NR 511 Week four Midterm Examination Model 2
Query 1: Ladies are on the highest threat for growing postpartum despair for as much as how lengthy after childbirth?
2 weeks
1 month
Three months
6 months
Query 2: CPT coding affords the uniformed language used for reporting medical providers and procedures carried out by doctor and nonphysician practitioners. Clinicians are paid primarily based on calculated useful resource prices which are calculated primarily based on apply parts.
a. Clinician training loans
b. Clinician apply legal responsibility and malpractice expense
c. Clinician reported value discount efforts
d. Clinician quantity of sufferers handled
Query Three: Janet is a 30-year-old girl who has been not too long ago identified with a herniated disc on the degree of L5-S1. She is at present 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 spot
b. A decreased or absent ankle reflex
c. Numbness within the lateral foot
d. Paresthesia of the perineum and buttocks
Query four: A 58-year-old girl who had a complete belly hysterectomy on the age of 45 is identified with atrophic vaginitis. Which of the next is probably the most acceptable therapy?
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 5: 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 6: Most grownup poisonings are:
a. intentional and self-inflicted.
b. unintentional.
c. attributable to somebody wishing to do hurt to the particular person.
d. not attributed to any purpose.
Query 7: 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 anticipate finding?
a. The scrotum will probably be darkish.
b. The scrotum will seem gentle pink or yellow.
c. The scrotum will seem milky white.
d. The inner constructions will probably be clearly seen.
Query eight: Which medical characteristic is the primary to be affected in elevated intracranial strain (ICP)?What’s the regular quantity for the Glascow Coma Scale?
a. 7
b. 9
c. 10
d. 15
Query 9: 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 10: Which resolution must be used when irrigating lacerated tissue over a wound on the arm?
a. Dilute povidone-iodine resolution
b. Hydrogen peroxide (H2O2)
c. Saline resolution infused with an antibiotic
d. Saline irrigation or soapy water
Query 11: Which moral precept displays respect for all individuals and their self-determination?
a. Autonomy
b. Beneficence
c. Justice
d. Veracity
Query 12: 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 13: How typically ought to the clinician look at the toes of an individual with diabetes?
a. Annually
b. Each 6 months
c. Each Three months
d. Each go to
Query 14: Which of the next medicines is the therapy of selection for trichomonas? (Factors: 2)
a. Metranidazole
b. Ceftriaxone
c. Diflucan
d. Doxycycline
Query 15: Immunizations are an instance of which sort of prevention? (Factors: 2)
a. Main
b. Secondary
c. Tertiary
Query 16: What’s the therapy of selection for a affected person identified with testicular most cancers?
a. Radical orchidectomy
b. Lumpectomy
c. Radiation implants
d. The entire above
Query 17: George, aged 59, complains of a flulike sickness, together with fever, chills, and myalgia after getting back from visiting his grandchildren in New England. He experiences having found a rash or purple spot that grew in measurement on his proper leg. What illness are you contemplating?
a. A viral syndromes
b. Lyme illness
c. Rocky Mountain noticed fever
d. Relapsing fever
Query 18: A 24-year-old girl presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was not too long ago handled for nongonococcal urethritis. What sexually transmitted illness (STD) has she likely been uncovered to?
a. Gonorrhea
b. Human papillomavirus (HPV)
c. Chlamydia
d. Trichomonas
Query 19: What’s normally the primary signal or symptom that a affected person would current with that will make you believe you studied 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 20: Which drug generally prescribed for burns is energetic towards a large spectrum of microbial pathogens and is probably the most often 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 21: Which of the next is a task of the superior apply nurse in palliative most cancers care?
a. Detecting most cancers in asymptomatic sufferers or these with particular signs
b. Arranging for follow-up care, together with psychosocial and religious help
c. Figuring out and managing issues of care
d. The entire above
Query 22: Which sort of burn harm leads to 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 23: The standards for diagnosing generalized nervousness 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 at the very least:
a. 1 month.
b. Three months.
c. 6 months.
d. 12 months.
Query 24: In the US, what’s the second most typical connective tissue illness and probably the most harmful to the joints?
a. Osteoarthritis
b. Systemic lupus erythematosus (SLE)
c. Rheumatoid arthritis (RA)
d. Sjogren’s syndrome
Query 25: A sunscreen with a sun-protection issue (SPF) of at the very least what quantity will block most dangerous ultraviolet (UV) radiation?
a. four
b. eight
c. 10
d. 15
Query 26: The hallmark of an absence seizure is:
a. No exercise in any respect.
b. A clean stare.
c. Urine is normally voided involuntarily.
d. The assault normally lasts a number of minutes.
