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NR511 Final Questions With Complete Solutions
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NR511 Final Questions With Complete Solutions
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NR511 Final Questions With Complete Solutions1. A 15-year-old female presents to your urgent care center
complaining of a sore throat for three days. Her vital signs are as
follows: temperature 102.1oF, pulse (P) 70, blood pressure (BP)
130/85, oxygen saturation 97%. The patient denies cough. On
physical exam, she has pearly white exudates on the tonsils,
erythema of the throat, and palpable anterior cervical chain
lymph adenopathy. What is the recommended treatment?
a. Starting the patient on antibiotics.
b. Starting the patient on prednisone.
c. Awaiting culture results prior to treatment.
d. Recommending supportive treatment. Correct Answer A.
Starting the patient on antibiotics
1. A 35-year-old male presents to your office complaining of
fatigue, weight loss, nausea, and abdominal pain. On physical
exam, you notice he has an ortho static hypotension and
hyperpigmented skin. You do a morning cortisol level, which is
low. The plasma adrenocorticotropic hormone (ACTH) is
elevated. how would you treat this patient?
a. Oral prednisone.
b. hydrocortisone.
c. Androgen replacement.
d. Fludrocortisone. Correct Answer B. Hydrocortisone
1. A 50-year-old female diabetic patient presents to your urgent
care center complaining of chest discomfort. Which of the
following symptoms would lead you to believe her chest pain is
related to gastroesophageal reflux rather than a cardiac etiology?
a. Chest pain radiates into the jaw and left arm.
,b. Chest pain is worse with walking.
c. Chest pain started while eating spicy food.
d. Chest pain is associated with nausea. Correct Answer C.
Chest pain started while eating spicy food
1. A 55-year-old Asian male presents with a history of severe
left great toe pain. He states he cannot even touch the toe with a
sheet without it causing pain. He denies trauma but states he
cannot ambulate without paying. He admits to drinking alcohol
but not to excess. On physical exam, he has normal vital signs,
and you know that your erythema on the great toe at the
interphalangeal (IP) joint. Which of the following is the gold
standard for diagnosis of this problem?
a. Joint aspiration with crystal analysis
b. Serum uric acid level
c. X-ray.
d. Diagnosis is made with physical exam only. Correct Answer
A. Joint aspiration with crystal analysis
1. A 63-year-old man presents to your office with hematuria,
hesitancy, and dribbling. Digital rectal examination (DRE)
reveals a smooth, moderately enlarged prostate. The client's
prostate-specific antigen (PSA) is 1.2. What is the most
appropriate management strategy at this time?
a. Prescribing an alpha-adrenergic blocker.
b. Recommending saw palmetto extract.
c. Prescribing an antibiotic.
d. Referring the client to urology. Correct Answer A.
Prescribing an alpha-adrenergic blocker
,1. A 70-year-old man presents to your urgent care clinic
complaining of a cough. He states that he has had the cough for
six weeks. The cough is dry and unproductive. He denies fevers,
chills, and weight loss. The patient admits to a 50-year history of
smoking 1 pack per day. His pulse oximetry is 93% on room air.
His chest X-ray shows in large long fields. What would you
recommend as the next step in his care?
a. That he see his primary doctor to discuss a computed
tomography (CT)scan of the chest.
b. oxygen through a nasal cannula until the cough stops.
c. an albuterol inhaler.
d. A course of oral steroids. Correct Answer a. That he see his
primary doctor to discuss a computed tomography (CT)scan of
the chest.
1. A client with diabetes on a sulfonylurea and metformin with a
glycated hemoglobin (HBA1C) Of 6.5% is complaining of
episodes of low blood sugar. Which of the following changes
would be most appropriate?
a. Decreasing the dosage of the metformin
b. Discontinuing the metformin
c. Increasing carbohydrate intake
d. Decreasing the dosage of the sulfonylurea. Correct Answer
D. Decreasing the dosage of the sulfonylurea
1. A client with hyperthyroidism present s with a complaint of a
"gritty" feeling in her eyes. Over the past week, her visual acuity
has diminished, and her ability to see colors has changed. She
also has a feeling of pressure behind her eyes. The next xtep for
the nurse practitioner is to:
a. Order a thyroid ultrasound.
, b. Refer the client for immediate evaluation by an
ophthalmologist.
c. Order a total thyroxine (T4).
d. Prescribe a beta-adrenergic blocker. Correct Answer B.
Refer the client for immediate evaluation by an opthalmologist
1. A client with newly diagnosed diabetes who has a glycated
hemoglobin (HbA1c) of 7.5 is started on therapeutic lifestyle
changes (TLCs) and medical nutrition therapy (MNT). Which
oral antidiabetic agent is recommended as monotherapy?
a. Glipizide (Glucotrol).
b. Sitagliptin (Januvia).
c. Exenatide (Byetta).
d. Metformin (Glucophage). Correct Answer D. Metformin
1. A low thyroid-stimulating hormone (TSH) can lead to:
a. Osteoporosis.
b. Weight gain.
c. Bradycardia.
d. Brittle hair. Correct Answer A. Osteoporosis
1. A patient is being treated for erectile dysfunction. The patient
is morbidly obese and is also being treated for cardiovascular
disease and coagulopathy. Which of the following medications
would be contraindicated?
a. Topical testosterone (AndroGel).
b. Sildenafil (Viagra).
c. Alprostadil (Caverject).
d. Subcutaneous pellet testosterone (Testopel). Correct Answer
C. Alprostadil (Caverject)
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