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NR511 Midterm Dunphy Questions With Complete Solutions
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NR511 Midterm Dunphy Questions With Complete Solutions
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NR511 Midterm Dunphy Questions With CompleteSolutions
. Prevalence of psoriasis is highest in which group? a.
Scandinavians b. African Americans c. Asians d. Native
Americans Correct Answer a. Scandinavians
.A client is receiving tests to diagnose glaucoma. Which of the
following diagnostic tests will be used to identify this disorder in
the client? (Select all that apply.)
1.Visual acuity 2.Visual field test 3.Tonometry 4.Weber test
5.Rinne test 6.Electroencephalogram Correct Answer 1.Visual
acuity 2.Visual field test 3.Tonometry
A 16-year-old client is being prescribed a medication to treat
acute sinusitis. The nurse realizes that this client should not be
prescribed: 1.amoxicillin. 2.cefuroxime. 3.ciprofloxacin.
4.erythromycin. Correct Answer 3.ciprofloxacin
A 17-year-old student is a swimmer on her high schools swim
team. She has had three bouts of otitis externa this season and
wants to know what to do to prevent it. The nurse instructs her
to:
a. Use a cotton-tipped swab to dry the ear canals thoroughly
after each swim. b. Use rubbing alcohol or 2% acetic acid
eardrops after every swim. c. Irrigate the ears with warm water
and a bulb syringe after each swim. d. Rinse the ears with a
warmed solution of mineral oil and hydrogen peroxide Correct
Answer b. Use rubbing alcohol or 2% acetic acid eardrops after
every swim.
,A 2-week-old infant can fixate on an object but cannot follow a
light or bright toy. The nurse would:
a. Consider this a normal finding. b. Assess the pupillary light
reflex for possible blindness. c. Continue with the examination,
and assess visual fields. d. Expect that a 2-week-old infant
should be able to fixate and follow an object. Correct Answer
a. Consider this a normal finding.
A 31-year-old patient tells the nurse that he has noticed a
progressive loss in his hearing. He says that it does seem to help
when people speak louder or if he turns up the volume of a
television or radio. The most likely cause of his hearing loss is:
a. Otosclerosis. b. Presbycusis. c. Trauma to the bones. d.
Frequent ear infections. Correct Answer a. Otosclerosis
A 31-year-old patient tells the nurse that he has noticed pain in
his left ear when people speak loudly to him. The nurse knows
that this finding:
a. Is normal for people of his age. b. Is a characteristic of
recruitment. c. May indicate a middle ear infection. d. Indicates
that the patient has a cerumen impaction Correct Answer b. Is a
characteristic of recruitment.
A 52-year-old patient describes the presence of occasional
floaters or spots moving in front of his eyes. The nurse should:
a. Examine the retina to determine the number of floaters. b.
Presume the patient has glaucoma and refer him for further
testing. c. Consider these to be abnormal findings, and refer him
to an ophthalmologist. d. Know that floaters are usually
insignificant and are caused by condensed vitreous fibers
,Correct Answer d. Know that floaters are usually insignificant
and are caused by condensed vitreous fibers
A 60-year-old man is at the clinic for an eye examination. The
nurse suspects that he has ptosis of one eye. How should the
nurse check for this?
a. Perform the confrontation test. b. Assess the individuals near
vision. c. Observe the distance between the palpebral fissures. d.
Perform the corneal light test, and look for symmetry of the light
reflex Correct Answer c. Observe the distance between the
palpebral fissures.
A 65-year-old man presents to the clinician with complaints of
increasing bilateral peripheral vision loss, poor night vision, and
frequent prescription changes that started 6 months previously.
Recently, he has also been seeing halos around lights. The
clinician suspects chronic open-angle glaucoma. Which of the
following statements is true concerning the diagnosis of chronic
open-angle glaucoma?
a. The presence of increased intraocular pressure measured by
tonometry is definitive for the diagnosis of open-angle
glaucoma. b. The clinician can definitively diagnosis open-angle
glaucoma based on the subjective complaints of the patient. c.
Physical diagnosis relies on gonioscopic evaluation of the angle
by an ophthalmologist. d. Early diagnosis is essential in order to
reverse any damage that has occurred to the optic nerve. Correct
Answer c. Physical diagnosis relies on gonioscopic evaluation
of the angle by an ophthalmologist
A 70-year-old patient tells the nurse that he has noticed that he is
having trouble hearing, especially in large groups. He says that
, he cant always tell where the sound is coming from and the
words often sound mixed up. What might the nurse suspect as
the cause for this change?
a. Atrophy of the apocrine glands b. Cilia becoming coarse and
stiff c. Nerve degeneration in the inner ear d. Scarring of the
tympanic membrane Correct Answer c. Nerve degeneration in
the inner ear
A broad-spectrum bactericidal agent would be expected to: a.
destroy many gram-positive and gram-negative bacteria. b.
destroy all pathogenic microbes in contact with the agent. c.
reduce the replication of many bacteria. d. inhibit the growth of
most spores and acid-fast bacteria Correct Answer a. destroy
many gram-positive and gram-negative bacteria
A bulla is: a. A vesicle larger than 1 cm in diameter b. An
elevated solid mass with a hard texture; the shape and borders
can be regular or irregular c. A superficial elevated lesion filled
with purulent fluid d. Thinning of the skin (epidermis and
dermis) that appears white or translucent Correct Answer a. A
vesicle larger than 1 cm in diameter
A child is diagnosed with severe allergic rhinitis. Which of the
following manifestations would the nurse most likely assess in
this client? 1.Edematous neck glands 2.Reduced hearing
3.Pruritis 4.Frequent wiping of the nose with the palm of the
hand Correct Answer 4.Frequent wiping of the nose with the
palm of the hand
A client asks the nurse if there is an antihistamine that does not
cause drowsiness. Which of the following medications would
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