NR511 Final Exam Q & A (Latest ): Differential
Diagnosis & Primary Care Practicum (Verified Answers)
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?
3. A vestibular neurectomy.
1.A labyrinthectomy.
2.Pharmacological therapy.
3. A vestibular neurectomy.
4. Wearing an earplug in the ear that has the most hearing loss.
Treatment for achalasia may include:
1. Balloon dilation of the lower esophageal sphincter. 1. Balloon dilation of the LES
2. Beta blockers.
3. A fundoplication.
4. An esophagogastrectomy.
Which oral medication might be used to treat a client with chronic
cholelithiasis who is a poor candidate for surgery?
1. Ursodiol (Actigall)
1.Ursodiol (Actigall).
2.Ibuprofen (Advil).
3.Prednisone (Deltasone).
4.Surgery is the only answer.
All of the following medications are used for the control of nausea
and vomiting. Which medication works by affecting the chemore-
ceptor trigger zone, thereby stimulating upper gastrointestinal
motility and increasing lower esophageal sphincter pressure? 3. Antidopaminergic and cholinergic agents, such as metoclo-
1. Anticholinergics, such as scopolamine (Donnatal). pramide (Reglan).
2.Antidopaminergic agents, such as prochlorperazine (Com-
pazine).
3. Antidopaminergic and cholinergic agents, such as metoclo-
pramide (Reglan).
4. Tetrahydrocannabinols, such as dronabinol (Marinol).
You auscultate Julie's abdomen and hear a peritoneal friction rub.
Which condition do you rule out?
4. IBS
1. Peritonitis.
2. A liver or spleen abscess.
3. A liver or spleen metastatic tumor.
4.Irritable bowel syndrome.
Which is the most common presenting symptom of gastric can-
cer?
1. Weight loss
1.Weight loss.
2.Dysphagia.
3.Hematemesis.
4.Gastrointestinal bleeding.
The metabolism of which drug is not affected in Marsha, age 74?
1.Alcohol. 1. Alcohol
2. Anticonvulsants.
3.Psychotropics.
4.Oral anticoagulants.
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?"
2. "Are you hungry?"
3. "Are you eating the way you normally eat?"
4. "Are you nauseous?"
Zena just had a hemorrhoidectomy. You know she has not under-
stood your teaching when she tells you she will:
1. Take a sitz bath after each bowel movement for 1 to 2 weeks 3. Decrease her dietary fiber for 1 month.
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.
, NR511 Final Exam Q & A (Latest ): Differential
Diagnosis & Primary Care Practicum (Verified Answers)
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:
1. Needs to begin the hepatitis B series as soon as possible. 3. Is permanently immune to hepatitis B.
2. Needs to be tested again because one reading is not indicative
of immunity.
3. Is permanently immune to hepatitis B.
4. Has an acute hepatitis B infection.
Margie, age 52, has an extremely stressful job and was just given
a diagnosis of gastric ulcer. She tells you she is sure it is going to
be malignant. How do you respond?
1. "Don't worry. Gastric ulcers are not cancerous."
2. "About 95% of gastric ulcers are benign."
2. "About 95% of gastric ulcers are benign."
3. "You have about a 50% chance of having gastric cancer from
your ulcer."
4. "Even if it is cancer, surgery is 100% successful."
You are counseling Lillian, who is lactose intolerant, about foods
to avoid. You know she misunderstands the teaching when she
tells you she can have:
1. Yogurt. 2. Foods containing whey.
2. Foods containing whey.
3.Prehydrolyzed milk.
4.Oranges.
Susan, age 59, has no specific complaints when she comes in for
her annual examination. She does, however, have type 2 diabetes
mellitus (DM), slight hypertension, dyslipidemia, and central obe-
sity. How would you diagnose her? 3.
1. As a healthy adult with several problems. As having metabolic syndrome.
2. As having a glycemic event.
3. As having metabolic syndrome.
4. As having multiple organ dysfunction
Tom has just been diagnosed with celiac disease. Which of the
following might you tell him?
1. There is a new pharmaceutical cure for celiac disease.
2. A strict gluten-free diet is the only treatment for celiac disease.
2.A strict gluten-free diet is the only treatment for celiac disease.
