NR 511 Midterm Questions & 100%
Correct Answers
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?
✓ :~~ Anticholinergics, such as scopolamine (Donnatal).
The antibiotic of choice for recurrent acute otitis media (AM) and/or
treatment failure in children is:
✓ :~~ 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?
✓ :~~ 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?
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✓ :~~ 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:
✓ :~~ 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?
✓ :~~ 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
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tonsillectomy clearance. She has heard about permanent taste
changes after a tonsillectomy and is concerned. What should the
clinician tell her?
✓ :~~ 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:
✓ :~~ 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
✓ :~~ 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
✓ :~~ 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
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✓ :~~ 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
✓ :~~ 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
✓ :~~ 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
✓ :~~ Bulking agent
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