Nr 511 week 4 midterm exam version 3

NR 511 Week 4 Midterm Examination Mannequin three

Question 1: In an outpatient setting, what is the commonest trigger for a malpractice swimsuit?

a. Failure to cope with a scenario
b. Failure to diagnose appropriately
c. Ordering the wrong treatment
d. Failure to deal with care

Question 2: How sometimes should the clinician research the ft of a person with diabetes?

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

Question three: Which drug for Alzheimer’s sickness must be administered beginning on the time of prognosis?

a. Cholinesterase inhibitors
b. Anxiolytics
c. Antidepressants
d. Atypical antipsychotics

Question 4: Which of the subsequent medication is the treatment of other for trichomonas?

a. Metranidazole

b. Ceftriaxone

c. Diflucan
d. Doxycycline

Question 5: Most grownup poisonings are:

a. intentional and self-inflicted.
b. unintended.
c. attributable to anyone wishing to do harm to the actual particular person.
d. not attributed to any trigger.

Question 6: A 58-year-old lady presents with a breast mass. Which of the subsequent responses by the clinician might be most acceptable?

a. “It is most certainly solely a cyst, on account of that is the most common breast mass.”
b. “We’re going to order a mammogram and ultrasound to help arrange a prognosis.”
c. “We’re going to go ahead and schedule you for a biopsy on account of that is the solely method to know for constructive.”
d. “On account of your lump is painful, it is most likely not most cancers.”

Question 7: Which of the subsequent is a particular check out for quite a lot of sclerosis (MS)?

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

Question eight: After eradicating a tack from a form 2 diabetic’s heel and evaluating the placement for an an infection, what is the most interesting plan for this affected particular person?

a. Suggest she use a heating pad to boost circulation
b. Test with a podiatrist for a foot care treatment plan
c. Ship her for acupuncture cures
d. All of the above

Question 9: Which attribute of delirium helps to distinguish delirium from dementia?

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

Question 10: Which scientific perform is the first to be affected in elevated intracranial stress (ICP)?

a. Decrease in diploma of consciousness (LOC)
b. Headache
c. Nausea
d. Widening pulse stress

Question 11: Jennifer is an 18-year-old woman who entails the emergency room after a fall all through a soccer sport. Jennifer explains that she fell on her left facet and saved her arm out straight to interrupt her fall. She has been experiencing excessive ache and restricted range of motion in her left shoulder. The clinician has acknowledged Jennifer with a dislocated shoulder. Which of the subsequent statements are true concerning shoulder dislocation?  

a. Posterior dislocations are additional frequent than anterior dislocations.
b. There is a menace of neurovascular and neurosensory trauma, so the clinician ought to check for distal pulses.
c. Recurrent dislocations are uncommon and would require a bigger energy to finish in hurt.
d. Surgical process is generally the treatment of other.

Question 12: Inside the consensus model for Superior Comply with Registered Nurse (APRN) regulation, the “C” of LACE represents?  

a. Dedication

b. Consensus

c. Certification
d. Collaboration

Question 13: Which of the subsequent indicators or indicators level out an inflammatory etiology to musculoskeletal ache?  

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

Question 14: Which of the subsequent statements is true regarding the musculoskeletal examination?  

a. The uninvolved facet must be examined initially and as compared with the involved facet.
b. The part of the physique that is inflicting the affected particular person ache must be examined first.
c. The affected particular person should not be requested to hold out energetic range-of-motion (ROM) exercises at any time when doable to avoid inflicting ache.
d. Radiographs should always be obtained earlier to examination as a way to not set off extra hurt to the affected particular person.

Question 15: The clinician sees a affected one that’s 5 ft tall and weighs 150 kilos. How would the clinician classify this affected particular person?  

a. Overweight

b. Light weight issues

c. Common weight issues
d. Morbid weight issues

Question 16: S presents inside the clinic with ache, tenderness, erythema, and swelling of his left good toe. The clinician suspects acute gout. Which of the subsequent should the clinician suspect inside the preliminary check out outcomes for this affected particular person?  