3. Your children will not be at a higher risk for developing this
disease.
4. The presence of celiac disease is decreasing dramatically in the
United States.
Simon, age 72, states that he is worried because he has a bowel
movement only every third day. You respond:1.
"You should have two to three stools per day." 4.
2. "You should defecate once a day." "There is no such thing as a 'normal' pattern of defecation."
3. "You should have at least three stools per week."
4. "There is no such thing as a 'normal' pattern of defecation."
Matt, age 26, recently returned from a camping trip and has
gastroenteritis. He says that he has been eating only canned food.
Which of the following pathogens do you suspect?
2.
1.Campylobacter jejuni.
Clostridium botulinum.
2.Clostridium botulinum.
3.Clostridium perfringens.
4.Staphylococcus.
Timothy, age 68, complains of an abrupt change in his defecation
pattern. You evaluate him for:
1.Constipation. 2.
2.Colorectal cancer. Colorectal cancer.
3.Irritable bowel syndrome.
4.Acute appendicitis.
, NR511 Final Exam Q & A (Latest ): Differential
Diagnosis & Primary Care Practicum (Verified Answers)
Ruby has a colostomy and complains that her stools are too loose.
What food(s) do you suggest to help thicken the stools?
1. Cheese.
1. Cheese
2. Leafy green vegetables.
3. Raw fruits and vegetables.
4. Dried beans.
Martina, age 34, has AIDS and currently suffers from diarrhea.You
suspect she has which protozoal infection of the bowel?
1.Giardiasis. 3.
2.Amebiasis. Cryptosporidiosis.
3.Cryptosporidiosis.
4.Escherichia coli.
Anson tells you he thinks his antacids are causing his diarrhea.
You respond:
1. "Antacids contain fructose, which may not be totally absorbed,
resulting in fluid being drawn into the bowel."
4. "Antacids may contain magnesium, which decreases bowel
2. "Antacids contain sorbitol or mannitol, which are sugars that
transit time and may contain poorly absorbed salts that draw fluid
aren't absorbed and can cause fluid to be drawn into the bowel."
into the bowel."
3."Antacids contain caffeine, which decreases bowel transit time."
4."Antacids may contain magnesium, which decreases bowel
transit time and may contain poorly absorbed salts that draw fluid
into the bowel."
Tina has a chronic hepatitis C infection. She asks you how to
prevent its transmission. You respond:
1. "Do not donate blood until one year after diagnosis."
4.
2. "Abstain from sex altogether."
"Abstain from sex during your period."
3. "There is no possibility of transmission through razors or tooth-
brushes."
4. "Abstain from sex during your period."
Marcie just returned from Central America with traveler's diarrhea.
Which is the best treatment?
1. Metronidazole (Flagyl). 2.
2.Supportive care. Supportive care.
3. Quinolone antibiotics.
4. Gastric lavage.
Your client's 2-month-old daughter is admitted with gastroenteritis
and dehydration after 2 days of vomiting and diarrhea. When the
father asks you what is causing the child's diarrhea, how do you
respond?
1. "She must be lactose intolerant from the formula, and this is
4.
altering the fluid balance." "The infectious agent invaded the stomach lining and is affecting
2. "Her body's telling you that it's time to introduce some solids into
the balance of water and nutrients."
her system."
3. "The virus is causing irritation of the gastrointestinal lining,
which causes diarrhea."
4. "The infectious agent invaded the stomach lining and is affecting
the balance of water and nutrients."
Sandy, age 52, presents with jaundice, dark urine, and light-col-
ored stools, stating that she is slightly improved over last week's
symptoms. Which stage of viral hepatitis do you suspect?
3.
1.Incubation.
Icteric.
2. Prodromal.
3.Icteric.
4.Convalescent.
When Sammy asks you what he can do to help his wife, who has
dumping syndrome, what do you suggest he encourage her to do?
1. Eat foods higher in carbohydrates.
3. Eat foods with a moderate fat and protein content.
2. Eat 3 large meals plus 3 snacks per day.
3. Eat foods with a moderate fat and protein content.
4. Drink fluids with each meal.
Diagnosis & Primary Care Practicum (Verified Answers)
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?
