NR 511 FINAL REVIEW QUESTIONS AND ANSWERS

NR 511 FINAL REVIEW QUESTIONS AND ANSWERS The most cost-effective screening test for determining HIV status is which of the following? - CORRECT ANSWER-Enzyme-linked immunosorbent assay Which blood test is a nonspecific method and most helpful for evaluating the severity and course of aninflammatory process? - CORRECT ANSWER-C-reactive protein (CRP Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter? - CORRECT ANSWER-Dopamine Mrs. Thomas was seen in the office complaining of pain and point tenderness in the area of her elbow. The pain has increased following a day of gardening one week ago. A physical finding that differentiates the diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is: - CORRECT ANSWER-Pain at the elbow with resisted movements at the wrist and forearm Which of the following statements concerning the musculoskeletal examination is true? - CORRECT ANSWER-The uninvolved side should be examined initially and then compared to the involved side. Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain? - CORRECT ANSWER-Morning stiffness Which causes the greatest percentage of mammalian bites? - CORRECT ANSWERDogs A 48-year-old woman is seen in the clinic with complaints of prolonged heavy menstrual periods. She is pale and states she can no longer exercise. Pelvic exam reveals a single, very large mass. Which of the following diagnostic tests should the clinician order first? - CORRECT ANSWER-Transvaginal ultrasound A diabetic patient asks the clinician why he needs to check his blood sugar at home even when he feels good. Which of the following responses would be most appropriate? - CORRECT ANSWER-Control of glucose will help postpone or delay complications." "Regularly checking blood sugar will help establish a routine." "Monitoring glucose will promote a sense of control." ALL OF THE ABOVE A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain, and constipation for the past 3 months. On physical examination, the clinician notices a sinus bradycardia; muscular stiffness; coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which of the following tests should be ordered next? - CORRECT ANSWER-TSH Which of the following medications for type 2 diabetes mellitus should not be prescribed during pregnancy? - CORRECT ANSWER-Glucotrol During a DRE on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious? - CORRECT ANSWER-An enlarged rubbery gland Eddie, age 4, presents to the ED with a live insect trapped in his ear canal causing a lot of distress. What should be your first step? - CORRECT ANSWER-Immobilize the insect with 2% lidocaine. What is the most common cause of microcytic anemia? - CORRECT ANSWER-Irondeficiency anemia An 82-year-old man is seen in the primary care office with complaints of dribbling urine and difficulty starting his stream. Which of the following should be included in the list of differential diagnoses? - CORRECT ANSWER-Benign prostatic hyperplasia (BPH) Parkinson's disease Prostate cancer All of theabove Early rheumatoid disease is characterized by: - CORRECT ANSWER-Joint swelling and immobility on rising A 70-year-old female has fallen 2 weeks ago and developed immediate pain in her left wrist. She thought she just bruised it but is worried because it has not improved. She has used Tylenol® and ice at home, and that has helped slightly. You examine her and find she has moderate swelling and ecchymosis but no overtly obvious deformity. Her ROM is uncomfortable and severely diminished due to the pain. No crepitus is heard or felt. Her fingers are warm; her pulse is strong; and capillary refill is - CORRECT ANSWER-Obtain a wrist x-ray and place her wrist in a splint or prescribe a splin