NR 511 Week four Midterm Examination Model three
Query 1: In an outpatient setting, what’s the commonest cause for a malpractice swimsuit?
a. Failure to deal with a situation
b. Failure to diagnose appropriately
c. Ordering the incorrect remedy
d. Failure to handle care
Query 2: How typically ought to the clinician study the ft of an individual with diabetes?
a. Every year
b. Each 6 months
c. Each three months
d. Each go to
Query three: Which drug for Alzheimer’s illness needs to be administered starting on the time of prognosis?
a. Cholinesterase inhibitors
b. Anxiolytics
c. Antidepressants
d. Atypical antipsychotics
Query four: Which of the next drugs is the remedy of alternative for trichomonas?
a. Metranidazole
b. Ceftriaxone
c. Diflucan
d. Doxycycline
Query 5: Most grownup poisonings are:
a. intentional and self-inflicted.
b. unintended.
c. attributable to somebody wishing to do hurt to the particular person.
d. not attributed to any cause.
Query 6: A 58-year-old girl presents with a breast mass. Which of the next responses by the clinician could be most acceptable?
a. “It’s most likely only a cyst, as a result of that’s the most typical breast mass.”
b. “We are going to order a mammogram and ultrasound to assist set up a prognosis.”
c. “We are going to go forward and schedule you for a biopsy as a result of that’s the solely technique to know for positive.”
d. “As a result of your lump is painful, it’s most probably not most cancers.”
Query 7: Which of the next is a selected take a look at for a number of sclerosis (MS)?
a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
c. A lumbar puncture
d. There isn’t any particular take a look at.
Query eight: After eradicating a tack from a kind 2 diabetic’s heel and evaluating the location for an infection, what’s the finest plan for this affected person?
a. Recommend she use a heating pad to enhance circulation
b. Check with a podiatrist for a foot care remedy plan
c. Ship her for acupuncture remedies
d. All the above
Query 9: Which attribute of delirium helps to differentiate delirium from dementia?
a. Abrupt onset
b. Impaired consideration
c. Affective modifications
d. Delusions
Query 10: Which scientific function is the primary to be affected in elevated intracranial stress (ICP)?
a. Lower in degree of consciousness (LOC)
b. Headache
c. Nausea
d. Widening pulse stress
Query 11: Jennifer is an 18-year-old lady who involves the emergency room after a fall throughout a soccer sport. Jennifer explains that she fell on her left aspect and stored her arm out straight to interrupt her fall. She has been experiencing extreme ache and restricted vary of movement in her left shoulder. The clinician has recognized Jennifer with a dislocated shoulder. Which of the next statements are true regarding shoulder dislocation?
a. Posterior dislocations are extra frequent than anterior dislocations.
b. There’s a threat of neurovascular and neurosensory trauma, so the clinician ought to test for distal pulses.
c. Recurrent dislocations are unusual and would require a larger power to end in harm.
d. Surgical procedure is mostly the remedy of alternative.
Query 12: Within the consensus mannequin for Superior Follow Registered Nurse (APRN) regulation, the “C” of LACE represents?
a. Dedication
b. Consensus
c. Certification
d. Collaboration
Query 13: Which of the next indicators or signs point out an inflammatory etiology to musculoskeletal ache?
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight achieve
Query 14: Which of the next statements is true in regards to the musculoskeletal examination?
a. The uninvolved aspect needs to be examined initially and in comparison with the concerned aspect.
b. The a part of the physique that’s inflicting the affected person ache needs to be examined first.
c. The affected person shouldn’t be requested to carry out energetic range-of-motion (ROM) workouts at any time when doable to keep away from inflicting ache.
d. Radiographs ought to at all times be obtained previous to examination in order to not trigger additional harm to the affected person.
Query 15: The clinician sees a affected person who’s 5 ft tall and weighs 150 kilos. How would the clinician classify this affected person?
a. Obese
b. Gentle weight problems
c. Average weight problems
d. Morbid weight problems
Query 16: S presents within the clinic with ache, tenderness, erythema, and swelling of his left nice toe. The clinician suspects acute gout. Which of the next ought to the clinician suspect within the preliminary take a look at outcomes for this affected person?
a. Elevated uric acid degree
b. Elevated blood urea nitrogen (BUN)
c. Decreased urine pH
d. Decreased C-reactive protein (CRP)
Query 17: Which of the next statements is true concerning the remedy of carpal tunnel syndrome?
a. The purpose of remedy is to forestall flexion and extension actions of the wrist.
b. Splints are utilized in carpal tunnel syndrome as a result of they permit totally free motion of the fingers and thumb whereas sustaining the wrist in a impartial place.
c. Corticosteroid injections are discouraged within the remedy of carpal tunnel syndrome due to the dangers for median nerve harm, scarring, and an infection.
d. All the above
Query 18: The vegetarian affected person with gout asks the clinician about meals that he ought to keep away from. The clinician ought to advise the affected person to keep away from which of the next meals?
