NR 511 / NR511 FINAL EXAM 2 With
Correct Answers 2023 Version 100 Q&A
Janet is a 30 year old woman who has been recently diagnosed with a herniated
... [Show More] disc at the level
of L5-S1. She is currently in the emergency room with suspician of cauda equna compression.
Which of the following is a sign or symptom of cauda equina compression?
a. gastrocnemius weakness
b. reduced or absent ankle refles
c. numbness of the lateral foot
d. paresthesia of the perineum and buttocks
d. paresthesia of the perineum and buttocks
The patient has acute pancreatitis with 7 of the diagnostic criteria from Ranson's Criteria. In
order to plan care, the clinician understands that this criteria score has which of the following
meanings?
a. a high mortality rate
b. an increased chance of recurrence
c. 7% chance of the disease becoming chronic
d. all of the above
a. a high mortality rate
Reuben, age 24, has HIV and just had a routine viral load test done. The results show a falling
viral load What does this indicate
a. a favorable diagnostic trend
b. disease progression
c. the need to be more aggressive with Reuben's medications
d. the eradication of the HIV
a. a favorable diagnostic trend
Which is the differentiating symptom mbetween labyrinthitis and vestibular neuritis?
a. symptoms with vestibular neuritis are usually acute in onset, whereas with labyrinthitis the
onet is more gradual
b. hearing loss may be associated with vestibular neuritis, but not with labyrinthitis
c. symptoms with labyrinthitis are usually acute in onset, ,whereas with vesticular neuritis the
onset is more gradual
d. hearing loss may be associated with labyrinthitis ,but not with vestibular neuritis.
d. hearing loss may be associated with labyrinthitis ,but not with vestibular neuritis.
A 27 year old female presents with a chief complaint of burning and pain on urination. She has
no previous history of urinary tract infection. what are some additional symptoms consistant with
a diagnosis of lower UTI?
a. back and abdominal pain
b. fever, chills, costovertebral angle (CVA) tenderness
c. blood in urine and frequency
d. foul-smelling discharge, perineal itch
c. blood in urine and frequency
The differential diagnosis for vertigo can be classified into which of the following categories:
a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above
d. all of the above
Sam is a 25-year-old man who has been diagnosed with low back strain based on his history of
localized low back pain and muscle spasm along with a normal neurological examination. 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?
a. morning stiffness and limited mobility of the lumbar spine
b. unilateral radicular pain symptoms that extend below the knee and are equal to or greater than
the back pain
c. Fever, chills, and elevated erythrocyte sedimentation rate
d. pathologic fractures, severe night pain, weight loss and fatigue
b. unilateral radicular pain symptoms that extend below the knee and are equal to or greater than
the back pain
Preceptors must always see the patients that the students see in the clinical setting
a. true
b. false
a. true
An 82 year old man is seen in the primary care office with complaints of dribbling urine and
difficulty starting his stream. Which of the following should be included in the list of
differentials?
a. BPH
b. Prostate cancer
c. UTI
d. all of the above
d. all of the above
Which causes the greatest percentage of mammalian bites?
a. dogs
b. cats
c. humans
d. rodents
a. dogs
Endoscopic report reveals the presents of Barrett's epithelium. Which of the following
information should the clinician include in the explaination of the pathology report?
a. this is a premalignant tissue
b. this tissue is resistant to gastric acid
c. this tissue supports healing of the esophagus
d. all of the above
d. all of the above
Which of the following data are indicative of testicular torsion?
a. absent cremasteric reflux
b. pain relived on testicular elevation
c. testicle very low in the scrotum
d. swollen scrotum with a red dot sign
a. absent cremasteric reflux
Most nosocomial pneumonias are caused by:
a. Fungi.
b. Viruses
c. Gram-negative bacteria.
d. Pneumococcal pneumonia.
c. Gram-negative bacteria.
A family practice office for all 5 of your clinical rotations will guarantee that you will gain the
required pediatric exposure
a. true
b. false
b. false
The most common precancerous skin lesion found in Caucasians is
a. skin tags
b. actinic keratosis
c. melanoma
d. basal skin lesion
b. actinic keratosis
Which obstructive lung disease is classified as reversible?
a. Asthma
b. Chronic bronchitis
c. Emphysema
d. COPD
a. Asthma
Which of the following is an example of an articular structure
a. bone
b. synovium
c. tendons
d. fascia
b. synovium
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?
a. posterior dislocations are more common than anterior dislocations
b. there is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses
b. there is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses
Which of the following statements is true concerning the management of the client with a
herniated disc?
a. muscle relaxants and narcotics can be used to control moderate pain but should be
discontinued after 3 weeks of use
b. an epidural injection is helpful in reducing leg pain that has persisted for at least 3 weeks after
the herniation occurred.
c. intolerable pain for more than 3 months is an indication for surgical intervention
d. all of the above
c. intolerable pain for more than 3 months is an indication for surgical intervention
After 6 months of synthroid therapy, the clinician should expect which of the following in the
repeat thyroid studies?
a. elevated TSH [Show Less]