NR511 FINAL EXAM
Smartprep.Examinations
The ieffectiveness iof ibenzodiazepines iin itreating ianxiety idisorders isuggests ithat iwhich iof ithe ifollowing
neurotransmittersi iplays ia irole iin ianxiety?
Gamma-aminobutyric iacid i(GABA)
The icriteria ifor idiagnosing igeneralized ianxiety idisorder iin ithe iAmerican iPsychiatric iAssociations
iDiagnostic iand iStatistical iManual iof iMental iDisorders, i5th iedition i(text irevision) istate ithat
iexcessiveworry i ior iapprehension imust ibe ipresent imore idays ithan inot ifor iat ileast?
6 imonths
A i20-year-old iwoman iis iseen iin ithe iclinic ibecause iher iboyfriend iwas ifound ito ihave igonorrhea. iWhich
iofthe i ifollowing iis ithe itreatment iof ichoice ifor igonorrhea? a. Ceftriaxone
b. Doxycycline
c. Acyclovir
d. Metronidazole
Ceftriaxonei
A ipatient iis iseen iin ithe iclinic iwith ia ichief icomplaint iof ihematuria. iTo imake ia idifferential idiagnosis, iwhichof
i ithe ifollowing iquestions ishould ibe iasked?
a. "Do iyou ihave ia ihistory iof iliver idisease?"
b. "What imedications iare iyou icurrently itaking?"
c. "Have iyou inoticed iswelling iin iyour iankles?"
d. All iof ithe iabove
"What imedications iare iyou icurrently itaking"
A ipatient iis iseen iin ithe iclinic iwith ihematuria iconfirmed ion imicroscopic iexamination. iThe iclinician
ishould inquirei iabout ithe iingestion iof iwhich iof ithese isubstances ithat imight ibe ithe icause iof ihematuria?
a. NSAIDs
b. Beets
c. Vitamin iA
d. Red imeat
,NSAIDSi
A i27-year-old ifemale ipresents iwith ia ichief icomplaint iof iburning iand ipain ion iurination. iShe ihas ino
iprevious ihistory iof iurinary itract iinfection i(UTI). iWhat iare isome iadditional isymptoms iconsistent iwith
ia diagnosisi iof ilower iUTI?
a. Back iand iabdominal ipain
b. Fever, ichills, icostovertebral iangle i(CVA) itenderness
c. Blood iin iurine iand ifrequency
d. Foul-smelling idischarge, iperineal iitch
Bloodi iin iurine iad ifrequency
A i30-year-old ipatient ipresents iwith ipain ion iurination. iThe iurine imicroscopy iof iunspun iurine ishows
igreater ithan i10 ileukocytes/mL, iand ia idipstick iis ipositive ifor initrites. iWhat iis ithe iprobable
idiagnosis?a. i iLower iurinary itract iinfection b. Chlamydia iinfection
c. Candidiasis
d. Pyelonephritis
Lower iurinary itract iinfection
A ipatient ipresents iwith iCVA itenderness iand ia iseveral-day ihistory iof ihigh ifever, ichills, iand idysuria.
iWhichof i ithe ifollowing idiagnoses iis imost ilikely igiven ithe iabove iinformation? a. Pyelonephritis
b. Cystitis
c. Renal icalculi
d. Bladder itumor
Pyelonephritisi
A ipatient iis idiagnosed iwith iurge iincontinence. iBefore iprescribing iDetrol iXL, ithe iprovider ishould
iquestion thei ipatient iabout iwhich iof ithese icontraindications ito ithis imedication? a. Diarrhea
b. Parkinson's idisease
c. Closed-angle iglaucoma
d. Breast icancer iClosed-angle iglaucoma
A ipatient iis iseen iin ithe ioffice icomplaining iof isevere iflank ipain. iThe iclinician ishould iassess ithis ipatient
ifor whichi irisk ifactor ifor ikidney istones? a. Hypertension
b. Constipation
c. Tubal iligation
d. Diabetes iHypertensio n
A ipatient iis idiagnosed iwith ioveractive ibladder. iWhich iof ithe ifollowing iinstructions ishould ibe igiven ito
thisi iwoman?
