NR511 MIDTERM EXAM 2024-2025
WITH CORRECT ANSWERS AND
VERIFIED LATEST QUESTIONS GRADED
A+
Which medications used to treat nausea and vomiting works by affecting the chemoreceptor trigger
zone, thereby stimulating upper gastrointestinal motility and increasing lower esophageal sphincter
pressure? - ANS-Anticholinergics, such as scopolamine (Donnatal).
Regular ocular pressure testing is indicated for older adults taking - ANS-How does inhaled
Glucocorticoid
When you are assessing the internal structure of the eye of your 15 annual patients the absence of a red
in reflex - ANS-A cataract or hemorrhage into the vitreous humor
Mr. Clark, age 78, is being treated with timolol maleate (Timoptic) drops for his chronic open-angle
glaucoma. While performing a new client history and physical, you note that he is taking other
medications. Which medication would you be most concerned about?
1.Aspirin therapy as prophylaxis for heart attack.
2.Ranitidine (Zantac) for gastroesophageal reflux disease.
3.Alprazolam (Xanax), an anxiolytic.
4.Atenolol (Tenormin), a beta blocker for high blood pressure - ANS-Atenolol (Tenormin), a beta blocker
for high blood pressure
,rationale: If a client is taking timolol maleate (Timoptic) drops for chronic open-angle glaucoma, you
should be most concerned if the client is also taking atenolol (Tenormin), a beta blocker, for high blood
pressure. Because timolol maleate drops are beta-adrenergic blockers, additional beta blockers can
cause worsening of congestive heart failure or reactive airway disease, as well as acute delirium
The antibiotic of choice for recurrent acute otitis media (AM) and/or
treatment failure in children is: - ANS-Amoxicillin and potassium clavulanate (Augmentin).
A 67-year old female on multiple medications for chronic conditions
was just diagnosed with gastroesophageal reflux disease (GERD). In
teaching the patient about the disease, what medication should the
clinician recommend that the patient refrain from using? - ANS-Nonsteroidal anti-inflammatory drugs
(NSAIDs).
A 30-year-old male presents to the clinic with intermittent diarrhea.
He is pretty sure that the antacids taken for heartburn are the cause
since the loose stools always occur within 30 minutes after taking
them. How should the clinician respond? - ANS-Antacids may contain magnesium, which decreases
bowel
transit time and may contain poorly absorbed salts that result
in an osmotic draw iofufluid into the bowel resulting in diarrhea.
When the Weber test is performed with a tuning fork to assess
hearing and there is no lateralization, the clinician should document
this finding as: - ANS-A normal finding.
A 72-year-old male patient presents to the clinic for his annual
physical. He states that he is worried because he only has a bowel
movement every three days. How should the clinician respond? - ANS-There is no such thing as a
"normal" pattern of defecation.
Patterns of defecation vary widely and may in part be affected
,by dietary habits, fluid intake, bacteria in the stool,
psychological stress, or voluntary postponement of
defecation. Defecating every third day could be the routine
pattern for Simon. He should be questioned if this is routine
for him.
A 21-year-old female patient presents to the clinic for pre-operative
tonsillectomy clearance. She has heard about permanent taste
changes after a tonsillectomy and is concerned. What should the
clinician tell her? - ANS-Although some clients report a significant subjective drop in
taste function following surgery, none have ongoing taste
dysfunction.
In a young child, unilateral purulent rhinitis is most often caused by: - ANS-A foreign body.