a. Rice
b. Carrots
c. Spinach
d. Potatoes
Query 19: A 23-year-old sexually energetic girl presents for her first Pap smear. Her historical past contains nulligravida, age at first intercourse 14, and greater than 10 sexual companions. Which of the next situations ought to the clinician be notably alert for throughout her examination?
a. Human papillomavirus (HPV)
b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome
Query 20: Which affected person is extra prone to have a cluster headache?
a. A feminine in her reproductive years
b. A 40-year-old African American male
c. A 55-year-old feminine who drinks 10 cups of espresso each day
d. A 45-year-old male woke up at evening
Query 21: A sunscreen with a sun-protection issue (SPF) of a minimum of what quantity will block most dangerous ultraviolet (UV) radiation?
a. four
b. eight d
c. 10
d. 15
Query 22: Which of the next lessons of medicine needs to be used as first-line remedy for remedy of delirium?
a. Benzodiazepines
b. Antipsychotics
c. Anticonvulsants
d. Antidepressants
Query 23: What’s the remedy of alternative for a affected person recognized with testicular most cancers?
a. Radical orchidectomy
b. Lumpectomy
c. Radiation implants
d. All the above
Query 24: Sam, aged 65, is began on L-dopa for his Parkinson’s illness (PD). He asks why that is needed. You inform him:
a. “L-dopa is neuroprotective.”
b. “The first purpose of remedy is to switch depleted shops of dopamine.”
c. “That is the one drug that may present symptomatic profit.”
d. “That is the preliminary monotherapy drug.”
Query 25: A 60-year-old man presents with an enlarged scrotum. The clinician makes use of a penlight to transilluminate the scrotum. In a affected person with a hydrocele, what would the clinician look forward to finding?
a. The scrotum might be darkish.
b. The scrotum will seem mild pink or yellow.
c. The scrotum will seem milky white.
d. The interior buildings might be clearly seen.
Query 26: A 24-year-old girl presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was just lately handled for nongonococcal urethritis. What sexually transmitted illness (STD) has she most likely been uncovered to?
a. Gonorrhea
b. Human papillomavirus (HPV)
c. Chlamydia
d. Trichomonas
Query 27: A 58-year-old girl who had a complete stomach hysterectomy on the age of 45 is recognized with atrophic vaginitis. Which of the next is probably the most acceptable remedy?
a. Conjugated estrogen zero.625 mg/day oral
b. Estradiol 7.5 mcg/24 hr vaginal ring
c. Medroxyprogesterone 10 mg/day oral
d. Conjugated estrogen zero.three mg + medroxyprogesterone 1.5 mg/day oral
Query 28: When trying below the microscope to diagnose an intravaginal an infection, you see a cluster of small and oval to spherical shapes. What do you think they’re?
a. Spores
b. Leukocytes
c. Pseudohyphae
d. Epithelial cells
Query 29: A 22-year-old male is seen within the clinic as a result of he discovered a tough lump in his testicle when performing testicular self-examination (TSE). Which of the next needs to be included within the record of differential diagnoses?
a. Testicular most cancers
b. Inguinal hernia
c. Varicocele
d. All the above
Query 30: The clinician ought to Query: the affected person with suspected gout about use of which of those drugs which may be a threat issue?
a. Low-dose aspirin
b. Thiazide diuretics
c. Ethambutol
d. All the above
Query 31: What’s often the primary signal or symptom that a affected person would current with that may make you think herpes zoster?
a. A stabbing kind of ache on one small space of the physique
b. A vesicular pores and skin lesion on one aspect of the physique
c. A ache that’s worse upon awakening
d. A lesion on the outside ear canal
Query 32: Which moral precept displays respect for all individuals and their self-determination?
a. Autonomy
b. Beneficence
c. Justice
d. Veracity
Query 33: Sufferers with a spontaneous pneumothorax needs to be recommended that as much as what share might expertise a reoccurrence in some unspecified time in the future?
a. 10%
b. 20%
c. 30%
d. 50%
Query 34: John is a 16-year-old boy who presents to the emergency room after hurting his knee in a soccer sport. He described twisting his knee after which being unable to increase it fully. John tells the clinician that he heard a pop when the harm occurred and has been experiencing localized ache. The clinician suspects a meniscal tear. Which take a look at could be most acceptable to evaluate for the presence of a meniscal tear?
a. Valgus stress take a look at
b. McMurray circumduction take a look at
c. Lachman take a look at
d. Varus stress take a look at
Query 35: Which of the next laboratory findings ought to the clinician anticipate in a affected person with untreated Graves’ illness?
a. Elevated thyroid-stimulating hormone (TSH)
b. Elevated T4
c. Elevated TRH
d. All the above
Query 36: Which drug generally prescribed for burns is energetic towards a large spectrum of microbial pathogens and is probably the most steadily used agent for partial- and full-thickness thermal accidents?