a. i"Limit ithe iamount iof iwater ithat iyou idrink."
b.i i"Eliminate icaffeine ifrom iyour idiet."
c. i"Wear ipanty iliners."
d. iAll iof ithe iabove
, Eliminate icaffeine ifrom iyour idiet
A i34-year-old ipatient iwas itreated ifor ia iUTI iand ihas inot iresponded ito iantibiotic itherapy. iWhich iof ithe
followingi iactions ishould ibe itaken inext?
a. Send ia iurine ispecimen ifor imicroscopy iand ievaluate ifor ifungal icolonies.
b. Increase ithe idose iof iantibiotic.
c. Order ia icytoscopy.
d. Order ia idifferent iantibiotic.
Send ia iurine ispecimen ifor imicroscopy iand ievaluate ifor ifungal icolonies
Whichi iof ithe ifollowing iare ipredisposing ifactors ifor ipyelonephritis?
a. Pregnancy
b. Dehydration
c. Smoking
d. Alkaline iurine
Pregnancyi
A i42-year-old iwoman iis iseen iin ithe iclinic iwith ifever, ichills, ivomiting, iand isevere idysuria. iShe iis
diagnosedi iwith iacute ipyelonephritis. iHow ishould ithis ipatient ibe imanaged?
a. i3-day icourse iof ioral iantibiotics
b.i iHospitalization
c. iEncourage icranberry ijuice iintake.
d. i6-week icourse iof iantibiotics
Hospitalizationi
Oral iantibiotics imay ibe iprescribed iin imild icases iof iacute ipyelonephritis, icharacterized iby ithe iabsence
iof inausea iand ivomiting ior isigns iof isepsis. iFirst-line itherapy iincludes iciprofloxacin i(Cipro) i500 img itwo
itimes dailyi ifor i7 idays, ior iciprofloxacin iextended-release i(Cipro iXR) i1,000 img idaily ifor i7 idays, ior
ilevofloxacin i(Levaquin) i750 img idaily ifor i5 idays.
Hospitalization imay ibe iindicated, idepending ion ithe ipatient's iability ito imaintain iadequate ifluid iintake and
ito itolerate ioral iantibiotics, ialong iwith ithe iseverity iof ithe isymptoms iand ievidence iof ibacteremia.
Hospitalization iof ipatients iwho iare ipregnant, ivomiting, ior idehydrated ishould ibe istrongly iconsidered.
Likewise, ithe ipatient's idegree iof isystemic iillness i(bacteremia ior iurosepsis), iage, ihistory iof ichronic
disease, ior inonadherence ito itherapy imay ilead ito ithe iassessment ithat ihospitalization iis inecessary.
Ninety- ifive ipercent iof ipatients idemonstrate ia igood iresponse iwithin i48 ihours ito iIV iantibiotic itreatment
and imay ibe idischarged ion iappropriate ioral imedication, ionce iurine iculture iand iantibiotic isensitivity
results iare iavailable iand isubsequent iantimicrobial itherapy imay ibe inarrowed iin ispectrum.
A ipatient iis iseen iwith ia isudden ionset iof iflank ipain iaccompanied iby inausea, ivomiting, iand
idiaphoresis.In i iaddition ito inephrolithiasis, iwhich iof ithe ifollowing ishould ibe iadded ito ithe ilist iof
idifferential idiagnoses? a. Pancreatitis
, b. Peptic iulcer idisease
c. Diverticulitis
d. All iof ithe iabove Alli iof ithe iabove
Which iof ithe ifollowing iinstructions ishould ibe igiven ito ithe ipatient iwith inephrolithiasis?
a.i iTake iibuprofen, i600 img ievery i8 ihours.
b. Take iTums® ifor istomach iupset.
c. Drink imore iblack itea.
d. Increase iintake iof ivegetables, ilike ispinach.
