DRT 1 latet review [study guide ]
Which of the following steps comes first in the quality assurance process?
a. Establishing thresholds for evaluation related to the indicators
b. Collecting and organizing data
c. Delineating the scope of practice
d. Assessing the effectiveness of an action - (correct Answer) - c. Delineating the scope of practice
Joy, a 30-year-old female, is worried about the "mood" she has experienced for the past few weeks. She
says she feels "really sad" nearly every day and wants to know if she is clinically depressed. Which of the
following findings is required to confirm the diagnosis?
a. Excessive guilt or feelings of worthlessness
b. Fatigue
c. Anhedonia --> diminished pleasure in almost all activities
d. insomnia - (correct Answer) - c. Anhedonia --> diminished pleasure in almost all activities
During an annual exam, you notice a 12-year-old girl with breast enlargement without separate nipple
contour. You tell her she can expect which of the following next stage of her development?
a. Breast buds with areolar enlargement
b. Receding areolas and retracting nipples
c. Sparse, pale, fine pubic hair
d. Onset of menses - (correct Answer) - d. Onset of menses
What Tanner stage is sparse, pale, fine pubic hair? - (correct Answer) - Tanner stage II
What Tanner stage is breast buds with areolar enlargement? - (correct Answer) - Tanner stage II
What Tanner stage is breast enlargement without separate nipple contour? - (correct Answer) - Tanner
stage III
What Tanner stage is onset of menses and projection of areola and nipple as secondary mound? -
(correct Answer) - Tanner stage IV
What Tanner stage is projection of areola and nipple as secondary - (correct Answer) - Tanner stage IV
What Tanner stage is receding areolas and retracting nipples? - (correct Answer) - Tanner stage V -->
menstruation has already begun
Which of the following is NOT a characteristic of severe asthma in adults?
,a. Symptoms throughout the day
b. Extreme limitations on normal activity
c. Predicted forced expiratory value in 1 s < 60%
d. Nighttime awakenings 3-4 times per month - (correct Answer) - d. Nighttime awakenings 3-4 times per
month
An African American complains of being constantly out of breath even in the absence of strenuous
activity. He also noticed a sudden onset of severe pain in his back and chest. He has a hemoglobin of
13g/dL. What disease is this patient experiencing and which of the following would be the LEAST
appropriate treatment?
a. 5 units of pack RBC
b. Oxygen
c. Intravenous fluids
d. Analgesics - (correct Answer) - a. 5 units of pack RBC
A 54-year-old is being screened for HTN, a condition that runs in his family. Which of the following
findings is NOT consistent with a diagnosis of significant HTN?
a. Epistaxis
b. A subparietal headache
c. Blurred vision
d. A S4 heart sound - (correct Answer) - b. A subparietal headache
What type of headache is associated with HTN?
a. Suboccipital
b. Subparietal - (correct Answer) - a. Suboccipital
What type of headache is associated with intracranial bleeding?
a. Suboccipital
b. Subparietal - (correct Answer) - b. Subparietal
What is an S4 heart sounds associated with? - (correct Answer) - Left ventricular hypertrophy
An 8-month-old baby presents with bluish skin and a cleft palate. The NP notes that the baby is twitching
around her mouth, as well as spasms in her hand and arms. Her parents also report seizures. Upon
further observation, the NP learns that the baby is also developmentally delayed in many areas. Which
of the following should be part of your differential diagnosis?
a. Marfan syndrome
, b. Tay-Sachs disease
c. Turner syndrome
d. DiGeorge syndrome - (correct Answer) - d. DiGeorge syndrome
What are characteristics of Tay-Sachs disease? - (correct Answer) - Low muscle tone, seizures, blindness,
and deafness
What are characteristics of Marfan syndrome? - (correct Answer) - Thin extremities and fingers, and a
long, narrow face
What syndrome is characterized by lymphedema, short stature, and a webbed neck? - (correct Answer) -
Turner syndrome
A patient presents with pain and pressure over his face, reaching as far back as his teeth. He also has a
fever of 102F, which he has been treating with rest and fluids. When asked when these occurred, he
states 3 days ago. Which of the following is the most effect treatment?
a. OTC antihistamines
b. Diazepam for the pain
c. OTC oral decongestants
d. Antibiotics - (correct Answer) - d. Antibiotics
S/S of sinusitis, but fever indicates bacterial infection
What best describes an I/VI murmur? - (correct Answer) - Barely audible
What best describes an II/VI murmur? - (correct Answer) - Audible but faint
What best describes an III/VI murmur? - (correct Answer) - Moderately loud and easily heard
What best describes an IV/VI murmur? - (correct Answer) - Sound is loud and is associated with a thrill
A man who recently attempted suicide is brought into your clinic by his wife. What is the LEAST effective
treatment for this patient?
a. Antipsychotics is patient is psychotic
b. Hospitalization if the situation is acute
c. Intervention if the patient's risk if escalating
d. Antidepressants if the situation is chronic - (correct Answer) - c. Intervention if the patient's risk if
escalating
A 75-year-old diabetic male requires treatment for pneumonia. Which of the following drugs is NOT
recommended for this patient?
