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Question 1.Question : Which of the following is a crucial element of developing a guideline? Student Answer: Creating a physician expert panel Reviewing the literature with ratings of available evidence Conducting an external review of a guideline Developing evidence- based tables Points^ Received:^ 2 of 2 Comments: Question 2.Question : African American patients seem to have a negative reaction to which of the following asthma medications? Student Answer: Inhaled corticosteroids Long-term beta-agonist bronchodilators Leukotriene receptor agonists Oral corticosteroids Points Received: (^) 2 of 2 Comments: Question 3.Question : Jolene has breast cancer that has been staged as T1, N0, M0. What might this mean? er: The tumor size cannot be evaluated; the cancer has not spread to the lymph nodes; and the distant spread cannot be evaluated. The cancer is in situ; it is spreading into the lymph nodes, but the spread cannot be evaluated otherwise. The cancer is less than 2 cm in size and has not spread to the lymph nodes or other parts of the body. The cancer is about 5 cm in size; nearby lymph nodes cannot be
Chamberlain College Of Nursing NR 511 Midterm Exam - Question and Answers NR 511 50
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evaluated; and there is no evidence of distant spreading. Points Received: (^) 2 of 2 Comments: Question 4.Question : Sondra's peripheral vestibular disease causes dizziness and vertigo. Which of the following medications will help to decrease edema in the labyrinth of the ear? Student Answer: Meclizine Diphenhydrami ne Diamox Promethazi ne Points Received: (^) 0 of 2 Comments: Question 5.Question : Mandy presents with a cauliflower-like wart in her anogenital region. You suspect it was sexually transmitted and document this as a: Student Answer: Filiform/digitate wart Dysplastic cervical lesion Condyloma acuminata Koilocytosis Points Received: 2 of 2 Comments: Question 6.Question : Inattention and a sleep-wake cycle disturbance are the hallmark symptoms of? Student Answer: Dementia Alzheimer's disease
Chamberlain College Of Nursing NR 511 Midterm Exam - Question and Answers NR 511 50
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Student Answer: Fluid restriction Hemodialysis 4 days a week High- protein diet Maintenance of blood pressure at (^) 120/80 Points Received: (^) 2 of 2 Comments: Question 10.Question : Which of the following conditions is associated with cigarette smoking? Student Answer: Glaucoma Increased sperm quality Bladder cancer Eczema Points Received: (^) 0 of 2 Comments: Question 11.Question : A chronic cough lasts longer than: Student Answer: 3 weeks 1 month 6 months 1 year Points Received: (^) 0 of 2 Comments: Question 12.Question : The 'freezing phenomenon' is a cardinal feature of? Student Answer: Parkinson's disease Alzheimer's disease A CVA Bell's palsy Points Received: (^) 0 of 2
Chamberlain College Of Nursing NR 511 Midterm Exam - Question and Answers NR 511 50
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Comments: Question 13.Question : When administered at the beginning of an attack, oxygen therapy may help this kind of headache? Student Answer: Tensio n Migrain e Cluster Stress Points Received: 0 of 2 Comments: Question 14.Question : Which ethnic group has the highest lung cancer incidence and mortality rates? Student Answer: African American men Scandinavian men and women Caucasian women Asian men Points Received: 0 of 2 Comments: Question 15.Question : The most significant precipitating event leading to otitis media with effusion is: Student Answer: Pharyngit is Allergies Viral upper respiratory infection (URI) Perforation of
Chamberlain College Of Nursing NR 511 Midterm Exam - Question and Answers NR 511 50
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narrowed to 1 mm or less. A low-pitched bruit is a medical emergency. The higher the pitch of the bruit, the higher the degree of stenosis. Points Received: (^) 0 of 2 Comments: Question 19.Question : Which statement is true regarding chloasma, the 'mask of pregnancy'? er: It is caused by a decrease in the melanocyte- stimulating hormone during pregnancy. This condition only occurs on the face. Exposure to sunlight will even out the discoloration. It is caused by increased levels of estrogen and progesterone. Points Received: 2 of 2 Comments: Question 20.Question : Simon presents with alopecia areata with well- circumscribed patches of hair loss on the crown of his head. How do you respond when he asks you the cause? Student Answer: "You must be under a lot of stress lately." "It is hereditary. Did your father experience this also?" "The cause is unknown, but we suspect it is due to an immunologic mechanism." "We'll have to do some tests." Points Received: (^) 0 of 2 Comments: Question 21.Question : A blood pressure (BP) of 150/90 is considered:
