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2024 NR 511 MIDTERM EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 NR 511 MIDTERM EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 NR 511 MIDTERM EXAMQUESTIONS WITH CORRECT
ANSWERS
Question 2: Which drug for Alzheimer's disease should be administered
beginning at the time of diagnosis?
a. Cholinesterase inhibitors
b. Anxiolytics
c. Antidepressants
d. Atypical antipsychotics - CORRECT-ANSWERSa. cholinesterase inhibitors
pg
Which of the following statements is true regarding the treatment of carpal
tunnel syndrome?
a. The goal of treatment is to prevent flexion and extension movements of
the wrist.
b. Splints are used in carpal tunnel syndrome because they allow for free
movement of the fingers and thumb while maintaining the wrist in a neutral
position.
c. Corticosteroid injections are discouraged in the treatment of carpal tunnel
syndrome because of the risks for median nerve damage, scarring, and
infection.
d. All of the above - CORRECT-ANSWERSd. All of the above
The goal of treatment is to prevent flexion and extension movements of the
wrist.
B) Splints are used in carpal tunnel syndrome because they allow for free
movement of the fingers and thumb while maintaining the wrist in a neutral
position.
C) Corticosteroid injections are discouraged in the treatment of carpal tunnel
syndrome because of the risks for median nerve damage, scarring, and
infection.
Question 21: A sunscreen with a sun-protection factor (SPF) of at least what
number will block most harmful ultraviolet (UV) radiation?
,a. 4
b. 8 d
c. 10
d. 15 - CORRECT-ANSWERS15
Question 24: Sam, aged 65, is started on L-dopa for his Parkinson's disease
(PD). He asks why this is necessary. You tell him:
a. "L-dopa is neuroprotective."
b. "The primary goal of therapy is to replace depleted stores of dopamine."
c. "This is the only drug that can provide symptomatic benefit."
d. "This is the initial monotherapy drug." - CORRECT-ANSWERS"The primary
goal of therapy is to replace depleted stores of dopamine."
Question 25: 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?
a. The scrotum will be dark.
b. The scrotum will appear light pink or yellow.
c. The scrotum will appear milky white.
d. The internal structures will be clearly visible. - CORRECT-ANSWERSThe
scrotum will appear light pink or yellow.
Question 29: 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?
a. Testicular cancer
b. Inguinal hernia
c. Varicocele
d. All of the above - CORRECT-ANSWERSAnswer D
Testicular cancer
Inguinal hernia
Varicocele
Question 35: Which of the following laboratory findings should the clinician
expect in a patient with untreated Graves' disease?
a. Elevated thyroid-stimulating hormone (TSH)
b. Elevated T4
c. Elevated TRH
d. All of the above - CORRECT-ANSWERSAnswer D
,Elevated thyroid-stimulating hormone (TSH)
b. Elevated T4
c. Elevated TRH
Question 39: The criteria for diagnosing generalized anxiety disorder in the
American Psychiatric Association's Diagnostic and Statistical Manual of
Mental Disorders (text revision) (DSM-IV-TR) state that excessive worry or
apprehension must be present more days than not for at least:
a. 1 month.
b. 3 months.
c. 6 months.
d. 12 months. - CORRECT-ANSWERS6 months
Question 40: The clinician has instructed Sam, a 25-year-old patient with low
back strain, to use NSAIDs to manage his symptoms of pain and discomfort.
Which of the following statements would be most appropriate when teaching
Sam about the use of NSAIDs to manage his pain?
a. You should start with the lowest dose that is effective in managing your
pain, because long-term use of NSAIDs can result in gastrointestinal (GI)
disorders such as ulcers and hemorrhage.
b. You should start with the lowest dose that is effective in managing your
pain in order to avoid developing tolerance to the medication.
c. You should take the maximum recommended dose of NSAIDs so that you
will not need to take narcotics to control your pain.
d. It is important to take NSAIDs on an empty stomach in order to increase
absorption. - CORRECT-ANSWERSYou should start with the lowest dose that
is effective in managing your pain, because long-term use of NSAIDs can
result in gastrointestinal (GI) disorders such as ulcers and hemorrhage.
Question 46: In the United States, what is the second most common
connective tissue disease and the most destructive to the joints?
a. Osteoarthritis
b. Systemic lupus erythematosus (SLE)
c. Rheumatoid arthritis (RA)
d. Sjogren's syndrome - CORRECT-ANSWERS
Question 42: Sam is a 25-year-old man who has been diagnosed with low
back strain based on his history of localized low back pain and muscle spasm
along with a normal neurological examination. As the clinician, you explain to
Sam that low back pain is a diagnosis of exclusion. Which of the following
symptoms would alert the clinician to the more serious finding of a herniated
nucleus pulposus or ruptured disc?
, a. Morning stiffness and limited mobility of the lumbar spine
b. Unilateral radicular pain symptoms that extend below the knee and are
equal to or greater than the back pain
c. Fever, chills, and elevated erythrocyte sedimentation rate
d. Pathologic fractures, severe night pain, weight loss, and fatigue -
CORRECT-ANSWERSUnilateral radicular pain symptoms that extend below
the knee and are equal to or greater than the back pain
Question 48: A 45-year-old woman is seen in the clinic with complaints of a
vaginal discharge. The clinician identifies clue cells on the vaginal smear.
Which of the following diagnoses is associated with this finding?
a. Trichomonas
b. Bacterial vaginosis
c. Human papillomavirus (HPV)
d. Herpes simplex virus (HSV) - CORRECT-ANSWERSBacterial vaginosis
Question 3: Most adult poisonings are:
a. intentional and self-inflicted.
b. accidental.
c. caused by someone wishing to do harm to the person.
d. not attributed to any reason. - CORRECT-ANSWERSb. accidental.
Question 4: A 58-year-old woman presents with a breast mass. Which of the
following responses by the clinician would be most appropriate?
a. "It is probably just a cyst, because that is the most common breast mass."
b. "We will order a mammogram and ultrasound to help establish a
diagnosis."
c. "We will go ahead and schedule you for a biopsy because that is the only
way to know for sure."
d. "Because your lump is painful, it is most likely not cancer." - CORRECT-
ANSWERS"We will order a mammogram and ultrasound to help establish a
diagnosis."
Question 5: Which of the following is a specific test for multiple sclerosis
(MS)?
a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
c. A lumbar puncture
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