(NR 511 Week 4 Midterm)
NR 511 Week 4 Midterm Exam (Compilation)
- Question: Women are at the highest risk for developing postpartum depression for up to how long after childbirth?
- Question: CPT coding offers the uniformed language used for reporting medical services and procedures performed by physician and nonphysician practitioners. Clinicians are paid based on calculated resource costs that are calculated based on practice components. Which of the following are part of the components used to calculate the per CPT code payment rate?
- Question: Janet is a 30-year-old woman who has been recently diagnosed with a herniated disc at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equina compression. Which of the following is a sign or symptom of cauda equina compression?
- Question: A 58-year-old woman who had a total abdominal hysterectomy at the age of 45 is diagnosed with atrophic vaginitis. Which of the following is the most appropriate treatment?
- Question: Which of the following is a specific test for multiple sclerosis (MS)?
- Question: Most adult poisonings are:
- Question: A 60-year-old man presents with an enlarged scrotum. The clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to find?
- Question: Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?
- Question: S presents in the clinic with pain, tenderness, erythema, and swelling of his left great toe. The clinician suspects acute gout. Which of the following should the clinician suspect in the initial test results for this patient?
- Question: Which solution should be used when irrigating lacerated tissue over a wound on the arm?
- Question: Which ethical principle reflects respect for all persons and their self-determination?
- Question: During a digital rectal exam (DRE) on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?
- Question: How often should the clinician examine the feet of a person with diabetes?
- Question: Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?
- Question: Which of the following medications is the treatment of choice for trichomonas? (Points: 2)
- Question: Immunizations are an example of which type of prevention? (Points: 2)
- Question: What is the treatment of choice for a patient diagnosed with testicular cancer?
- Question: George, aged 59, complains of a flulike illness, including fever, chills, and myalgia after returning from visiting his grandchildren in New England. He reports having discovered a rash or red spot that grew in size on his right leg. What disease are you considering?
- Question: A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease (STD) has she most probably been exposed to?
- Question: What is usually the first sign or symptom that a patient would present with that would make you suspect herpes zoster?
- Question: Which drug commonly prescribed for burns is active against a wide spectrum of microbial pathogens and is the most frequently used agent for partial- and full-thickness thermal injuries?
- Question: Which of the following is a role of the advanced practice nurse in palliative cancer care?
- Question: Which type of burn injury results in destruction of epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact?
- Question: The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (text revision) (DSM-IV-TR) state that excessive worry or apprehension must be present more days than not for at least:
- Question: In the United States, what is the second most common connective tissue disease and the most destructive to the joints?
- Question: A sunscreen with a sun-protection factor (SPF) of at least what number will block most harmful ultraviolet (UV) radiation?
- Question: The hallmark of an absence seizure is:
- Question: The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the following neurotransmitters plays a role in anxiety?
- Question: Which characteristic of delirium helps to distinguish delirium from dementia?
- Question: A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority?
- Question: The clinician should question the patient with suspected gout about use of which of these medications that may be a risk factor?
- Question: A bulla is:
- Question: Sam is a 25-year-old man who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc?
- Question: Which of the following statements is true concerning the musculoskeletal exam?
- Question: The current goal of treatment for a patient with HIV infection is which of the following?
- Question: Which of the following classes of drugs should be used as first-line therapy for treatment of delirium?
- Question: After removing a tack from a type 2 diabetic’s heel and evaluating the site for infection, what is the best plan for this patient?
- Question: Which of the following statements is true concerning the management of the client with a herniated disc?
- Question: Which patient is more likely to have a cluster headache?
- Question: The main mechanism for avoiding a lawsuit involves:
- Question: A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal smear. Which of the following diagnoses is associated with this finding?
- Question: Which of the following laboratory findings should the clinician expect in a patient with untreated Graves’ disease?
- Question: A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her exam?
- Question: When may confidentiality be overridden?
- Question: A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram (ECG) changes should the clinician expect as a manifestation of the disease?
- Question: The most cost-effective screening test to determine HIV status is which of the following?
- Question: After 6 months of synthroid therapy, the clinician should expect which of the following in the repeat thyroid studies?
- Question: The vegetarian patient with gout asks the clinician about food that he should avoid. The clinician should advise the patient to avoid which of the following foods?
- Question: A 64-year-old man with type 2 diabetes presents to the clinic with the complaint of “my feet feel like they are on fire.” He has a loss of vibratory sense, +1 Achilles reflex, and a tack embedded in his left heel. Which of the following would be an appropriate treatment?