a. Gemifloxacin
Which of the following steps comes first in the quality assurance process?
a. Establishing thresholds for evaluation related to the indicators
b. Collecting and organizing data
c. Delineating the scope of practice
d. Assessing the effectiveness of an action - (correct Answer) - c. Delineating the scope of practice
Joy, a 30-year-old female, is worried about the "mood" she has experienced for the past few weeks. She
says she feels "really sad" nearly every day and wants to know if she is clinically depressed. Which of the
following findings is required to confirm the diagnosis?
a. Excessive guilt or feelings of worthlessness
b. Fatigue
c. Anhedonia --> diminished pleasure in almost all activities
d. insomnia - (correct Answer) - c. Anhedonia --> diminished pleasure in almost all activities
During an annual exam, you notice a 12-year-old girl with breast enlargement without separate nipple
contour. You tell her she can expect which of the following next stage of her development?
a. Breast buds with areolar enlargement
b. Receding areolas and retracting nipples
c. Sparse, pale, fine pubic hair
d. Onset of menses - (correct Answer) - d. Onset of menses
What Tanner stage is sparse, pale, fine pubic hair? - (correct Answer) - Tanner stage II
What Tanner stage is breast buds with areolar enlargement? - (correct Answer) - Tanner stage II
What Tanner stage is breast enlargement without separate nipple contour? - (correct Answer) - Tanner
stage III
What Tanner stage is onset of menses and projection of areola and nipple as secondary mound? -
(correct Answer) - Tanner stage IV
What Tanner stage is projection of areola and nipple as secondary - (correct Answer) - Tanner stage IV
What Tanner stage is receding areolas and retracting nipples? - (correct Answer) - Tanner stage V -->
menstruation has already begun
Which of the following is NOT a characteristic of severe asthma in adults?
,a. Symptoms throughout the day
b. Extreme limitations on normal activity
c. Predicted forced expiratory value in 1 s < 60%
d. Nighttime awakenings 3-4 times per month - (correct Answer) - d. Nighttime awakenings 3-4 times per
month
An African American complains of being constantly out of breath even in the absence of strenuous
activity. He also noticed a sudden onset of severe pain in his back and chest. He has a hemoglobin of
13g/dL. What disease is this patient experiencing and which of the following would be the LEAST
appropriate treatment?
a. 5 units of pack RBC
b. Oxygen
c. Intravenous fluids
d. Analgesics - (correct Answer) - a. 5 units of pack RBC
A 54-year-old is being screened for HTN, a condition that runs in his family. Which of the following
findings is NOT consistent with a diagnosis of significant HTN?
a. Epistaxis
b. A subparietal headache
c. Blurred vision
d. A S4 heart sound - (correct Answer) - b. A subparietal headache
What type of headache is associated with HTN?
a. Suboccipital
b. Subparietal - (correct Answer) - a. Suboccipital
What type of headache is associated with intracranial bleeding?
a. Suboccipital
b. Subparietal - (correct Answer) - b. Subparietal
What is an S4 heart sounds associated with? - (correct Answer) - Left ventricular hypertrophy
An 8-month-old baby presents with bluish skin and a cleft palate. The NP notes that the baby is twitching
around her mouth, as well as spasms in her hand and arms. Her parents also report seizures. Upon
further observation, the NP learns that the baby is also developmentally delayed in many areas. Which
of the following should be part of your differential diagnosis?
a. Marfan syndrome
, b. Tay-Sachs disease
c. Turner syndrome
d. DiGeorge syndrome - (correct Answer) - d. DiGeorge syndrome
What are characteristics of Tay-Sachs disease? - (correct Answer) - Low muscle tone, seizures, blindness,
and deafness
What are characteristics of Marfan syndrome? - (correct Answer) - Thin extremities and fingers, and a
long, narrow face
What syndrome is characterized by lymphedema, short stature, and a webbed neck? - (correct Answer) -
Turner syndrome
A patient presents with pain and pressure over his face, reaching as far back as his teeth. He also has a
fever of 102F, which he has been treating with rest and fluids. When asked when these occurred, he
states 3 days ago. Which of the following is the most effect treatment?
a. OTC antihistamines
b. Diazepam for the pain
c. OTC oral decongestants
d. Antibiotics - (correct Answer) - d. Antibiotics
S/S of sinusitis, but fever indicates bacterial infection
What best describes an I/VI murmur? - (correct Answer) - Barely audible
What best describes an II/VI murmur? - (correct Answer) - Audible but faint
What best describes an III/VI murmur? - (correct Answer) - Moderately loud and easily heard
What best describes an IV/VI murmur? - (correct Answer) - Sound is loud and is associated with a thrill
A man who recently attempted suicide is brought into your clinic by his wife. What is the LEAST effective
treatment for this patient?
a. Antipsychotics is patient is psychotic
b. Hospitalization if the situation is acute
c. Intervention if the patient's risk if escalating
d. Antidepressants if the situation is chronic - (correct Answer) - c. Intervention if the patient's risk if
escalating
A 75-year-old diabetic male requires treatment for pneumonia. Which of the following drugs is NOT
recommended for this patient?
a. Gemifloxacin
