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Exam (elaborations) NR509
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NR 509 /NR509 FINAL EXAM NEWEST 2024 TEST BANK AND STUDY GUIDE COMPLETE 250 QUESTIONS AND CORRECT DETAILED ASNWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
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NR 509 /NR509 FINAL EXAM NEWEST 2024 TEST BANK AND STUDY GUIDEr r r r r r r r r r r
COMPLETE QUESTIONS AND CORRECT DETAILED ASNWERS WITH RATIO
r r r r r r r r
NALES (VERIFIED ANSWERS) |ALREADY GRADED A+
r r r r r
Arpatientrpresentsrforrevaluationrofrarsharp,rachingrchestrpainrwhichrincreasesrwithrbreathingrrWhichranato
micrarearwouldryourlocalizerthersymptomrto?
A)rMusculoskeletal
B)rReproductive
C)rUrinary
D)rEndocriner-rrcorrectranswer-A)rMusculoskeletal
Chestrpainrmayrberduertorarmusculoskeletalrcondition,rsuchrasrcostochondritisror
intercostalrmusclercramprrThisrwouldrberworsenedrbyrmotionrofrtherchestrwallrrPleuriticrchestrpainrisralsorars
harprchestrpainrwhichrincreasesrwithrardeeprbreathrrThisrtyperofrpainrcan
occurrwithrinflammationrofrtherpleurarfromrpneumoniarorrotherrconditionsrandrpulmonary
embolusr
ArpatientrcomesrtortheremergencyrroomrforrevaluationrofrshortnessrofrbreathrrTorwhichranatomicrregionrwo
uldryourassignrthersymptom?
A)rReproductive
B)rUrinary
C)rCardiac
D)rHematologicr-rrcorrectranswer-C)rCardiac
Cardiacrdisordersrsuchrasrcongestiverheartrfailurerarerthermostrlikelyronrthisrlistrtorresultrinrshortnessrofrbre
athrrThererarercasesrwithinrtherotherrcategoriesrwhichrmayralsorresult
inrshortnessrofrbreath,rsuchrasranemiarinrtherhematologicrcategory,rpregnancyrinrtherreproductive
,category,rorrsepsisrwithrUTIrinrtherurinaryrcategoryr
ArpatientrpresentsrforrevaluationrofrarcoughrrWhichrofrtherfollowingranatomicrregionsrcanrberresponsiblerfo
rrarcough?
A)rOphthalmologic
B)rAuditory
C)rCardiac
D)rEndocriner-rrcorrectranswer-C)rCardiacr
ThercardiacrsystemrcanrcauserarcoughrifrtherpatientrhasrcongestiverheartrfailurerrThisrresultsrinrfluidrbuildupri
nrtherlungs,rwhichrinrturnrcanrcauserarcoughrthatrproducesrpink,
frothyrsputumrrArforeignrbodyrinrtherearrmayralsorcauserarcoughrbyrstimulatingrArnold'srbranchrofrthervagusr
nerve,rbutrthisrisrlessrlikelyrtorberseenrclinicallyrthanrheartrfailurer
Ar22-year-oldradvertisingrcopywriterrpresentsrforrevaluationrofrjointrpainrrTherpainrisrnew,
locatedrinrtherwristsrandrfingersrbilaterally,rwithrsomersubjectiverfeverrrTherpatientrdeniesra
rash;rsheralsordeniesrrecentrtravelrorrcampingractivitiesrrSherhasrarfamilyrhistoryrsignificantrfor
rheumatoidrarthritisrrBasedronrthisrinformation,rwhichrofrtherfollowingrpathologicrprocesses
wouldrberthermostrcorrect?
A)rInfectious
B)rInflammatory
C)rHematologic
D)rTraumaticr-rrcorrectranswer-B)rInflammatory
Therdescriptionrisrmostrconsistentrwithranrinflammatoryrprocess,ralthoughrallrtherotherretiologiesrshouldrb
erconsideredrrLymerdiseaserisranrinfectionrwhichrcommonlyrcauses
arthritis,rhemophiliarisrarhematologicrconditionrwhichrcanrcauserbleedingrinrtherjoints,randrtraumarcanrobvi
ouslyrcauserjointrpainr
,Ar47-year-
oldrcontractorrpresentsrforrevaluationrofrneckrpain,rwhichrhasrbeenrintermittentrforrseveralryearsrrHernorm
allyrtakesrover-the-
counterrmedicationsrtoreasertherpain,rbutrthisrtimertheyrhaven'trworkedrasrwellrandrherstillrhasrdiscomfortrr
Herrecentlyrwallpaperedrtherentirersecondrfloorrinrhisrhouse,rwhichrcausedrhimrgreatrdiscomfortrrTherpainrr
esolvedrwithrrestrrHerdeniesrfever,rchills,rrash,rupperrrespiratoryrsymptoms,rtrauma,rorrinjuryrtortherneckrrB
asedronrthisrdescription,rwhatrisrthermostrlikelyrpathologicrprocess?
