NR 511 NR511 FINAL EXAM 1. Kaplan University LATEST 2021/2022.
n n n n n n n n n
NR 511 / NR511 FINALEXAM 1 n n n n n n
The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the
n n n n n n n n n n n n
followingneurotransmitters plays a role in anxiety?
n n n n n n n
Gamma-aminobutyric acid (GABA) n n
The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Associations
n n n n n n n n n n n
Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excessiveworry
n n n n n n n n n n n n n n n
or apprehension must be present more days than not for at least?
n n n n n n n n n n n n
6 months
n
A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea. Which
n n n n n n n n n n n n n n n n
ofthe following is the treatment of choice for gonorrhea?
n n n n n n n n n n
a. Ceftriaxone
b. Doxycycline
c. Acyclovir
d. Metronidazole n
Ceftriaxone
A patient is seen in the clinic with a chief complaint of hematuria. To make a differential diagnosis,
n n n n n n n n n n n n n n n n n
whichof the following questions should be asked?
n n n n n n n n
a. "Do you have a history of liver disease?"
n n n n n n n
b. "What medications are you currently taking?" n n n n n
c. "Have you noticed swelling in your ankles?"
n n n n n n
d. All of the above n n n
"What medications are you currently taking"
n n n n n
A patient is seen in the clinic with hematuria confirmed on microscopic examination. The clinician
n n n n n n n n n n n n n n
shouldinquire about the ingestion of which of these substances that might be the cause of hematuria?
n n n n n n n n n n n n n n n n n
a. NSAIDs
b. Beets
c. Vitamin A n
d. Red
nmeatNSAID n
S
A 27-year-old female presents with a chief complaint of burning and pain on urination. She has no
n n n n n n n n n n n n n n n n
previous history of urinary tract infection (UTI). What are some additional symptoms consistent with
n n n n n n n n n n n n n n
adiagnosis of lower UTI?
n n n n n
a. Back and abdominal pain n n n
b. Fever, chills, costovertebral angle (CVA) tenderness
n n n n n
,NR 511 NR511 FINAL EXAM 1. Kaplan University LATEST 2021/2022.
n n n n n n n n n
c. Blood in urine and frequency n n n n
d. Foul-smelling discharge, perineal n n
nitchBlood in urine ad frequency
n n n n n
A 30-year-old patient presents with pain on urination. The urine microscopy of unspun urine shows
n n n n n n n n n n n n n n
greater than 10 leukocytes/mL, and a dipstick is positive for nitrites. What is the probable
n n n n n n n n n n n n n n n
diagnosis?a. Lower urinary tract infection
n n n n n n
b. Chlamydia infection n
c. Candidiasis
d. Pyelonephritis
Lower urinary tract infection
n n n
A patient presents with CVA tenderness and a several-day history of high fever, chills, and dysuria.
n n n n n n n n n n n n n n n
Whichof the following diagnoses is most likely given the above information?
n n n n n n n n n n n n
a. Pyelonephritis
b. Cystitis
c. Renal calculi n
d. Bladder
ntumorPyelonep n
hritis
A patient is diagnosed with urge incontinence. Before prescribing Detrol XL, the provider should
n n n n n n n n n n n n n
questionthe patient about which of these contraindications to this medication?
n n n n n n n n n n n
a. Diarrhea
b. Parkinson's disease n
c. Closed-angle glaucoma n
d. Breast cancer n
nClosed-angle
nglaucoma
A patient is seen in the office complaining of severe flank pain. The clinician should assess this patient
n n n n n n n n n n n n n n n n n
forwhich risk factor for kidney stones?
n n n n n n n
a. Hypertension
b. Constipation
c. Tubal ligation n
d. Diabetes
nHypertensio
n
A patient is diagnosed with overactive bladder. Which of the following instructions should be given
n n n n n n n n n n n n n n
tothis woman?
n n n
a. "Limit the amount of water that you
n n n n n n n
drink."b. "Eliminate caffeine from your diet."
n n n n n n n
c. "Wear panty liners."
n n n
,NR 511 NR511 FINAL EXAM 1. Kaplan University LATEST 2021/2022.
n n n n n n n n n
d. All of the above
n n n n
Eliminate caffeine from your diet
n n n n
, NR 511 NR511 FINAL EXAM 1. Kaplan University LATEST 2021/2022.
n n n n n n n n n
A 34-year-old patient was treated for a UTI and has not responded to antibiotic therapy. Which of
n n n n n n n n n n n n n n n n
thefollowing actions should be taken next?
n n n n n n n
a. Send a urine specimen for microscopy and evaluate for fungal colonies.
n n n n n n n n n n
b. Increase the dose of antibiotic. n n n n
c. Order a cytoscopy. n n
d. Order a different antibiotic. n n n
Send a urine specimen for microscopy and evaluate for fungal
n n n n n n n n n
ncoloniesWhich of the following are predisposing factors for
n n n n n n n n
pyelonephritis?
