NURS 6531 Final Exam

In the outpatient office setting, the most common reason for a malpractice suit is failure to: Properly refer Diagnose correctly in a timely fashion Obtain informed consent Manage fractures and trauma correctly Question 3 Reed-Sternberg B lymphocytes are associated with which of the following disorders: Aplastic anemia Hodgkin’s lymphoma Non Hodgkin’s lymphoma Myelodysplastic syndromes Question 4 The initial clinical sign of Dupuytren’s contracture is: Pain with ulnar deviation Painless nodule on palmer fascia Pain and numbness in the ring finger Inability to passively extend finger Question 5 Musculoskeletal pain Difficulty sleeping Depression Fatigue Question 6 Decrease the evening insulin dose and check capillary blood glucose (CBG) at 2:00 am. Instruct the child’s parents on physical activities to help weight loss. Increase the evening insulin dose and check CBG at 2:00 am. Refer the child for instruction on a strict diabetic diet. Question 7 The 4 classic features of Parkinson’s disease are: Mask-like facies, dysarthria, excessive salivation, and dementia. Tremor at rest, rigidity, bradykinesia, and postural disturbances. Depression, cognitive impairment, constipation and shuffling gait. Tremor with movement, cogwheeling, repetitive movement, and multi- system atrophy. Question 8 You must initiate the plan of care for the patient The physician must be on-site and engaged in patient care You must be employed as an independent contractor You must be the main health care provider who sees the patient Question 9 The cornerstone of treatment for stress fracture of the femur or metatarsal stress fracture is: Rest from activities which may further stress the bone. Daily passive range of motion exercises. Continuation of the patient’s routine physical activities. Application of ice after activity. Question 10 Trimethoprim- sulfamethoxazole Erythromycin Cefuroxime Levofloxacin Question 11 Which is the most common cause of end-stage renal disease in the United States? Diabetic nephropathy Chronic renal failure secondary to vascular disorders Acute tubular necrosis Kidney trauma Question 12 A typical description of a tension headache is: Periorbital pain, sudden onset, often explosive in quality, and associated with nasal stuffiness, lacrimation, red eye, and nausea. Bilateral, occipital, or frontal tightness or fullness, with waves of aching pain. Hemicranial pain that is accompanied by vomiting and photophobia. Steadily worsening pain that interrupts sleep, is exacerbated by orthostatic changes, and may be preceded by nausea and vomiting. Question 13 A patient taking levothyroxine is being over-replaced. What condition is he at risk for? Osteoporo sis Constipati on Depression Exopthalmi a Question 14 Which of the following medications increase the risk for metabolic syndrome? Antihistamines Proton pump inhibitors Protease inhibitors A and C All of the above Question 15 Lateral meniscus Cruciate ligament Medical meniscus Collateral ligament Question 16 Gout Epicondyliti s Osteoarthri tis Lyme disease Question 17 The organism most often associated with prostatitis is: Klebsiella Neiserria gonorrhoaes Chlamydia trachomatis E.Coli Question 18 Prescribe systemic antibiotics Prescribe antibiotic ear drops Prescribe nasal steroids and oral decongestants Refer him to an ear, nose, and throat specialist Question 19 Depression Panic disorder Anxiety Post-traumatic stress disorder Question 20 What diabetic complications result from hyperglycemia? 1, 2, 3 2, 3, 4 1, 3, 4 1, 2, 4 Question 21 Prolonged PT suggests: Platelet abnormality Abnormality in intrinsic coagulation pathway Abnormality in extrinsic coagulation pathway None of the above Question 22 Patient report of bladder dysfunction, saddle anesthesia, and motor weakness of limbs. History of significant trauma relative to the patient’s age. Decreased reflexes, strength, and sensation in the lower extremities. Patient report of pain with the crossed straight leg raise. Question 23 Underweigh t Normal weight Overweight Obese Question 24 “Caffeine has not effect on osteoporosis.” “A high caffeine intake has a diuretic effect that may cause calcium to be excreted more rapidly.” “Caffeine affects bone metabolism by altering intestinal absorption of calcium and assimilation of calcium into the bone matrix.” “Caffeine increase bone resorption.” Question 25 Start him on an ACE Inhibitor Start him on a diuretic Have him monitor his blood pressure at home Try nonpharmacological methods and have him monitor his blood pressure at home Question 26 Diagnostic radiological studies are indicated for low back pain: Routinely after 3 weeks of low back pain symptoms. To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of more of low back pain. When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection. As a part of a pre-employment physical when heavy lifting is included in the job description. Question 27 Risk factors for Addison’s disease include which of the following? Tuberculosis Autoimmune disease AIDS All of the above