NR 511 MIDTERM EXAM – QUESTION AND ANSWERS

Question 1.Question : Which of the following is a crucial element of developing a
guideline?
Student Answer: Creating a physician expert panel
Reviewing the literature with ratings of available
evidence Conducting an external review of a guideline
Developing evidence-based
tables Points Received: 2 of 2
Comments:

Question 2.Question : African American patients seem to have a negative reaction
to which of the following asthma medications?
Student Answer: Inhaled corticosteroids
Long-term beta-agonist bronchodilators
Leukotriene receptor agonists
Oral corticosteroids
Points Received: 2 of 2
Comments:

Question 3.Question : Jolene has breast cancer that has been staged as T1, N0,
M0. What might this mean?
wer: The tumor size cannot be evaluated; the cancer has
not spread to the lymph nodes; and the distant spread cannot be evaluated.
The cancer is in situ; it is spreading into the lymph nodes,
but the spread cannot be evaluated otherwise.
The cancer is less than 2 cm in size and has not spread to the lymph nodes or
other parts of the body.
The cancer is about 5 cm in size; nearby lymph nodes cannot be evaluated;
and there is no evidence of distant spreading.
Points Received: 2 of 2
Comments:

Question 4.Question : Sondra's peripheral vestibular disease causes dizziness and
vertigo. Which of the following medications will help to
decrease edema in the labyrinth of the ear?
Student Answer: Meclizine
Diphenhydramine

, Diamox
Promethazine
Points Received: 0 of 2
Comments:

Question 5.Question : Mandy presents with a cauliflower-like wart in her anogenital
region. You suspect it was sexually transmitted and document this as a:
Student Answer: Filiform/digitate wart
Dysplastic cervical lesion
Condyloma acuminata
Koilocytosis
Points Received: 2 of 2
Comments:

Question 6.Question : Inattention and a sleep-wake cycle disturbance are the
hallmark symptoms of?
Student Answer: Dementia
Alzheimer's disease
Parkinson's
disease Delirium
Points Received: 2 of 2
Comments:

Question 7.Question : You have taught Jennifer, age 15, about using a flow meter
to assess how to manage her asthma exacerbations. She calls you today because
her peak expiratory flow rate is 65%. What would you tell her?
wer: "Take your short-acting beta-2 agonist, remain quiet,
and call back tomorrow."
"Use your rescue inhaler, begin the prescription of oral glucocorticoids you have,
and call back tomorrow."
"Drive to the emergency room now."
"Call 911."
Points Received: 2 of 2
Comments:

Question 8.Question : A patient is seen in the clinic with hematuria confirmed on
microscopic examination. The clinician should inquire about the ingestion of which of
these substances that might be the cause of hematuria?
Student Answer:

, NSAIDs
Beets
Vitamin A
Red meat
Points Received: 2 of 2
Comments:

stion : Which of the following is an example of tertiary prevention in a patient with chronic
renal failure?
Student Answer: Fluid restriction
Hemodialysis 4 days a
week High-protein diet
Maintenance of blood pressure at
120/80 Points Received: 2 of 2
Comments:

Question 10.Question : Which of the following conditions is associated with
cigarette smoking?
Student Answer: Glaucoma
Increased sperm quality
Bladder cancer
Eczema
Points Received: 0 of 2
Comments:

Question 11.Question : A chronic cough lasts longer
than: Student Answer: 3 weeks
1 month
6 months
1 year
Points Received: 0 of 2
Comments:

Question 12.Question : The 'freezing phenomenon' is a cardinal feature of?
Student Answer: Parkinson's disease
Alzheimer's disease
A CVA
Bell's palsy
Points Received: 0 of 2
Comments:

, Question 13.Question : When administered at the beginning of an attack, oxygen
therapy may help this kind of headache?
Student Answer: Tension
Migraine
Cluster
Stress
Points Received: 0 of 2
Comments:

Question 14.Question : Which ethnic group has the highest lung cancer incidence
and mortality rates?
Student Answer: African American men
Scandinavian men and women
Caucasian women
Asian men
Points Received: 0 of 2
Comments:

Question 15.Question : The most significant precipitating event leading to otitis
media with effusion is:
Student Answer: Pharyngitis
Allergies
Viral upper respiratory infection
(URI) Perforation of the eardrum
Points Received: 2 of 2
Comments:

Question 16.Question : Samuel is going to the dentist for some work and must take
endocarditis prophylaxis because of his history of:
Student Answer: Severe asthma
A common valvular lesion
Severe hypertension
A prosthetic heart
valve Points Received: 0 of 2
Comments:

Question 17.Question : A 34-year-old patient was treated for a UTI and has not
responded to antibiotic therapy. Which of the following actions should be taken
next?
Student Answer: Send a urine specimen for microscopy and evaluate for