A)rInfectious
B)rNeoplastic
C)rDegenerative
D)rTraumaticr-rrcorrectranswer-C)rDegenerative
TherdescriptionrisrmostrconsistentrwithrdegenerativerarthritisrinrtherneckrrThe
patientrhasrhadrintermittentrsymptomsrandrtherquestionsraskedrtorelicitrpertinentrnegativerand
positiverfindingsrarernegativerforrinfectious,rtraumatic,rorrneoplasticrdiseaser
Ar15-year-oldrhighrschoolrsophomorercomesrtortherclinicrforrevaluationrofrar3-weekrhistory
ofrsneezing;ritchy,rwateryreyes;rclearrnasalrdischarge;rearrpain;randrnonproductivercoughrrWhich
isrthermostrlikelyrpathologicrprocess?
A)rInfection
B)rInflammation
C)rAllergic
D)rVascularr-rrcorrectranswer-C)rAllergic
Thisrdescriptionrisrmostrconsistentrwithrallergicrrhinitisr
Ar19-yearrold-collegerstudentrpresentsrtortheremergencyrroomrwithrfever,rheadache,rand
neckrpain/stiffnessrrSherisrconcernedraboutrtherpossibilityrofrmeningococcalrmeningitisr
, Severalrofrherrdormrmatesrhaverbeenrvaccinated,rbutrsherhasn'trbeenrrWhichrofrtherfollowing
physicalrexaminationrdescriptionsrisrmostrconsistentrwithrmeningitis?
A)rHeadrisrnormocephalicrandratraumatic,rfundirwithrsharprdiscs,rneckrsupplerwithrfullrrange
ofrmotion
B)rHeadrisrnormocephalicrandratraumatic,rfundirwithrsharprdiscs,rneckrwithrparaspinous
musclerspasmrandrlimitedrrangerofrmotionrtortherright
C)rHeadrisrnormocephalicrandratraumatic,rfundirwithrblurredrdiscrmargins,rneckrtenderrto
palpation,runablertorperformrrangerofrmotion
D)rHeadrisrnormocephalicrandratraumatic,rfundirwithrblurredrdiscrmargins,rneckrsupplerwith
fullrrangerofrmotionr-rrcorrectranswer-
C)rHeadrisrnormocephalicrandratraumatic,rfundirwithrblurredrdiscrmargins,rneckrtenderrto
palpation,runablertorperformrrangerofrmotion
Blurredrdiscrmarginsrarerconsistentrwithrpapilledema,randrneckrtendernessrandrlackrofrrangerofrmotionrarer
consistentrwithrneckrstiffness,rwhichrinrthisrscenariorisrlikelyrtorbercaused
byrmeningealrinflammationrrKernig'srandrBrudzinski'srsignsrareralsorhelpfulrinrtestingrforrmeningealrirritatio
nronrexamr
Ar37-year-
oldrnursercomesrforrevaluationrofrcolickyrrightrupperrquadrantrabdominalrpainrrTherpainrisrassociatedrwithr
nausearandrvomitingrandroccursr1rtor2rhoursrafterreatingrgreasyrfoodsrrWhichronerofrtherfollowingrphysicalr
examinationrdescriptionsrwouldrbermostrconsistentrwithrtherdiagnosisrofrcholecystitis?
A)rAbdomenrisrsoft,rnontender,randrnondistended,rwithoutrhepatosplenomegalyrorrmassesr
B)rAbdomenrisrsoftrandrtenderrtorpalpationrinrtherrightrlowerrquadrant,rwithoutrreboundror
guardingr
C)rAbdomenrisrsoftrandrtenderrtorpalpationrinrtherrightrupperrquadrantrwithrinspiration,rtorthe
pointrofrstoppingrinspiration,randrthererisrnorreboundrorrguardingr
D)rAbdomenrisrsoftrandrtenderrtorpalpationrinrthermid-epigastricrarea,rwithoutrreboundror
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