (ICP)? a. Decrease in level of consciousness (LOC) b. Headache c. Nausea d. Widening pulse pressure - ANSWER Decrease in level of consciousness (LOC) Question 9: Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall. She has been experiencing severe pain and limited range of motion in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation? a. Posterior dislocations are more common than anterior dislocations. b. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses. c. Recurrent dislocations are uncommon and would require a greater force to result in injury. d. Surgery is most commonly the treatment of choice. - ANSWER There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses. Question 10: Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain? a. Decreased C-reactive protein b. Hyperalbuminemia c. Morning stiffness d. Weight gain - ANSWER morning stiffness Question 11: The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the clinician classify this patient? a. Overweight b. Mild obesity c. Moderate obesity d. Morbid obesity - ANSWER Mild obesity Question 13: 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 exam? a. Human papillomavirus (HPV) b. Endometrial hyperplasia c. Vagismus d. Polycystic ovarian syndrome - ANSWER Human papillomavirus (HPV) Question 14: Which of the following classes of drugs should be used as first-line therapy for treatment of delirium? a. Benzodiazepines b. Antipsychotics c. Anticonvulsants d. Antidepressants - ANSWER Antipsychotic Question 15: What is the treatment of choice for a patient diagnosed with testicular cancer? a. Radical orchidectomy b. Lumpectomy c. Radiation implants d. All of the above - ANSWER treatment of choice for a patient diagnosed with testicular cancer? Radical orchidectomy Question 16: A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease (STD) has she most probably been exposed to? a. Gonorrhea b. Human papillomavirus (HPV) c. Chlamydia d. Trichomonas - ANSWER Chlamydia Question 17: A 58-year-old woman who had a total abdominal hysterectomy at the age of 45 is diagnosed with atrophic vaginitis. Which of the following is the most appropriate treatment? a. Conjugated estrogen 0.625 mg/day oral b. Estradiol 7.5 mcg/24 hr vaginal ring c. Medroxyprogesterone 10 mg/day oral d. Conjugated estrogen 0.3 mg + medroxyprogesterone 1.5 mg/day oral - ANSWER Estradiol 7.5 mcg/24 hr vaginal ring Question 18: When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes. What do you suspect they are? a. Spores b. Leukocytes c. Pseudohyphae d. Epithelial cells - ANSWER spores Patients with a spontaneous pneumothorax should be counseled that up to what percentage may experience a reoccurrence at some point? a. 10% b. 20% c. 30% d. 50% - ANSWER 30% Question 20: 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? a. Valgus stress test b. McMurray circumduction test c. Lachman test d. Varus stress test - ANSWER McMurray circumduction test Question 21: During a digital rectal exam (DRE) on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious? a. An enlarged rubbery gland b. A hard irregular gland c. A tender gland d. A boggy gland - ANSWER An enlarged rubbery gland Question 22: Janet is a 30-year-old woman who has been recently 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? a. Gastrocnemius weakness b. A reduced or absent ankle reflex c. Numbness in the lateral foot d. Paresthesia of the perineum and buttocks - ANSWER Paresthesia of the perineum and buttocks Question 24: A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram (ECG) changes should the clinician expect as a manifestation of the disease? a. Sinus bradycardia b. Atrial fibrillation c. Supraventricular tachycardia d. U waves - ANSWER Sinus bradycardia Question 25: Which type of burn injury results in destruction of epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact? a. Superficial burns b. Superficial partial-thickness burns c. Deep partial-thickness burns d. Full-thickness burns - ANSWER Deep partial-thickness burns Question 26: Immunizations are an example of which type of prevention? a. Primary b. Secondary c. Tertiary - ANSWER a. Primary Question 27: If a previously frostbitten area becomes frostbitten again after it has healed, what might occur? a. Permanent tissue damage may occur, resulting in necrosis to that body part. b. The area will be super sensitive. c. The area is prone to a repeat frostbite. d. The area is as susceptible as any other area. - ANSWER Permanent tissue damage may occur, resulting in necrosis to that body part. Question 29: Julie, aged 50, has migraine headaches, frequent asthma attacks, coronary artery disease, and hypertension. Which of the following prophylactic medications would you order for her migraines? a. Propranolol c. Ergotamine b. Timolol d. Topiramate - ANSWER d. Topiramate Which of the following statements is true concerning the musculoskeletal pain? - ANSWER The uninvolved side should be examined initially and compared to the involved side. [Show More]

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