Nurs 541 - exam 1 Questions With Complete Solutions
a 20-year old female patient with tachycardia and weight loss
but no optic symptoms presents with the following laboratory
vales: decreased TSH, increased T3, and increased T4 and free
T4. A pregnancy test is negative. What is the initial treatment
for this patient? Correct Answer beta blocker medications
-Used with Graves disease to alleviate the adrenergic symptoms
of the hyperthyroidism.
a 30 year-old male patient is diagnosed with Hodgkin
lymphoma. initial lab work reveals a WBC of 20 x 10,
hemoglobin of 10.1 gm/dL, a serum albumin of 3 g/dL and
lymphopenia of 0.5 x 10L. staging studies identify stage identify
stage III disease. what is the patient's prognostic score? Correct
Answer 4
a 40-year old patient with primary hyperparathyroidism has
increased serum calcium 0.5mg/dL above normal without signs
of nephrolithiasis. what is the recommended treatment for this
patient? Correct Answer annual monitoring of calcium,
creatinine, and bone density
a 60-year-old female patient has recently lost weight and a
physical examination reveals a beefy-red, sore tongue, with no
neurological findings. base on these clinical findings, what will
the provider anticipate finding in the laboratory data? Correct
Answer low hemoglobin and elevated MCV
a 70-year-old patient reports frequent infections, shortness of
breath, fatigue, and palpitations. An exam reveals pallor and
,petechiae. the provider orders a peripheral blood smear and bone
marrow biopsy. Which findings are consistent with a diagnosis
of myelodysplasia? Correct Answer -anisocytosis and
poikilocytosis of erythrocytes on peripheral smear
-defects in cellular maturation in all cell lines in bone marrow
aspirate
-Hypercellular bone marrow with peripheral cytopenia
- larger than normal megakaryocytes in bone marrow
a child has a localized nodule on one eyelid which is warm,
tender, and erythematous. On examination, the provider notes
clear conjunctivae and no discharge. what is the recommended
treatment? Correct Answer warm compress and massage of
the lesion
a child has a recent history of leg pain, unexplained bruising,
and nosebleeds. The provider notes petechiae and diffuse
lymphadenopathy. a complete blood count reveals a white blood
cell of 30,000 cells/mm and near normal red blood cell and
platelet counts. What will the provider do next to manage this
patient? Correct Answer refer to a specialist for a bone
marrow aspirate and biopsy
a child has recurrent impaction of cerumen in both ears and the
parents asks what can be done to help prevent this. what
suggestion will the provider provide? Correct Answer
cleaning the outer ear and canal with a soft cloth
a child is diagnosed as having a congenital cholesteatoma. what
is included in management of this condition? Correct Answer
*antibacterial treatment
, *removal of debris from ear canal
*surgery to remove the lesion
a child is hit with a baseball bat during a game and sustains an
injury to the nose, along with a transient loss of consciousness. a
health care provider at the game notes bleeding from the child's
nose and displacement of the septum. what is the most important
intervention initially? Correct Answer immobilizing the
child's head and neck and call 911
a child sustains an ocular injury which a shard of glass from a
bottle penetrated the eye wall. the emergency department
provider notes that the shard has remained in the eye. which
term best describes this type of injury? Correct Answer
intraocular foreign body
a child weighing 20 kg has been diagnosed with iron-deficiency
anemia and will begin taking an oral iron preparation. what will
the provider teach the child's parents about administration of this
medication? Correct Answer the correct dose is 30mg twice
daily
a child who has recurrent otitis media fails a hearing screen at
school. the provider suspects which type of hearing loss in this
child? Correct Answer conductive
a child's optic assessment data include unilateral eyelid edema,
warmth, and erythema but no pain with ocular movement is
reported. which characteristic is most likely true about this
child's infection? Correct Answer the eye is typically spared
without conjunctivitis
a 20-year old female patient with tachycardia and weight loss
but no optic symptoms presents with the following laboratory
vales: decreased TSH, increased T3, and increased T4 and free
T4. A pregnancy test is negative. What is the initial treatment
for this patient? Correct Answer beta blocker medications
-Used with Graves disease to alleviate the adrenergic symptoms
of the hyperthyroidism.
a 30 year-old male patient is diagnosed with Hodgkin
lymphoma. initial lab work reveals a WBC of 20 x 10,
hemoglobin of 10.1 gm/dL, a serum albumin of 3 g/dL and
lymphopenia of 0.5 x 10L. staging studies identify stage identify
stage III disease. what is the patient's prognostic score? Correct
Answer 4
a 40-year old patient with primary hyperparathyroidism has
increased serum calcium 0.5mg/dL above normal without signs
of nephrolithiasis. what is the recommended treatment for this
patient? Correct Answer annual monitoring of calcium,
creatinine, and bone density
a 60-year-old female patient has recently lost weight and a
physical examination reveals a beefy-red, sore tongue, with no
neurological findings. base on these clinical findings, what will
the provider anticipate finding in the laboratory data? Correct
Answer low hemoglobin and elevated MCV
a 70-year-old patient reports frequent infections, shortness of
breath, fatigue, and palpitations. An exam reveals pallor and
,petechiae. the provider orders a peripheral blood smear and bone
marrow biopsy. Which findings are consistent with a diagnosis
of myelodysplasia? Correct Answer -anisocytosis and
poikilocytosis of erythrocytes on peripheral smear
-defects in cellular maturation in all cell lines in bone marrow
aspirate
-Hypercellular bone marrow with peripheral cytopenia
- larger than normal megakaryocytes in bone marrow
a child has a localized nodule on one eyelid which is warm,
tender, and erythematous. On examination, the provider notes
clear conjunctivae and no discharge. what is the recommended
treatment? Correct Answer warm compress and massage of
the lesion
a child has a recent history of leg pain, unexplained bruising,
and nosebleeds. The provider notes petechiae and diffuse
lymphadenopathy. a complete blood count reveals a white blood
cell of 30,000 cells/mm and near normal red blood cell and
platelet counts. What will the provider do next to manage this
patient? Correct Answer refer to a specialist for a bone
marrow aspirate and biopsy
a child has recurrent impaction of cerumen in both ears and the
parents asks what can be done to help prevent this. what
suggestion will the provider provide? Correct Answer
cleaning the outer ear and canal with a soft cloth
a child is diagnosed as having a congenital cholesteatoma. what
is included in management of this condition? Correct Answer
*antibacterial treatment
, *removal of debris from ear canal
*surgery to remove the lesion
a child is hit with a baseball bat during a game and sustains an
injury to the nose, along with a transient loss of consciousness. a
health care provider at the game notes bleeding from the child's
nose and displacement of the septum. what is the most important
intervention initially? Correct Answer immobilizing the
child's head and neck and call 911
a child sustains an ocular injury which a shard of glass from a
bottle penetrated the eye wall. the emergency department
provider notes that the shard has remained in the eye. which
term best describes this type of injury? Correct Answer
intraocular foreign body
a child weighing 20 kg has been diagnosed with iron-deficiency
anemia and will begin taking an oral iron preparation. what will
the provider teach the child's parents about administration of this
medication? Correct Answer the correct dose is 30mg twice
daily
a child who has recurrent otitis media fails a hearing screen at
school. the provider suspects which type of hearing loss in this
child? Correct Answer conductive
a child's optic assessment data include unilateral eyelid edema,
warmth, and erythema but no pain with ocular movement is
reported. which characteristic is most likely true about this
child's infection? Correct Answer the eye is typically spared
without conjunctivitis
