NU623 Questions With Verified Correct Answers

Which of the following is recommended by the Centers for Disease Control and Prevention (CDC) as single-dose therapy for uncomplicated urethritis caused by N. gonorrhoeae wen an oral product is the most appropriate option? A. Cefixime B. Metronidazole C. TMP-SMX D. Amoxicillin - Correct AnswersA. Cefixime A 63-year-old man is seen in the clinic with a chief complaint of nocturia. Which of the following is the most common sign of a prostatic problem in men with nocturia? A. Psychogenic nocturia B. Urethral polyp C. Irritative urethral lesion D. Benign prostatic hypertrophy - Correct AnswersD. Benign prostatic hypertrophy 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? A. 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 - Correct AnswersB. The scrotum will appear light pink or yellow Which of the following strategies is useful when managing hypertension in a patient with CKD? A. Keep HbA1c of less than 7.5% B. For a patient with proteinuria of more than 1g/day, target BP is 135/85 mm hg C. Avoid systolic BP less than 100 mm Hgc D. For a patient with proteinuria of less than 1g/day, goal BP is no more than 130/80 mm Hg - Correct AnswersD. For a patient with proteinuria of less than 1g/day, goal BP is no more than 130/80 mm Hg Peter is a 40-year-old male with a recent diagnosis of low testosterone. Which of the following counseling points is correct regarding low testosterone? A. Testosterone deficiency is due to hypergonadism. B. Abstaining from cigarette smoking has no effect on testosterone. C. Lowering your HbA1c may improve your testosterone levels D. Stress has no effect on testosterone levels. - Correct AnswersC. Lowering your HbA1c may improve your testosterone levels The nurse practitioner is taking the history of a client who has been diagnosed with nephrolithiasis. What information in the history would the nurse a precipitating factor in the development of renal calculi? A. 1 UTI in the past year B. Drinking 6-8 oz of milk daily C. History of fractured femur leading to prolonged bed rest D. A diet consisting of a moderate amount of citrus fruit and high fiber foods - Correct AnswersB. Drinking 6-8 oz of milk daily A 35 year old man present with edema of the face, hands, and ankle along with hypertension (175/115 mm Hg). He reports urine that is darkly colored and foamy. You suspect acute glomerulonephritis and would expect urinalysis results to include all of the following findings except: A. Elevated level of protein B. Presence of red blood cells C. Presence of renal casts D. Abnormally high glucose levels - Correct AnswersD. Abnormally high glucose levels Danielle presents to the clinic saying, "I do not feel like I want to eat." She also notes she is experiencing lethargy, nausea, headache, and muscle cramps. She "did not go to the bathroom a lot" yesterday. Which of the following stages of acute kidney injury (AKI) is Danielle in? A. Initiating stage B. Oliguric stage C. Diuretic stage D. Recovery stage - Correct AnswersA. Initiating stage What is the term given to the type of urinary incontinence associated with conditions such as Parkinson's disease, Alzheimer's disease, and stroke? A. Stress incontinence B. Urge incontinence C. Functional incontinence D. Overflow incontinence - Correct AnswersB. Urge incontinence Common adverse effects of anticholinergic/antispasmodic agents used in the treatment of urinary incontinence include all of the following except: A. Diarrhea B. Dry mouth and constipation C. Headaches D. Dizziness - Correct AnswersA. Diarrhea 60-year-old man presents with recurrent urinary tract infections (UTIs). What is the most likely cause? A. Balantis B. Epididymitis C. Chronic bacterial prostatitis D. Benign prostatic hypertrophy - Correct AnswersC. Chronic bacterial prostatitis In a person diagnosed with superficial bladder cancer without evidence of metastases, you realize that: A. the prognosis for 2 year survival is poor B. a cystectomy is indicated C. despite successful initial therapy, local recurrence is common D. systemic chemotherapy is the treatment of choice - Correct AnswersC. despite successful initial therapy, local recurrence is common Finasteride (Proscar) and dutasteride (Avodart) are helpful in the treatment of BPH because of their effect on: A. bladder contractility B. prostate size C. activity at select bladder receptor sites D. bladder pressure - Correct AnswersB. prostate size Which of the following medications may be linked to dysuria? A. Vitamin A B. Mirena C. Paxil D. Gabapentin - Correct AnswersC. Paxil A 64-year-old woman with heart failure presents with tachycardia, S3 heart sound, and basilar crackles bilaterally. BP 90/68 mm Hg, BUN is 58 mg/dL, creatinine is 2.4 mg/dL. This clinical presentation is most consistent with: A. Prerenal azotemia B. Acute glomerulonoephritis C. Tubular necrosis D. Postrenal azotemia - Correct AnswersA. Prerenal azotemia Jeremy is a 27-year-old who comes to the clinic complaining of red-tinged urine. The clinician performs a urine dipstick and finds that the protein is 2+. Which of the following from Jeremy's history is related to this finding? A. He is training for a marathon B. He recently broke a toe C. He began taking Lexapro 2 weeks ago D. He works in an office setting - Correct AnswersA. He is training for a marathon What is the treatment of choice for a patient diagnosed with testicular cancer? A. Radical orchidectomy B. Lumpectomy C. Radiation implants D. Chemotherapy - Correct AnswersA. Radical orchidectomy What finding is indicative of testicular torsion? A. Scrotal swelling with tenderness that occurs only after age 40 B. Sudden onset of pain with a firm, tender mass in the scrotum C. Positive Prehn's sign D. Present Cremasteric reflex - Correct AnswersC. Positive Prehn's sign You perform a digital rectal examination on a 65 year old man and find a lesion suspicious for prostate cancer. The findings are described as: A. a rubbery, enlarged prostatic lobe B. an area of prostatic induration C. a boggy gland D. prostatic tenderness - Correct AnswersB. an area of prostatic induration HIV testing is recommended for all of the following except: A. a 17 year old male with no risk factors for HIV but who requests testing B. a 47 year old male seeking treatment for syphilis C. a 74 year old who reports no HIV associated risk factors D. a 24 year old male who is an injection drug user - Correct AnswersC. a 74 year old who reports no HIV associated risk factors Which urinalysis (UA) findings suggest a urinary tract infection (UTI)? A. protein only