n
a. Pregnancy
b. Dehydration
c. Smoking
d. Alkaline
nurinePregnancy n
A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe dysuria. She
n n n n n n n n n n n n n n n
isdiagnosed with acute pyelonephritis. How should this patient be managed?
n n n n n n n n n n n
a. 3-day course of oral
n n n n
antibioticsb. Hospitalization
n n n
c. Encourage cranberry juice intake.
n n n n
d. 6-week course of
n n n
nantibioticsHospitalization n
Oral antibiotics may be prescribed in mild cases of acute pyelonephritis, characterized by the absence of
n n n n n n n n n n n n n n n
nausea and vomiting or signs of sepsis. First-line therapy includes ciprofloxacin (Cipro) 500 mg two
n n n n n n n n n n n n n n n
timesdaily for 7 days, or ciprofloxacin extended-release (Cipro XR) 1,000 mg daily for 7 days, or
n n n n n n n n n n n n n n n n n
levofloxacin (Levaquin) 750 mg daily for 5 days.
n n n n n n n n
Hospitalization may be indicated, depending on the patient's ability to maintain adequate fluid intake
n n n n n n n n n n n n n
and to tolerate oral antibiotics, along with the severity of the symptoms and evidence of bacteremia.
n n n n n n n n n n n n n n n
Hospitalization of patients who are pregnant, vomiting, or dehydrated should be strongly considered.
n n n n n n n n n n n n
Likewise, the patient's degree of systemic illness (bacteremia or urosepsis), age, history of chronic
n n n n n n n n n n n n n
disease, or nonadherence to therapy may lead to the assessment that hospitalization is necessary.
n n n n n n n n n n n n n
Ninety- five percent of patients demonstrate a good response within 48 hours to IV antibiotic treatment
n n n n n n n n n n n n n n n
and may be discharged on appropriate oral medication, once urine culture and antibiotic sensitivity
n n n n n n n n n n n n n
results are available and subsequent antimicrobial therapy may be narrowed in spectrum.
n n n n n n n n n n n
A patient is seen with a sudden onset of flank pain accompanied by nausea, vomiting, and
n n n n n n n n n n n n n n n
diaphoresis.In addition to nephrolithiasis, which of the following should be added to the list of
n n n n n n n n n n n n n n n n
differential diagnoses?
n n
a. Pancreatitis
b. Peptic ulcer disease n n
n n n n n n n n n
NR 511 / NR511 FINALEXAM 1 n n n n n n
The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the
n n n n n n n n n n n n
followingneurotransmitters plays a role in anxiety?
n n n n n n n
Gamma-aminobutyric acid (GABA) n n
The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Associations
n n n n n n n n n n n
Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excessiveworry
n n n n n n n n n n n n n n n
or apprehension must be present more days than not for at least?
n n n n n n n n n n n n
6 months
n
A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea. Which
n n n n n n n n n n n n n n n n
ofthe following is the treatment of choice for gonorrhea?
n n n n n n n n n n
a. Ceftriaxone
b. Doxycycline
c. Acyclovir
d. Metronidazole n
Ceftriaxone
A patient is seen in the clinic with a chief complaint of hematuria. To make a differential diagnosis,
n n n n n n n n n n n n n n n n n
whichof the following questions should be asked?
n n n n n n n n
a. "Do you have a history of liver disease?"
n n n n n n n
b. "What medications are you currently taking?" n n n n n
c. "Have you noticed swelling in your ankles?"
n n n n n n
d. All of the above n n n
"What medications are you currently taking"
n n n n n
A patient is seen in the clinic with hematuria confirmed on microscopic examination. The clinician
n n n n n n n n n n n n n n
shouldinquire about the ingestion of which of these substances that might be the cause of hematuria?
n n n n n n n n n n n n n n n n n
a. NSAIDs
b. Beets
c. Vitamin A n
d. Red
nmeatNSAID n
S
A 27-year-old female presents with a chief complaint of burning and pain on urination. She has no
n n n n n n n n n n n n n n n n
previous history of urinary tract infection (UTI). What are some additional symptoms consistent with
n n n n n n n n n n n n n n
adiagnosis of lower UTI?
n n n n n
a. Back and abdominal pain n n n
b. Fever, chills, costovertebral angle (CVA) tenderness
n n n n n
,NR 511 NR511 FINAL EXAM 1. Kaplan University LATEST 2021/2022.
n n n n n n n n n
c. Blood in urine and frequency n n n n
d. Foul-smelling discharge, perineal n n
nitchBlood in urine ad frequency
n n n n n
A 30-year-old patient presents with pain on urination. The urine microscopy of unspun urine shows
n n n n n n n n n n n n n n
greater than 10 leukocytes/mL, and a dipstick is positive for nitrites. What is the probable
n n n n n n n n n n n n n n n
diagnosis?a. Lower urinary tract infection
n n n n n n
b. Chlamydia infection n
c. Candidiasis
d. Pyelonephritis
Lower urinary tract infection
n n n
A patient presents with CVA tenderness and a several-day history of high fever, chills, and dysuria.
