NR 511 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

NR 511 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) Mrs. Jameson complains of unilateral blurry vision and partial blindness in the left eye. On PE, you find decreased peripheral vision on her left side. Funduscopic examination reveals cotton wool spots. Your most likely diagnosis is A. cryptococcosis B. toxoplasmosis C. cytomegalovirus infection D. herpes simplex virus infection Answer C Sickle cell anemia affects African Americans. Approximately 1 in 400 African Americans in the United States has sickle cell disease (SCD). Advances in treatment have been made, but life expectancy is still limited. The mean survival time for men with the disease is approximately A. 24 years B. 34 years C. 42 years D. 52 years Answer C You suspect that your new client Doug, age 28, has hepatitis C although he is currently asymptomatic. Your suspicion is based on his medical history, which includes which of the following factors that has been identified as a red flag for this disease? A. History of GERD B. Diet high in fat and alcohol C. A history of mononucleosis at age 17 D. Unsafe sexual behaviors Answer D Your client, George, age 60, presents with pruritus and complains of lymphadenopathy in his neck. He also complains of night sweats and has noticed a low-grade fever. He has not lost any weight and otherwise feels well. He is widowed and has been dating a new woman recently. On physical examination, you find enlarged supraclavicular nodes. You suspect: A. Lung cancer. B. Hodgkin's lymphoma. C. A lingering viral infection from a bout of flu he had 6 weeks ago. D. Non-Hodgkin's lymphoma. Answer B Mindy, age 6, recently was discharged from the hospital after a sickle cell crisis. You are teaching her parents to be alert to the manifestations of splenic sequestration and tell them to be alert to A. vomiting and diarrhea B. decreased mental acuity C. abdominal pain, pallor, and tachycardia D. abdominal pain and vomiting Answer C Your client Mrs. Young, age 64, is here to see you because she has pain in her left breast. She reports no pain in her right breast and no noted lesions or masses on breast self-exam, which she performs monthly. You know that A. at her age, you do not need to worry about breast cancer B. initial presentation of breast pain is usually not suspicious for a malignancy C. she must be sent for a mammogram as soon as possible D. she has no personal or family history of breast cancer; therefore, you are not concerned Answer C Samantha is being given platelets because of acute leukemia. One "pack" of platelets should raise her count by how much? A. 2,000 to 4,000 mm3 B. 5,000 to 8,000 mm3 C. 9,000 to 12,000 mm3 D. About 15,000 mm3 Answer B Sherri's blood work returns with a decreased mean cell volume (MCV) and a decreased mean cellular hemoglobin concentration (MCHC). What should you do next? A. Order a serum iron and total iron binding capacity (TIBC) B. Order a serum ferritin C. Order a serum folate level D. Order a serum iron, TIBC, and serum ferritin level Answer D Robin has HIV and is having a problem with massive diarrhea. You suspect the cause is A. cryptococcosis B. toxoplasmosis C. cryptosporidiosis D. cytomegalovirus Answer C Julia asks how smoking increases the risk for folic acid deficiency. You respond that smoking A. causes small-vessel disease and constricts all vessels that transport essential nutrients B. decreases vitamin C absorption C. affects the liver's ability to store folic acid D. causes nausea, thereby inhibiting the appetite and ingestion of foods rich in folic acid Answer B Jimmy, age 6 months, is newly diagnosed with sickle cell disease. His mother brings him to the clinic for a well-baby visit. Which of the following should you do on this visit? A. Tell the parents that Jimmy will not be immunized because of his diagnosis. B. Tell the parents that Jimmy should not go to day care C. Immunize Jimmy with diphtheria, tetanus, and pertussis; Haemophilus influenzae type B (HIB); hepatitis B (HBV); and poliomyelitis vaccines D. Immunize Jimmy with measles, mumps, and rubella; HIB; and HBV vaccines only Answer C Your client, Ms. Jones, has an elevated platelet count. You suspect A. systemic lupus erythematosus B. infectious mononucleosis C. disseminated intravascular coagulation (DIC) D. splenectomy Answer D