3. A vestibular neurectomy.
1.A labyrinthectomy.
2.Pharmacological therapy.
3. A vestibular neurectomy.
4. Wearing an earplug in the ear that has the most hearing loss.
Treatment for achalasia may include:
1. Balloon dilation of the lower esophageal sphincter. 1. Balloon dilation of the LES
2. Beta blockers.
3. A fundoplication.
4. An esophagogastrectomy.
Which oral medication might be used to treat a client with chronic
cholelithiasis who is a poor candidate for surgery?
1. Ursodiol (Actigall)
1.Ursodiol (Actigall).
2.Ibuprofen (Advil).
3.Prednisone (Deltasone).
4.Surgery is the only answer.
All of the following medications are used for the control of nausea
and vomiting. Which medication works by affecting the chemore-
ceptor trigger zone, thereby stimulating upper gastrointestinal
motility and increasing lower esophageal sphincter pressure? 3. Antidopaminergic and cholinergic agents, such as metoclo-
1. Anticholinergics, such as scopolamine (Donnatal). pramide (Reglan).
2.Antidopaminergic agents, such as prochlorperazine (Com-
pazine).
3. Antidopaminergic and cholinergic agents, such as metoclo-
pramide (Reglan).
4. Tetrahydrocannabinols, such as dronabinol (Marinol).
You auscultate Julie's abdomen and hear a peritoneal friction rub.
Which condition do you rule out?
4. IBS
1. Peritonitis.
2. A liver or spleen abscess.
3. A liver or spleen metastatic tumor.
4.Irritable bowel syndrome.
Which is the most common presenting symptom of gastric can-
cer?
1. Weight loss
1.Weight loss.
2.Dysphagia.
3.Hematemesis.
4.Gastrointestinal bleeding.
The metabolism of which drug is not affected in Marsha, age 74?
1.Alcohol. 1. Alcohol
2. Anticonvulsants.
3.Psychotropics.
4.Oral anticoagulants.
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?"
2. "Are you hungry?"
3. "Are you eating the way you normally eat?"
4. "Are you nauseous?"
Zena just had a hemorrhoidectomy. You know she has not under-
stood your teaching when she tells you she will:
1. Take a sitz bath after each bowel movement for 1 to 2 weeks 3. Decrease her dietary fiber for 1 month.
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.
, NR511 Final Exam Q & A (Latest ): Differential
Diagnosis & Primary Care Practicum (Verified Answers)
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:
1. Needs to begin the hepatitis B series as soon as possible. 3. Is permanently immune to hepatitis B.
2. Needs to be tested again because one reading is not indicative
of immunity.
3. Is permanently immune to hepatitis B.
4. Has an acute hepatitis B infection.
Margie, age 52, has an extremely stressful job and was just given
a diagnosis of gastric ulcer. She tells you she is sure it is going to
be malignant. How do you respond?
1. "Don't worry. Gastric ulcers are not cancerous."
2. "About 95% of gastric ulcers are benign."
2. "About 95% of gastric ulcers are benign."
3. "You have about a 50% chance of having gastric cancer from
your ulcer."
4. "Even if it is cancer, surgery is 100% successful."
You are counseling Lillian, who is lactose intolerant, about foods
to avoid. You know she misunderstands the teaching when she
tells you she can have:
1. Yogurt. 2. Foods containing whey.
2. Foods containing whey.
3.Prehydrolyzed milk.
4.Oranges.
Susan, age 59, has no specific complaints when she comes in for
her annual examination. She does, however, have type 2 diabetes
mellitus (DM), slight hypertension, dyslipidemia, and central obe-
sity. How would you diagnose her? 3.
1. As a healthy adult with several problems. As having metabolic syndrome.
2. As having a glycemic event.
3. As having metabolic syndrome.
4. As having multiple organ dysfunction
Tom has just been diagnosed with celiac disease. Which of the
following might you tell him?
1. There is a new pharmaceutical cure for celiac disease.
2. A strict gluten-free diet is the only treatment for celiac disease.
2.A strict gluten-free diet is the only treatment for celiac disease.
