NR 511 QUESTIONS AND REVIEWED ANSWERS 2023/2024

NR 511 QUESTIONS AND REVIEWED ANSWERS 2023/2024 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 antipsychotics - CORRECT 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. - CORRECT 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." - CORRECT 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. - CORRECT 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 - CORRECT 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 - CORRECT 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 dislo - CORRECT ANSWERThere 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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