Takei iibuprofen, i600 img ievery i8 ihours
Which iof ithe ifollowing ipatients iis iat irisk ifor ideveloping iurinary itract icancer?
a. The i45-year-old iwoman iwho iis i100 ilbs ioverweight
b. The i78-year-old iman iwho ismokes ithree ipacks iof icigarettes ia iday
c. The i84-year-old iman iwho iworked iin ithe iasbestos imines
d.i iAll iof ithe iabove
All iof ithe iabove
Obesity; iexposure ito iasbestos, icadmium, iand/or igasoline; ithe iuse iof iphenacetin- iand iaspirin-
containing analgesics;i iand ichronic ihemodialysis ifor iacquired ipolycystic ikidney idisease iare iall irisk
ifactors ifor irenal icell icarcinoma. iCigarette ismoking ihas ia i25% ito i30% icorrelation iwith ithe idevelopment
iof irenal icell icarcinoma.
An i86-year-old iwoman iis iseen iin ithe iclinic ifor irecurrent ihematuria. iThe iprovider isuspects ibladder
icancer. iWhich iof ithe ifollowing idata ifrom ithe ihistory iis iconsidered ia irisk ifactor ifor ithis itype iof
icancer? a. History iof ialcoholism
b. Sedentary ilifestyle
c. Obesity
d. 65-year ismoking ihistory
65i -year ismoking ihistory
Which iof ithe ifollowing idiagnostic itests ishould ibe iordered ifor ia ipatient isuspected iof ihaving ibladdercancer?
i a. iKidneys, iureter, ibladder ix-ray
b.i iCystoscopy iwith ibiopsy
c. iMagnetic iresonance iimaging
d. iUrine itumor imarker i(NMP22)
Cystoscopyi iwith ibiopsy
A i78-year-old iman iis idiagnosed iwith iStage iD ibladder icancer iand iasks ithe iprovider iwhat ithat imeans.Which
i
i is ithe ibest iresponse?
Smartprep.Examinations
The ieffectiveness iof ibenzodiazepines iin itreating ianxiety idisorders isuggests ithat iwhich iof ithe ifollowing
neurotransmittersi iplays ia irole iin ianxiety?
Gamma-aminobutyric iacid i(GABA)
The icriteria ifor idiagnosing igeneralized ianxiety idisorder iin ithe iAmerican iPsychiatric iAssociations
iDiagnostic iand iStatistical iManual iof iMental iDisorders, i5th iedition i(text irevision) istate ithat
iexcessiveworry i ior iapprehension imust ibe ipresent imore idays ithan inot ifor iat ileast?
6 imonths
A i20-year-old iwoman iis iseen iin ithe iclinic ibecause iher iboyfriend iwas ifound ito ihave igonorrhea. iWhich
iofthe i ifollowing iis ithe itreatment iof ichoice ifor igonorrhea? a. Ceftriaxone
b. Doxycycline
c. Acyclovir
d. Metronidazole
Ceftriaxonei
A ipatient iis iseen iin ithe iclinic iwith ia ichief icomplaint iof ihematuria. iTo imake ia idifferential idiagnosis, iwhichof
i ithe ifollowing iquestions ishould ibe iasked?
a. "Do iyou ihave ia ihistory iof iliver idisease?"
b. "What imedications iare iyou icurrently itaking?"
c. "Have iyou inoticed iswelling iin iyour iankles?"
d. All iof ithe iabove
"What imedications iare iyou icurrently itaking"
A ipatient iis iseen iin ithe iclinic iwith ihematuria iconfirmed ion imicroscopic iexamination. iThe iclinician
ishould inquirei iabout ithe iingestion iof iwhich iof ithese isubstances ithat imight ibe ithe icause iof ihematuria?
