NR 511 FINAL EXAM LATEST 2024-2025
QUESTIONS AND VERIFIED SOLUTIONS
RATED A.
A 25-year-old patient presents to the clinic with fatigue, cold intolerance,
weight gain and constipation for the past 3 months. On physical exam, the
clinician notices a sinus bradycardia, muscular stiffness, coarse dry hair
and a delay in relaxation in deep tendon reflexes (DTR's). Which of the
following tests should be ordered next?
a. Serum Calcium
b. Thyroid Stimulating Hormone (TSH)
c. electrolytes
d. urine specific gravity
b. Thyroid Stimulating Hormone (TSH)
You are preforming muscle strength testing on a patient presenting with
musculoskeletal pain and find that the patient has complete range of
motion with gravity eliminated. Which numeric grade of muscle strength
would you give this patient?
a. 1
b. 2
c. 3
d. 4
b. 2
The patient is diagnosed with overactive bladder (OAB). Which of the
following instructions should be given to this woman?
a. Limit the amount of water that you drink
b. eliminate caffeine from your diet
,c. wear panty liners
d. all of the above
b. eliminate caffeine from your diet
A 28 year old patient is seen in the office with colicky abdominal pain,
particularly with meals. She has frequent constipation, flatulence and
abdominal distention. Which of the data makes a diagnosis of diverticulitis
unlikely?
a. her age
b. frequent constipation
c. flatulence
d. colicky abdominal pain
a. her age
Treatment for epididymitis includes which of the following?
a. warm sitz baths
b. scrotal elevation
c. masturbation
d. all of the above
b. scrotal elevation
Josh, aged 22, has tinea versicolor. Which description is the most likely for
this condition?
a. there are round hypopigmented macules on his back
b. there are red papules on his face
c. there are crusted placques in Josh's groin area
d. there are white streaks on his neck
a. there are round hypopigmented macules on his back
The clinican has instructed Sam, a 25 year old patient with low back
strain, to use NSAID's to manage his symptoms of pain and discomfort.
Which of the following statements would be most appropriate withn
,teaching sam about the use of NSAID' to manage his pain
a. you should start with the lowest dose that is effective in managing your
pain because long term use of NSAIDS can result in gastrointestinal (GI)
disorders such as ulcers and hemmorhage
b. you should start with the lowest dose that is effective in managing your
pain in order to avoid developing tolerance to the medication
c. you should take the maximum recommended dose of NSAID's so that
you will not need to take narcotics to control your pain
a. you should start with the lowest dose that is effective in managing your
pain because long term use of NSAIDS can result in gastrointestinal (GI)
disorders such as ulcers and hemmorhage
Which of the following patients are at risk for developing urinary tract
cancer?
a. the 45 year old woman who is 100 pounds overweight
b. the 78 year old man who smokes three packs of cigarettes a day
c. the 84 year old man who worked in the asbestos mines
d. all of the above
d. all of the above
SNAPPS pneumonic used to describe a technique in orally presenting a
patient.
A. true
b. false
A. true
The clinician is caring for Diane, a 22 year old woman who presents with
an injured ankle. Diane asks if she will need an x-ray. The clinician
explains to Diane that an x-ray is not always necessary for an injured
ankle and that the decision to obtain radiography is dependent on the
exam and Diane's description of the injury. Which of the following clues in
, Diane exam or history would alert the clinician to the need for obtaining
radiographs
a. if she was not able to bear weight immediately after the injury
b. if the ankle developed marked swelling and discoloration after the
injury
c. if crepitation occurs with palpation or movement of the ankle
d. all of the above
d. all of the above
A patient is seen with a sudden onset of flank pain accompanied by
nausea, vomiting and diaphoresis. In addition to nephrolithasis, which of
the following should be added to the list of differential diagnosis
a. Pancreatitis'
b. peptic ulcer disease
c. diverticulitis
d all of the above
d all of the above
Acute angle-closure glaucoma involves a sudden severe rise in intraocular
pressure. Which of the following ranges represents normal intraocular
pressure
a. 0 to 7 mmHg
b 8 to 21 mmHg
c. 22 to 40 mmHg
d. 40-80mmHg
b 8 to 21 mmHg
Janet is a 30 year old woman who has been recently diagnosed with a
herniated disc at the level of L5-S1. She is currently in the emergency room
with suspician of cauda equna compression. Which of the following is a
sign or symptom of cauda equina compression?
