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1. What is the most common psychiatric disorder in the U.S? - ANSWER
Anxiety
2. What is the proper order of assessing the abdomen?
A. inspection, auscultation, percussion, palpation
B. auscultation, percussion, palpation, inspection
C. palpation, inspection, auscultation, percussion
D. percussion, palpation, inspection, auscultation - ANSWER A.
inspection, auscultation, percussion, palpation
3. You assess for Cullen's sign in Dan, age 62, after surgery. Cullen's sign may
indicate:
A. Cholecystitis
B. Appendicitis
C. Intra-abdominal bleeding
D. Prostatitis - ANSWER C. Intra-abdominal bleeding
4. •Which of the following dietary instructions should be given to a patient
with GERD?
a. Eliminate coffee.
b. Drink peppermint tea to relieve stomach distress.
c. Recline and rest after meals.
d. Limit the amount of antacids. - ANSWER A
, • The patient with GERD should be instructed to eliminate
which of these activities?
Swimming
Weight lifting
Golfing
Walking - ANSWER B
5. The clinician has instructed Sam, a 25-year-old patient with low back strain,
to use NSAIDs to manage his symptoms of pain and discomfort. Which of
the following statements would be most appropriate when teaching Sam
about the use of NSAIDs?
a. "You should start with the lowest dose that is effective in
managing your pain, because long-term use of NSAIDs can
result in gastrointestinal (GI) disorders such as ulcers and
hemorrhage."
b. "You should start with the lowest dose that is effective in
managing your pain to avoid developing tolerance to the
medication."
c. "You should take the maximum recommended dose of
NSAIDs so that you will not need to take narcotics to control
your pain."
d. "It is important to take NSAIDs on an empty stomach in order
to increase absorption." - ANSWER A
6. Your patient is a 65-year-old man who has been taking a new prescription of
rosuvastatin (Crestor) 40 mg daily for 6 weeks. During a follow-up visit, he
reports feeling extremely fatigued and having dark-colored urine. He denies
any generalized muscle soreness. Which of the following is the most
appropriate treatment plan?
, A. Order a CBC with differential
B. Order a liver function profile and CK level
C. Recommend an increase in fluid intake and rest
D. Order a urine culture and sensitivity test - ANSWER B
7. An urgent care nurse practitioner is assessing a 45-year-old White woman
with a body mass index (BMI) of 32 for a complaint of intermittent right
upper quadrant abdominal pain over the past few weeks that is precipitated
by eating fried foods and peanut butter. On exam, the patient's heart and
lungs are normal. There is no pain over the costovertebral angle. During
abdominal exam, bowel sounds are present in all quadrants. While the nurse
is palpating deeply on the right upper quadrant during deep inspiration, the
patient complains of severe sharp pain. Which of the following is best
described?
A. Murphy's sign
B. McMurray's sign
C. Rovsing's sign
D. Obturator sign - ANSWER A
8. You are reviewing the bilirubin level of a 3-day-old full-term neonate. You
note that it is 10 mg/dL. The infant has a slight yellow color to his skin,
mucous membranes, and sclera. The infant is feeding well, is not irritable,
and has eight to 10 wet diapers per day. Which of the following is a true
statement?
A. Keep monitoring the infant's bilirubin level until it returns to normal
in about 1 week
B. Recommend that the infant be treated with phototherapy 10 minutes a
day until the bilirubin level is back to a normal range
C. Refer the infant to a neonatologist as soon as possible
D. Refer the infant to the neonatal intensive care unit - ANSWER A
, 9. You suspect an enterobiasis infection in a 6-year-old girl. Which of the
following tests would you recommend?
A. Stool culture and sensitivity
B. Stool for ova and parasites
C. The scotch tape test
D. Hemoccult test - ANSWER C
10.The span of the normal adult liver is:
A. 15 to 18 cm in the midclavicular line
B. 6 to 15 cm in midclavicular line
C. 2 to 6 cm in the midsternal line
D. 4 to 8 cm in the midsternal line - ANSWER B.
11.If left untreated, Zollinger-Ellison syndrome can cause which of the
following?
A. Severe ulceration of the stomach or duodenum
B. Toxic megacolon
C. Chronic diarrhea
D. Malabsorption of fat-soluble vitamins - ANSWER A
12.All of the following may help relieve the symptom(s) of gastroesophageal
reflux disease (GERD) except:
A. Losing weight
B. Stopping caffeine intake
C. Chewing breath mints