Chamberlain College Of Nursing NR 511 Midterm Exam - Question and Answers NR 511 50
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Student Answer: Stage 2 hypertension Hypertensive Normal in healthy older adults Acceptable if the patient has DM Points Received: (^) 0 of 2 Comments: Question 22.Question : When teaching post MI patients about their NTG tablets, the clinician should stress that the tablets should remain in the light-resistant bottle in which they are packaged and should not be put in another pill box or remain in areas that are or could become warm and humid. Once opened, the bottle must be dated and discarded after how many months? Student Answer: 1 month 3 months 6 months As long as the tablets are kept in this special bottle, they will last forever. Points Received: 0 of 2 Comments: Question 23.Question : Your patient has decided to try to quit smoking with Chantix. You are discussing his quit date, and he will begin taking the medicine tomorrow. When should he plan to quit smoking? Student Answer: He should stop smoking today. He should stop smoking tomorrow. His quit date should be in 1 week. He will be ready to quit after the first 30 days. Points Received: (^) 0 of 2 Comments:
Chamberlain College Of Nursing NR 511 Midterm Exam - Question and Answers NR 511 50
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discharge suggests which type of conjunctivitis? Student Answer: Viral conjunctivitis Keratoconjunctivit is Bacterial conjunctivitis Allergic conjunctivitis Points Received: (^) 2 of 2 Comments: Question 28.Question : Gabby, aged 22, has Bell's palsy on the right side of her face. Her mouth is distorted, and she is concerned about permanent paralysis and pain. What do you tell her? Student Answer: "Most patients have complete recovery in 3 to 6 months." "Unfortunately, you'll probably have a small amount of residual damage." "Don't worry, I'll take care of everything." "You may have a few more episodes over the course of your lifetime but no permanent damage." Points Received: 2 of 2 Comments: Question 29.Question : How often should drug levels be monitored when a seizure medication has controlled the seizures, and the drug level is adequate? Student Answer: Every 3 months Every 6 months Annually Whenever there is a problem Points Received: (^) 0 of 2 Comments:
Chamberlain College Of Nursing NR 511 Midterm Exam - Question and Answers NR 511 50
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Question 30.Question : Immunizations are an example of which type of prevention? Student Answer: Primary Secondar y Tertiary Points Received: (^) 0 of 2 Comments: Question 31.Question : The result of the patient's 24-hour urine for protein was 4.2 g/day. The clinician should take which of the following actions? Student Answer: Repeat the test. Refer to a nephrologist. Measure the serum protein. Obtain a blood urea nitrogen (BUN) and creatinine. Points Received: (^) 2 of 2 Comments: Question 32 .Question : Which cranial nerve is affected in a patient with a cerebrovascular accident who has difficulty chewing? Student Answer: CN V CN VII CN IX CN X Points Received: 0 of 2 Comments: Question 33.Question : Which of the following diagnostic tests should be ordered for a patient suspected of having bladder cancer? Student Answer: Kidneys, ureter, bladder x-ray
Chamberlain College Of Nursing NR 511 Midterm Exam - Question and Answers NR 511 50
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than 30 Greater than 40 Greater than 50 Greater than 60 Points Received: 0 of 2 Comments: Question 37.Question : The most common cause of CAP is? Student Answer: Streptococcus pneumoniae Klebsiella pneumoniae Legionella pneumoniae Pseudomonas aeruginosa Points Received: (^) 0 of 2 Comments: Question 38.Question : Sandra has palpitations that occur with muscle twitching, paresthesia, and fatigue. What specific diagnostic test might help determine the cause? Student Answer: Serum calcium Electrocardiogram (ECG) Thyroid-stimulating hormone test Complete blood cell count Points Received: 2 of 2 Comments: Question 39.Question : A patient presents to the clinician with a sore throat, fever of 100.7?F, and tender anterior cervical lymphadenopathy. The clinician suspects strep throat and performs a rapid strep test that is negative. What would the next step be? er: The patient should be instructed to rest and increase fluid intake as the infection is most likely viral and will resolve
Chamberlain College Of Nursing NR 511 Midterm Exam - Question and Answers NR 511 50
