NR 511 midterm Questions And Answers With Complete
Solutions
A 26-year-old woman is seen with complaints of irregular
vaginal bleeding. Which of the following tests should be the first
priority?
a. Pregnancy test
b. Pelvic ultrasound
c. Endometrial biopsy
d. Platelet count Correct Answer a. Pregnancy test
A 34-year-old patient was treated for a urinary tract infection
(UTI) and has not responded to antibiotic therapy. Which of the
following actions should be taken next?
a. Send a urine specimen for microscopy looking for fungal
colonies.
b. Increase the dose of antibiotic.
c. Order a cytoscopy.
d. Order a different antibiotic. Correct Answer a. Send a urine
specimen for microscopy looking for
fungal colonies.
A 64-year-old man with type 2 diabetes presents to the clinic
with the complaint of "my feet feel like they are on fire." He has
a loss of vibratory sense, +1 Achilles reflex, and a tack
embedded in his left heel. Which of the following would be an
appropriate treatment?
,a. Tricyclic antidepressants
b. Capsacin cream
c. Vitamin B12 injections
d. Insulin Correct Answer a. Tricyclic antidepressants
A 65-year-old man presents to the clinician with complaints of
increasing bilateral peripheral vision loss, poor night vision, and
frequent prescription changes that started 6 months previously.
Recently, he has also been seeing halos around lights. The
clinician suspects chronic open-angle glaucoma. Which of the
following statements is true concerning the diagnosis of chronic
open-angle glaucoma?
a. The presence of increased intraocular pressure measured by
tonometry is definitive for the diagnosis of open-angle
glaucoma.
b. The clinician can definitively diagnosis open-angle glaucoma
based on the subjective complaints of the patient.
c. Physical diagnosis relies on goniscopic evaluation of the angle
by an ophthalmologist.
d. Early diagnosis is essential in order to reverse any damage
that has occurred to the optic nerve. Correct Answer c. Physical
diagnosis relies on goniscopic evaluation of the angle by an
ophthalmologist.
A blood pressure (BP) of 150/90 is considered:
,a. Stage 2 hypertension
b. Hypertensive
c. Normal in healthy older adults
d. Acceptable if the patient has DM Correct Answer a. Stage 2
hypertension
A bulla is:
a. A vesicle larger than 1 cm in diameter.
b. An elevated solid mass with a hard texture, and the shape and
borders can be regular or irregular.
c. A superficial elevated lesion filled with purulent fluid.
d. Thinning of the skin (epidermis and dermis) that appears
white or translucent. Correct Answer a. A vesicle larger than 1
cm in diameter.
A chronic cough lasts longer than:
a. 3 weeks
b. 1 month
c. 6 months
d. 1 year Correct Answer a. 3 weeks
A patient is seen in the clinic with hematuria confirmed on
microscopic examination. The clinician should inquire about the
, ingestion of which of these substances that might be the cause of
hematuria?
a. NSAIDs
b. Beets
c. Vitamin A
d. Red meat Correct Answer a. NSAIDs
A patient is seen with a sudden onset of flank pain accompanied
by nausea, vomiting, and diaphoresis. In addition to
nephrolithiasis, which of the following should be added to the
list of differential diagnoses?
a. Pancreatitis
b. Peptic ulcer disease
c. Diverticulitis
d. All of the above Correct Answer d. All of the above
Pancreatitis
Peptic ulcer disease Diverticulitis
A patient presents to the clinician with a sore throat, fever of
100.7?F, and tender anterior cervical lymphadenopathy. The
clinician suspects strep throat and performs a rapid strep test that
is negative. What would the next step be?
Solutions
A 26-year-old woman is seen with complaints of irregular
vaginal bleeding. Which of the following tests should be the first
priority?
a. Pregnancy test
b. Pelvic ultrasound
c. Endometrial biopsy
d. Platelet count Correct Answer a. Pregnancy test
A 34-year-old patient was treated for a urinary tract infection
(UTI) and has not responded to antibiotic therapy. Which of the
following actions should be taken next?
a. Send a urine specimen for microscopy looking for fungal
colonies.
b. Increase the dose of antibiotic.
c. Order a cytoscopy.
d. Order a different antibiotic. Correct Answer a. Send a urine
specimen for microscopy looking for
fungal colonies.
A 64-year-old man with type 2 diabetes presents to the clinic
with the complaint of "my feet feel like they are on fire." He has
a loss of vibratory sense, +1 Achilles reflex, and a tack
embedded in his left heel. Which of the following would be an
appropriate treatment?
,a. Tricyclic antidepressants
b. Capsacin cream
c. Vitamin B12 injections
d. Insulin Correct Answer a. Tricyclic antidepressants
A 65-year-old man presents to the clinician with complaints of
increasing bilateral peripheral vision loss, poor night vision, and
frequent prescription changes that started 6 months previously.
Recently, he has also been seeing halos around lights. The
clinician suspects chronic open-angle glaucoma. Which of the
following statements is true concerning the diagnosis of chronic
open-angle glaucoma?
a. The presence of increased intraocular pressure measured by
tonometry is definitive for the diagnosis of open-angle
glaucoma.
b. The clinician can definitively diagnosis open-angle glaucoma
based on the subjective complaints of the patient.
c. Physical diagnosis relies on goniscopic evaluation of the angle
by an ophthalmologist.
d. Early diagnosis is essential in order to reverse any damage
that has occurred to the optic nerve. Correct Answer c. Physical
diagnosis relies on goniscopic evaluation of the angle by an
ophthalmologist.
A blood pressure (BP) of 150/90 is considered:
,a. Stage 2 hypertension
b. Hypertensive
c. Normal in healthy older adults
d. Acceptable if the patient has DM Correct Answer a. Stage 2
hypertension
A bulla is:
a. A vesicle larger than 1 cm in diameter.
b. An elevated solid mass with a hard texture, and the shape and
borders can be regular or irregular.
c. A superficial elevated lesion filled with purulent fluid.
d. Thinning of the skin (epidermis and dermis) that appears
white or translucent. Correct Answer a. A vesicle larger than 1
cm in diameter.
A chronic cough lasts longer than:
a. 3 weeks
b. 1 month
c. 6 months
d. 1 year Correct Answer a. 3 weeks
A patient is seen in the clinic with hematuria confirmed on
microscopic examination. The clinician should inquire about the
, ingestion of which of these substances that might be the cause of
hematuria?
a. NSAIDs
b. Beets
c. Vitamin A
d. Red meat Correct Answer a. NSAIDs
A patient is seen with a sudden onset of flank pain accompanied
by nausea, vomiting, and diaphoresis. In addition to
nephrolithiasis, which of the following should be added to the
list of differential diagnoses?
a. Pancreatitis
b. Peptic ulcer disease
c. Diverticulitis
d. All of the above Correct Answer d. All of the above
Pancreatitis
Peptic ulcer disease Diverticulitis
A patient presents to the clinician with a sore throat, fever of
100.7?F, and tender anterior cervical lymphadenopathy. The
clinician suspects strep throat and performs a rapid strep test that
is negative. What would the next step be?
