NURS 6531 Final Exam
Question 1
In the outpatient office setting, the most common reason for a malpractice suit is failure to:
Properly refer
Diagnose correctly in a timely
fashion
Obtain informed consent
Manage fractures and trauma
correctly
Question 2
Reed-Sternberg B lymphocytes are associated with which of the following disorders:
Aplastic anemia
Hodgkin’s lymphoma
Non Hodgkin’s
lymphoma
Myelodysplastic
syndromes
Question 3
The initial clinical sign of Dupuytren’s contracture is:
Pain with ulnar deviation
Painless nodule on palmer
fascia
Pain and numbness in the ring
finger
Inability to passively extend
, finger
Question 4
Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue
syndrome, which have many similarities. Which of the following is more characteristic of
fibromyalgia?
Musculoskeletal
pain
Difficulty sleeping
Depression
Fatigue
Question 5
A child with type 1 diabetes mellitus has experienced excessive hunger, weight gain and
increasing hyperglycemia. The Somogyi effect is suspected. What steps should be taken to
diagnose and treat this condition?
Decrease the evening insulin dose and check capillary blood glucose
(CBG) at 2:00 am.
Instruct the child’s parents on physical activities to help weight loss.
Increase the evening insulin dose and check CBG at 2:00 am.
Refer the child for instruction on a strict diabetic diet.
Question 6
The 4 classic features of Parkinson’s disease are:
Mask-like facies, dysarthria, excessive salivation, and dementia.
Tremor at rest, rigidity, bradykinesia, and postural disturbances.
Depression, cognitive impairment, constipation and shuffling gait.
Tremor with movement, cogwheeling, repetitive movement, and multi-
, system atrophy.
Question 7
What conditions must be met for you to bill “incident to” the physician, receiving 100%
reimbursement from Medicare?
You must initiate the plan of care for the patient
The physician must be on-site and engaged in patient
care
You must be employed as an independent contractor
You must be the main health care provider who sees
the patient
Question 8
The cornerstone of treatment for stress fracture of the femur or metatarsal stress fracture is:
Rest from activities which may further stress
the bone.
Daily passive range of motion exercises.
Continuation of the patient’s routine physical
activities.
Application of ice after activity.
Question 9
Which of the following antibiotics should not be prescribed for a pregnant woman in the 3rd
trimester?
Trimethoprim-
sulfamethoxazole
Erythromycin
, Cefuroxime
Levofloxacin
Question 10
Which is the most common cause of end-stage renal disease in the United States?
Diabetic nephropathy
Chronic renal failure secondary to vascular
disorders
Acute tubular necrosis
Kidney trauma
Question 11
A typical description of a tension headache is:
Periorbital pain, sudden onset, often explosive in quality, and associated with nasal
stuffiness, lacrimation, red eye, and nausea.
Bilateral, occipital, or frontal tightness or fullness, with waves of aching pain.
Hemicranial pain that is accompanied by vomiting and photophobia.
Steadily worsening pain that interrupts sleep, is exacerbated by orthostatic changes,
and may be preceded by nausea and vomiting.
Question 12
A patient taking levothyroxine is being over-replaced. What condition is he at risk for?
Osteoporo
sis
Constipati
on
Depression
Question 1
In the outpatient office setting, the most common reason for a malpractice suit is failure to:
Properly refer
Diagnose correctly in a timely
fashion
Obtain informed consent
Manage fractures and trauma
correctly
Question 2
Reed-Sternberg B lymphocytes are associated with which of the following disorders:
Aplastic anemia
Hodgkin’s lymphoma
Non Hodgkin’s
lymphoma
Myelodysplastic
syndromes
Question 3
The initial clinical sign of Dupuytren’s contracture is:
Pain with ulnar deviation
Painless nodule on palmer
fascia
Pain and numbness in the ring
finger
Inability to passively extend
, finger
Question 4
Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue
syndrome, which have many similarities. Which of the following is more characteristic of
fibromyalgia?
Musculoskeletal
pain
Difficulty sleeping
Depression
Fatigue
Question 5
A child with type 1 diabetes mellitus has experienced excessive hunger, weight gain and
increasing hyperglycemia. The Somogyi effect is suspected. What steps should be taken to
diagnose and treat this condition?
Decrease the evening insulin dose and check capillary blood glucose
(CBG) at 2:00 am.
Instruct the child’s parents on physical activities to help weight loss.
Increase the evening insulin dose and check CBG at 2:00 am.
Refer the child for instruction on a strict diabetic diet.
Question 6
The 4 classic features of Parkinson’s disease are:
Mask-like facies, dysarthria, excessive salivation, and dementia.
Tremor at rest, rigidity, bradykinesia, and postural disturbances.
Depression, cognitive impairment, constipation and shuffling gait.
Tremor with movement, cogwheeling, repetitive movement, and multi-
, system atrophy.
Question 7
What conditions must be met for you to bill “incident to” the physician, receiving 100%
reimbursement from Medicare?
You must initiate the plan of care for the patient
The physician must be on-site and engaged in patient
care
You must be employed as an independent contractor
You must be the main health care provider who sees
the patient
Question 8
The cornerstone of treatment for stress fracture of the femur or metatarsal stress fracture is:
Rest from activities which may further stress
the bone.
Daily passive range of motion exercises.
Continuation of the patient’s routine physical
activities.
Application of ice after activity.
Question 9
Which of the following antibiotics should not be prescribed for a pregnant woman in the 3rd
trimester?
Trimethoprim-
sulfamethoxazole
Erythromycin
, Cefuroxime
Levofloxacin
Question 10
Which is the most common cause of end-stage renal disease in the United States?
Diabetic nephropathy
Chronic renal failure secondary to vascular
disorders
Acute tubular necrosis
Kidney trauma
Question 11
A typical description of a tension headache is:
Periorbital pain, sudden onset, often explosive in quality, and associated with nasal
stuffiness, lacrimation, red eye, and nausea.
Bilateral, occipital, or frontal tightness or fullness, with waves of aching pain.
Hemicranial pain that is accompanied by vomiting and photophobia.
Steadily worsening pain that interrupts sleep, is exacerbated by orthostatic changes,
and may be preceded by nausea and vomiting.
Question 12
A patient taking levothyroxine is being over-replaced. What condition is he at risk for?
Osteoporo
sis
Constipati
on
Depression
