Drexel NUR 550 2023 Final Exam - Cumulative Review Questions With Answers Graded A+

Drexel NUR 550 2023 Final Exam - Cumulative Review Questions With Answers Graded A+. You are evaluating a 4 year-old male patient with ear pain. You note the patient has a temperature of 102.4F. While performing your exam, you note the patient is pulling at his left ear. What is our most likely differential diagnosis? a).Otitis externa b). Otitis media c). Tinnitus d). Ottorhea - Answer b). Otitis media You are using a Snellen chart to evaluate a patient's visual acuity, which of the following is true? Select all that apply: a). Have the patient stand back 20 ft. from the chart b). Have the patient use their hand to cover one eye c). You are evaluating cranial nerve II d). Evaluate visual acuity with both eyes open - Answer a). Have the patient stand back 20 ft. from the chart & c). You are evaluating cranial nerve II Within 48-72 hours after the birth, a neonate has bilateral copious purulent drainage from the eyes. You most likelu differential diagnosis is? a). Gonococcal conjunctivitis b). Allergic conjunctivitis c). Bacterial conjunctivitis d). Viral conjunctivitis - Answer a). Gonococcal conjunctivitis Which of the following are normal findings during the ophthalmoscope examination? Select all that apply: a). The physiologic cup is 70% of the optic disc b). the area of the macula is absent of blood vessels c). The optic rim is fuzzy in appearance d). The optic disc should be orange in appearance - Answer b). the area of the macula is absent of blood vessels & d). The optic disc should be orange in appearance You are beginning the examination of the skin on a 25-year-old teacher. You have previously elicited that she came to the office for evaluation of fatigue, weight gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the expected moisture and texture of the skin of a patient with hypothyroidism? a). Dry and smooth b). Moist and rough c). Moist and smooth d). Dry and rough - Answer d). Dry and rough A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the hospital for 6 weeks. She was treated for sepsis and respiratory failure and had to be on the ventilator for 3 weeks. You are completing your initial assessment and are evaluating her skin condition. On her sacrum there is full-thickness skin loss that is 5 cm in diameter, with damage to the subcutaneous tissue. The underlying muscle is not affected. You diagnose this as a pressure ulcer. What is the stage of this ulcer? a). Stage 3 b). Stage 1 c). Stage 2 d). Stage 4 - Answer a). Stage 3 A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right temporal area of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale that is round and feels hard. He has several more of these scattered on the forehead, arms, and legs. Based on this description, what is your most likely diagnosis? a). Actinic keratosis b). Seborrheic keratosis c). Squamous cell carcinoma d). Basel cell carcinoma - Answer a). Actinic keratosis Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus). She has noticed a raised, dark red rash on her legs. When you press on the rash, it doesn't blanch. What would you tell her regarding her rash? a). It is likely to be related to an exposure to a chemical. b). It should not cause any problems c). It is likely to be related to an allergic reaction d). It is likely to be related to her lupus - Answer d). It is likely to be related to her lupus Jacob, a 33-year-old construction worker, complains of a "lump on his back" over his scapula. It has been there for about a year and is getting larger. He says his wife has been able to squeeze out a cheesy-textured substance on occasion. He worries this may be cancer. When gently pinched from the side, a prominent dimple forms in the middle of the mass. What is most likely? a). A malignant lesion b). An enlarged lymph node c). An actinic keratosis d). A sebaceous cyst - Answer d). A sebaceous cyst A 38-year-old accountant comes to your clinic for evaluation of a headache. The throbbing sensation is located in the right temporal region and is an 8 on a scale of 1 to 10. It started a few hours ago, and she has noted nausea with sensitivity to light; she has had headaches like this in the past, usually less than one per week, but not as severe. She does not know of any inciting factors. There has been no change in the frequency of her headaches. She usually takes an over-the-counter analgesic and this results in resolution of the headache. Based on this description, what is the most likely diagnosis of the type of headache? a). Cluster b). Tension c). Migraine d). Analgesic rebound - Answer c). Migraine Which of the following is a "red flag" regarding patients presenting with headache? a). Unilateral headache b). Pain over the sinuses c). Age over 50 d). Photophobia and phonophobia - Answer c). Age over 50 Very sensitive methods for detecting hearing loss include which of the following? a). The whisper test b). The tuning fork test c). Audiometric testing d). The finger rub test - Answer c). Audiometric testing A college student presents with a sore throat, fever, and fatigue for several days. You notice exudates on her enlarged tonsils. You do a careful lymphatic examination and notice some scattered small, mobile lymph nodes just behind her sternocleidomastoid muscles bilaterally. What group of nodes is this? a). Occipital b). Tonsillar c). Submandibular d). Posterior cervical - Answer d). Posterior cervical A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin check-up. She has just returned from her annual dig site in Greece. She has fair skin and reddish-blonde hair. She has a family history of melanoma. She has many freckles scattered across her skin. From this description, which of the following is not a risk factor for melanoma in this patient? a). Hair color b). Actinic lentigines c). Heavy sun exposure d). Age - Answer d). Age Is the following statement true or false? When assessing the patient's thought content, it is important to always follow specific questions to keep the patient on task. a). True b). False - Answer b). False Which of the following is true about hallucinations? a). Experiences may or may not be recognized by the person as false. b). Hallucinations may be auditory, visual, olfactory, gustatory, tactile, or somatic. c). Do not include false perceptions associated with dreaming and falling asleep. d). All of the above. - Answer d). All of the above. Coordination of muscle movement requires that four areas of the nervous system function in an integrated way. Coordinating eye, head, and body movements applies to which area of the nervous system? a). Motor system b). Cerebellar system c). Vestibular system d). Sensory system - Answer c). Vestibular system Which of the following statements regarding reinforcement when assessing reflexes is true? a). Used when reflexes are symmetrically hyperactive b). Technique involves isometric contraction of other muscles c). Supports the unsteady patient d). All of the above - Answer b). Technique involves isometric contraction of other muscles A patient presents to you with shoulder pain after falling during an ice storm. On examination, he exhibits localized shoulder pain when you preform the "crossover test" (arm moved across the chest toward the opposite side while extended at the elbow). Which of the following is the most likely site of injury? a). Rotator cuff b). Bicipital tendon c). Glenohumeral joint d). Acromioclavicular joint - Answer d). Acromioclavicular joint A patient who presents to the clinic complaining of hand pain says she was told by a friend that it is most likely carpal tunnel syndrome. Upon assessing the patient, you note the following. Which finding would be suggestive of carpal tunnel syndrome? a). Hand pain when holding both hands in acute extension b). Numbness and tingling when tapping over the course of the radial nerve c). Symptoms related to compression are evident in all fingers d). None of the above - Answer d). None of the above