Nr 511 week 4 midterm exam version 2

NR 511 Week 4 Midterm Examination Mannequin 2

Question 1: Women are on the best risk for rising postpartum despair for as a lot as how prolonged after childbirth?

2 weeks

1 month

Three months

6 months

Question 2: CPT coding affords the uniformed language used for reporting medical suppliers and procedures carried out by physician and nonphysician practitioners. Clinicians are paid based totally on calculated helpful useful resource costs that are calculated based totally on apply elements.

a. Clinician coaching loans
b. Clinician apply obligation and malpractice expense
c. Clinician reported worth low cost efforts
d. Clinician amount of victims dealt with

Question Three: Janet is a 30-year-old lady who has been not too way back recognized with a herniated disc on the diploma of L5-S1. She is at current inside the emergency room with suspicion of cauda equina compression.
Which of the following is a sign or symptom of cauda equina compression?
a. Gastrocnemius weak spot
b. A decreased or absent ankle reflex
c. Numbness inside the lateral foot
d. Paresthesia of the perineum and buttocks

Question 4: A 58-year-old lady who had a whole stomach hysterectomy on the age of 45 is recognized with atrophic vaginitis. Which of the following might be probably the most acceptable remedy?
a. Conjugated estrogen zero.625 mg/day oral
b. Estradiol 7.5 mcg/24 hr vaginal ring
c. Medroxyprogesterone 10 mg/day oral
d. Conjugated estrogen zero.Three mg + medroxyprogesterone 1.5 mg/day oral

Question 5: Which of the following is a specific check out for various sclerosis (MS)?

a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
c. A lumbar puncture
d. There’s no specific check out.

Question 6: Most grownup poisonings are:

a. intentional and self-inflicted.
b. unintentional.
c. attributable to anyone wishing to do damage to the actual individual.
d. not attributed to any function.

Question 7: A 60-year-old man presents with an enlarged scrotum. The clinician makes use of a penlight to transilluminate the scrotum. In a affected individual with a hydrocele, what would the clinician anticipate discovering?

a. The scrotum will most likely be darkish.
b. The scrotum will appear light pink or yellow.
c. The scrotum will appear milky white.
d. The internal constructions will most likely be clearly seen.

Question eight: Which medical attribute is the first to be affected in elevated intracranial pressure (ICP)?What is the common amount for the Glascow Coma Scale?

a. 7

b. 9

c. 10
d. 15

Question 9: S presents inside the clinic with ache, tenderness, erythema, and swelling of his left good toe. The clinician suspects acute gout. Which of the following must the clinician suspect inside the preliminary check out outcomes for this affected individual?

a. Elevated uric acid diploma
b. Elevated blood urea nitrogen (BUN)
c. Decreased urine pH
d. Decreased C-reactive protein (CRP)

Question 10: Which decision should be used when irrigating lacerated tissue over a wound on the arm?

a. Dilute povidone-iodine decision
b. Hydrogen peroxide (H2O2)
c. Saline decision infused with an antibiotic
d. Saline irrigation or soapy water

Question 11: Which ethical principle shows respect for all people and their self-determination?

a. Autonomy

b. Beneficence

c. Justice
d. Veracity

Question 12: All through a digital rectal examination (DRE) on a 75-year-old man, the clinician suspects the affected individual has prostate most cancers. What bodily discovering must make the clinician suspicious?

a. An enlarged rubbery gland

b. A tricky irregular gland

c. A younger gland
d. A boggy gland

Question 13: How usually must the clinician take a look at the toes of a person with diabetes?

a. Yearly
b. Every 6 months
c. Every Three months
d. Every go to

Question 14: Which of the following medicines is the remedy of choice for trichomonas? (Components: 2)

a. Metranidazole

b. Ceftriaxone

c. Diflucan
d. Doxycycline

Question 15: Immunizations are an occasion of which type of prevention? (Components: 2)

a. Principal
b. Secondary
c. Tertiary

Question 16: What is the remedy of choice for a affected individual recognized with testicular most cancers?

a. Radical orchidectomy

b. Lumpectomy

c. Radiation implants
d. Your entire above

Question 17: George, aged 59, complains of a flulike illness, along with fever, chills, and myalgia after coming back from visiting his grandchildren in New England. He experiences having discovered a rash or purple spot that grew in measurement on his correct leg. What sickness are you considering?

a. A viral syndromes
b. Lyme sickness
c. Rocky Mountain observed fever
d. Relapsing fever

