NR511 Final Questions and Correct Answers
Samuel, age 5, is receiving radiation therapy for his acute lymphocytic leukemia. He
is at increased risk of developing which type of cancer as a secondary malignancy
when he becomes an adult?
A. Chronic lymphocytic leukemia
B. Brain tumor
C. Liver cancer
D. Esophageal cancer
✓ ~~~ B. Brain tumor
Why is parathyroid hormone secretion increased during pregnancy?
A. To meet the increased stress demands on the mother
B. To meet the increased requirements for calcium and vitamin D for fetal skeletal
growth
C. To help prevent neural tube defects in the fetus
D. To help promote neurological g
✓ ~~~ B. To meet the increased requirements for calcium and vitamin D
for fetal skeletal growth
What is the name of the test used to assess for nerve- root compression? A. The
Apley scratch test B. The drop arm test C. Finkelstein's test D. Spurling's maneuver
✓ ~~~ D. Spurling's maneuver
Mr. Hughes is a 46-year-old African American man who is in your primary care office
for a physical examination. You recommend which of the following as screening for
prostate cancer?
A. A digital rectal examination (DRE)
B. None; there is no conclusive evidence for screening until age 75 and older
✓ ~~~ B. None; there is no conclusive evidence for screening until age 75
and older
Which of the following individuals most likely will have a false-negative reaction to
the Mantoux test?
A. Marvin, age 57
B. Jane, who is on a short course of corticosteroid therapy for an acute exacerbation
of asthma
C. Jerry, who has lymphoid leukemia
D. Mary, who recently was exposed to someone coughing
✓ ~~~ C. Jerry, who has lymphoid leukemia
Specific conditions demonstrate fluid in the scrotum on transillumination. These
include
A. testicular cancer.
B. a varicocele.
C. a hydrocele.
D. testicular torsion.
✓ ~~~ C. a hydrocele.
,Max, age 16, comes into your office after having been in a fight and sustaining a
human bite on his fist. Your first course of action is to
A. give a tetanus injection.
B. thoroughly débride and irrigate the wound.
C. initiate broad-spectrum antibiotics.
D. leave the wound open for drainage.
✓ ~~~ B. thoroughly débride and irrigate the wound.
Marisa, age 42, has celiac disease. She is prone to osteopenic bone disease as a
result of impaired calcium absorption because of
A. increased calcium absorption by the small intestine.
B. increased absorption of the fat-soluble vitamin D.
C. the binding of calcium and magnesium in the intestinal lumen by unabsorbed
dietary fatty acids.
D. decreased magnesium absorption..
✓ ~~~ C. the binding of calcium and magnesium in the intestinal lumen by
unabsorbed dietary fatty acids.
Decreased bladder capacity; bladder irritation from a urinary tract infection, tumor,
stones, or irritants such as caffeine and alcohol; and central nervous system
disorders or spinal cord lesions are all contributing factors to
A. stress urinary incontinence.
B. urge urinary incontinence.
C. overflow urinary incontinence.
D. reflex urinary incontinence.
✓ ~~~ B. urge urinary incontinence.
Samuel wants his newborn son to be circumcised, but it is noted that the baby has
hypospadias. What do you tell Samuel?
A. "Your son should be circumcised as soon as possible."
B. "Wait until your son is 1 month old; then he can be circumcised."
C. "We first have to check to see where the opening is; then we can determine if
your son can be circumcised or not."
D. "Your son should not be circumcised."
✓ ~~~ D. "Your son should not be circumcised."
Which of the following would be a considered the highest risk factor for the
development of testicular cancer?
A. Cryptorchidism
B. Caucasian race
C. HIV infection
D. Hormonal imbalance in utero
✓ ~~~ A. Cryptorchidism
Jeff, age 20, presents to the college health clinic with complaints of difficulty passing
his urine and a discharge from his penis. Upon further investigation, you note that
the discharge is urethral in origin. The most common cause of these symptoms in
the young adult male population is
A. chronic prostatitis.
, B. prostatic abscess.
C. acute prostatitis.
D. prostatic hypertrophy.
✓ ~~~ C. acute prostatitis.
Bernard, age 59, presents to the emergency department with a diagnosis of
priapism. Despite application of cold compresses and pain medications, relief is
unsuccessful. What is the treatment of choice?
A. Terbutaline 0.25 mg subcutaneously
B. Phenylephrine injection 0.3 to 0.5 mL into the corpora cavernosa
C. Doxazosin 5 mg sublingually
D. Lidocaine 1% via the glans
✓ ~~~ B. Phenylephrine injection 0.3 to 0.5 mL into the corpora cavernosa
You are referring a 73- year- old client for management of his prostate cancer with
hormonal therapy. It is understood that goserelin acetate (Zoladex) acts as a method
of androgen ablation by
A. blocking the release of follicle- stimulating hormone (FSH) and luteinizing
hormone (LH).
✓ ~~~ blocking the release of follicle- stimulating hormone (FSH) and
luteinizing hormone (LH).
Samuel, a 62- year- old who takes many different medications, is complaining of
erectile dysfunction. The nurse practitioner knows that several medications could be
the cause of Samuel's problem. Which of his medications is most likely the culprit?
A. Furosemide (Lasix)
B. Reserpine (Serpasil)
C. Omeprazole (Prilosec)
D. Isosorbide (Imdur)
✓ ~~~ B. Reserpine (Serpasil)
Milton, a 72- year- old unmarried, sexually active white man, presents to your clinic
with complaints of hesitancy, urgency, and occasional uncontrolled dribbling.
Although the nurse practitioner suspects benign prostatic hypertrophy, what else
should the differential diagnosis list include?
A. Antihistamine use
B. Urethral stricture
C. Detrusor hyperreflexia
D. Renal calculi
✓ ~~~ B. Urethral stricture
Benign prostatic hypertrophy is a common finding as men age. Classically, this
condition may begin with difficulty initiating the urinary stream, hesitancy, urgency,
postvoid dribbling, urinary frequency, nocturia, urinary retention, sensation of a full
bladder immediately after voiding, and incontinence. These preceding symptoms
would also cause the nurse practitioner to consider what other condition as a
differential diagnosis?
A. Epididymitis
B. Testicular cancer
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