NR 511 Midterm question from Dunphy book chapters 11, 9,
8, 7 Questions With Complete Solutions
1. Marvin, a known alcoholic with cirrhosis, is frequently
admitted for coagulopathies and occasionally receives blood
transfusions.
His wife asks you why he has bleeding problems. How do you
respond?
A. "Occasionally he accumulates blood in the gut."
B. "There is an interruption of the normal clotting mechanisms."
C. "Long-term alcohol abuse has made his vessels very friable."
D. "His bone marrow has been affected." Correct Answer B.
"There is an interruption of the normal clotting mechanisms."
1. Sarah has allergic rhinitis and is currently being bothered by
nasal congestion. Which of the following meds ordered for
allergic
rhinitis would be most appropriate?
A. A decongestant nasal spray
B. An antihistamine intranasal spray
C. Ipratropium
D. Omalizumab Correct Answer B. An antihistamine intranasal
spray
10. Jill presents with symptoms of hay fever, and you assess the
nasal mucosa of her turbinates to be pale. What diagnosis do you
suspect?
A. Allergic rhinitis
B. Viral rhinitis
C. Nasal polyps
,D. Nasal vestibulitis from folliculitis Correct Answer A.
Allergic rhinitis
10. Johnny, age 12, just started taking amoxicillin for otitis
media. His mother said that he woke up this morning with a rash
on his
trunk. What is your first action?
A. Prescribe systemic antihistamines.
B. Prescribe a short course of systemic steroids.
C. Stop the amoxicillin.
D. Continue the drug; this reaction on the first day is normal.
Correct Answer C. Stop the amoxicillin.
10. Ruby has a colostomy and complains that her stools are too
loose. What food(s) do you suggest to help thicken the stools?
A. Cheese
B. Leafy green vegetables
C. Raw fruits and vegetables
D. Dried beans Correct Answer A. Cheese
10. Which group is at the highest risk for tuberculosis?
A. Racial and ethnic minorities
B. Foreign-born individuals
C. Substance abusers
D. Nursing home residents Correct Answer A. Racial and
ethnic minorities
11. Balanitis is associated with:
A. Diabetes.
B. Macular degeneration.
C. Candida infection of the penis.
, D. Measles. Correct Answer C. Candida infection of the penis.
11. Evidence-based practice has shown that clients with COPD
will benefit the most from which of the following single
modalities?
A. Nutritional supplementation
B. Routine use of inspiratory muscle training
C. Pulmonary rehabilitation
D. Psychosocial interventions Correct Answer C. Pulmonary
rehabilitation
11. While doing a face, head, and neck examination, you note
that the palpebral fissures are abnormally narrow. What are you
examining?
A. Nasolabial folds
B. The openings between the margins of the upper and lower
eyelids
C. The thyroid gland in relation to the trachea
D. The distance between the trigeminal nerve branches Correct
Answer B. The openings between the margins of the upper and
lower eyelids
11. You assess for Cullen's sign in Dan, age 62, after surgery.
Cullen's sign may indicate:
A. Intra-abdominal bleeding.
B. A ventral hernia.
C. Appendicitis.
D. Jaundice. Correct Answer A. Intra-abdominal bleeding.
12 Rose has gastroesophageal reflux disease. You know she
misunderstands your teaching when she tells you that she will:
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