NUR 622 FINAL EXAM QUESTIONS
CORRECTLY ANSWERED TO PASS!!
1 of 84
Term
Some pharmacologic agents may cause confusion in the elderly.
Which of the following pharmacologic agents is most likely to cause
confusion in this population?
A) Cimetidine (Tagamet), digoxin (Lanoxin), diphenhydramine
(Benadryl)
B)Acetaminophen (Tylenol), aspirin (Bayer), indomethacin (Indocin)
C) Sucralfate (Carafate), docusate sodium (Surfak), psyllium
(Metamucil)
D) Cephalexin (Keflex), amoxicillin (Amoxil), clarithromycin (Biaxin)
, Give this one a try later!
D) Endometrial biopsy
Random episodes of vaginal bleeding in a postmenopausal woman are not
normal. Endometrial biopsy is needed to biopsy the endometrial lining for
abnormal cells, which may indicate cancer.
A) Cimetidine (Tagamet), digoxin (Lanoxin), diphenhydramine (Benadryl)
Medications that commonly cause confusion in the elderly include
cimetidine, lanoxin, and diphenhydramine.
C) Apply acetic acid to the penile shaft and look for acetowhite changes
Lesions of HPV infection will turn white with application of acetic
acid.
B) Lichen sclerosus
Lichen sclerosus is a disease of the skin, in which white spots appear on the
skin and change over time. It is most commonly seen in the genital and rectal
areas, but can appear in other areas. The spots are usually shiny and smooth
and can eventually spread into patches. The skin appears thin and crinkled.
Then the skin tears easily, and bright red or purple bruises are common.
Sometimes, the skin becomes scarred. If the disease is a mild case, there may
be no symptoms
Don't know?
2 of 84
Term
5.Which of the following medications is the treatment of choice for
trichomonas?
, a. Metronidazole
b. Ceftriaxone
c. Diflucan
d. Doxycycline
Give this one a try later!
a.Ceftriaxone D. Premarin 0.3 mg
A. Pregnancy a. Metronidazole
Don't know?
3 of 84
Term
Which client is most at risk for osteoporosis?
1 A nonsmoking 60-year-old woman, 5 foot 7 inches tall and 173 lb
2 A 66-year-old white woman, 5 foot 1 inch and 100 lb, who is
a paralegal
3 A 68-year-old black woman, 5 foot 5 and 140 lb, who is a retired
receptionist
4 A 62-year-old woman, 5 foot 4 inches tall and 135 lb, who
takes calcium carbonate daily
Give this one a try later!
, 3 You should use contraceptives, 4 Late-onset menarche
because ovulation may occur
without a period.
3 Pale mucous membranes 2-A 66-year-old white woman,
4 Difficulty emptying the bladder 5 foot 1 inch and 100 lb, who is
a paralegal
Don't know?
4 of 84
Term
The Pap smear result on a 20-year-old sexually active student who
uses condoms inconsistently shows a large amount of inflammation.
Which of the following is the best follow-up action?
A) The NP needs to do cervical cultures to verify the presence of
gonorrhea
B) Prescribe metronidazole vaginal cream for the patient over
the phone
C) Call the patient and tell her she needs a repeat Pap smear in
6 months
D) Advise the patient to use a Betadine douche at bedtime x 3 days
Give this one a try later!
A) The NP needs to do cervical cultures to verify the presence of
gonorrhea
Cultures should be taken at the time of the Pap smear, as the patient may
not return for later diagnostic testing.
CORRECTLY ANSWERED TO PASS!!
1 of 84
Term
Some pharmacologic agents may cause confusion in the elderly.
Which of the following pharmacologic agents is most likely to cause
confusion in this population?
A) Cimetidine (Tagamet), digoxin (Lanoxin), diphenhydramine
(Benadryl)
B)Acetaminophen (Tylenol), aspirin (Bayer), indomethacin (Indocin)
C) Sucralfate (Carafate), docusate sodium (Surfak), psyllium
(Metamucil)
D) Cephalexin (Keflex), amoxicillin (Amoxil), clarithromycin (Biaxin)
, Give this one a try later!
D) Endometrial biopsy
Random episodes of vaginal bleeding in a postmenopausal woman are not
normal. Endometrial biopsy is needed to biopsy the endometrial lining for
abnormal cells, which may indicate cancer.
A) Cimetidine (Tagamet), digoxin (Lanoxin), diphenhydramine (Benadryl)
Medications that commonly cause confusion in the elderly include
cimetidine, lanoxin, and diphenhydramine.
C) Apply acetic acid to the penile shaft and look for acetowhite changes
Lesions of HPV infection will turn white with application of acetic
acid.
B) Lichen sclerosus
Lichen sclerosus is a disease of the skin, in which white spots appear on the
skin and change over time. It is most commonly seen in the genital and rectal
areas, but can appear in other areas. The spots are usually shiny and smooth
and can eventually spread into patches. The skin appears thin and crinkled.
Then the skin tears easily, and bright red or purple bruises are common.
Sometimes, the skin becomes scarred. If the disease is a mild case, there may
be no symptoms
Don't know?
2 of 84
Term
5.Which of the following medications is the treatment of choice for
trichomonas?
, a. Metronidazole
b. Ceftriaxone
c. Diflucan
d. Doxycycline
Give this one a try later!
a.Ceftriaxone D. Premarin 0.3 mg
A. Pregnancy a. Metronidazole
Don't know?
3 of 84
Term
Which client is most at risk for osteoporosis?
1 A nonsmoking 60-year-old woman, 5 foot 7 inches tall and 173 lb
2 A 66-year-old white woman, 5 foot 1 inch and 100 lb, who is
a paralegal
3 A 68-year-old black woman, 5 foot 5 and 140 lb, who is a retired
receptionist
4 A 62-year-old woman, 5 foot 4 inches tall and 135 lb, who
takes calcium carbonate daily
Give this one a try later!
, 3 You should use contraceptives, 4 Late-onset menarche
because ovulation may occur
without a period.
3 Pale mucous membranes 2-A 66-year-old white woman,
4 Difficulty emptying the bladder 5 foot 1 inch and 100 lb, who is
a paralegal
Don't know?
4 of 84
Term
The Pap smear result on a 20-year-old sexually active student who
uses condoms inconsistently shows a large amount of inflammation.
Which of the following is the best follow-up action?
A) The NP needs to do cervical cultures to verify the presence of
gonorrhea
B) Prescribe metronidazole vaginal cream for the patient over
the phone
C) Call the patient and tell her she needs a repeat Pap smear in
6 months
D) Advise the patient to use a Betadine douche at bedtime x 3 days
Give this one a try later!
A) The NP needs to do cervical cultures to verify the presence of
gonorrhea
Cultures should be taken at the time of the Pap smear, as the patient may
not return for later diagnostic testing.