Nausea is difficult to discern in a young child what question should the clinician asked to determine if a
child has nausea - ANS-Are you hungry
A 38-year-old male has recently had an iliomy for ulcerative colitis which self-care measure should the
clinician teach him to relieve food blockade - ANS-Massage the periosteum area
52 year old female as suspected of having a gastric ulcer and will undergo an EGD she's concerned
because she heard that gastric ulcers can be malignant how should the clinician respond - ANS-About
95% of gastric ulcers are Banan even though they seem to like a malignant on x-ray
A 29 year old female just returned from Central America with travelers diarrhea and presents to the
clinic for evaluation which of the following is the best treatment - ANS-Supportive care
A 75-year-old female presents to your office complaining of dizziness and ringing in both ears for one
day she describes the dizziness as feeling like the room is spinning on physical exam the run test reveals
the air connection is greater than bone conduction bilaterally the web or test reveals lateralization to
the left she is unable to hear the examiners whisper on the right but she can hear the whisper on the
, left what is the next step to helping this patient symptoms - ANS-Start the patient on a low salt diet
prescribe meclizine for vertigo and refer to ENT
An 82-year-old female has been diagnosed with IBS and chronic constipation and diverticulitis following
a colonoscopy what pharmacologic agent should the clinician recommend - ANS-Bulking agent
A 26-year-old male recently returned from a camping trip with symptoms of acute gastroenteritis he
reports that he only ate vegetables from his garden that he can't prior to the attic which of the following
pathogens might be causing his symptoms - ANS-Clostridium botulinum
A 20-year-old male presents to your office in summer complaining of chest discoloration he is a lifeguard
and has been out in the sun without a shirt for a long period of time his physical exam so small flat
circular hypopigmented macules on his chest that he states are mildly paretic what is the treatment
choice for this diagnosis - ANS-Selenium sulfide shampoo
Mary H 82 presents with several other problems she states that her eyes are always draw and look
sunken in what do you suspect - ANS-Age related changes
Sharon a 47-year-old bank taylor is saying by the nurse practitioner in the office for red are you were
trying to decide between a diagnosis of conjunctivitis in irritate us why distinguishing character between
the two is - ANS-A Cillary flush when trying to decide between a diagnosis of conjunctivitis and he
irritates one distinguishing characteristic is the Silveri fret flush the toilet present in irritate us
Which of the following patients does not have an increased risk of candidia - ANS-A patient with a
history of coronary artery disease
A 25-year-old male present to your urgent care clinic complaining of genital pruritus. On physical exam
the patient has small erythematous excoriated papules on his pubic hair nomads are identified there's
no penile discharge and the patient has no constitutional symptoms he sexually active but where is
condoms during all sexual experiences what is the most likely diagnosis - ANS-Chlamydia
A rash that looks like the patient was slapped on the cheeks of the face is a hallmark characteristics for
what disease - ANS-Fifths disease
WITH CORRECT ANSWERS AND
VERIFIED LATEST QUESTIONS GRADED
A+
Which medications used to treat nausea and vomiting works by affecting the chemoreceptor trigger
zone, thereby stimulating upper gastrointestinal motility and increasing lower esophageal sphincter
pressure? - ANS-Anticholinergics, such as scopolamine (Donnatal).
Regular ocular pressure testing is indicated for older adults taking - ANS-How does inhaled
Glucocorticoid
When you are assessing the internal structure of the eye of your 15 annual patients the absence of a red
in reflex - ANS-A cataract or hemorrhage into the vitreous humor
Mr. Clark, age 78, is being treated with timolol maleate (Timoptic) drops for his chronic open-angle
glaucoma. While performing a new client history and physical, you note that he is taking other
medications. Which medication would you be most concerned about?
1.Aspirin therapy as prophylaxis for heart attack.
2.Ranitidine (Zantac) for gastroesophageal reflux disease.
3.Alprazolam (Xanax), an anxiolytic.
4.Atenolol (Tenormin), a beta blocker for high blood pressure - ANS-Atenolol (Tenormin), a beta blocker
for high blood pressure
,rationale: If a client is taking timolol maleate (Timoptic) drops for chronic open-angle glaucoma, you
should be most concerned if the client is also taking atenolol (Tenormin), a beta blocker, for high blood
pressure. Because timolol maleate drops are beta-adrenergic blockers, additional beta blockers can
cause worsening of congestive heart failure or reactive airway disease, as well as acute delirium
The antibiotic of choice for recurrent acute otitis media (AM) and/or
treatment failure in children is: - ANS-Amoxicillin and potassium clavulanate (Augmentin).
A 67-year old female on multiple medications for chronic conditions
was just diagnosed with gastroesophageal reflux disease (GERD). In
teaching the patient about the disease, what medication should the
clinician recommend that the patient refrain from using? - ANS-Nonsteroidal anti-inflammatory drugs
(NSAIDs).
A 30-year-old male presents to the clinic with intermittent diarrhea.
