NR 511 Week 4 Midterm Exam 3

NR 511 Week 4 Midterm Exam 3

• In an outpatient setting, what is the most common reason for a malpractice suit?
• How often should the clinician examine the feet of a person with diabetes?
• Which drug for Alzheimer’s disease should be administered beginning at the time of diagnosis?
• Which of the following medications is the treatment of choice for trichomonas?
• Most adult poisonings are:
• A 58-year-old woman presents with a breast mass. Which of the following responses by the clinician would be most appropriate?
• Which of the following is a specific test for multiple sclerosis (MS)?
• After removing a tack from a type 2 diabetic’s heel and evaluating the site for infection, what is the best plan for this patient?
• Which characteristic of delirium helps to distinguish delirium from dementia?
• Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?
• Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall. She has been experiencing severe pain and limited range of motion in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation?
• In the consensus model for Advanced Practice Registered Nurse (APRN) regulation, the “C” of LACE represents?
• Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?
• Which of the following statements is true concerning the musculoskeletal exam?
• The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the clinician classify this patient?
• S presents in the clinic with pain, tenderness, erythema, and swelling of his left great toe. The clinician suspects acute gout. Which of the following should the clinician suspect in the initial test results for this patient?
• Which of the following statements is true regarding the treatment of carpal tunnel syndrome?
• The vegetarian patient with gout asks the clinician about food that he should avoid. The clinician should advise the patient to avoid which of the following foods?
• A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her exam?
• Which patient is more likely to have a cluster headache?
• A sunscreen with a sun-protection factor (SPF) of at least what number will block most harmful ultraviolet (UV) radiation?
• Which of the following classes of drugs should be used as first-line therapy for treatment of delirium?
• What is the treatment of choice for a patient diagnosed with testicular cancer?
• Sam, aged 65, is started on L-dopa for his Parkinson’s disease (PD). He asks why this is necessary. You tell him:
• A 60-year-old man presents with an enlarged scrotum. The clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to find?
• A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge….. exposed to?
• A 58-year-old woman ….. Which of the following is the most appropriate treatment?
• Question: When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes. What do you suspect they are?
• A 22-year-old male ….. Which of the following should be included in the list of differential diagnoses?
• Question: The clinician should Question: the patient with suspected gout about use of which of these medications that may be a risk factor?
• Question: …. usually the first sign or symptom that a patient would present with that would make you suspect herpes zoster?
• percentage may experience a reoccurrence at some point?
• Question: John is a 16-year-old boy who presents to the emergency room after hurting his knee in a football game. He described twisting his knee and then being unable to extend it completely. John tells the clinician that he heard a pop when the injury occurred and has been experiencing localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal tear?
• Question: ….. laboratory findings should the clinician expect in a patient with untreated Graves’ disease?
• patient has prostate cancer. What physical finding should make the clinician suspicious?
• Question: Janet is a 30-year-old woman …. She is currently in the emergency room with suspicion of cauda equina compression. Which of the following is a sign or symptom of cauda equina compression?
• The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (text revision) (DSM-IV-TR) state that excessive worry or apprehension must be present more days than not for at least:
• The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs to manage his symptoms of pain and discomfort. Which of the following statements would be most appropriate when teaching Sam about the use of NSAIDs to manage his pain?
• A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram (ECG) changes should the clinician expect as a manifestation of the disease?
• Sam is a 25-year-old man ….. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc?
•  …… burn injury results in destruction of epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact?
• Question: Immunizations are an example of which type of prevention?
• Question: If a previously frostbitten area becomes frostbitten again after it has healed, what might occur?
• Question: In the United States, what is the second most common connective tissue disease and the most destructive to the joints?
• Question: ____ Which of the following tests should be the first priority?
• Question: A 45-year-old woman ….. The clinician identifies clue cells on the vaginal smear…… this finding?
• Question: Julie, aged 50, has migraine headaches, frequent asthma attacks, coronary artery disease, and hypertension. Which of the following prophylactic medications would you order for her migraines?
• Question: A 64-year-old man with type 2 diabetes presents to the clinic with the complaint of “my feet feel like they are on fire.” He has a loss of vibratory sense, +1 Achilles reflex, and a tack embedded in his left heel. Which of the following would be an appropriate treatment?