Question 18: A 24-year-old lady presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was not too way back dealt with for nongonococcal urethritis. What sexually transmitted sickness (STD) has she doubtless been uncovered to?
a. Gonorrhea
b. Human papillomavirus (HPV)
c. Chlamydia
d. Trichomonas

Question 19: What’s usually the first sign or symptom that a affected individual would present with that may make you imagine you studied herpes zoster?

a. A stabbing form of ache on one small house of the physique
b. A vesicular pores and pores and skin lesion on one facet of the physique
c. A ache that is worse upon awakening
d. A lesion on the skin ear canal

Question 20: Which drug typically prescribed for burns is energetic in direction of a big spectrum of microbial pathogens and might be probably the most typically used agent for partial- and full-thickness thermal accidents?
a. Clotrimazole cream (Lotrimen)
b. Mafenide acetate (Sulfamylon)
c. Silver nitrate
d. Silver sulfadiazine (Silvadene)

Question 21: Which of the following is a job of the superior apply nurse in palliative most cancers care?

a. Detecting most cancers in asymptomatic victims or these with specific indicators
b. Arranging for follow-up care, along with psychosocial and spiritual Help
c. Determining and managing problems with care
d. Your entire above

Question 22: Which type of burn hurt results in destruction of dermis with lots of the dermis, however the epidermal cells lining hair follicles and sweat glands keep intact?

a. Superficial burns
b. Superficial partial-thickness burns
c. Deep partial-thickness burns
d. Full-thickness burns

Question 23: The requirements for diagnosing generalized nervousness dysfunction inside the American Psychiatric Affiliation’s Diagnostic and Statistical Handbook of Psychological Points (textual content material revision) (DSM-IV-TR) state that excessive concern or apprehension must be present further days than not for on the very least:

a. 1 month.
b. Three months.
c. 6 months.
d. 12 months.

Question 24: Within the US, what is the second most common connective tissue sickness and doubtless probably the most dangerous to the joints?

a. Osteoarthritis
b. Systemic lupus erythematosus (SLE)
c. Rheumatoid arthritis (RA)
d. Sjogren’s syndrome

Question 25: A sunscreen with a sun-protection situation (SPF) of on the very least what amount will block most harmful ultraviolet (UV) radiation?

a. 4

b. eight

c. 10
d. 15

Question 26: The hallmark of an absence seizure is:

a. No train the least bit.
b. A clear stare.
c. Urine is often voided involuntarily.
d. The assault usually lasts various minutes.

Question 27: The effectiveness of benzodiazepines in treating nervousness issues implies that which of the following neurotransmitters performs a job in nervousness?

a. Acetylcholine
b. Gamma-aminobutyric acid (GABA)
c. Dopamine
d. Serotonin

Question 28: Which attribute of delirium helps to distinguish delirium from dementia?

a. Abrupt onset
b. Impaired consideration
c. Affective modifications
d. Delusions

Question 29: A 26-year-old lady is seen with complaints of irregular vaginal bleeding. Which of the following exams should be the first priority?

a. Being pregnant check out

b. Pelvic ultrasound

c. Endometrial biopsy
d. Platelet rely

Question 30: The clinician ought to question the affected individual with suspected gout about use of which of these medicines which can be a risk situation?

a. Low-dose aspirin

b. Thiazide diuretics

c. Ethambutol
d. Your entire above

Question 31: A bulla is:

a. A vesicle larger than 1 cm in diameter.
b. An elevated sturdy mass with a troublesome texture, and the shape and borders may be widespread or irregular.
c. A superficial elevated lesion stuffed with purulent fluid.
d. Thinning of the pores and pores and skin (dermis and dermis) that appears white or translucent.

Question 32: Sam is a 25-year-old man who has been recognized with low once more stress based totally on his historic previous of localized low once more ache and muscle spasm along with a standard neurological examination.
As a result of the clinician, you make clear to Sam that low once more ache is a Assessment of exclusion. Which of the following indicators would alert the clinician to the additional crucial discovering of a herniated nucleus pulposus or ruptured disc?
a. Morning stiffness and restricted mobility of the lumbar spine
b. Unilateral radicular ache indicators that stretch beneath the knee and are equal to or greater than the once more ache
c. Fever, chills, and elevated erythrocyte sedimentation cost
d. Pathologic fractures, excessive night time time ache, weight discount, and fatigue

Question 33: Which of the following statements is true relating to the musculoskeletal examination?

a. The uninvolved facet should be examined initially and compared with the involved facet.
b. The part of the physique that is inflicting the affected individual ache should be examined first.
c. The affected individual should not be requested to hold out energetic range-of-motion (ROM) exercises at any time when potential to steer clear of inflicting ache.
d. Radiographs must on a regular basis be obtained earlier to examination as a way to not set off further hurt to the affected individual.