Query 27: The effectiveness of benzodiazepines in treating nervousness problems means that which of the next neurotransmitters performs a task in nervousness?
a. Acetylcholine
b. Gamma-aminobutyric acid (GABA)
c. Dopamine
d. Serotonin
Query 28: Which attribute of delirium helps to differentiate delirium from dementia?
a. Abrupt onset
b. Impaired consideration
c. Affective modifications
d. Delusions
Query 29: A 26-year-old girl is seen with complaints of irregular vaginal bleeding. Which of the next exams must be the primary precedence?
a. Being pregnant take a look at
b. Pelvic ultrasound
c. Endometrial biopsy
d. Platelet rely
Query 30: The clinician ought to query the affected person with suspected gout about use of which of those medicines which may be a threat issue?
a. Low-dose aspirin
b. Thiazide diuretics
c. Ethambutol
d. The entire above
Query 31: A bulla is:
a. A vesicle bigger than 1 cm in diameter.
b. An elevated strong mass with a tough texture, and the form and borders might be common or irregular.
c. A superficial elevated lesion full of purulent fluid.
d. Thinning of the pores and skin (dermis and dermis) that seems white or translucent.
Query 32: Sam is a 25-year-old man who has been identified 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 analysis of exclusion. Which of the next signs would alert the clinician to the extra critical 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 stretch beneath the knee and are equal to or higher than the again ache
c. Fever, chills, and elevated erythrocyte sedimentation charge
d. Pathologic fractures, extreme night time ache, weight reduction, and fatigue
Query 33: Which of the next statements is true regarding the musculoskeletal examination?
a. The uninvolved aspect must be examined initially and in comparison with the concerned aspect.
b. The a part of the physique that’s inflicting the affected person ache must be examined first.
c. The affected person shouldn’t be requested to carry out energetic range-of-motion (ROM) workouts at any time when potential to keep away from inflicting ache.
d. Radiographs ought to all the time be obtained previous to examination in order to not trigger additional harm to the affected person.
Query 34: The present aim of therapy for a affected person with HIV an infection is which of the next?
a. Viral suppression of HIV to undetectable ranges within the peripheral blood
b. Compete eradication of the virus
c. Encouraging the particular person to haven’t any contact with uninfected people
d. Full abstinence
Query 35: Which of the next courses of medication must be used as first-line remedy for therapy of delirium?
a. Benzodiazepines
b. Antipsychotics
c. Anticonvulsants
d. Antidepressants
Query 36: After eradicating a tack from a sort 2 diabetic’s heel and evaluating the positioning for an infection, what’s the greatest plan for this affected person?
a. Counsel she use a heating pad to enhance circulation
b. Confer with a podiatrist for a foot care therapy plan
c. Ship her for acupuncture therapies
d. The entire above
Query 37: Which of the next statements is true regarding the administration of the shopper with a herniated disc?
a. Muscle relaxants and narcotics can be utilized to manage average ache however must be discontinued after Three weeks of use.
b. An epidural injection is useful in decreasing leg ache that has continued for at the very least Three weeks after the herniation occurred.
c. Insupportable ache for greater than a Three-month interval is a sign for surgical intervention.
d. The entire above
Query 38: 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 day by day
d. A 45-year-old male woke up at night time
Query 39: The primary mechanism for avoiding a lawsuit entails:
a. Good legal responsibility insurance coverage
b. A collaborating doctor
c. Good documentation
d. Open communication abilities
Query 40: 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 41: Which of the next laboratory findings ought to the clinician count on in a affected person with untreated Graves’ illness?
a. Elevated thyroid-stimulating hormone (TSH)
b. Elevated T4
c. Elevated TRH
d. The entire above
Query 42: 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 circumstances ought to the clinician be significantly alert for throughout her examination?
a. Human papillomavirus (HPV)
b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome
Query 43: When might confidentiality be overridden?
a. When private info is out there on the pc
b. When a clinician must share info with a billing firm
c. When an insurance coverage firm desires to know the outcomes of a breast most cancers gene take a look at
d. When a affected person has a communicable illness
Query 44: A affected person is identified with hypothyroidism. Which of the next electrocardiogram (ECG) modifications ought to the clinician count on as a manifestation of the illness?
a. Sinus bradycardia
b. Atrial fibrillation
c. Supraventricular tachycardia
d. U waves
Query 45: Probably the most cost-effective screening take a look at to find out HIV standing is which of the next?
a. Western Blot
b. Enzyme-linked immunosorbent assay (ELISA)
c. Venereal Illness Analysis Laboratory (VDRL) take a look at
d. Viral load
Query 46: After 6 months of synthroid remedy, the clinician ought to count on which of the next within the repeat thyroid research?
a. Elevated thyroid-stimulating hormone (TSH)
b. Regular TSH
c. Low TSH
d. Undetectable TSH
Query 47: 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 48: A 64-year-old man with kind 2 diabetes presents to the clinic with the grievance of “my toes 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 therapy?
a. Tricyclic antidepressants
b. Capsacin cream
c. Vitamin B12 injections
d. Insulin
Query 49 : Within the consensus mannequin for Superior Observe Registered Nurse (APRN) regulation, the “C” of LACE represents?
a. Dedication
b. Consensus
c. Certification
d. Collaboration
Query 50: 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