3. Your children will not be at a higher risk for developing this
disease.
4. The presence of celiac disease is decreasing dramatically in the
United States.
Simon, age 72, states that he is worried because he has a bowel
movement only every third day. You respond:1.
"You should have two to three stools per day." 4.
2. "You should defecate once a day." "There is no such thing as a 'normal' pattern of defecation."
3. "You should have at least three stools per week."
4. "There is no such thing as a 'normal' pattern of defecation."
Matt, age 26, recently returned from a camping trip and has
gastroenteritis. He says that he has been eating only canned food.
Which of the following pathogens do you suspect?
2.
1.Campylobacter jejuni.
Clostridium botulinum.
2.Clostridium botulinum.
3.Clostridium perfringens.
4.Staphylococcus.
Timothy, age 68, complains of an abrupt change in his defecation
pattern. You evaluate him for:
1.Constipation. 2.
2.Colorectal cancer. Colorectal cancer.
3.Irritable bowel syndrome.
4.Acute appendicitis.
, NR511 Final Exam Q & A (Latest ): Differential
Diagnosis & Primary Care Practicum (Verified Answers)
Ruby has a colostomy and complains that her stools are too loose.
What food(s) do you suggest to help thicken the stools?
1. Cheese.
1. Cheese
2. Leafy green vegetables.
3. Raw fruits and vegetables.
4. Dried beans.
Martina, age 34, has AIDS and currently suffers from diarrhea.You
suspect she has which protozoal infection of the bowel?
1.Giardiasis. 3.
2.Amebiasis. Cryptosporidiosis.
3.Cryptosporidiosis.
4.Escherichia coli.
Anson tells you he thinks his antacids are causing his diarrhea.
You respond:
1. "Antacids contain fructose, which may not be totally absorbed,
resulting in fluid being drawn into the bowel."
4. "Antacids may contain magnesium, which decreases bowel
2. "Antacids contain sorbitol or mannitol, which are sugars that
transit time and may contain poorly absorbed salts that draw fluid
aren't absorbed and can cause fluid to be drawn into the bowel."
into the bowel."
3."Antacids contain caffeine, which decreases bowel transit time."
4."Antacids may contain magnesium, which decreases bowel
transit time and may contain poorly absorbed salts that draw fluid
into the bowel."
Tina has a chronic hepatitis C infection. She asks you how to
prevent its transmission. You respond:
1. "Do not donate blood until one year after diagnosis."
4.
2. "Abstain from sex altogether."
"Abstain from sex during your period."
3. "There is no possibility of transmission through razors or tooth-
brushes."
4. "Abstain from sex during your period."
Marcie just returned from Central America with traveler's diarrhea.
Which is the best treatment?
1. Metronidazole (Flagyl). 2.
2.Supportive care. Supportive care.
3. Quinolone antibiotics.
4. Gastric lavage.
Your client's 2-month-old daughter is admitted with gastroenteritis
and dehydration after 2 days of vomiting and diarrhea. When the
father asks you what is causing the child's diarrhea, how do you
respond?
1. "She must be lactose intolerant from the formula, and this is
4.
altering the fluid balance." "The infectious agent invaded the stomach lining and is affecting
2. "Her body's telling you that it's time to introduce some solids into
the balance of water and nutrients."
her system."
3. "The virus is causing irritation of the gastrointestinal lining,
which causes diarrhea."
4. "The infectious agent invaded the stomach lining and is affecting
the balance of water and nutrients."
Sandy, age 52, presents with jaundice, dark urine, and light-col-
ored stools, stating that she is slightly improved over last week's
symptoms. Which stage of viral hepatitis do you suspect?
3.
1.Incubation.
Icteric.
2. Prodromal.
3.Icteric.
4.Convalescent.
When Sammy asks you what he can do to help his wife, who has
dumping syndrome, what do you suggest he encourage her to do?
1. Eat foods higher in carbohydrates.
3. Eat foods with a moderate fat and protein content.
2. Eat 3 large meals plus 3 snacks per day.
3. Eat foods with a moderate fat and protein content.
4. Drink fluids with each meal.
