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NR511 Exam Differential Diagnosis and
Primary Care Practicum Guide
Mr. Johnson, age 69, has had Meniere disease for several years. He has some
hearing loss but now has persistent vertigo. What treatment might be instituted
to relieve the vertigo?
1.A labyrinthectomy.
2.Pharmacological therapy.
3.A vestibular neurectomy.
4.Wearing an earplug in the ear that has the most hearing loss.
3.
A vestibular neurectomy.
Treatment for achalasia may include:
1. Balloon dilation of the lower esophageal sphincter.
2. Beta blockers.
3. A fundoplication.
4. An esophagogastrectomy.
1. Balloon dilation of the LES
pg. 1
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Which oral medication might be used to treat a client with chronic cholelithiasis
who is a poor candidate for surgery?
1.Ursodiol (Actigall).
2.Ibuprofen (Advil).
3.Prednisone (Deltasone).
4.Surgery is the only answer.
1. Ursodiol (Actigall)
All of the following medications are used for the control of nausea and vomiting.
Which medication works by affecting the chemoreceptor trigger zone, thereby
stimulating upper gastrointestinal motility and increasing lower esophageal
sphincter pressure?
1.Anticholinergics, such as scopolamine (Donnatal).
2.Antidopaminergic agents, such as prochlorperazine (Compazine).
3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol).
3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).
You auscultate Julie's abdomen and hear a peritoneal friction rub. Which
condition do you rule out?
pg. 2
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1.Peritonitis.
2.A liver or spleen abscess.
3.A liver or spleen metastatic tumor.
4.Irritable bowel syndrome.
4. IBS
Which is the most common presenting symptom of gastric cancer?
1.Weight loss.
2.Dysphagia.
3.Hematemesis.
4.Gastrointestinal bleeding.
1. Weight loss
The metabolism of which drug is not affected in Marsha, age 74?
1.Alcohol.
2.Anticonvulsants.
3.Psychotropics.
4.Oral anticoagulants.
1. Alcohol
pg. 3
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Nausea is difficult to discern in a young child. What question might you ask to
determine if a child has nausea?
1."Are you sick to your tummy?"
2."Are you hungry?"
3."Are you eating the way you normally eat?"
4."Are you nauseous?"
2.
"Are you hungry?"
Zena just had a hemorrhoidectomy. You know she has not understood your
teaching when she tells you she will:
1.Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery.
2.Drink at least 2000 mL of fluids per day.
3.Decrease her dietary fiber for 1 month.
4.Take stool softeners as prescribed.
3.Decrease her dietary fiber for 1 month.
Stacy, a nursing student, is to begin her series of hepatitis B vaccinations. You test
her for a serological marker, and the results show hepatitis B surface antibodies
(HBsAb). You tell Stacy that she:
pg. 4
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NR511 Exam Differential Diagnosis and
Primary Care Practicum Guide
Mr. Johnson, age 69, has had Meniere disease for several years. He has some
hearing loss but now has persistent vertigo. What treatment might be instituted
to relieve the vertigo?
1.A labyrinthectomy.
2.Pharmacological therapy.
3.A vestibular neurectomy.
4.Wearing an earplug in the ear that has the most hearing loss.
3.
A vestibular neurectomy.
Treatment for achalasia may include:
1. Balloon dilation of the lower esophageal sphincter.
2. Beta blockers.
3. A fundoplication.
4. An esophagogastrectomy.
1. Balloon dilation of the LES
pg. 1
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
,https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
Which oral medication might be used to treat a client with chronic cholelithiasis
who is a poor candidate for surgery?
1.Ursodiol (Actigall).
2.Ibuprofen (Advil).
3.Prednisone (Deltasone).
4.Surgery is the only answer.
1. Ursodiol (Actigall)
All of the following medications are used for the control of nausea and vomiting.
Which medication works by affecting the chemoreceptor trigger zone, thereby
stimulating upper gastrointestinal motility and increasing lower esophageal
sphincter pressure?
1.Anticholinergics, such as scopolamine (Donnatal).
2.Antidopaminergic agents, such as prochlorperazine (Compazine).
3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol).
3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan).
You auscultate Julie's abdomen and hear a peritoneal friction rub. Which
condition do you rule out?
pg. 2
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,https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
1.Peritonitis.
2.A liver or spleen abscess.
3.A liver or spleen metastatic tumor.
4.Irritable bowel syndrome.
4. IBS
Which is the most common presenting symptom of gastric cancer?
1.Weight loss.
2.Dysphagia.
3.Hematemesis.
4.Gastrointestinal bleeding.
1. Weight loss
The metabolism of which drug is not affected in Marsha, age 74?
1.Alcohol.
2.Anticonvulsants.
3.Psychotropics.
4.Oral anticoagulants.
1. Alcohol
pg. 3
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, https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
Nausea is difficult to discern in a young child. What question might you ask to
determine if a child has nausea?
1."Are you sick to your tummy?"
2."Are you hungry?"
3."Are you eating the way you normally eat?"
4."Are you nauseous?"
2.
"Are you hungry?"
Zena just had a hemorrhoidectomy. You know she has not understood your
teaching when she tells you she will:
1.Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery.
2.Drink at least 2000 mL of fluids per day.
3.Decrease her dietary fiber for 1 month.
4.Take stool softeners as prescribed.
3.Decrease her dietary fiber for 1 month.
Stacy, a nursing student, is to begin her series of hepatitis B vaccinations. You test
her for a serological marker, and the results show hepatitis B surface antibodies
(HBsAb). You tell Stacy that she:
pg. 4
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