NR 511 MIDTERM Exam WITH 200 Questions AND ANSWERS
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Course
NR 511
Institution
NR 511
NR 511 MIDTERM Exam WITH
200 Questions AND ANSWERS
Kathleen, age 54, has persistent pruritus of the external auditory canal.
External otitis and dermatological conditions, such as seborrheic dermatitis
and psoriasis, have been ruled out. What can you advise her to do?
1.Use a cotton-tipp...
Kathleen, age 54, has persistent pruritus of the external auditory canal.
External otitis and dermatological conditions, such as seborrheic dermatitis
and psoriasis, have been ruled out. What can you advise her to do?
1.Use a cotton-tipped applicator daily to remove all moisture and potential
bacteria.
2.Wash daily with soap and water.
3.Apply mineral oil to counteract dryness.
4.Avoid topical corticosteroids. - ANSWER-Apply mineral oil to counteract
dryness.
rationale: Pruritus of the external ear canal is a common problem. In
most cases, the pruritus is self-induced from overenthusiastic
cleaning or excoriation. The protective cerumen covering must be
allowed to regenerate and may be helped to do so by application of a
small amount of mineral oil, which helps counteract dryness and
reject moisture. Often, the use of isopropyl alcohol may relieve ear
canal pruritus as well
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At the clinic, you are assessing Kyle, a 4-month-old baby, for the first time
and notice that both eyes are turning inward. What is this called?
1.Pseudostrabismus.
2.Strabismus.
3.Esotropia.
4.Exotropia - ANSWER-Esotropia
rationale: Esotropia is the inward turning of the eyes
Kevin, age 26, has AIDS and presents to the clinic with complaints of a
painful tongue covered with what look like creamy white, curdlike patches
overlying erythematous mucosa. You are able to scrape off these "curds"
with a tongue depressor, which assists you in making which of the following
diagnoses?
1.Leukoplakia.
2.Lichen planus.
3.Oral candidiasis.
4.Oral cancer. - ANSWER-Oral candidiasis
rationale: Oral candidiasis (thrush) is distinctive because the white
areas on the tongue can be rubbed off with a tongue depressor.
Thrush may be seen in denture wearers, in debilitated clients, and in
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those who are immunocompromised or taking corticosteroids or
broad-spectrum antibiotics
What is the most common cause of epistaxis?
1.Digital trauma.
2.Warfarin.
3.Vitamin C deficiency.
4.Hemophilia A - ANSWER-digital trauma
rationale: Picking the nose is the most common cause of nosebleeds
You are the nurse practitioner caring for Martha, a 47-year-old accountant.
You have made a diagnosis of acute sinusitis based on Martha's history
and the fact that she complains of pain behind her eye. Which sinuses are
affected?
1.Maxillary.
2.Ethmoid.
3.Frontal.
4.Sphenoid - ANSWER-ethmoid
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rationale: With ethmoid sinus problems, the pain is felt behind the eye
and high on the nose
A 25-year-old client who plays in a band complains that he finds it difficult
to understand his fellow musicians at the end of a night of performing, a
problem that is compounded by the noisy environment of the club. These
symptoms are most characteristic of which of the following?
1.Sensorineural loss.
2.Conductive loss.
3.Tinnitus.
4.Vertigo. - ANSWER-sensorineural hearing loss
rationale: Sensorineural loss comes from exposure to loud noises, inner
ear infections, tumors, congenital and familial disorders, and aging. The
results of the Weber and Rinne tests will assist in the diagnosis
Mandy, 44, was given a diagnosis of flu 1 day ago and wants to start on the
"new flu medicine" right away. What do you tell her?
1."The medication is effective only if started within the first 72 hours after
symptoms begin."
2."If you treat a cold, it goes away in 7 days; if you don't treat it, it goes
away in 1 week."
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