a. NSAIDs
b. Beets
c. Vitamin iA
d. Red imeat
,NSAIDSi
A i27-year-old ifemale ipresents iwith ia ichief icomplaint iof iburning iand ipain ion iurination. iShe ihas ino
iprevious ihistory iof iurinary itract iinfection i(UTI). iWhat iare isome iadditional isymptoms iconsistent iwith
ia diagnosisi iof ilower iUTI?
a. Back iand iabdominal ipain
b. Fever, ichills, icostovertebral iangle i(CVA) itenderness
c. Blood iin iurine iand ifrequency
d. Foul-smelling idischarge, iperineal iitch
Bloodi iin iurine iad ifrequency
A i30-year-old ipatient ipresents iwith ipain ion iurination. iThe iurine imicroscopy iof iunspun iurine ishows
igreater ithan i10 ileukocytes/mL, iand ia idipstick iis ipositive ifor initrites. iWhat iis ithe iprobable
idiagnosis?a. i iLower iurinary itract iinfection b. Chlamydia iinfection
c. Candidiasis
d. Pyelonephritis
Lower iurinary itract iinfection
A ipatient ipresents iwith iCVA itenderness iand ia iseveral-day ihistory iof ihigh ifever, ichills, iand idysuria.
iWhichof i ithe ifollowing idiagnoses iis imost ilikely igiven ithe iabove iinformation? a. Pyelonephritis
b. Cystitis
c. Renal icalculi
d. Bladder itumor
Pyelonephritisi
A ipatient iis idiagnosed iwith iurge iincontinence. iBefore iprescribing iDetrol iXL, ithe iprovider ishould
iquestion thei ipatient iabout iwhich iof ithese icontraindications ito ithis imedication? a. Diarrhea
b. Parkinson's idisease
c. Closed-angle iglaucoma
d. Breast icancer iClosed-angle iglaucoma
A ipatient iis iseen iin ithe ioffice icomplaining iof isevere iflank ipain. iThe iclinician ishould iassess ithis ipatient
ifor whichi irisk ifactor ifor ikidney istones? a. Hypertension
b. Constipation
c. Tubal iligation
d. Diabetes iHypertensio n
A ipatient iis idiagnosed iwith ioveractive ibladder. iWhich iof ithe ifollowing iinstructions ishould ibe igiven ito
thisi iwoman?
a. i"Limit ithe iamount iof iwater ithat iyou idrink."
b.i i"Eliminate icaffeine ifrom iyour idiet."
c. i"Wear ipanty iliners."
d. iAll iof ithe iabove
, Eliminate icaffeine ifrom iyour idiet
A i34-year-old ipatient iwas itreated ifor ia iUTI iand ihas inot iresponded ito iantibiotic itherapy. iWhich iof ithe
followingi iactions ishould ibe itaken inext?
a. Send ia iurine ispecimen ifor imicroscopy iand ievaluate ifor ifungal icolonies.
b. Increase ithe idose iof iantibiotic.
c. Order ia icytoscopy.
d. Order ia idifferent iantibiotic.
Send ia iurine ispecimen ifor imicroscopy iand ievaluate ifor ifungal icolonies
Whichi iof ithe ifollowing iare ipredisposing ifactors ifor ipyelonephritis?
a. Pregnancy
b. Dehydration
c. Smoking
d. Alkaline iurine
Pregnancyi
A i42-year-old iwoman iis iseen iin ithe iclinic iwith ifever, ichills, ivomiting, iand isevere idysuria. iShe iis
diagnosedi iwith iacute ipyelonephritis. iHow ishould ithis ipatient ibe imanaged?
a. i3-day icourse iof ioral iantibiotics
b.i iHospitalization
c. iEncourage icranberry ijuice iintake.
d. i6-week icourse iof iantibiotics
Hospitalizationi
Oral iantibiotics imay ibe iprescribed iin imild icases iof iacute ipyelonephritis, icharacterized iby ithe iabsence
iof inausea iand ivomiting ior isigns iof isepsis. iFirst-line itherapy iincludes iciprofloxacin i(Cipro) i500 img itwo
itimes dailyi ifor i7 idays, ior iciprofloxacin iextended-release i(Cipro iXR) i1,000 img idaily ifor i7 idays, ior
ilevofloxacin i(Levaquin) i750 img idaily ifor i5 idays.