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

Question 17: Which of the subsequent statements is true in regards to the treatment of carpal tunnel syndrome?  

a. The aim of treatment is to forestall flexion and extension actions of the wrist.
b. Splints are utilized in carpal tunnel syndrome on account of they enable completely free movement of the fingers and thumb whereas sustaining the wrist in a neutral place.
c. Corticosteroid injections are discouraged inside the treatment of carpal tunnel syndrome as a result of risks for median nerve hurt, scarring, and an an infection.
d. All of the above

Question 18: The vegetarian affected particular person with gout asks the clinician about meals that he should avoid. The clinician should advise the affected particular person to avoid which of the subsequent meals?  

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

Question 19: A 23-year-old sexually energetic lady presents for her first Pap smear. Her historic previous comprises nulligravida, age at first intercourse 14, and larger than 10 sexual companions. Which of the subsequent conditions should the clinician be notably alert for all through her examination?  

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

Question 20: Which affected particular person is additional liable 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 every day
d. A 45-year-old male awakened at night

Question 21: A sunscreen with a sun-protection problem (SPF) of a minimal of what amount will block most harmful ultraviolet (UV) radiation?  

a. 4

b. eight d

c. 10
d. 15

Question 22: Which of the subsequent classes of medication must be used as first-line treatment for treatment of delirium?  

a. Benzodiazepines
b. Antipsychotics
c. Anticonvulsants
d. Antidepressants

Question 23: What is the treatment of other for a affected particular person acknowledged with testicular most cancers?

a. Radical orchidectomy

b. Lumpectomy

c. Radiation implants
d. All of the above

Question 24: Sam, aged 65, is started on L-dopa for his Parkinson’s sickness (PD). He asks why that’s wanted. You inform him:

a. “L-dopa is neuroprotective.”
b. “The primary function of treatment is to change depleted retailers of dopamine.”
c. “That’s the one drug which will current symptomatic revenue.”
d. “That’s the preliminary monotherapy drug.”

Question 25: A 60-year-old man presents with an enlarged scrotum. The clinician makes use of a penlight to transilluminate the scrotum. In a affected particular person with a hydrocele, what would the clinician anticipate finding?

a. The scrotum may be darkish.
b. The scrotum will appear gentle pink or yellow.
c. The scrotum will appear milky white.
d. The inside buildings may be clearly seen.

Question 26: A 24-year-old lady presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was simply currently dealt with for nongonococcal urethritis. What sexually transmitted sickness (STD) has she most certainly been uncovered to?
a. Gonorrhea
b. Human papillomavirus (HPV)
c. Chlamydia
d. Trichomonas

Question 27: A 58-year-old lady who had an entire abdomen hysterectomy on the age of 45 is acknowledged with atrophic vaginitis. Which of the subsequent might be probably the most acceptable treatment?
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 28: When making an attempt under the microscope to diagnose an intravaginal an an infection, you see a cluster of small and oval to spherical shapes. What do you assume they’re?  

a. Spores

b. Leukocytes

c. Pseudohyphae

d. Epithelial cells

Question 29: A 22-year-old male is seen inside the clinic on account of he found a tricky lump in his testicle when performing testicular self-examination (TSE). Which of the subsequent must be included inside the document of differential diagnoses?
a. Testicular most cancers

b. Inguinal hernia

c. Varicocele
d. All of the above

Question 30: The clinician should Question: the affected particular person with suspected gout about use of which of these medication which can be a menace problem?

a. Low-dose aspirin

b. Thiazide diuretics

c. Ethambutol
d. All of the above

Question 31: What’s usually the first sign or symptom affected particular person would present with which will make you assume herpes zoster?
a. A stabbing type of ache on one small area 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 32: Which ethical principle shows respect for all people and their self-determination?
a. Autonomy

b. Beneficence

c. Justice
d. Veracity

Question 33: Victims with a spontaneous pneumothorax must be really helpful that as a lot as what share would possibly experience a reoccurrence in some unspecified time sooner or later?  

a. 10%

b. 20%

c. 30%
d. 50%

Question 34: John is a 16-year-old boy who presents to the emergency room after hurting his knee in a soccer sport. He described twisting his knee after which being unable to extend it absolutely. John tells the clinician that he heard a pop when the hurt occurred and has been experiencing localized ache. The clinician suspects a meniscal tear. Which check out might be most acceptable to judge for the presence of a meniscal tear?

a. Valgus stress check out
b. McMurray circumduction check out
c. Lachman check out
d. Varus stress check out

