NURS 623 FINAL MARYVILLE ACTUAL EXAM GUIDE
NEWEST VERSION 2024-2025 EXPECTED QUESTION AND
CORRECT ANSWER FROM VERIFIED SOURCES.RATED A
GRADE.
A 28 y/o patient is seen with complaints of diarrhea. Which of the
following questions would help the clinician establish the diagnosis of
irritable bowel syndrome?
A. Sometimes is constipated
B. All the answers
C. Feels relief after bowel movement
D. Does not defecate in the middle of the night - ANSWER-✔✔B. All the
answers
. In an older adult with impaired renal function the APN would
anticipate that there is no need to adjust the antimicrobial dose with
the use of
A. Ceftriaxone
B. Tobramycin
C. Levofloxacin
D. Vancomycin - ANSWER-✔✔A. Ceftriaxone
Management of fibromyalgia include
,A. Instructing client to keep busy as possible to keep their minds off the
symptoms
B. Avoiding exercise
C. Using high dose NSAIDs
D. Giving psychotropic drugs such as amitriptyline (elavil), in a low dose
at bedtime - ANSWER-✔✔D. Giving psychotropic drugs such as
amitriptyline (elavil), in a low dose at bedtime
The NP is asked to evaluate a 77 y/o woman who recently had a fall. The
patient is normally healthy & has no mobility limitations or other
obvious risk factors. During the history the NP learns that the patient
did not attempt to break the fall "I just suddenly found myself on the
floor" This statement suggests
A. Underlying sensory deficits (visual, hearing) are most likely the cause
of the fall & require physical assessment
B. Previously undiagnosed cognitive impairment that requires further
evaluation
C. That a history of alcohol use or abuse should be explored
D. A syncopal episode requiring a cardiovascular & neurological
evaluation - ANSWER-✔✔D. A syncopal episode requiring a
cardiovascular & neurological evaluation
A diagnosis of__ should be considered in an 82 y/o woman with a new
onset of urinary incontinence coupled with an acute change in mental
status.
A. Spinal cord compression
, B. Dementia
C. Kidney stone
D. Delirium - ANSWER-✔✔D. Delirium
29. Which of the following data are indicative of testicular torsion?
A. Swollen scrotum with "red dot sign"
B. Absent cremasteric reflex
C. Testicle very low in the scrotum
D. Pain relieved on testicular evaluation - ANSWER-✔✔B. Absent
cremasteric reflex
John is a 16 y/o boy presents to your office after hurting his knee in a
football game. He described twisting his knee & then being able to
extend it completely. John tells you he heard a pop when the injury
occurred & has been experiencing localized pain. You suspect a
meniscal tear. Which test would be most appropriate to assess for the
presence of a meniscal tear?
A. Lachman test (anterior cruciate tear)
B. Vulgus stress test (assess medial collateral ligament stability)
C. McMurray circumduction test (meniscal tear)
D. Varus stress test (assess lateral collateral ligament stability) -
ANSWER-✔✔C. McMurray circumduction test (meniscal tear)
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