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NR 511 Midterm Exam Questions and Answers

NR 511 Midterm Exam Questions and AnswersNR 511 Midterm Exam Questions and AnswersNR 511 Week 4 Midterm Exam Version 2Question 1: Women are at the highest risk for developing postpartum depression for up to how long after childbirth?2 weeks1 month3 months6 monthsQuestion 2: CPT coding offers the uniformed language used for reporting medical services and procedures performed by physician and nonphysician practitioners. Clinicians are paid based on calculated resource costs that are calculated based on practice components.a. Clinician education loansb. Clinician practice liability and malpractice expensec. Clinician reported cost reduction effortsd. Clinician volume of patients treatedQuestion 3: Janet is a 30-year-old woman who has been recently diagnosed with a herniated disc at the level of L5-S1. 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?NR 511 Midterm Exam Questions and Answersa. Gastrocnemius weaknessb. A reduced or absent ankle reflexc. Numbness in the lateral footd. Paresthesia of the perineum and buttocksQuestion 4: A 58-year-old woman who had a total abdominal hysterectomy at the age of 45 is diagnosed with atrophic vaginitis. Which of the following is the most appropriate treatment?a. Conjugated estrogen 0.625 mg/day oralb. Estradiol 7.5 mcg/24 hr vaginal ringc. Medroxyprogesterone 10 mg/day orald. Conjugated estrogen 0.3 mg + medroxyprogesterone 1.5 mg/day oralQuestion 5: Which of the following is a specific test for multiple sclerosis (MS)?a. Magnetic resonance imaging (MRI)b. Computed tomography (CT) scanc. A lumbar punctured. There is no specific test.Question 6: Most adult poisonings are:a. intentional and self-inflicted.b. accidental.c. caused by someone wishing to do harm to the person.d. not attributed to any reason.Question 7: 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?NR 511 Midterm Exam Questions and Answersa. The scrotum will be dark.b. The scrotum will appear light pink or yellow.c. The scrotum will appear milky white.d. The internal structures will be clearly visible.ORDER A PLAGIARISM-FREE PAPER HEREQuestion 8: Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?What is the normal number for the Glascow Coma Scale?a. 7b. 9c. 10d. 15Question 9: 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?a. Elevated uric acid levelb. Elevated blood urea nitrogen (BUN)c. Decreased urine pHd. Decreased C-reactive protein (CRP)Question 10: Which solution should be used when irrigating lacerated tissue over a wound on the arm?a. Dilute povidone-iodine solutionb. Hydrogen peroxide (H2O2)c. Saline solution infused with an antibioticd. Saline irrigation or soapy waterQuestion 11: Which ethical principle reflects respect for all persons and their self-determination?NR 511 Midterm Exam Questions and Answersa. Autonomyb. Beneficencec. Justiced. VeracityQuestion 12: During a digital rectal exam (DRE) on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?a. An enlarged rubbery glandb. A hard irregular glandc. A tender glandd. A boggy glandQuestion 13: How often should the clinician examine the feet of a person with diabetes?a. Once a yearb. Every 6 monthsc. Every 3 monthsd. Every visitQuestion 14: Which of the following medications is the treatment of choice for trichomonas? (Points: 2)a. Metranidazoleb. Ceftriaxonec. Diflucand. DoxycyclineQuestion 15: Immunizations are an example of which type of prevention? (Points: 2)NR 511 Midterm Exam Questions and Answersa. Primaryb. Secondaryc. TertiaryQuestion 16: What is the treatment of choice for a patient diagnosed with testicular cancer?a. Radical orchidectomyb. Lumpectomyc. Radiation implantsd. All of the aboveQuestion 17: George, aged 59, complains of a flulike illness, including fever, chills, and myalgia after returning from visiting his grandchildren in New England. He reports having discovered a rash or red spot that grew in size on his right leg. What disease are you considering?a. A viral syndromesb. Lyme diseasec. Rocky Mountain spotted feverd. Relapsing feverQuestion 18: A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease (STD) has she most probably been exposed to?a. Gonorrheab. Human papillomavirus (HPV)c. Chlamydiad. TrichomonasQuestion 19: What is usually the first sign or symptom that a patient would present with that would make you suspect herpes zoster?a. A stabbing type of pain on one small area of the bodyb. A vesicular skin lesion on one side of the bodyc. A pain that is worse upon awakeningd. A lesion on the exterior ear canalQuestion 20: Which drug commonly prescribed for burns is active against a wide spectrum of microbial pathogens and is the most frequently used agent for partial- and full-thickness thermal injuries?a. Clotrimazole cream (Lotrimen)b. Mafenide acetate (Sulfamylon)c. Silver nitrated. Silver sulfadiazine (Silvadene)Question 21: Which of the following is a role of the advanced practice nurse in palliative cancer care?a. Detecting cancer in asymptomatic patients or those with specific symptomsb. Arranging for follow-up care, including psychosocial and spiritual supportc. Identifying and managing complications of cared. All of the aboveQuestion 22: Which type of burn injury results in destruction of epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact?a. Superficial burnsb. Superficial partial-thickness burnsc. Deep partial-thickness burnsd. Full-thickness burnsQuestion 23: 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:a. 1 month.b. 3 months.c. 6 months.d. 12 months.Question 24: In the United States, what is the second most common connective tissue disease and the most destructive to the joints?a. Osteoarthritisb. Systemic lupus erythematosus (SLE)c. Rheumatoid arthritis (RA)d. Sjogren’s syndromeQuestion 25: A sunscreen with a sun-protection factor (SPF) of at least what number will block most harmful ultraviolet (UV) radiation?NR 511 Midterm Exam Questions and Answersa. 