NR 511 Final Exam Questions And Answers 2024 Latest update

NR 511 Final Exam Questions And Answers 2024 Latest update Janet is a 30 year old woman who has been recently diagnosed with a herniated disc at the level of L5-S1. She is currently in the emergency roomwith suspician of cauda equna compression. Which of the following is a signor symptom of cauda equina compression? a. gastrocnemius weakness b. reduced or absent ankle reflesc. numbness of the lateral foot d. paresthesia of the perineum and buttocks Correct Ans - d. paresthesia of the perineum and buttocks The patient has acute pancreatitis with 7 of the diagnostic criteria from Ranson's Criteria. In order to plan care, the clinician understands that thiscriteria score has which of the following meanings? a. a high mortality rate b. an increased chance of recurrence c. 7% chance of the disease becoming chronic d. all of the above Correct Ans - a. a high mortality rate Reuben, age 24, has HIV and just had a routine viral load test done. Theresults show a falling viral load What does this indicate a. a favorable diagnostic trendb. disease progression c. the need to be more aggressive with Reuben's medications d. the eradication of the HIV Correct Ans - a. a favorable diagnostic trend Which is the differentiating symptom mbetween labyrinthitis and vestibularneuritis? a. symptoms with vestibular neuritis are usually acute in onset, whereas with labyrinthitis the onet is more gradual b. hearing loss may be associated with vestibular neuritis, but not with labyrinthitis c. symptoms with labyrinthitis are usually acute in onset, ,whereas with vesticular neuritis the onset is more gradual d. hearing loss may be associated with labyrinthitis ,but not with vestibularneuritis. Correct Ans - d. hearing loss may be associated with labyrinthitis ,but not with vestibular neuritis. A 27 year old female presents with a chief complaint of burning and pain on urination. She has no previous history of urinary tract infection. what are some additional symptoms consistant with a diagnosis of lower UTI? a. back and abdominal pain b. fever, chills, costovertebral angle (CVA) tendernessc. blood in urine and frequency d. foul-smelling discharge, perineal itch Correct Ans - c. blood in urine and frequency The differential diagnosis for vertigo can be classified into which of thefollowing categories: a. peripheral vestibular diseaseb. CNS disorders c. Systemic disorders d. all of the above Correct Ans - d. all of the above Sam is a 25-year-old man who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along witha normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc? a. morning stiffness and limited mobility of the lumbar spine b. unilateral radicular pain symptoms that extend below the knee and areequal to or greater than the back pain c. Fever, chills, and elevated erythrocyte sedimentation rate d. pathologic fractures, severe night pain, weight loss and fatigue Correct Ans - b. unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain Preceptors must always see the patients that the students see in the clinical setting a. true b. false Correct Ans - a. true An 82 year old man is seen in the primary care office with complaints ofdribbling urine and difficulty starting his stream. Which of the following should be included in the list of differentials? a. BPH b. Prostate cancer c. UTI d. all of the above Correct Ans - d. all of the above Which causes the greatest percentage of mammalian bites? a. dogsb. cats c. humans d. rodents Correct Ans - a. dogs a. this is a premalignant tissue b. this tissue is resistant to gastric acid c. this tissue supports healing of the esophagus d. all of the above Correct Ans - d. all of the above Which of the following data are indicative of testicular torsion?a. absent cremasteric reflux b. pain relived on testicular elevationc. testicle very low in the scrotum d. swollen scrotum with a red dot sign Correct Ans - a. absent cremasteric reflux Most nosocomial pneumonias are caused by: a. Fungi. b. Viruses c. Gram-negative bacteria. d. Pneumococcal pneumonia. Correct Ans - c. Gram-negative bacteria. A family practice office for all 5 of your clinical rotations will guarantee thatyou will gain the required pediatric exposure a. true b. false Correct Ans - b. false The most common precancerous skin lesion found in Caucasians isa. skin tags b. actinic keratosisc. melanoma d. basal skin lesion Correct Ans - b. actinic keratosis Which obstructive lung disease is classified as reversible?a. Asthma b. Chronic bronchitisc. Emphysema d. COPD Correct Ans - a. Asthma Which of the following is an example of an articular structurea. bone b. synoviumc. tendons d. fascia Correct Ans - b. synovium a. posterior dislocations are more common than anterior dislocations b. there is a risk of neurovascular and neurosensory trauma, so the clinicianshould check for distal pulses Correct Ans - b. there is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses Which of the following statements is true concerning the management of theclient with a herniated disc? a. muscle relaxants and narcotics can be used to control moderate pain butshould be discontinued after 3 weeks of use b. an epidural injection is helpful in reducing leg pain that has persisted forat least 3 weeks after the herniation occurred. c. intolerable pain for more than 3 months is an indication for surgical intervention d. all of the above Correct Ans - c. intolerable pain for more than 3 months is an indication for surgical intervention After 6 months of synthroid therapy, the clinician should expect which of thefollowing in the repeat thyroid studies? a. elevated TSHb. normal TSH c. low TSH d. undetectable TSH Correct Ans - b. normal TSH The clinician suspects that a client seen in the office has hyperthyroidism.Which of the following tests should the clinician order on the initial visit? a. thryoid stimulating hormone (TSH) and free T4b. TSH and thyrotoxin antibodies • High sensitivity thyroid stimulating hormone TSH and free T4 • Free T4 and serum calcium Correct Ans - a. thryoid stimulating hormone (TSH) and free T4 Cat bites are commonly associated with which of the following pathogens?a. pasteurella multocida c. group B streptococcus d. Group A beta hemolytic streptococcus Correct Ans - a. pasteurella multocida trimethoprim a. 3-7 days b. 14-21 days c. 3-6 weeks d 6-12 weeks Correct Ans - d 6-12 weeks The A in SNAPPS stands for Assessment a. true b. false Correct Ans - b. false A patient is diagnosed with Giardia after backpacking trip in the mountains.Which of the following would be the appropriate treatement? a. Vancomycinb. Penicillin c. Metronidazole d. Bactrim Correct Ans - c. Metronidazole The most cost effective screening test to determine HIV status is which of thefollowing? a. western blot b. enzyme-linked immunosorbent assay (ELISA) c. venereal disease research laboratory test (VDRL) d. Viral load Correct Ans - b. enzyme-linked immunosorbent assay