NR 667 EXAM QUESTIONS AND CORRECT ANSWERS
A 3 day old infant has a bilirubin level of 16mg/dl. What should be done? -
ans✅✅initiate phototherapy. This level is considered high intermediate;
because it is expected the bilirubin level will rise in the next few days,
phototherapy is most appropriate.
Leukemia may have varied clinical presentation. What presentation would be
unusual to have in a leukemia patient? - ans✅✅sickle shaped cells; leukemia is
characterized by failure in the bone marrow. Sickle cell anemia would not be
observed unless they also had sca
What patient is at highest risk for suicide? - ans✅✅87 yo male with chronic
pain; older adults and men are successful with death. Suicide is more likely in
patients with : hopelessness, insomnia, alcohol abuse, unremitting pain,
restlessness, impaired concentration.
A 4 mos. Old is suspected of having developmental dysplasia of the hip. What
test would best assess for this? - ans✅✅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? -
ans✅✅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 - ans✅✅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. - ans✅✅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 - ans✅✅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 - ans✅✅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: -
ans✅✅pheochromocytoma, cushings syndrome, neuroblastoma. All of these
are causes of secondary htn.
An immune response to strep a infection of the hear are - ans✅✅rheumatic
fever. Can also affect cns and joints. Most common age group affected is 5-15 yo.
Residual affects not felt until decades later.
A 3 day old infant has a bilirubin level of 16mg/dl. What should be done? -
ans✅✅initiate phototherapy. This level is considered high intermediate;
because it is expected the bilirubin level will rise in the next few days,
phototherapy is most appropriate.
Leukemia may have varied clinical presentation. What presentation would be
unusual to have in a leukemia patient? - ans✅✅sickle shaped cells; leukemia is
characterized by failure in the bone marrow. Sickle cell anemia would not be
observed unless they also had sca
What patient is at highest risk for suicide? - ans✅✅87 yo male with chronic
pain; older adults and men are successful with death. Suicide is more likely in
patients with : hopelessness, insomnia, alcohol abuse, unremitting pain,
restlessness, impaired concentration.
A 4 mos. Old is suspected of having developmental dysplasia of the hip. What
test would best assess for this? - ans✅✅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? -
ans✅✅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 - ans✅✅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. - ans✅✅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 - ans✅✅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 - ans✅✅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: -
ans✅✅pheochromocytoma, cushings syndrome, neuroblastoma. All of these
are causes of secondary htn.
An immune response to strep a infection of the hear are - ans✅✅rheumatic
fever. Can also affect cns and joints. Most common age group affected is 5-15 yo.
Residual affects not felt until decades later.
