NR 667 EXAM QUESTIONS WITH ANSWERS

NR 667 EXAM QUESTIONS WITH
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ANSWERS

a 4 mos. old is suspected of having developmental dysplasia of the hip. what
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test would best assess for this? - CORRECT ANSWERS ✔✔Galeazzi and
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Klisic: limited abduction and apparent thigh length discrepency is a better
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indicator of DDH than is instability after 3 months of age, Barlow and
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Ortolani maneuvers are tests used to test hip instability in newborns until
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approx. 3 months old. Trendelenburg pelvic test is to test for walking age
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children to test for hip weakness and is characterized by unilateral hip
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dyspleasia.



which mitral disorder results from redundancy of the mitral valve leaflet? -
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CORRECT ANSWERS ✔✔mitral valve prolapse. Most common . adult
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murmur. Valves annulus becomes enlarged in conjunction with elongated
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chordae tendonae (this is degeneration of the mitral tissue.
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serum ferritin - CORRECT ANSWERS ✔✔demonstrates the amount of iron
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in storage. helpful in evaluating pts being treated for iron deficiency anemia.
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a patient with aortic stenosis has been asymptomatic for decades and begins
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c/o some dizziness c activity w/o chest pain or sob. - CORRECT ANSWERS
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✔✔refer to cardiology; be alert for s/s that precede syncope. dizziness
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precedes syncompe, and the patient is now presenting with symptoms of
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aortic stenosis. |\

, A patient taking candesartan should avoid - CORRECT ANSWERS ✔✔K+
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supplements. Candesartan can produce hyperkalemia because the MOA |\ |\ |\ |\ |\ |\ |\ |\



spares K+. |\




A patient taking long actin basal insulin has elevated blood glucose. What
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blood sugars are important to evaluae and base insulin changes on -
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CORRECT ANSWERS ✔✔AM fasting. . basal insulin mimics steady stream
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of insulin produced by the pancrease throughout day. Should be based off of
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fastin AM glucose check. The other blood sugars reflect blood sugar in
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reflection to meals. |\ |\




hyperthyroidism may affect bp by increase SBP and DBP. It is also a common |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



cause of secondary HTN> other Endocrine disorders that do the same are: -
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CORRECT ANSWERS ✔✔Pheochromocytoma, Cushings syndrome,
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neuroblastoma. all of these are causes of secondary HTN. |\ |\ |\ |\ |\ |\ |\ |\




An immune response to Strep A infection of the hear are - CORRECT
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ANSWERS ✔✔rheumatic fever. Can also affect CNS and joints. most
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common age group affected is 5-15 yo. Residual affects not felt until decades
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later.



At what age should hearing screening be performed on older adults
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according to Assessing Care in Vulnerable Elders - CORRECT ANSWERS
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✔✔75 yo. completed at initial evaluation, if fails needs referral to audiology.
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Correlation with compliance with heawring aids. |\ |\ |\ |\ |\