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2024 NR511 FINAL EXAM WITH CORRECT ANSWERS
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2024 NR511 FINAL EXAM WITH CORRECT ANSWERS
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2024 NR511 FINAL EXAM WITHCORRECT 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 - CORRECT ANSWERS-B. Brain tumor
Which of the following conditions, which may be detected by a complete
blood count, has sufficient prevalence to make early detection beneficial?
A. Anemia
B. Leukocytosis
C. Thrombocytopenia
D. Leukemia - CORRECT ANSWERS-A. Anemia
Sam, age 73, has lumbar spinal stenosis and asks which exercises he should
do to help his condition. You advise him to
A. do any exercise that results in hyperextension of the lumbar spine.
B. do exercises that encourage lumbar flexion and flattening of the lumbar
lordotic curve.
C. refrain from exercising.
D. see a surgeon because surgery is the best treatment option. - CORRECT
ANSWERS-B. do exercises that encourage lumbar flexion and flattening of
the lumbar lordotic curve.
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 - CORRECT ANSWERS-B. To meet the
increased requirements for calcium and vitamin D for fetal skeletal growth
Shelley, 65 years old, sees you for the first time. She has demonstrated
osteopenia on a bone density test, and you have prescribed the appropriate
medication for her. What additional lifestyle changes should you counsel for
this client?
A. She should begin a rigorous swimming program to actively build bone.
,B. She should cut down on coffee, but tea is okay.
C. She needs to take a multivitamin every day.
D. She should begin weight training. - CORRECT ANSWERS-D. She should
begin weight training.
You are teaching a client about his gout. Which of the following should you
include in your teaching?
A. Once gout is treated, there is no danger of permanent damage.
B. Diet and alcohol consumption may remain the same.
C. Drink at least 1 quart of fluid per day.
D. Kidney stones and kidney damage may result if gout is not adequately
managed. - CORRECT ANSWERS-D. Kidney stones and kidney damage may
result if gout is not adequately managed.
An area of deep abrasion, including a "road burn," on the left forearm is best
treated by doing which of the following?
A. Icing the wound after irrigation
B. Cleansing it several times a day and leaving it open to air
C. Prescribing prophylactic antibiotic therapy
D. Removing ground-in dirt using forceps - CORRECT ANSWERS-C.
Prescribing prophylactic antibiotic therapy
Jill is perimenopausal and asks you about the relationship between exercise
and preventing osteoporosis. You tell her that
A. exercise has no effect; she should take calcium supplements.
B. weight-bearing exercise prevents bone mass loss.
C. all types of exercise assist in preventing osteoporosis.
D. since she was very athletic during her formative years, her bones will
maintain their bone mass. - CORRECT ANSWERS-B. weight-bearing exercise
prevents bone mass loss.
Clients with spinal cord injuries often have bowel incontinence and need to
have a bowel program instituted. What is the most effective way to stimulate
the rectum to evacuate in the quadriplegic client?
A. Administer stool softeners every night.
B. Insert a rectal suppository and then eventually perform digital stimulation.
C. Administer laxatives every other night.
D. Administer enemas on a regular basis. - CORRECT ANSWERS-B. Insert a
rectal suppository and then eventually perform digital stimulation.
Which of the following medications should not be used by a client who has a
history of medullary thyroid cancer?
A. Sitagliptin (Januvia)
B. Metformin (Glucophage)
C. Liraglutide (Victoza)
D. Canaglifl ozin (Invokana) - CORRECT ANSWERS-C. Liraglutide (Victoza)
, Deanna, age 6, was bitten by a dog. Her mother asks you if the child needs
antirabies treatment. You tell her,
A. "If the dog was a domestic pet that had been vaccinated, the wound
should be cleaned and irrigated."
B. "Antirabies treatment must be started immediately."
C. "Rabies can be contracted only through the bites of wild animals."
D. "Wait until you have observed the animal for 2 weeks to determine if it is
rabid." - CORRECT ANSWERS-A. "If the dog was a domestic pet that had been
vaccinated, the wound should be cleaned and irrigated."
Eric, age 52, has gout. What do you suggest?
A. Using salicylates for an acute attack
B. Limiting consumption of purine-rich foods
C. Testing his uric acid level every 6 months
D. Decreasing fluid intake - CORRECT ANSWERS-B. Limiting consumption of
purine-rich foods
Gouty pain in the great toe is
A. toe gout.
B. hyperuricemia of the toe.
C. Podagra - CORRECT ANSWERS-C. Podagra
Which of the following signs of thyroid dysfunction in a 49-year-old patient is
a sign of hyperthyroidism?
A. Slow pulse
B. Decreased systolic BP
C. Exophthalmos
D. Dry, coarse, cool skin - CORRECT ANSWERS-C. Exophthalmos
Food sources rich in iron include
A. potatoes; bananas; and green, leafy vegetables.
B. enriched grain cereals, cabbage, and sweet potatoes.
C. liver, red meats, prunes, apples, and raisins.
D. enriched grain cereals, strawberries, watermelon, and honeydew melons.
- CORRECT ANSWERS-C. liver, red meats, prunes, apples, and raisins.
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 - CORRECT ANSWERS-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)
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