Hospitalization imay ibe iindicated, idepending ion ithe ipatient's iability ito imaintain iadequate ifluid iintake and
ito itolerate ioral iantibiotics, ialong iwith ithe iseverity iof ithe isymptoms iand ievidence iof ibacteremia.
Hospitalization iof ipatients iwho iare ipregnant, ivomiting, ior idehydrated ishould ibe istrongly iconsidered.
Likewise, ithe ipatient's idegree iof isystemic iillness i(bacteremia ior iurosepsis), iage, ihistory iof ichronic
disease, ior inonadherence ito itherapy imay ilead ito ithe iassessment ithat ihospitalization iis inecessary.
Ninety- ifive ipercent iof ipatients idemonstrate ia igood iresponse iwithin i48 ihours ito iIV iantibiotic itreatment
and imay ibe idischarged ion iappropriate ioral imedication, ionce iurine iculture iand iantibiotic isensitivity
results iare iavailable iand isubsequent iantimicrobial itherapy imay ibe inarrowed iin ispectrum.
A ipatient iis iseen iwith ia isudden ionset iof iflank ipain iaccompanied iby inausea, ivomiting, iand
idiaphoresis.In i iaddition ito inephrolithiasis, iwhich iof ithe ifollowing ishould ibe iadded ito ithe ilist iof
idifferential idiagnoses? a. Pancreatitis
, b. Peptic iulcer idisease
c. Diverticulitis
d. All iof ithe iabove Alli iof ithe iabove
Which iof ithe ifollowing iinstructions ishould ibe igiven ito ithe ipatient iwith inephrolithiasis?
a.i iTake iibuprofen, i600 img ievery i8 ihours.
b. Take iTums® ifor istomach iupset.
c. Drink imore iblack itea.
d. Increase iintake iof ivegetables, ilike ispinach.
Takei iibuprofen, i600 img ievery i8 ihours
Which iof ithe ifollowing ipatients iis iat irisk ifor ideveloping iurinary itract icancer?
a. The i45-year-old iwoman iwho iis i100 ilbs ioverweight
b. The i78-year-old iman iwho ismokes ithree ipacks iof icigarettes ia iday
c. The i84-year-old iman iwho iworked iin ithe iasbestos imines
d.i iAll iof ithe iabove
All iof ithe iabove
Obesity; iexposure ito iasbestos, icadmium, iand/or igasoline; ithe iuse iof iphenacetin- iand iaspirin-
containing analgesics;i iand ichronic ihemodialysis ifor iacquired ipolycystic ikidney idisease iare iall irisk
ifactors ifor irenal icell icarcinoma. iCigarette ismoking ihas ia i25% ito i30% icorrelation iwith ithe idevelopment
iof irenal icell icarcinoma.
An i86-year-old iwoman iis iseen iin ithe iclinic ifor irecurrent ihematuria. iThe iprovider isuspects ibladder
icancer. iWhich iof ithe ifollowing idata ifrom ithe ihistory iis iconsidered ia irisk ifactor ifor ithis itype iof
icancer? a. History iof ialcoholism
b. Sedentary ilifestyle
c. Obesity
d. 65-year ismoking ihistory
65i -year ismoking ihistory
Which iof ithe ifollowing idiagnostic itests ishould ibe iordered ifor ia ipatient isuspected iof ihaving ibladdercancer?
i a. iKidneys, iureter, ibladder ix-ray
b.i iCystoscopy iwith ibiopsy
c. iMagnetic iresonance iimaging
d. iUrine itumor imarker i(NMP22)
Cystoscopyi iwith ibiopsy
A i78-year-old iman iis idiagnosed iwith iStage iD ibladder icancer iand iasks ithe iprovider iwhat ithat imeans.Which
i
i is ithe ibest iresponse?
