NSG 6440 PRACTICE TEST QUESTIONS AND ANSWERS

NSG 6440 PRACTICE TEST QUESTIONS AND ANSWERS The most cost-effective screening test for determining HIV status is which of the following? Western blot Enzyme-linked immunosorbent assay Venereal Disease Research Laboratory test Viral load - CORRECT ANSWER-Enzymelinked immunosorbent assay Which blood test is a nonspecific method and most helpful for evaluating the severity and course of an inflammatory process? Erythrocyte sedimentation rate White blood cell count Polymorphonuclear cells C-reactive protein (CRP) - CORRECT ANSWER-C-reactive protein (CRP) Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter? GABA Acetylcholine Dopamine Serotonin - 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: Ecchymosis, edema, and erythema over the lateral epicondyle Pain at the elbow with resisted movements at the wrist and forearm Inability to supinate and pronate the arm Inability to flex or extend the elbow against resistance - 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? The uninvolved side should be examined initially and then compared to the involved side. The part of the body that is causing the patient pain should be examined first. When possible, the patient should not be asked to perform active range-of-motion (ROM) exercises to avoid causing pain. Radiographs should always be obtained prior to examination so as not to cause further injury to the patient. - 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? Decreased C-reactive protein Hyperalbuminemia Morning stiffness Weight gain - CORRECT ANSWER-Morning stiffness Which causes the greatest percentage of mammalian bites? Dogs Cats Humans Rodents - CORRECT ANSWER-Dogs 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? Transvaginal ultrasound Endometrial biopsy MRI Abdominal computed tomography scan - 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? "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 - CORRECT ANSWER-All of the above "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." 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? Serum calcium TSH Electrolytes Urine specific gravity - CORRECT ANSWER-TSH Which of the following medications for type 2 diabetes mellitus should not be prescribed during pregnancy? Insulin Metformin Glucotrol Precose - 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? An enlarged rubbery gland A hard irregular gland A tender gland A boggy gland - 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? Remove the insect with tweezers. Immobilize the insect with 2% lidocaine. Sedate Eddie with diazepam. Shine a light in the ear for the insect to "find its way out." - CORRECT ANSWERImmobilize the insect with 2% lidocaine. What is the most common cause of microcytic anemia? Anemia of chronic disease Sideroblastic anemia Iron-deficiency anemia Thalassemia - CORRECT ANSWER-Iron-deficiency 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? Benign prostatic hyperplasia (BPH) Parkinson's disease Prostate cancer All of the above - CORRECT ANSWER-All of the above Early rheumatoid disease is characterized by: Pain and swelling in both small and large peripheral joints Rigid joints with diminished range of motion Joint swelling and immobility on rising A cardiac rub or pulmonary friction rub - 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.