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without antibiotic treatment. Because the patient does not have strep throat, the clinician should start broad spectrum antibiotics in order to cover the offending pathogen. A throat culture should be performed to confirm the results of the rapid strep test. The patient should be treated with antibiotics for strep throat as the rapid strep test is not very sensitive. Points Received: 0 of 2 Comments: Question 40.Question : Patients with acute otitis media should be referred to a specialist in which of the following situations? Student Answer: Concurrent vertigo or ataxia Failed closure of a ruptured tympanic membrane If symptoms worsen after 3 or 4 days of treatment All of the above Points Received: 0 of 2 Comments: Question 41.Question : Which of the following tests is most useful in determining renal function in a patient suspected of CRF? Student Answer: BUN and creatinine Electrolytes Creatinine clearance Urinalysis Points Received: 0 of 2 Comments: Question 42.Question : Marci has a wart on her hand. She says she heard something about "silver duct tape therapy." What do you tell
Chamberlain College Of Nursing NR 511 Midterm Exam - Question and Answers NR 511 50
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fissure Lichenificatio n An excoriation Points Received: 2 of 2 Comments: Question 46.Question : A 65-year-old man presents to the clinician with complaints
Chamberlain College Of Nursing NR 511 Midterm Exam - Question and Answers NR 511 50
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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? er: The presence of increased intraocular pressure measured by tonometry is definitive for the diagnosis of open-angle glaucoma. The clinician can definitively diagnosis open-angle glaucoma based on the subjective complaints of the patient. Physical diagnosis relies on gonioscopic evaluation of the angle by an ophthalmologist. Early diagnosis is essential in order to reverse any damage that has occurred to the optic nerve. Points Received: 0 of 2 Comments: Question 47.Question : The majority of HSV-1 and HSV-2 infections are asymptomatic so that only which elevated antibody titer shows evidence of previous infection? Student Answer: IgA IgE Ig G Ig M Points Received: (^) 0 of 2 Comments: Question 48.Question : A patient is seen with a sudden onset of flank pain accompanied by nausea, vomiting, and diaphoresis. In addition to nephrolithiasis, which of the following should be added to the list of differential diagnoses? Student Answer: Pancreatitis
Chamberlain College Of Nursing NR 511 Midterm Exam - Question and Answers NR 511 50
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- Times are displayed in (GMT-07:00) Mountain Time (US & Canada) The most cost-effective screening test for determining HIV status is which of the following? Student Answer: Western blot Enzyme-linked immunosorbent assay Venereal Disease Research Laboratory test Viral load Points Received: 0 of 2 Comments: Question 2.Question : Which blood test is a nonspecific method and most helpful for evaluating the severity and course of an inflammatory process? Student Answer: Erythrocyte sedimentation rate White blood cell count Polymorphonuclear cells C-reactive protein (CRP) Points Received: 0 of 2 Comments: Question 3.Question : Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter?
Chamberlain College Of Nursing NR 511 Midterm Exam - Question and Answers NR 511 50
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Student Answer: GABA Acetylcholi ne Dopamine Serotonin Points Received: 0 of 2 Comments: Question 4.Question : Mrs. Thomas was seen in the office complaining of pain and point tenderness in the area of her elbow. The pain has increased following a day of gardening one week ago. A physical finding that differentiates the diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is: er: Ecchymosis, edema, and erythema over the lateral epicondyle Pain at the elbow with resisted movements at the wrist and forearm Inability to supinate and pronate the arm Inability to flex or extend the elbow against (^) resistance Points Received: (^) 2 of 2 Comments: Question 5.Question : Which of the following statements concerning the musculoskeletal examination is true? er: The uninvolved side should be examined initially and then compared to the involved side. The part of the body that is causing the patient pain should be examined first. When possible, the patient should not be asked to perform active range-of- motion (ROM) exercises to avoid causing pain. Radiographs should always be obtained prior to examination so as not to cause further injury to the patient. Points Received: (not graded) Comments:
Chamberlain College Of Nursing NR 511 Midterm Exam - Question and Answers NR 511 50
