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NR 511 /NR511 MIDTERM EXAM 2024ACTUAL 2 VERSIONS WITH OVER 350
QUESTIONS WITH DETAILED
VERIFIED ANSWERS AND
RATIONALES/ BRAND NEW!! /A+
GRADE ASSURED
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
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."
3. "The medicine has not proven its effectiveness."
4. "I'll start you on oseltamivir (Tamiflu) today. It may
shorten the course of the disease and perhaps lessen the
severity of your symptoms." - ...ANSWER..."I'll start you on
oseltamivir (Tamiflu) today. It may shorten the course of the
disease and perhaps lessen the severity of your symptoms.
Rationale: Two antiviral drugs, oseltamivir (Tamiflu), a pill
taken by mouth, and zanamivir (Relenza), an inhaled
medication, are particularly effective against the influenza
viruses that cause the flu. If the virus causing the flu is type
A influenza, the client may benefit from either one of these
drugs
Marjorie, age 37, has asthma and has been told she has
nasal polyps. What do you tell her about them?
1.Nasal polyps are usually precancerous.
2.Nasal polyps are benign growths.
3. The majority of nasal polyps are neoplastic.
,4. They are probably inflamed turbinates, not polyps,
because polyps are infrequent in clients with asthma.
-
...ANSWER...Nasal polyps are benign growths
Rationale: Nasal polyps are benign growths that occur
frequently in clients with sinus problems, asthma, and
allergic rhinitis. Polyps are neither neoplastic growths nor
precancerous, but they do have the potential to affect the
flow of air through the nasal passages. Clients who have
asthma and have nasal polyps may have an associated
allergy to aspirin, a syndrome that is referred to as Samter
triad
Nystatin (Mycostatin) is ordered for Michael, a 56-year-old
banker who has an oral fungal infection. What instructions
for taking the medication do you give Michael?
1. "Dilute the oral medication with one tablespoon of
water for easier digestion."
2. "Take the medication with meals so that it's
absorbed better."
3. "Swish and swallow the medication."
4."Apply the medication only to the lesions.
-
...ANSWER..."Swish and swallow the medication."
Rationale: When ordering nystatin (Mycostatin) for an oral
fungal infection, tell the client to swish the medication in the
mouth to coat all the lesions and then to swallow it.
Erica, age 39, has a sudden onset of shivering, sweating,
headache, aching in the orbits, and general malaise and
misery. Her temperature is 102°F. The nurse
practitioner
, diagnosed her with influenza (flu). What is your next course
of action?
1. Order amoxicillin (Amoxil) 500 mg every 12 hours for
7 days.
2. Prescribe rest, fluids, acetaminophen (Tylenol),
and possibly a decongestant and an antitussive.
3. Order a complete blood count (CBC).
4.Consult with your collaborating physician -
...ANSWER...Prescribe rest, fluids, acetaminophen
(Tylenol), and possibly a decongestant and an antitussive.
Rationale: Management of flu is generally symptomatic
and includes rest, fluids, acetaminophen (Tylenol), and
possibly a decongestant and an antitussive. The client
should be advised to call or return to the clinic in 4 days if
symptoms are not improving
April, age 50, presents with soft, raised, yellow plaques
on her eyelids at the inner canthi. She is concerned that
they may be cancerous skin lesions. You tell her that they
are probably:
1.Xanthelasmas.
2.Pingueculae.
3. The result of arcus senilis.
4. Actinic keratoses - ...ANSWER...xanthelasmas
Rationale: Xanthelasmas are soft, raised, yellow plaques on
the eyelids at the inner canthi. They appear frequently in
women, in their 50s. Xanthelasmas occur with both high and
normal lipid levels and have no pathological significance
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