Nr509 Test Bank With Correct Answers.

NR509 TEST BANK WITH CORRECT
ANSWERS


Akpatientkpresentskforkevaluationkofkaksharp,kachingkchestk
painkwhichkincreaseskwithkbreathing.kWhichkanatomickareak
wouldkyouklocalizektheksymptomkto?

A)kMusculoskeletal
B)kReproductive
C)kUrinary
D)kEndocrinek-kCORRECTkANSWER-A)kMusculoskeletal

Chestkpainkmaykbekduektokakmusculoskeletalkcondition,ksuc
hkaskcostochondritiskor
intercostalkmusclekcramp.kThiskwouldkbekworsenedkbykmoti
onkofkthekchestkwall.kPleuritickchestkpainkiskalsokaksharpkc
hestkpainkwhichkincreaseskwithkakdeepkbreath.kThisktypekof
kpainkcan
occurkwithkinflammationkofkthekpleurakfromkpneumoniakorkot
herkconditionskandkpulmonary
embolus.

Akpatientkcomesktokthekemergencykroomkforkevaluationkofks
hortnesskofkbreath.kTokwhichkanatomickregionkwouldkyoukas
signktheksymptom?

A)kReproductive
B)kUrinary
C)kCardiac
D)kHematologick-kCORRECTkANSWER-C)kCardiac

,Cardiackdisordersksuchkaskcongestivekheartkfailurekarekthek
mostklikelykonkthisklistktokresultkinkshortnesskofkbreath.kTher
ekarekcaseskwithinkthekotherkcategorieskwhichkmaykalsokres
ult
inkshortnesskofkbreath,ksuchkaskanemiakinkthekhematologick
category,kpregnancykinkthekreproductive
category,korksepsiskwithkUTIkinkthekurinarykcategory.

Akpatientkpresentskforkevaluationkofkakcough.kWhichkofkthek
followingkanatomickregionskcankbekresponsiblekforkakcough?

A)kOphthalmologic
B)kAuditory
C)kCardiac
D)kEndocrinek-kCORRECTkANSWER-C)kCardiack

Thekcardiacksystemkcankcausekakcoughkifkthekpatientkhaskc
ongestivekheartkfailure.kThiskresultskinkfluidkbuildupkinktheklu
ngs,kwhichkinkturnkcankcausekakcoughkthatkproduceskpink,
frothyksputum.kAkforeignkbodykinkthekearkmaykalsokcauseka
kcoughkbykstimulatingkArnold'skbranchkofkthekvagusknerve,k
butkthiskisklessklikelyktokbekseenkclinicallykthankheartkfailure
.

Ak22-year-
oldkadvertisingkcopywriterkpresentskforkevaluationkofkjointkpa
in.kThekpainkisknew,
locatedkinkthekwristskandkfingerskbilaterally,kwithksomeksubj
ectivekfever.kThekpatientkdenieska
rash;kshekalsokdenieskrecentktravelkorkcampingkactivities.kS
hekhaskakfamilykhistoryksignificantkfor
rheumatoidkarthritis.kBasedkonkthiskinformation,kwhichkofkthe
kfollowingkpathologickprocesses
wouldkbekthekmostkcorrect?

A)kInfectious
B)kInflammatory

,C)kHematologic
D)kTraumatick-kCORRECTkANSWER-B)kInflammatory

Thekdescriptionkiskmostkconsistentkwithkankinflammatorykpro
cess,kalthoughkallkthekotherketiologieskshouldkbekconsidered
.kLymekdiseasekiskankinfectionkwhichkcommonlykcauses
arthritis,khemophiliakiskakhematologickconditionkwhichkcankc
ausekbleedingkinkthekjoints,kandktraumakcankobviouslykcaus
ekjointkpain.

Ak47-year-
oldkcontractorkpresentskforkevaluationkofkneckkpain,kwhichkh
askbeenkintermittentkforkseveralkyears.kHeknormallyktakesko
ver-the-
counterkmedicationsktokeasekthekpain,kbutkthisktimektheykha
ven'tkworkedkaskwellkandkhekstillkhaskdiscomfort.kHekrecentl
ykwallpaperedkthekentireksecondkfloorkinkhiskhouse,kwhichkc
ausedkhimkgreatkdiscomfort.kThekpainkresolvedkwithkrest.kH
ekdenieskfever,kchills,krash,kupperkrespiratoryksymptoms,ktra
uma,korkinjuryktokthekneck.kBasedkonkthiskdescription,kwhat
kiskthekmostklikelykpathologickprocess?

A)kInfectious
B)kNeoplastic
C)kDegenerative
D)kTraumatick-kCORRECTkANSWER-C)kDegenerative

Thekdescriptionkiskmostkconsistentkwithkdegenerativekarthriti
skinkthekneck.kThe
patientkhaskhadkintermittentksymptomskandkthekquestionskas
kedktokelicitkpertinentknegativekand
positivekfindingskareknegativekforkinfectious,ktraumatic,korkne
oplastickdisease.

Ak15-year-
oldkhighkschoolksophomorekcomesktokthekclinickforkevaluatio
nkofkak3-weekkhistory

, ofksneezing;kitchy,kwaterykeyes;kclearknasalkdischarge;keark
pain;kandknonproductivekcough.kWhich
iskthekmostklikelykpathologickprocess?

A)kInfection
B)kInflammation
C)kAllergic
D)kVasculark-kCORRECTkANSWER-C)kAllergic

Thiskdescriptionkiskmostkconsistentkwithkallergickrhinitis.

Ak19-yearkold-
collegekstudentkpresentsktokthekemergencykroomkwithkfever,
kheadache,kand
neckkpain/stiffness.kShekiskconcernedkaboutkthekpossibilityko
fkmeningococcalkmeningitis.
Severalkofkherkdormkmateskhavekbeenkvaccinated,kbutkshek
hasn'tkbeen.kWhichkofkthekfollowing
physicalkexaminationkdescriptionskiskmostkconsistentkwithkm
eningitis?

A)kHeadkisknormocephalickandkatraumatic,kfundikwithksharpk
discs,kneckksupplekwithkfullkrange
ofkmotion
B)kHeadkisknormocephalickandkatraumatic,kfundikwithksharpk
discs,kneckkwithkparaspinous
musclekspasmkandklimitedkrangekofkmotionktokthekright
C)kHeadkisknormocephalickandkatraumatic,kfundikwithkblurre
dkdisckmargins,kneckktenderkto
palpation,kunablektokperformkrangekofkmotion
D)kHeadkisknormocephalickandkatraumatic,kfundikwithkblurre
dkdisckmargins,kneckksupplekwith
fullkrangekofkmotionk-kCORRECTkANSWER-
C)kHeadkisknormocephalickandkatraumatic,kfundikwithkblurre
dkdisckmargins,kneckktenderkto
palpation,kunablektokperformkrangekofkmotion