QUESTIONS AND VERIFIED SOLUTIONS
RATED A.
A 25-year-old patient presents to the clinic with fatigue, cold intolerance,
weight gain and constipation for the past 3 months. On physical exam, the
clinician notices a sinus bradycardia, muscular stiffness, coarse dry hair
and a delay in relaxation in deep tendon reflexes (DTR's). Which of the
following tests should be ordered next?
a. Serum Calcium
b. Thyroid Stimulating Hormone (TSH)
c. electrolytes
d. urine specific gravity
b. Thyroid Stimulating Hormone (TSH)
You are preforming muscle strength testing on a patient presenting with
musculoskeletal pain and find that the patient has complete range of
motion with gravity eliminated. Which numeric grade of muscle strength
would you give this patient?
a. 1
b. 2
c. 3
d. 4
b. 2
The patient is diagnosed with overactive bladder (OAB). Which of the
following instructions should be given to this woman?
a. Limit the amount of water that you drink
b. eliminate caffeine from your diet
,c. wear panty liners
d. all of the above
b. eliminate caffeine from your diet
A 28 year old patient is seen in the office with colicky abdominal pain,
particularly with meals. She has frequent constipation, flatulence and
abdominal distention. Which of the data makes a diagnosis of diverticulitis
unlikely?
a. her age
b. frequent constipation
c. flatulence
d. colicky abdominal pain
a. her age
Treatment for epididymitis includes which of the following?
a. warm sitz baths
b. scrotal elevation
c. masturbation
d. all of the above
b. scrotal elevation
Josh, aged 22, has tinea versicolor. Which description is the most likely for
this condition?
a. there are round hypopigmented macules on his back
b. there are red papules on his face
c. there are crusted placques in Josh's groin area
d. there are white streaks on his neck
a. there are round hypopigmented macules on his back
The clinican has instructed Sam, a 25 year old patient with low back
strain, to use NSAID's to manage his symptoms of pain and discomfort.
Which of the following statements would be most appropriate withn
,teaching sam about the use of NSAID' to manage his pain
a. you should start with the lowest dose that is effective in managing your
pain because long term use of NSAIDS can result in gastrointestinal (GI)
disorders such as ulcers and hemmorhage
b. you should start with the lowest dose that is effective in managing your
pain in order to avoid developing tolerance to the medication
c. you should take the maximum recommended dose of NSAID's so that
you will not need to take narcotics to control your pain
a. you should start with the lowest dose that is effective in managing your
pain because long term use of NSAIDS can result in gastrointestinal (GI)
disorders such as ulcers and hemmorhage
Which of the following patients are at risk for developing urinary tract
cancer?
a. the 45 year old woman who is 100 pounds overweight
b. the 78 year old man who smokes three packs of cigarettes a day
c. the 84 year old man who worked in the asbestos mines
d. all of the above
d. all of the above
SNAPPS pneumonic used to describe a technique in orally presenting a
patient.
A. true
b. false
A. true
The clinician is caring for Diane, a 22 year old woman who presents with
an injured ankle. Diane asks if she will need an x-ray. The clinician
explains to Diane that an x-ray is not always necessary for an injured
ankle and that the decision to obtain radiography is dependent on the
exam and Diane's description of the injury. Which of the following clues in
, Diane exam or history would alert the clinician to the need for obtaining
radiographs
a. if she was not able to bear weight immediately after the injury
b. if the ankle developed marked swelling and discoloration after the
injury
c. if crepitation occurs with palpation or movement of the ankle
d. all of the above
d. all of the above
A patient is seen with a sudden onset of flank pain accompanied by
nausea, vomiting and diaphoresis. In addition to nephrolithasis, which of
the following should be added to the list of differential diagnosis
a. Pancreatitis'
b. peptic ulcer disease
c. diverticulitis
d all of the above
d all of the above
Acute angle-closure glaucoma involves a sudden severe rise in intraocular
pressure. Which of the following ranges represents normal intraocular
pressure
a. 0 to 7 mmHg
b 8 to 21 mmHg
c. 22 to 40 mmHg
d. 40-80mmHg
b 8 to 21 mmHg
Janet is a 30 year old woman who has been recently diagnosed with a
herniated disc at the level of L5-S1. She is currently in the emergency room
with suspician of cauda equna compression. Which of the following is a
sign or symptom of cauda equina compression?