4b. 8c. 10d. 15Question 26: The hallmark of an absence seizure is:a. No activity at all.b. A blank stare.c. Urine is usually voided involuntarily.d. The attack usually lasts several minutes.Question 27: The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the following neurotransmitters plays a role in anxiety?a. Acetylcholineb. Gamma-aminobutyric acid (GABA)c. Dopamined. SerotoninQuestion 28: Which characteristic of delirium helps to distinguish delirium from dementia?a. Abrupt onsetb. Impaired attentionc. Affective changesd. DelusionsQuestion 29: A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority?a. Pregnancy testb. Pelvic ultrasoundc. Endometrial biopsyd. Platelet countQuestion 30: The clinician should question the patient with suspected gout about use of which of these medications that may be a risk factor?a. Low-dose aspirinb. Thiazide diureticsc. Ethambutold. All of the aboveQuestion 31: A bulla is:a. A vesicle larger than 1 cm in diameter.b. An elevated solid mass with a hard texture, and the shape and borders can be regular or irregular.c. A superficial elevated lesion filled with purulent fluid.d. Thinning of the skin (epidermis and dermis) that appears white or translucent.Question 32: 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 spineb. Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back painc. Fever, chills, and elevated erythrocyte sedimentation rated. Pathologic fractures, severe night pain, weight loss, and fatigueQuestion 33: Which of the following statements is true concerning the musculoskeletal exam?a. The uninvolved side should be examined initially and compared to the involved side.b. The part of the body that is causing the patient pain should be examined first.c. The patient should not be asked to perform active range-of-motion (ROM) exercises whenever possible to avoid causing pain.NR 511 Midterm Exam Questions and Answersd. Radiographs should always be obtained prior to examination so as not to cause further injury to the patient.Question 34: The current goal of treatment for a patient with HIV infection is which of the following?a. Viral suppression of HIV to undetectable levels in the peripheral bloodb. Compete eradication of the virusc. Encouraging the person to have no contact with uninfected individualsd. Complete abstinenceQuestion 35: Which of the following classes of drugs should be used as first-line therapy for treatment of delirium?a. Benzodiazepinesb. Antipsychoticsc. Anticonvulsantsd. AntidepressantsQuestion 36: 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?a. Suggest she use a heating pad to improve circulationb. Refer to a podiatrist for a foot care treatment planc. Send her for acupuncture treatmentsd. All of the aboveQuestion 37: 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.NR 511 Midterm Exam Questions and Answersb. 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 a 3-month period is an indication for surgical intervention.d. All of the aboveQuestion 38: Which patient is more likely to have a cluster headache?a. A female in her reproductive yearsb. A 40-year-old African American malec. A 55-year-old female who drinks 10 cups of coffee dailyd. A 45-year-old male awakened at nightQuestion 39: The main mechanism for avoiding a lawsuit involves:a. Good liability insuranceb. A collaborating physicianc. Good documentationd. Open communication skillsQuestion 40: A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal smear. Which of the following diagnoses is associated with this finding?a. Trichomonasb. Bacterial vaginosisc. Human papillomavirus (HPV)d. Herpes simplex virus (HSV)Question 41: Which of the following laboratory findings should the clinician expect in a patient with untreated Graves’ disease?a. Elevated thyroid-stimulating hormone (TSH)b. Elevated T4c. Elevated TRHd. All of the aboveQuestion 42: 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?a. Human papillomavirus (HPV)b. Endometrial hyperplasiac. Vagismusd. Polycystic ovarian syndromeQuestion 43: When may confidentiality be overridden?a. When personal information is available on the computerb. When a clinician needs to share information with a billing companyc. When an insurance company wants to know the results of a breast cancer gene testd. When a patient has a communicable diseaseQuestion 44: A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram (ECG) changes should the clinician expect as a manifestation of the disease?a. Sinus bradycardiab. Atrial fibrillationc. Supraventricular tachycardiad. U wavesQuestion 45: The most cost-effective screening test to determine HIV status is which of the following?a. Western Blotb. Enzyme-linked immunosorbent assay (ELISA)c. Venereal Disease Research Laboratory (VDRL) testd. Viral loadQuestion 46: After 6 months of synthroid therapy, the clinician should expect which of the following in the repeat thyroid studies?NR 511 Midterm Exam Questions and Answersa. Elevated thyroid-stimulating hormone (TSH)b. Normal TSHc. Low TSHd. Undetectable TSHQuestion 47: 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. Riceb. Carrotsc. Spinachd. PotatoesQuestion 48: 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?a. Tricyclic antidepressantsb. Capsacin creamc. Vitamin B12 injectionsd. InsulinQuestion 49 : In the consensus model for Advanced Practice Registered Nurse (APRN) regulation, the “C” of LACE represents?NR 511 Midterm Exam Questions and Answersa. Commitmentb. Consensusc. Certificationd. CollaborationQuestion 50: Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?a. Decreased C-reactive proteinb. Hyperalbuminemiac. Morning stiffnessd. Weight gainNR 511 Midterm Exam Questions and Answers

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