Exam (elaborations) NUR 511 POSSIBLE QUESTIONS ON FINAL EXAM (100% ACCURATE)

1. The most cost-effective screening test for determining HIV status is which of the following? Enzyme linked immunosorbent assay 2. Which blood test is a nonspecific method and most helpful for evaluating the severity and course of an inflammatory process? C -REACTIVE PROTIEN ( CRP) 3. Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter? DOPAMINE 4. 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: PAIN AT THE ELBOW WITH RESISTED MOVEMENTS AT THE WRIST AND FOREARM 5. Which of the following statements concerning the musculoskeletal examination is true? THE UNINVOLVED SIDE SHOULD BE EXAMINED INITIALLY AND THEN COMPARE TO THE INVOLVED SIDE. 6. Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain? MORNING STIFFNESS 7. Which causes the greatest percentage of mammalian bites? DOGS 8. 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 order first? TRANSVAGINAL ULTRASOUND 9. 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? ALL OF THE ABOVE ( CONTROL OF GLUCOSE, REGULARYLY CHECK BLOOD SUGAR AND MONITORING GLUCOSE) 10. A 25- year old patient presents to the clinic with fatigue, cold intolerance, weight gain, and constipation for the past 3 months on physical examination , the clinician notices sinus bradycardia; muscular spiffiness; course , dry hair; and delay in relaxation in deep tendon reflexes. Which of the follow test should be ordered next? TSH 11. Which of the following medications for type 2 diabetes mellitus should not be prescribed during pregnancy? GLUCOTROL 12. 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? ENLARGED RUBBERY GLAND 13. Eddie, age 4, presents to the ED with a live insect trapped in his ear canal causing a lot of distress. What should be your first step? IMMOBILIZE THE INSECT WITH 2% LIDOCAINE 14. What is the most common cause of microcytic anemia? IRON DEFICIENCY ANEMIA 15. 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? ALL OF THE ABOVE ( PBH, PARKINSON’S AND PROSTATE CANCER) 16. Early rheumatoid disease is characterized by: JOINT SWELLING AND IMMOBILITY ON RISING 17. A 70-year-old female has fallen 2 weeks ago and developed immediate pain in her lef 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 NUR 511 POSSIBLE QUESTIONS ON FINAL EXAM (100% ACCURATE) 2 moderate swelling and ecchymosis but no overtly obvious deformity. Her ROM is uncomfortable 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? OBTAIN A WRIST X-RAY AND PLACE HER WRIST IN A SPLINT OR PRESCRIBE A SPINT 18. 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: 6 MONTHS 19. 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? THE SCROTUM WILL APPEAR LIGHT PINK OR YELLOW 20. According to Kübler-Ross, the stages of grief occur in which order? DENIAL, ANGER, BARGAINING, DEPRESSION, ACCEPTANCE 21. 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? A FAVORABLE PROGNOSTIC TREND 22. The exanthem of Lyme disease is ERTHEMA MIGRANS 23. You have detected the presence of crepitus on examination of a patient with a musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with both active and passive movement. These findings suggest that the origin of the musculoskeletal complaint is: ARTICULAR 24. What is the recommended daily calcium intake for adults over the age of 50 with low bone mass?1,500 MG/DAY 25. When assessing a woman for infertility, which of the following tests should be done first? ANALYSIS OF PARTNER’S SPERM 26. Which type of burn injury results in destruction of the epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact? DEEP PARTIAL THICKNESS BURNS 27. 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 examination? HUMAN PAPILLOMAVIRUS (HPV) 28. As a rule of thumb, the estimated level of hematocrit is how many times the value of the hemoglobin? THREE 29. Sam is a 25-year-old 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? UNILATERAL RADICULAR PAIN SYMPTOMS THAT EXTEND BELOW THE KNEE AND ARE EQUAL TO OR GREATER THAN THE BACK PAIN