NU673 Midterm Exam Questions and Correct Answers

NU673 Midterm Exam Questions and Correct Answers ."Instability in interpersonal relations, self-image, and affective regulation; impulsivity" describes which personality disorder? A. Borderline B. Histrionic C. Antisocial D. Narcissistic - ANSWER.A. Borderline .A 21-year-old carwash attendant sustained a laceration to the ulnar aspect of his mid-forearm while at work last week. He did not have it evaluated at that time and is now noticing purulent discharge and increasing pain from the wound along with fever and chills. In which lymph nodes would the advanced practice registered nurse (APRN) expect to find the first signs of lymphadenopathy? A. Lateral axillary B. Cervical chain C. Infraclavicular D. Epitrochlear - ANSWER.D. Epitrochlear First nodes in drainage region from ulnar surface of forearm and hand and some fingers All other options are distal to this area and would show secondary lymphadenopathy .A 25-year old male presents for his annual exam. His BMI is 22.0, but he is concerned about his weight. What is the most appropriate response? A. Reassure the patient his weight is normal. B. Refer the patient to a nutritionist because he is anorexic. C. Provide the patient with information about weight loss because he is overweight. D. Refer the patient to a nutritionist because he is obese. - ANSWER.A. Reassure the patient his weight is normal. Normal BMI range 18.5-24.5. .A 26-year old female presents to the office with unilateral pain during chewing which is chronic. She does not have facial tenderness or tenderness of the scalp The APRN suspects: A. trigeminal neuralgia B. TMJ syndrome C. temporal arteritis D. tumor of mandible - ANSWER.B. TMJ syndrome Review Bates P. 645 .A 27-year-old professional tennis player presents to the office with left shoulder pain after playing in a tournament this weekend. The patient has supraspinatus weakness on abduction, infraspinatus weakness during external rotation, a positive impingement sign and a positive drop-arm test. The advanced practice registered nurse suspects: A. Bicipital tendinitis B. Adhesive tendinitis C. Acromioclavicular arthritis D. Rotator cuff tear - ANSWER.D. Rotator cuff tear .A 29-year-old football player presents with right knee pain after a game. The patient relates hyperextending his knee and then receiving a direct blow to the knee with a tackle. On examination of the right knee, the advanced practice registered nurse (APRN) notes a forward jerk showing the contours of the upper tibia when testing the anterior drawer sign, and significant forward excursion with a Lachman Test. The APRN suspects a tear in the: A.PCL B. ACL C. MCL D. LCL - ANSWER.B. Anterior cruciate ligment (ACL) Review P. 689-690 .A 31-year-old day care worker presents with a worsening stiff, painful neck. On inspection, the patient's head is laterally deviated toward the shoulder and rotated. At this point of the examination, what is the most likely diagnosis? A. Osteoarthritis B. Spondylolisthesis C. Ankylosing spondylitis D. Torticollis - ANSWER.D. Torticollis