DUNPHY- Primary Care I Final Exam
Review Questions with Complete
Solutions
A clinical guideline may be found useful if the guideline was: - Answer-Published 2
years ago
Immunizations are an example of which type of prevention? - Answer-Primary
Prevention
Nursing research should be utilized by: - Answer-Nurses at all levels
Practice guidelines are designed to: - Answer-Provide a reference point for decision
making
The nurse is reviewing old and current trends in disease history. Which of these would
be considered an example of a sporadic outbreak? - Answer-The number of people
diagnosed with rabies in 2017
The nurse is speaking to a patient regarding endemic diseases. Which of these choices
describes an endemic statistic? - Answer-The typical incidence of influenza in a country
The nurse is working with a 65-year-old patient who was recently diagnosed with
hypertension. The patient is concerned about their optimal health with their new
diagnosis. Which nursing action is necessary for health promotion with the patient? -
Answer-Discussing appropriate stress management techniques
What describes a pandemic? - Answer-Presence of an event in epidemic proportions
affecting many communities and countries in a short period of time
What is the goal of nursing research? - Answer-Conduct studies to develop a body of
nursing knowledge
Which accurately defines incidence rate? - Answer-Incidence rate is the number of new
cases of a disease diagnosed at the point in time (1 year)
Which is the most important question to ask in evidence-based practice? - Answer-How
will the findings be used?
Which of the following is primary prevention measure for a 76-year-old man newly
diagnosed with a testosterone deficiency? - Answer-Calcium supplementation
,Which of the following is an example of determining whether a crucial element of a
guideline is applicable to your patients? - Answer-You are a primary-care provider, and
the guidelines were written for primary-care providers
Which of the following is an example of secondary prevention in a 50-year-old woman?
- Answer-Yearly mammogram
Which of the following is an example of tertiary prevention in a patient with chronic renal
failure? - Answer-Hemodialysis 4 days a week
Which of the following would be considered the research design for Level I evidence? -
Answer-Systematic review of randomized clinical trial studies
Which of the following would be considered the research design for Level II evidence? -
Answer-Single, well-designed, randomized clinical trial
Which of the following would be considered the research design for Level III evidence? -
Answer-Well-designed controlled trials without randomization
Which of the following would be considered the research design for Level IV evidence?
- Answer-Well-designed, case control or cohort studies
Which of the following would be considered the research design for Level V evidence? -
Answer-Systematic review of descriptive and qualitative studies
Which of the following would be considered the research design for Level VI evidence?
- Answer-Single descriptive or qualitative studies
Which of the following would be considered the research design for Level VII evidence?
- Answer-Opinions of authorities and expert committees
Which test of health literacy can be competed quickly and provide results comparable to
more time-consuming tests? - Answer-Newest vital scale (NVS)
When a patient has a carotid bruit, which of the following should the PCP gather from
the patient history? - Answer-History of peripheral vascular occlusive disease
The "freezing phenomenon" is a cardinal feature of: - Answer-Parkinson's disease
A patient has been diagnosed with meningitis cause by a s Streptococcus pneumoniae
infection. Which of the following treatments would be appropriate? - Answer-Cefotaxime
The health-care provider is treating a patient who was hit in the head with a frying pan.
Which of the following should the provider suspect? - Answer-Subdural hematoma
, Which hematoma occurs along the temporal cranial wall and results from tears in the
middle meningeal artery? - Answer-Epidural hematoma
Carotid endarterectomy should be considered only for symptomatic patients with greater
than what percentage of stenosis? - Answer-50%
A patient with MS is complaining of new-onset "electric-tingling" in both their arms.
Which medication specifically treats these acute exacerbations? - Answer-Depo-Medrol
When administered at the beginning of an attack, oxygen therapy may help this kind of
headache? - Answer-Cluster
IV thrombolytic therapy following an ischemic CVA should be given within how many
hours of symptoms onset? - Answer-3 hours
Which cranial nerve is affected in a patient with a cerebrovascular accident who has
difficulty chewing? - Answer-CN V
The hallmark of an absence seizure is: - Answer-A blank state
A score of 12 to 24 on this test indicates intermediate Alzheimer's disease: - Answer-
MMSE
Over the course of 3 years, a patient has had two MS flares. The patient's primary
complaints during the episodes are bilateral tingling and pain in their legs, depression,
and numbness in their right hand with complete recovery in between occurrences.