n n n n n n n n n n n n n n n
Whichof the following diagnoses is most likely given the above information?
n n n n n n n n n n n n
a. Pyelonephritis
b. Cystitis
c. Renal calculi n
d. Bladder
ntumorPyelonep n
hritis
A patient is diagnosed with urge incontinence. Before prescribing Detrol XL, the provider should
n n n n n n n n n n n n n
questionthe patient about which of these contraindications to this medication?
n n n n n n n n n n n
a. Diarrhea
b. Parkinson's disease n
c. Closed-angle glaucoma n
d. Breast cancer n
nClosed-angle
nglaucoma
A patient is seen in the office complaining of severe flank pain. The clinician should assess this patient
n n n n n n n n n n n n n n n n n
forwhich risk factor for kidney stones?
n n n n n n n
a. Hypertension
b. Constipation
c. Tubal ligation n
d. Diabetes
nHypertensio
n
A patient is diagnosed with overactive bladder. Which of the following instructions should be given
n n n n n n n n n n n n n n
tothis woman?
n n n
a. "Limit the amount of water that you
n n n n n n n
drink."b. "Eliminate caffeine from your diet."
n n n n n n n
c. "Wear panty liners."
n n n
,NR 511 NR511 FINAL EXAM 1. Kaplan University LATEST 2021/2022.
n n n n n n n n n
d. All of the above
n n n n
Eliminate caffeine from your diet
n n n n
, NR 511 NR511 FINAL EXAM 1. Kaplan University LATEST 2021/2022.
n n n n n n n n n
A 34-year-old patient was treated for a UTI and has not responded to antibiotic therapy. Which of
n n n n n n n n n n n n n n n n
thefollowing actions should be taken next?
n n n n n n n
a. Send a urine specimen for microscopy and evaluate for fungal colonies.
n n n n n n n n n n
b. Increase the dose of antibiotic. n n n n
c. Order a cytoscopy. n n
d. Order a different antibiotic. n n n
Send a urine specimen for microscopy and evaluate for fungal
n n n n n n n n n
ncoloniesWhich of the following are predisposing factors for
n n n n n n n n
pyelonephritis?
n
a. Pregnancy
b. Dehydration
c. Smoking
d. Alkaline
nurinePregnancy n
A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe dysuria. She
n n n n n n n n n n n n n n n
isdiagnosed with acute pyelonephritis. How should this patient be managed?
n n n n n n n n n n n
a. 3-day course of oral
n n n n
antibioticsb. Hospitalization
n n n
c. Encourage cranberry juice intake.
n n n n
d. 6-week course of
n n n
nantibioticsHospitalization n
Oral antibiotics may be prescribed in mild cases of acute pyelonephritis, characterized by the absence of
n n n n n n n n n n n n n n n
nausea and vomiting or signs of sepsis. First-line therapy includes ciprofloxacin (Cipro) 500 mg two
n n n n n n n n n n n n n n n
timesdaily for 7 days, or ciprofloxacin extended-release (Cipro XR) 1,000 mg daily for 7 days, or
n n n n n n n n n n n n n n n n n
levofloxacin (Levaquin) 750 mg daily for 5 days.
n n n n n n n n
Hospitalization may be indicated, depending on the patient's ability to maintain adequate fluid intake
n n n n n n n n n n n n n
and to tolerate oral antibiotics, along with the severity of the symptoms and evidence of bacteremia.
n n n n n n n n n n n n n n n
Hospitalization of patients who are pregnant, vomiting, or dehydrated should be strongly considered.
n n n n n n n n n n n n
Likewise, the patient's degree of systemic illness (bacteremia or urosepsis), age, history of chronic
n n n n n n n n n n n n n
disease, or nonadherence to therapy may lead to the assessment that hospitalization is necessary.
n n n n n n n n n n n n n
Ninety- five percent of patients demonstrate a good response within 48 hours to IV antibiotic treatment
n n n n n n n n n n n n n n n
and may be discharged on appropriate oral medication, once urine culture and antibiotic sensitivity
n n n n n n n n n n n n n
results are available and subsequent antimicrobial therapy may be narrowed in spectrum.
n n n n n n n n n n n
A patient is seen with a sudden onset of flank pain accompanied by nausea, vomiting, and
n n n n n n n n n n n n n n n
diaphoresis.In addition to nephrolithiasis, which of the following should be added to the list of
n n n n n n n n n n n n n n n n
differential diagnoses?
n n
a. Pancreatitis
b. Peptic ulcer disease n n
