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NR 511 Midterm Exam Practice Questions and Answers

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NR 511 Midterm Exam Practice Questions and Answers Which medications used to treat nausea and vomiting works by affecting the chemoreceptor trigger zone, thereby stimulating upper gastrointestinal motility and increasing lower esophageal sphincter pressure? -Answer️️ -Anticholinergics, such as scopolamine (Donnatal). The antibiotic of choice for recurrent acute otitis media (AM) and/or treatment failure in children is: -Answer️️ -Amoxicillin and potassium clavulanate (Augmentin). A 67-year old female on multiple medications for chronic conditions was just diagnosed with gastroesophageal reflux disease (GERD). In teaching the patient about the disease, what medication should the clinician recommend that the patient refrain from using? -Answer️️ -Nonsteroidal anti-inflammatory drugs (NSAIDs). A 30-year-old male presents to the clinic with intermittent diarrhea. He is pretty sure that the antacids taken for heartburn are the cause since the loose stools always occur within 30 minutes after taking ©SOPHIABENNETT@ Sunday, August 18, 2024 6:00 PM Page 2 of 79 them. How should the clinician respond? -Answer️️ -Antacids may contain magnesium, which decreases bowel transit time and may contain poorly absorbed salts that result in an osmotic draw iofufluid into the bowel resulting in diarrhea. When the Weber test is performed with a tuning fork to assess hearing and there is no lateralization, the clinician should document this finding as: -Answer️️ -A normal finding. A 72-year-old male patient presents to the clinic for his annual physical. He states that he is worried because he only has a bowel movement every three days. How should the clinician respond? -Answer️️ -There is no such thing as a "normal" pattern of defecation. Patterns of defecation vary widely and may in part be affected by dietary habits, fluid intake, bacteria in the stool, psychological stress, or voluntary postponement of defecation. Defecating every third day could be the routine pattern for Simon. He should be questioned if this is routine ©SOPHIABENNETT@ Sunday, August 18, 2024 6:00 PM Page 3 of 79 for him. A 21-year-old female patient presents to the clinic for pre-operative tonsillectomy clearance. She has heard about permanent taste changes after a tonsillectomy and is concerned. What should the clinician tell her? -Answer️️ -Although some clients report a significant subjective drop in taste function following surgery, none have ongoing taste dysfunction. In a young child, unilateral purulent rhinitis is most often caused by: -Answer️️ - A foreign body. Nausea is difficult to discern in a young child what question should the clinician asked to determine if a child has nausea -Answer️️ -Are you hungry A 38-year-old male has recently had an iliomy for ulcerative colitis which self-care measure should the clinician teach him to relieve food blockade -Answer️️ - Massage the periosteum area 52 year old female as suspected of having a gastric ulcer and will undergo an EGD she's concerned because she heard that gastric ulcers can be malignant how should ©SOPHIABENNETT@ Sunday, August 18, 2024 6:00 PM Page 4 of 79 the clinician respond -Answer️️ -About 95% of gastric ulcers are Banan even though they seem to like a malignant on x-ray A 29 year old female just returned from Central America with travelers diarrhea and presents to the clinic for evaluation which of the following is the best treatment -Answer️️ -Supportive care A 75-year-old female presents to your office complaining of dizziness and ringing in both ears for one day she describes the dizziness as feeling like the room is spinning on physical exam the run test reveals the air connection is greater than bone conduction bilaterally the web or test reveals lateralization to the left she is unable to hear the examiners whisper on the right but she can hear the whisper on the left what is the next step to helping this patient symptoms -Answer️️ -Start the patient on a low salt diet prescribe meclizine for vertigo and refer to

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©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM


NR 511 Midterm Exam Practice Questions and Answers
Which medications used to treat nausea and vomiting works by affecting the

chemoreceptor trigger zone, thereby stimulating upper gastrointestinal motility and

increasing lower esophageal sphincter pressure? -Answer✔️✔️-Anticholinergics,

such as scopolamine (Donnatal).

The antibiotic of choice for recurrent acute otitis media (AM) and/or


treatment failure in children is: -Answer✔️✔️-Amoxicillin and potassium

clavulanate (Augmentin).

A 67-year old female on multiple medications for chronic conditions

was just diagnosed with gastroesophageal reflux disease (GERD). In

teaching the patient about the disease, what medication should the


clinician recommend that the patient refrain from using? -Answer✔️✔️-Nonsteroidal

anti-inflammatory drugs (NSAIDs).

A 30-year-old male presents to the clinic with intermittent diarrhea.

He is pretty sure that the antacids taken for heartburn are the cause

since the loose stools always occur within 30 minutes after taking


Page 1 of 79

,©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM

them. How should the clinician respond? -Answer✔️✔️-Antacids may contain

magnesium, which decreases bowel

transit time and may contain poorly absorbed salts that result

in an osmotic draw iofufluid into the bowel resulting in diarrhea.

When the Weber test is performed with a tuning fork to assess

hearing and there is no lateralization, the clinician should document


this finding as: -Answer✔️✔️-A normal finding.


A 72-year-old male patient presents to the clinic for his annual

physical. He states that he is worried because he only has a bowel


movement every three days. How should the clinician respond? -Answer✔️✔️-There

is no such thing as a "normal" pattern of defecation.

Patterns of defecation vary widely and may in part be affected

by dietary habits, fluid intake, bacteria in the stool,

psychological stress, or voluntary postponement of

defecation. Defecating every third day could be the routine

pattern for Simon. He should be questioned if this is routine


Page 2 of 79

,©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM

for him.

A 21-year-old female patient presents to the clinic for pre-operative

tonsillectomy clearance. She has heard about permanent taste

changes after a tonsillectomy and is concerned. What should the


clinician tell her? -Answer✔️✔️-Although some clients report a significant

subjective drop in

taste function following surgery, none have ongoing taste

dysfunction.


In a young child, unilateral purulent rhinitis is most often caused by: -Answer✔️✔️-

A foreign body.

Nausea is difficult to discern in a young child what question should the clinician

asked to determine if a child has nausea -Answer✔️✔️-Are you hungry


A 38-year-old male has recently had an iliomy for ulcerative colitis which self-care

measure should the clinician teach him to relieve food blockade -Answer✔️✔️-

Massage the periosteum area

52 year old female as suspected of having a gastric ulcer and will undergo an EGD

she's concerned because she heard that gastric ulcers can be malignant how should

Page 3 of 79

, ©SOPHIABENNETT@2024-2025 Sunday, August 18, 2024 6:00 PM

the clinician respond -Answer✔️✔️-About 95% of gastric ulcers are Banan even

though they seem to like a malignant on x-ray

A 29 year old female just returned from Central America with travelers diarrhea

and presents to the clinic for evaluation which of the following is the best

treatment -Answer✔️✔️-Supportive care


A 75-year-old female presents to your office complaining of dizziness and ringing

in both ears for one day she describes the dizziness as feeling like the room is

spinning on physical exam the run test reveals the air connection is greater than

bone conduction bilaterally the web or test reveals lateralization to the left she is

unable to hear the examiners whisper on the right but she can hear the whisper on

the left what is the next step to helping this patient symptoms -Answer✔️✔️-Start

the patient on a low salt diet prescribe meclizine for vertigo and refer to ENT

An 82-year-old female has been diagnosed with IBS and chronic constipation and

diverticulitis following a colonoscopy what pharmacologic agent should the

clinician recommend -Answer✔️✔️-Bulking agent


A 26-year-old male recently returned from a camping trip with symptoms of acute

gastroenteritis he reports that he only ate vegetables from his garden that he can't




Page 4 of 79

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