Which MS classification fits their disease process? - Answer-Relapsing-remitting
What is usually the first sign or symptom that a patient would present with that would
make you suspect herpes zoster? - Answer-A vesicular skin lesion on one side of the
body
About 90% of all headaches are: - Answer-Without pathological cause
Inattention and a sleep-wake cycle disturbance are the hallmark symptoms of: -
Answer-Delirium
A patient is presenting with chorea (dance-like movements). Which of the following
diseases might the patient have? - Answer-Huntington's Disease
Gabby, aged 22, has Bell's palsy on the right side of her face. Her mouth is distorted,
and she is concerned about permanent paralysis and pain. What do you tell her? -
Answer-Most patients have complete recovery in 3 to 6 months
Review Questions with Complete
Solutions
A clinical guideline may be found useful if the guideline was: - Answer-Published 2
years ago
Immunizations are an example of which type of prevention? - Answer-Primary
Prevention
Nursing research should be utilized by: - Answer-Nurses at all levels
Practice guidelines are designed to: - Answer-Provide a reference point for decision
making
The nurse is reviewing old and current trends in disease history. Which of these would
be considered an example of a sporadic outbreak? - Answer-The number of people
diagnosed with rabies in 2017
The nurse is speaking to a patient regarding endemic diseases. Which of these choices
describes an endemic statistic? - Answer-The typical incidence of influenza in a country
The nurse is working with a 65-year-old patient who was recently diagnosed with
hypertension. The patient is concerned about their optimal health with their new
diagnosis. Which nursing action is necessary for health promotion with the patient? -
Answer-Discussing appropriate stress management techniques
What describes a pandemic? - Answer-Presence of an event in epidemic proportions
affecting many communities and countries in a short period of time
What is the goal of nursing research? - Answer-Conduct studies to develop a body of
nursing knowledge
Which accurately defines incidence rate? - Answer-Incidence rate is the number of new
cases of a disease diagnosed at the point in time (1 year)
Which is the most important question to ask in evidence-based practice? - Answer-How
will the findings be used?
Which of the following is primary prevention measure for a 76-year-old man newly
diagnosed with a testosterone deficiency? - Answer-Calcium supplementation
,Which of the following is an example of determining whether a crucial element of a
guideline is applicable to your patients? - Answer-You are a primary-care provider, and
the guidelines were written for primary-care providers
Which of the following is an example of secondary prevention in a 50-year-old woman?
- Answer-Yearly mammogram
Which of the following is an example of tertiary prevention in a patient with chronic renal
failure? - Answer-Hemodialysis 4 days a week
Which of the following would be considered the research design for Level I evidence? -
Answer-Systematic review of randomized clinical trial studies
Which of the following would be considered the research design for Level II evidence? -
Answer-Single, well-designed, randomized clinical trial
Which of the following would be considered the research design for Level III evidence? -
Answer-Well-designed controlled trials without randomization
Which of the following would be considered the research design for Level IV evidence?
- Answer-Well-designed, case control or cohort studies
Which of the following would be considered the research design for Level V evidence? -
Answer-Systematic review of descriptive and qualitative studies
Which of the following would be considered the research design for Level VI evidence?
- Answer-Single descriptive or qualitative studies
Which of the following would be considered the research design for Level VII evidence?
- Answer-Opinions of authorities and expert committees
Which test of health literacy can be competed quickly and provide results comparable to
more time-consuming tests? - Answer-Newest vital scale (NVS)
When a patient has a carotid bruit, which of the following should the PCP gather from
the patient history? - Answer-History of peripheral vascular occlusive disease
The "freezing phenomenon" is a cardinal feature of: - Answer-Parkinson's disease
A patient has been diagnosed with meningitis cause by a s Streptococcus pneumoniae
infection. Which of the following treatments would be appropriate? - Answer-Cefotaxime
The health-care provider is treating a patient who was hit in the head with a frying pan.
Which of the following should the provider suspect? - Answer-Subdural hematoma
, Which hematoma occurs along the temporal cranial wall and results from tears in the
middle meningeal artery? - Answer-Epidural hematoma
Carotid endarterectomy should be considered only for symptomatic patients with greater
than what percentage of stenosis? - Answer-50%
A patient with MS is complaining of new-onset "electric-tingling" in both their arms.
Which medication specifically treats these acute exacerbations? - Answer-Depo-Medrol
When administered at the beginning of an attack, oxygen therapy may help this kind of
headache? - Answer-Cluster
IV thrombolytic therapy following an ischemic CVA should be given within how many
hours of symptoms onset? - Answer-3 hours
Which cranial nerve is affected in a patient with a cerebrovascular accident who has
difficulty chewing? - Answer-CN V
The hallmark of an absence seizure is: - Answer-A blank state
A score of 12 to 24 on this test indicates intermediate Alzheimer's disease: - Answer-
MMSE
Over the course of 3 years, a patient has had two MS flares. The patient's primary
complaints during the episodes are bilateral tingling and pain in their legs, depression,
and numbness in their right hand with complete recovery in between occurrences.
Which MS classification fits their disease process? - Answer-Relapsing-remitting
What is usually the first sign or symptom that a patient would present with that would
make you suspect herpes zoster? - Answer-A vesicular skin lesion on one side of the
body
About 90% of all headaches are: - Answer-Without pathological cause
Inattention and a sleep-wake cycle disturbance are the hallmark symptoms of: -
Answer-Delirium
A patient is presenting with chorea (dance-like movements). Which of the following
diseases might the patient have? - Answer-Huntington's Disease
Gabby, aged 22, has Bell's palsy on the right side of her face. Her mouth is distorted,
and she is concerned about permanent paralysis and pain. What do you tell her? -
Answer-Most patients have complete recovery in 3 to 6 months