He is pretty sure that the antacids taken for heartburn are the cause
since the loose stools always occur within 30 minutes after taking
them. How should the clinician respond? - ANS-Antacids may contain magnesium, which decreases
bowel
transit time and may contain poorly absorbed salts that result
in an osmotic draw iofufluid into the bowel resulting in diarrhea.
When the Weber test is performed with a tuning fork to assess
hearing and there is no lateralization, the clinician should document
this finding as: - ANS-A normal finding.
A 72-year-old male patient presents to the clinic for his annual
physical. He states that he is worried because he only has a bowel
movement every three days. How should the clinician respond? - ANS-There is no such thing as a
"normal" pattern of defecation.
Patterns of defecation vary widely and may in part be affected
,by dietary habits, fluid intake, bacteria in the stool,
psychological stress, or voluntary postponement of
defecation. Defecating every third day could be the routine
pattern for Simon. He should be questioned if this is routine
for him.
A 21-year-old female patient presents to the clinic for pre-operative
tonsillectomy clearance. She has heard about permanent taste
changes after a tonsillectomy and is concerned. What should the
clinician tell her? - ANS-Although some clients report a significant subjective drop in
taste function following surgery, none have ongoing taste
dysfunction.
In a young child, unilateral purulent rhinitis is most often caused by: - ANS-A foreign body.
Nausea is difficult to discern in a young child what question should the clinician asked to determine if a
child has nausea - ANS-Are you hungry
A 38-year-old male has recently had an iliomy for ulcerative colitis which self-care measure should the
clinician teach him to relieve food blockade - ANS-Massage the periosteum area
52 year old female as suspected of having a gastric ulcer and will undergo an EGD she's concerned
because she heard that gastric ulcers can be malignant how should the clinician respond - ANS-About
95% of gastric ulcers are Banan even though they seem to like a malignant on x-ray
A 29 year old female just returned from Central America with travelers diarrhea and presents to the
clinic for evaluation which of the following is the best treatment - ANS-Supportive care
A 75-year-old female presents to your office complaining of dizziness and ringing in both ears for one
day she describes the dizziness as feeling like the room is spinning on physical exam the run test reveals
the air connection is greater than bone conduction bilaterally the web or test reveals lateralization to
the left she is unable to hear the examiners whisper on the right but she can hear the whisper on the
, left what is the next step to helping this patient symptoms - ANS-Start the patient on a low salt diet
prescribe meclizine for vertigo and refer to ENT
An 82-year-old female has been diagnosed with IBS and chronic constipation and diverticulitis following
a colonoscopy what pharmacologic agent should the clinician recommend - ANS-Bulking agent
A 26-year-old male recently returned from a camping trip with symptoms of acute gastroenteritis he
reports that he only ate vegetables from his garden that he can't prior to the attic which of the following
pathogens might be causing his symptoms - ANS-Clostridium botulinum
A 20-year-old male presents to your office in summer complaining of chest discoloration he is a lifeguard
and has been out in the sun without a shirt for a long period of time his physical exam so small flat
circular hypopigmented macules on his chest that he states are mildly paretic what is the treatment
choice for this diagnosis - ANS-Selenium sulfide shampoo
Mary H 82 presents with several other problems she states that her eyes are always draw and look
sunken in what do you suspect - ANS-Age related changes
Sharon a 47-year-old bank taylor is saying by the nurse practitioner in the office for red are you were
trying to decide between a diagnosis of conjunctivitis in irritate us why distinguishing character between
the two is - ANS-A Cillary flush when trying to decide between a diagnosis of conjunctivitis and he
irritates one distinguishing characteristic is the Silveri fret flush the toilet present in irritate us
Which of the following patients does not have an increased risk of candidia - ANS-A patient with a
history of coronary artery disease
A 25-year-old male present to your urgent care clinic complaining of genital pruritus. On physical exam
the patient has small erythematous excoriated papules on his pubic hair nomads are identified there's
no penile discharge and the patient has no constitutional symptoms he sexually active but where is
condoms during all sexual experiences what is the most likely diagnosis - ANS-Chlamydia
A rash that looks like the patient was slapped on the cheeks of the face is a hallmark characteristics for
what disease - ANS-Fifths disease