- Question: In the consensus model for Advanced Practice Registered Nurse (APRN) regulation, the “C” of LACE represents?
NR 511 Week 4 Midterm Exam (Compilation)
- Question: Which of the following demonstrates a subjective finding?
- Question: Which of the following is not a subjective finding?
- Question: Which of the following statements does not belong in the past medical history portion of your chart note?
- Question: You have a patient who presents with ankle pain. Which of the following facts or observations does not belong in the physical exam portion of your note?
- Question: An 81-year-old patient presents for a physical. She recently had a fall and now has problems walking up her stairs. The only restroom in the house is on the second floor. She also has a flight of stairs outside her house she has to navigate in order to reach street level, and this is difficult for her. Where does this information belong in your chart note?
- Question: Documentation in your patient’s chart is important for all the following reasons except?
- Question: Telehealth has shown a drastic increase in utilization by patients in which of the following fields of medicine?
- Question: The OLD CARTS (onset, location, duration, character, aggravating/alleviating factors, radiation, timing, severity) mnemonic is best … in which part of your chart note?
- Question: A nurse practitioner is practicing … on the rule-based actions he was taught in school and doesn’t understand when/where those rules may … inappropriate. Which following statement best describes this skill level?
- Question: If a screening test … on 100 individuals known to … free of breast cancer … 80 individuals who did not have breast cancer while missing 20 of the individuals, the specificity would be:
- Question: For which patient would you administer the human papillomavirus (HPV) vaccination?
- Question: How often should the clinician examine the feet of a person with diabetes?
- Question: Which drug for Alzheimer’s disease should be administered beginning at the time of diagnosis?
- Question: Most adult poisonings are:
- Question: A 58-year-old woman presents with a breast mass. Which of the following responses by the clinician would be most appropriate?
- Which of the following is a specific test for multiple sclerosis (MS)?
- Question: After removing a tack from a type 2 diabetic’s heel and evaluating the site for infection, what is the best plan for this patient?
- Question: Which characteristic of delirium helps to distinguish delirium from dementia?
- Question: Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?
- Question: Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall. She has been experiencing severe pain and limited range of motion in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation?
- Question: Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?
- Question: Which of the following statements is true concerning the musculoskeletal exam?
- Question: The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the clinician classify this patient?
- Question: The vegetarian patient with gout asks the clinician about food that he should avoid. The clinician should advise the patient to avoid which of the following foods?
- Question: A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her exam?
- Question: Which of the following classes of drugs should be used as first-line therapy for treatment of delirium?
- Question: What is the treatment of choice for a patient diagnosed with testicular cancer?
- Question: A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease (STD) has she most probably been exposed to?
- Question: A 58-year-old woman who had a total abdominal hysterectomy at the age of 45 is diagnosed with atrophic vaginitis. Which of the following is the most appropriate treatment?
- Question: When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes. What do you suspect they are?
- Question: Patients with a spontaneous pneumothorax should be counseled that up to what percentage may experience a reoccurrence at some point?
- Question: John is a 16-year-old boy who presents to the emergency room after hurting his knee in a football game. He described twisting his knee and then being unable to extend it completely. John tells the clinician that he heard a pop when the injury occurred and has been experiencing localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal tear?
- Question : During a digital rectal exam (DRE) on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?
- Question: Janet is a 30-year-old woman who has been recently diagnosed with a herniated disc at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equina compression. Which of the following is a sign or symptom of cauda equina compression?
- Question: The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (text revision) (DSM-IV-TR) state that excessive worry or apprehension must be present more days than not for at least:
- Question: A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram (ECG) changes should the clinician expect as a manifestation of the disease?
- Question: Which type of burn injury results in destruction of epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact?
- Question: Immunizations are an example of which type of prevention?
- Question: If a previously frostbitten area becomes frostbitten again after it has healed, what might occur?
- Question: A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority?
- Question: Julie, aged 50, has migraine headaches, frequent asthma attacks, coronary artery disease, and hypertension. Which of the following prophylactic medications would you order for her migraines?
- Question: A 64-year-old man with type 2 diabetes presents to the clinic with the complaint of “my feet feel like they are on fire.” He has a loss of vibratory sense, +1 Achilles reflex, and a tack embedded in his left heel. Which of the following would be an appropriate treatment?