Question 35: Which of the subsequent laboratory findings should the clinician anticipate in a affected particular person with untreated Graves’ sickness?
a. Elevated thyroid-stimulating hormone (TSH)
b. Elevated T4
c. Elevated TRH
d. All of the above

Question 36: Which drug usually prescribed for burns is energetic in direction of a big spectrum of microbial pathogens and might be probably the most steadily 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 37: All through a digital rectal examination (DRE) on a 75-year-old man, the clinician suspects the affected particular person has prostate most cancers. What bodily discovering should make the clinician suspicious?

a. An enlarged rubbery gland

b. A tricky irregular gland

c. A younger gland
d. A boggy gland

Question 38: Janet is a 30-year-old lady who has been simply currently acknowledged with a herniated disc on the diploma of L5-S1. She is presently inside the emergency room with suspicion of cauda equina compression. Which of the subsequent is a sign or symptom of cauda equina compression?
a. Gastrocnemius weak level
b. A diminished or absent ankle reflex
c. Numbness inside the lateral foot
d. Paresthesia of the perineum and buttocks

Question 39: The requirements for diagnosing generalized anxiousness dysfunction inside the American Psychiatric Affiliation’s Diagnostic and Statistical Handbook of Psychological Points (textual content material revision) (DSM-IV-TR) state that excessive worry or apprehension need to be present additional days than not for at least:

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

Question 40: The clinician has instructed Sam, a 25-year-old affected particular person with low once more strain, to utilize NSAIDs to deal with his indicators of ache and discomfort. Which of the subsequent statements might be most acceptable when instructing Sam about utilizing NSAIDs to deal with his ache?

a. It’s best to start with the underside dose that is environment friendly in managing your ache, on account of long-term use of NSAIDs can result in gastrointestinal (GI) points corresponding to ulcers and hemorrhage.
b. It’s best to start with the underside dose that is environment friendly in managing your ache with a view to avoid rising tolerance to the treatment.
c. It’s best to take the utmost actually useful dose of NSAIDs so that you will not need to take narcotics to manage your ache.
d. It is extremely essential take NSAIDs on an empty stomach with a view to enhance absorption.

Question 41: A affected particular person is acknowledged with hypothyroidism. Which of the subsequent electrocardiogram (ECG) modifications should the clinician anticipate as a manifestation of the sickness?  

a. Sinus bradycardia

b. Atrial fibrillation

c. Supraventricular tachycardia
d. U waves

Question 42: Sam is a 25-year-old man who has been acknowledged with low once more strain based totally on his historic previous of localized low once more ache and muscle spasm along with a conventional neurological examination. As a result of the clinician, you make clear to Sam that low once more ache is a prognosis of exclusion. Which of the subsequent indicators would alert the clinician to the additional extreme 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 attain beneath the knee and are equal to or bigger than the once more ache
c. Fever, chills, and elevated erythrocyte sedimentation cost
d. Pathologic fractures, excessive night ache, weight discount, and fatigue

Question 43: Which type of burn hurt ends 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 44: Immunizations are an occasion of which type of prevention?

a. Predominant
b. Secondary
c. Tertiary

Question 45: If a beforehand frostbitten area turns into frostbitten as soon as extra after it has healed, what could occur?

a. Eternal tissue hurt would possibly occur, resulting in necrosis to that physique half.
b. The realm may be super delicate.
c. The realm is vulnerable to a repeat frostbite.
d. The realm is as inclined as one other area.

Question 46: Within the USA, what is the second commonest connective tissue sickness and doubtless probably the most damaging to the joints?

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

Question 47: A 26-year-old lady is seen with complaints of irregular vaginal bleeding. Which of the subsequent assessments must be the first priority?
a. Being pregnant check out

b. Pelvic ultrasound .

c. Endometrial biopsy
d. Platelet rely

Question 48: 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 subsequent diagnoses is said to this discovering?
a. Trichomonas
b. Bacterial vaginosis
c. Human papillomavirus (HPV)
d. Herpes simplex virus (HSV)

Question 49: Julie, aged 50, has migraine problems, frequent bronchial bronchial asthma assaults, coronary artery sickness, and hypertension. Which of the subsequent prophylactic medication would you order for her migraines?

a. Propranolol

b. Timolol

c. Ergotamine
d. Topiramate

Question 50: A 64-year-old man with form 2 diabetes presents to the clinic with the grievance of “my ft 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 subsequent might be a suitable treatment?

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