NR 667 Tips Certification Review Plan|2025 Update
with complete solutions
a 4 mos. old is suspected of having developmental dysplasia of the hip. what
test would best assess for this? - answer-Galeazzi and Klisic: limited abduction
and apparent thigh length discrepency is a better indicator of DDH than is
instability after 3 months of age, Barlow and Ortolani maneuvers are tests used
to test hip instability in newborns until approx. 3 months old. Trendelenburg
pelvic test is to test for walking age children to test for hip weakness and is
characterized by unilateral hip dyspleasia.
which mitral disorder results from redundancy of the mitral valve leaflet? -
answer-mitral valve prolapse. Most common . adult murmur. Valves annulus
becomes enlarged in conjunction with elongated chordae tendonae (this is
degeneration of the mitral tissue.
serum ferritin - answer-demonstrates the amount of iron in storage. helpful in
evaluating pts being treated for iron deficiency anemia.
a patient with aortic stenosis has been asymptomatic for decades and begins
c/o some dizziness c activity w/o chest pain or sob. - answer-refer to
cardiology; be alert for s/s that precede syncope. dizziness precedes
syncompe, and the patient is now presenting with symptoms of aortic stenosis.
A patient taking candesartan should avoid - answer-K+ supplements.
Candesartan can produce hyperkalemia because the MOA spares K+.
, A patient taking long actin basal insulin has elevated blood glucose. What
blood sugars are important to evaluae and base insulin changes on - answer-
AM fasting. . basal insulin mimics steady stream of insulin produced by the
pancrease throughout day. Should be based off of fastin AM glucose check.
The other blood sugars reflect blood sugar in reflection to meals.
hyperthyroidism may affect bp by increase SBP and DBP. It is also a common
cause of secondary HTN> other Endocrine disorders that do the same are: -
answer-Pheochromocytoma, Cushings syndrome, neuroblastoma. all of these
are causes of secondary HTN.
An immune response to Strep A infection of the hear are - answer-rheumatic
fever. Can also affect CNS and joints. most common age group affected is 5-15
yo. Residual affects not felt until decades later.
At what age should hearing screening be performed on older adults according
to Assessing Care in Vulnerable Elders - answer-75 yo. completed at initial
evaluation, if fails needs referral to audiology. Correlation with compliance
with heawring aids.
An adult has UR sx and cough x 14 days. what should be considered? - answer-
Pertussis should be considered any time there is an acute cough for greater
than 5 days. incubation period is about 7-10 days.
Classic paroxysmal sign is a cough that starts in the seond week of illness. The
duration of the cough is about 3 months even after treated with abx.
HIGHLY INFECTIOUS AND A REPORTABLE DISEASE.
with complete solutions
a 4 mos. old is suspected of having developmental dysplasia of the hip. what
test would best assess for this? - answer-Galeazzi and Klisic: limited abduction
and apparent thigh length discrepency is a better indicator of DDH than is
instability after 3 months of age, Barlow and Ortolani maneuvers are tests used
to test hip instability in newborns until approx. 3 months old. Trendelenburg
pelvic test is to test for walking age children to test for hip weakness and is
characterized by unilateral hip dyspleasia.
which mitral disorder results from redundancy of the mitral valve leaflet? -
answer-mitral valve prolapse. Most common . adult murmur. Valves annulus
becomes enlarged in conjunction with elongated chordae tendonae (this is
degeneration of the mitral tissue.
serum ferritin - answer-demonstrates the amount of iron in storage. helpful in
evaluating pts being treated for iron deficiency anemia.
a patient with aortic stenosis has been asymptomatic for decades and begins
c/o some dizziness c activity w/o chest pain or sob. - answer-refer to
cardiology; be alert for s/s that precede syncope. dizziness precedes
syncompe, and the patient is now presenting with symptoms of aortic stenosis.
A patient taking candesartan should avoid - answer-K+ supplements.
Candesartan can produce hyperkalemia because the MOA spares K+.
, A patient taking long actin basal insulin has elevated blood glucose. What
blood sugars are important to evaluae and base insulin changes on - answer-
AM fasting. . basal insulin mimics steady stream of insulin produced by the
pancrease throughout day. Should be based off of fastin AM glucose check.
The other blood sugars reflect blood sugar in reflection to meals.
hyperthyroidism may affect bp by increase SBP and DBP. It is also a common
cause of secondary HTN> other Endocrine disorders that do the same are: -
answer-Pheochromocytoma, Cushings syndrome, neuroblastoma. all of these
are causes of secondary HTN.
An immune response to Strep A infection of the hear are - answer-rheumatic
fever. Can also affect CNS and joints. most common age group affected is 5-15
yo. Residual affects not felt until decades later.
At what age should hearing screening be performed on older adults according
to Assessing Care in Vulnerable Elders - answer-75 yo. completed at initial
evaluation, if fails needs referral to audiology. Correlation with compliance
with heawring aids.
An adult has UR sx and cough x 14 days. what should be considered? - answer-
Pertussis should be considered any time there is an acute cough for greater
than 5 days. incubation period is about 7-10 days.
Classic paroxysmal sign is a cough that starts in the seond week of illness. The
duration of the cough is about 3 months even after treated with abx.
HIGHLY INFECTIOUS AND A REPORTABLE DISEASE.