Question 34: The current goal of remedy for a affected individual with HIV an an infection is which of the following?

a. Viral suppression of HIV to undetectable ranges inside the peripheral blood
b. Compete eradication of the virus
c. Encouraging the actual individual to don’t have any contact with uninfected folks
d. Full abstinence

Question 35: Which of the following programs of treatment should be used as first-line treatment for remedy of delirium?
a. Benzodiazepines
b. Antipsychotics
c. Anticonvulsants
d. Antidepressants

Question 36: After eradicating a tack from a form 2 diabetic’s heel and evaluating the positioning for an an infection, what is the biggest plan for this affected individual?

a. Counsel she use a heating pad to reinforce circulation
b. Check with a podiatrist for a foot care remedy plan
c. Ship her for acupuncture therapies
d. Your entire above

Question 37: Which of the following statements is true relating to the administration of the patron with a herniated disc?

a. Muscle relaxants and narcotics may be utilized to handle common ache nonetheless should be discontinued after Three weeks of use.
b. An epidural injection is beneficial in lowering leg ache that has continued for on the very least Three weeks after the herniation occurred.
c. Intolerable ache for better than a Three-month interval is an indication for surgical intervention.
d. Your entire above

Question 38: Which affected individual is further vulnerable to have a cluster headache?

a. A female in her reproductive years
b. A 40-year-old African American male
c. A 55-year-old female who drinks 10 cups of espresso daily
d. A 45-year-old male wakened at night time time

Question 39: The first mechanism for avoiding a lawsuit entails:

a. Good obligation insurance coverage protection
b. A collaborating physician
c. Good documentation
d. Open communication talents

Question 40: A 45-year-old lady is seen inside the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal smear. Which of the following diagnoses is expounded to this discovering?

a. Trichomonas
b. Bacterial vaginosis
c. Human papillomavirus (HPV)
d. Herpes simplex virus (HSV)

Question 41: Which of the following laboratory findings must the clinician rely on in a affected individual with untreated Graves’ sickness?

a. Elevated thyroid-stimulating hormone (TSH)
b. Elevated T4
c. Elevated TRH
d. Your entire above

Question 42: A 23-year-old sexually energetic lady presents for her first Pap smear. Her historic previous comprises nulligravida, age at first intercourse 14, and better than 10 sexual companions. Which of the following circumstances must the clinician be considerably alert for all through her examination?

a. Human papillomavirus (HPV)
b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome

Question 43: When may confidentiality be overridden?  

a. When personal information is on the market on the computer
b. When a clinician should share information with a billing agency
c. When an insurance coverage protection agency needs to know the outcomes of a breast most cancers gene check out
d. When a affected individual has a communicable sickness

Question 44: A affected individual is recognized with hypothyroidism. Which of the following electrocardiogram (ECG) modifications must the clinician rely on as a manifestation of the sickness?

a. Sinus bradycardia

b. Atrial fibrillation

c. Supraventricular tachycardia
d. U waves

Question 45: Most likely probably the most cost-effective screening check out to search out out HIV standing is which of the following?

a. Western Blot
b. Enzyme-linked immunosorbent assay (ELISA)
c. Venereal Sickness Assessment Laboratory (VDRL) check out
d. Viral load

Question 46: After 6 months of synthroid treatment, the clinician must rely on which of the following inside the repeat thyroid analysis?

a. Elevated thyroid-stimulating hormone (TSH)
b. Common TSH
c. Low TSH
d. Undetectable TSH

Question 47: The vegetarian affected individual with gout asks the clinician about meals that he must steer clear of. The clinician must advise the affected individual to steer clear of which of the following meals?

a. Rice
b. Carrots
c. Spinach
d. Potatoes

Question 48: A 64-year-old man with sort 2 diabetes presents to the clinic with the grievance of “my toes actually really feel like they’re on fire.” He has a scarcity of vibratory sense, +1 Achilles reflex, and a tack embedded in his left heel. Which of the following could possibly be an appropriate remedy?

a. Tricyclic antidepressants
b. Capsacin cream
c. Vitamin B12 injections
d. Insulin

Question 49 : Throughout the consensus model for Superior Observe Registered Nurse (APRN) regulation, the “C” of LACE represents?

a. Dedication

b. Consensus

c. Certification
d. Collaboration

Question 50: Which of the following indicators or indicators level out an inflammatory etiology to musculoskeletal ache?

a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight obtain