NR 511 Week 8 Final Exam (A grade) – Chamberlain
College of nursing
NR 511 Week 8 Exam
Question 1. The most cost-effective screening test for
... [Show More] determining HIV
status is which of the following?
Student Answer: Western blot
Enzyme-linked immunosorbent assay Venereal
Disease Research Laboratory test Viral load
Points Received: 0 of 2
Comments:
Question 2.Question : Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of an inflammatory
process?
Student Answer: Erythrocyte sedimentationrate
White blood cell count
Polymorphonuclear cells
C-reactive protein (CRP)Points Received: 0 of 2
Comments:
Question 3.Question : Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter?
Student Answer: GABA
Acetylcholine
Dopamine
Serotonin
Points Received: 0 of 2
Comments:
Question 4.Question : Mrs. Thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. The pain has
increased following a day of gardening one week ago. A
physical finding that differentiates the diagnosis and is most
consistent with lateral epicondylitis (tennis elbow) is:
Student Answer: Ecchymosis, edema, and erythema over the lateral
epicondyle
Pain at the elbow with resisted movements at the wrist
and forearm
Inability to supinate and pronate the arm
Inability to flex or extend the elbow against resistance
Points Received: 2 of 2
Comments:
Question 5.Question : Which of the following statements concerningthe
musculoskeletal examination is true?
Student Answer: The uninvolved side should be examined initially and then
compared to the involved side.
The part of the body that is causing the patient pain
should be examinedfirst.When possible, the patient should not be asked to
perform active range-of-motion (ROM) exercises to avoid
causing pain.
Radiographs should always be obtained prior to
examination so as not to cause further injury to the patient.
Points Received: (not graded)
Comments:
Question 6.Question : Which of the following signs or symptoms indicate aninflammatory etiology to musculoskeletal pain?
Student Answer: Decreased C-reactive protein
Hyperalbuminemia
Morning stiffness
Weight gain
Points Received: (not graded)
Comments:
Question 7.Question : Which causes the greatest percentage of mammalian bites?
Student Answer: Dogs
Cats
Humans
Rodents
Points Received: (not graded)
Comments:
Question 8.Question : A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states
she can no longer exercise. Pelvic exam reveals a single, very
large mass. Which of the following diagnostic tests should
the clinician orderfirst?
Student Answer: Transvaginal ultrasound
Endometrial biopsy
MRI
Abdominal computed tomography scan
Points Received: (notgraded)
Comments:
Question 9.Question : A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. Which of the
following responses would be most appropriate?
Student Answer: "Control of glucose will help postpone or delay
complications.""Regularly checking blood sugar will help establish a
routine."
"Monitoring glucose will promote a sense of control." All
of the above
Points Received: (not graded)
Comments:
Question 10.Question : A 25-year-old patient presents to the clinic with fatigue, coldintolerance, weight gain, and constipation for the past 3
months. On physical examination, the clinician notices a sinus
bradycardia; muscular stiffness; coarse, dry hair; and a delay in
relaxation in deep tendon reflexes. Which of the following
tests should be orderednext?
Student Answer: Serum calcium
TSH
Electrolytes
Urine specific gravity
Points Received: (notgraded)
Comments:
Question 11.Question : Which of the following medications for type 2diabetes
mellitus should not be prescribed during pregnancy?
Student Answer: Insulin
Metformi
n
Glucotrol
Precose
Points Received: (not graded)
Comments:
Question 12.Question : During a DRE on a 75-year-old man, the clinician suspects
the patient has prostate cancer. What physical finding
should make the clinician suspicious?
Student Answer: An enlarged rubbery gland
A hard irregular gland
A tender gland
A boggy gland
Points Received: (notgraded)
Comments:
Question 13.Question : Eddie, age 4, presents to the ED with a live insect trapped in
his ear canal causing a lot of distress. What should be yourfirst step?
Student Answer: Remove the insect with tweezers.
Immobilize the insect with 2% lidocaine.
Sedate Eddie with diazepam.
Shine a light in the ear for the insect to "find its way out."
Points Received: (notgraded)
Comments:Question 14.Question : What is the most common cause of microcytic anemia?
Student Answer: Anemia of chronic disease
Sideroblastic anemia
Iron-deficiency anemia
Thalassemia
Points Received: (not graded)
Comments:
Question 15.Question : 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 differential diagnoses?
Student Answer: Benignprostatic hyperplasia(BPH)
Parkinson's disease
Prostate cancer
All of theabove
Points Received: (notgraded)
Comments:
Question 16.Question : Early rheumatoid disease is characterized by:
Student Answer: Pain and swelling in both small and large peripheral
joints
Rigid joints with diminished range of motion
Joint swelling and immobility on rising
A cardiac rub or pulmonary frictionrub
Points Received: (notgraded)
Comments:
Question 17.Question : A 70-year-old female has fallen 2 weeks ago and developed
immediate pain in her left wrist. She thought she just bruised it
but is worried because it has not improved. She has used
Tylenol® and ice at home, and that has helped slightly. You
examine her and find she has moderate swelling and
ecchymosis but no overtly obvious deformity. Her ROM isuncomfortable and severely diminished due to the pain. No
crepitus is heard or felt. Her fingers are warm; her pulse is
strong; and capillary refill is less than 2 seconds. What should
you do?
Student Answer: Make an immediate referral for an orthopedic evaluation
without furtherassessment.
Tell her that it takes time for these bruises to improve, so
she should be patient.
Obtain a wrist x-ray and place her wrist in a splint orprescribe a splint.
Send her to the emergency room for reduction of this
obvious wrist fracture.
Points Received: (not graded)
Comments:
Question 18.Question : The criteria for diagnosing generalized anxiety disorder in
the American Psychiatric Association's Diagnostic and
Statistical Manual of Mental Disorders, 5th edition (text
revision) state that excessive worry or apprehension must be
present more days than not for at least:
Student Answer: 1 month
3 months
6 months
12 months
Points Received: (not graded)
Comments:
Question 19.Question : 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?
Student Answer: The scrotum will bedark.
The scrotum will appear light pink or yellow.
The scrotum will appear milky white.
The internal structures will be clearly visible.
Points Received: (not graded)
Comments:
Question 20.Question : According to Kübler-Ross, the stages of grief occur in which
order?
Student Answer: Anger, denial, depression, bargaining, acceptance
Anger, denial, bargaining, acceptance, depression
Denial, anger, depression, bargaining, acceptanceDenial, anger,bargaining, depression, acceptance
Points Received: (not graded)
Comments:
Question 21.Question : 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?
Student Answer: A favorable prognostictrendDisease progression
The need to be more aggressive with Reuben's
medications
The eradication of the HIV
Points Received: (not graded)
Comments:
Question 22.Question : The exanthem of Lyme disease is:
Student Answer: Erythemainfectiosum
Laterothoracic exanthem
Erythema migrans
Morbilli exanthem
Points Received: (not graded) [Show Less]