NR 511 FINAL EXAM|| ALL QUESTIONS AND
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The effectiveness of benzodiazepines in treating anxiety disorders suggests that which
of the following neurotransmitters plays a role in anxiety?
The criteria for diagnosing generalized anxiety disorder in the American Psychiatric
Associations Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text
revision) state that excessiveiworry or apprehension must be present more days than
not for at least?
A 20-year-old woman is seen in the clinic because her boyfriend was found to have
gonorrhea. Which ofthe following is the treatment of choice for gonorrhea?
a. Ceftriaxone
b. Doxycycline
c. Acyclovir
d. Metronidazole
Ceftriaxone
A patient is seen in the clinic with a chief complaint of hematuria. To make a
differential diagnosis, whichof the following questions should be asked?
a. "Do you have a history of liver disease?"
b. "What medications are you currently taking"
c. "Have you noticed swelling in your ankles?"
d. All of the above
"What medications are you currently taking"
A patient is seen in the clinic with hematuria confirmed on microscopic examination.
The clinician should inquire about the ingestion of which of these substances that
might be the cause of hematuria?
a. NSAIDs
b. Beets
c. Vitamin A
d. Red meat
NSAIDS
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 (UTI). What are some
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additional symptoms consistent with a diagnosis of lower UTI?
a. Back and abdominal pain
b. Fever, chills, costovertebralangle (CVA) tenderness
c. Blood in urine and frequency
d. Foul-smelling discharge, perineal itch
A 30-year-old patient presents with pain on urination. The urine microscopy of
unspun urine shows greater than 10 leukocytes/mL, and a dipstick is positive for
nitrites. What is the probable diagnosis?i
a. Lower urinary tract infection
b. Chlamydia infection
c. Candidiasis
d. Pyelonephritis
Lower urinary tract infection
A patient presents with CVA tenderness and a several-day history of high fever,
chills, and dysuria. Whichof the following diagnoses is most likely given the above
information?
a. Pyelonephritis
b. Cystitis
c. Renal calculi
d. Bladder tumor
Pyelonephritis
A patient is diagnosed with urge incontinence. Before prescribing Detrol XL, the
provider should question the patient about which of these contraindications to this
medication?
a. Diarrhea
b. Parkinson's disease
c. Closed-angle glaucoma
d. Breast cancer
Closed-angle glaucoma
A patient is seen in the office complaining of severe flank pain. The clinician should
assess this patient for which risk factor for kidney stones?
a. Hypertension
b. Constipation
c. Tubal ligation
d. Diabetes
Hypertensio n
A patient is diagnosed with overactive bladder. Which of the following instructions
should be given to this woman?
a. "Limit the amount of water that you drink."
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c. "Wear panty liners."
d. All of the above
Eliminate caffeine from your diet
A 34-year-old patient was treated for a UTI and has not responded to antibiotic
therapy. Which of the following actions should be taken next?
a. Send a urine specimen for microscopy and evaluate for fungal colonies
b. Increase the dose of antibiotic.
c. Order acytoscopy.
d. Order a different antibiotic.
Send a urine specimen for microscopy and evaluate for fungal colonies
Which of the following are predisposing factors for pyelonephritis?
a. Pregnancy
b. Dehydration
c. Smoking
d. Alkaline urine
Pregnancy
A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe
dysuria. She is diagnosed with acute pyelonephritis. How should this patient be
managed?
a. 3-day course oforal antibiotics
c. Encourage cranberry juice intake.
d. 6-week course of antibiotics Hospitalization
Oral antibiotics may be prescribed in mild cases of acute pyelonephritis, characterized
by the absence of nausea and vomiting or signs of sepsis. First-line therapy includes
ciprofloxacin (Cipro) 500 mg two times daily for 7 days, or ciprofloxacin extended-
release (Cipro XR) 1,000 mg daily for 7 days, or levofloxacin (Levaquin) 750 mg
daily for 5 days.
Hospitalizationimayibeiindicated,idependingionitheipatient'siabilityitoimaintainiadeq
uateifluidiintake
anditoitolerateioraliantibiotics,ialongiwithitheiseverityiofitheisymptomsiandievidence
iofibacteremia.
Hospitalizationiofipatientsiwhoiareipregnant,ivomiting,ioridehydratedishouldibeistron
glyiconsidered.
Likewise,itheipatient'sidegreeiofisystemiciillnessi(bacteremiaioriurosepsis),iage,ihisto
ryiofichronic
disease,iorinonadherenceitoitherapyimayileaditoitheiassessmentithatihospitalizationiis
inecessary.
Ninety-