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NR 511 Final Exam 2024/2025 Questions With Completed & Verified Solutions.
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NR 511 Final Exam 2024/2025 Questions With Completed & Verified Solutions.
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NR 511 Final Exam?A 14-year-old male is seen with complaints of severe
testicular pain. The clinician suspects testicular torsion. Which of the following is the
appropriate action? - ANS - Refer to a urologist immediately.
\A 20-year-old woman is seen in the clinic because her
boyfriend was found to have gonorrhea. Which of the following is the treatment of choice
for gonorrhea? - ANS - Ceftriaxone
\A 21-year-old woman is seen in the clinic requesting birth
control pills. Which of the following tests is essential before prescribing any oral
contraceptive? - ANS - Pregnancy test
\A 22-year-old male is seen in the clinic because he found a
hard lump in his testicle when performing testicular self-
examination (TSE). Which of the following should be included in the list of differential
diagnoses? - ANS - Testicular cancer Inguinal hernia Varicocele
All of theabove
\A 23-year-old sexually active woman presents for her first
Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than
10 sexual partners. Which of the following conditions should the clinician be particularly
alert for during her examination? - ANS - Human papillomavirus (HPV)
\A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months. On physical
examination, the clinician notices a sinus bradycardia; muscular stiffness; coarse, dry
hair; and a delay in relaxation in deep tendon reflexes. Which of the following tests
should be ordered next? - ANS - TSH
\A 25-year-old woman is seen in the clinic complaining of
painful menstruation. Which of the following pelvic pathologies is the most common
cause of dysmenorrhea? - ANS - Endometriosis
\A 26-year-old woman is seen with complaints of irregular
vaginal bleeding. Which of the following tests should be the
first priority? - ANS - Pregnancy test
\A 30-year-old man is seen with a chief complaint of loss of
libido. Which of the following laboratory tests would help establish a diagnosis? - ANS -
Testosterone level
\A 32-year-old woman is seen in the clinic because she has
been unable to get pregnant after 12 months of unprotected sex. In order to determine
the cause of the infertility, the clinician should question her about which of these
possible causes? - ANS - Pelvic inflammatory disease
\A 36-year-old woman is seen with complaints of vaginal
, itching, burning, and discharge. On potassium hydroxide (KOH) wet mount of vaginal
discharge, the clinician notices hyphae. Which of the following treatments would be
appropriate? - ANS - Fluconazole
\A 45-year-old woman is seen in the clinic with abnormal
uterine bleeding and pain during intercourse. The clinician should consider which of the
following diagnoses? - ANS - Leiomyoma
Pregnancy
Ovarian cancer
All of the above
\A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she can no longer exercise.
Pelvic exam reveals a single, very large mass. Which of the following diagnostic tests
should the clinician order first? - ANS - Transvaginal ultrasound
\A 58-year-old woman presents with a breast mass. Which of
the following responses by the clinician would be most appropriate? - ANS - "We will
order a mammogram and ultrasound to help establish a diagnosis."
\A 60-year-old man presents with an enlarged scrotum. The
clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele,
what would the clinician expect to find? - ANS - the scrotum will appear light pink or
yellow.
\A 70-year-old female has fallen 2 weeks ago and developed
immediate pain in her left wrist. She thought she just bruised it but is worried because it
has not improved. She has used Tylenol® and ice at home, and that has helped slightly.
You examine her and find she has moderate swelling and ecchymosis but no overtly
obvious deformity. Her ROM is uncomfortable and severely diminished due to the pain.
No crepitus is heard or felt. Her fingers are warm; her pulse is strong; and capillary refill
is less than 2 seconds. What should you do? - ANS - Obtain a wrist x-ray and place her
wrist in a splint or
prescribe a splint
\A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. Which of the following responses
would be most appropriate? - ANS - Control of glucose will help postpone or delay
complications."
"Regularly checking blood sugar will help establish a routine."
"Monitoring glucose will promote a sense of control."
ALL OF THE ABOVE
\A history of overuse or excessive force, as opposed to a fall,
hyperextension, or the twisting of a joint, is more likely related to which musculoskeletal
injury? - ANS - A strain
\A patient is 66 inches in height, weighing 200 pounds, and
newly diagnosed with type 2 diabetes mellitus (DM). Her fasting plasma glucose level is
215 mg/dL. What is the best initial treatment? - ANS - Diet and exercise for 6-week trial
\A patient is diagnosed with hypothyroidism. Which of the
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