a. Clotrimazole cream (Lotrimen)
b. Mafenide acetate (Sulfamylon)
c. Silver nitrate
d. Silver sulfadiazine (Silvadene)
Query 37: Throughout a digital rectal examination (DRE) on a 75-year-old man, the clinician suspects the affected person has prostate most cancers. What bodily discovering ought to make the clinician suspicious?
a. An enlarged rubbery gland
b. A tough irregular gland
c. A young gland
d. A boggy gland
Query 38: Janet is a 30-year-old girl who has been just lately recognized with a herniated disc on the degree of L5-S1. She is presently within the emergency room with suspicion of cauda equina compression. Which of the next is an indication or symptom of cauda equina compression?
a. Gastrocnemius weak point
b. A diminished or absent ankle reflex
c. Numbness within the lateral foot
d. Paresthesia of the perineum and buttocks
Query 39: The standards for diagnosing generalized anxiousness dysfunction within the American Psychiatric Affiliation’s Diagnostic and Statistical Handbook of Psychological Issues (textual content revision) (DSM-IV-TR) state that extreme fear or apprehension have to be current extra days than not for a minimum of:
a. 1 month.
b. three months.
c. 6 months.
d. 12 months.
Query 40: The clinician has instructed Sam, a 25-year-old affected person with low again pressure, to make use of NSAIDs to handle his signs of ache and discomfort. Which of the next statements could be most acceptable when instructing Sam about using NSAIDs to handle his ache?
a. It is best to begin with the bottom dose that’s efficient in managing your ache, as a result of long-term use of NSAIDs can lead to gastrointestinal (GI) issues comparable to ulcers and hemorrhage.
b. It is best to begin with the bottom dose that’s efficient in managing your ache with a view to keep away from growing tolerance to the remedy.
c. It is best to take the utmost really helpful dose of NSAIDs in order that you’ll not have to take narcotics to regulate your ache.
d. It is very important take NSAIDs on an empty abdomen with a view to improve absorption.
Query 41: A affected person is recognized with hypothyroidism. Which of the next electrocardiogram (ECG) modifications ought to the clinician anticipate as a manifestation of the illness?
a. Sinus bradycardia
b. Atrial fibrillation
c. Supraventricular tachycardia
d. U waves
Query 42: Sam is a 25-year-old man who has been recognized with low again pressure primarily based on his historical past of localized low again ache and muscle spasm together with a traditional neurological examination. Because the clinician, you clarify to Sam that low again ache is a prognosis of exclusion. Which of the next signs would alert the clinician to the extra severe discovering of a herniated nucleus pulposus or ruptured disc?
a. Morning stiffness and restricted mobility of the lumbar backbone
b. Unilateral radicular ache signs that reach under the knee and are equal to or larger than the again ache
c. Fever, chills, and elevated erythrocyte sedimentation charge
d. Pathologic fractures, extreme evening ache, weight reduction, and fatigue
Query 43: Which sort of burn harm ends in destruction of dermis with many of the dermis, but the epidermal cells lining hair follicles and sweat glands stay intact?
a. Superficial burns
b. Superficial partial-thickness burns
c. Deep partial-thickness burns
d. Full-thickness burns
Query 44: Immunizations are an instance of which sort of prevention?
a. Main
b. Secondary
c. Tertiary
Query 45: If a beforehand frostbitten space turns into frostbitten once more after it has healed, what may happen?
a. Everlasting tissue harm might happen, leading to necrosis to that physique half.
b. The realm might be tremendous delicate.
c. The realm is susceptible to a repeat frostbite.
d. The realm is as inclined as another space.
Query 46: In the USA, what’s the second commonest connective tissue illness and probably the most damaging to the joints?
a. Osteoarthritis
b. Systemic lupus erythematosus (SLE)
c. Rheumatoid arthritis (RA)
d. Sjogren’s syndrome
Query 47: A 26-year-old girl is seen with complaints of irregular vaginal bleeding. Which of the next assessments needs to be the primary precedence?
a. Being pregnant take a look at
b. Pelvic ultrasound .
c. Endometrial biopsy
d. Platelet depend
Query 48: A 45-year-old girl is seen within the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal smear. Which of the next diagnoses is related to this discovering?
a. Trichomonas
b. Bacterial vaginosis
c. Human papillomavirus (HPV)
d. Herpes simplex virus (HSV)
Query 49: Julie, aged 50, has migraine complications, frequent bronchial asthma assaults, coronary artery illness, and hypertension. Which of the next prophylactic drugs would you order for her migraines?
a. Propranolol
b. Timolol
c. Ergotamine
d. Topiramate
Query 50: A 64-year-old man with kind 2 diabetes presents to the clinic with the grievance of “my ft really feel like they’re on fireplace.” He has a lack of vibratory sense, +1 Achilles reflex, and a tack embedded in his left heel. Which of the next could be an acceptable remedy?
a. Tricyclic antidepressants
b. Capsacin cream
c. Vitamin B12 injections
d. Insulin
