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NURS 683/ Nurs 683 FINAL EXAM LATEST
2025 UPDATE COMPLETE QUESTION AND
ANSWER (Verified Answers 100%)
A patient presents to the clinic with pain at the wrist and thumb. The provider performs a Finklestein test, and it is positive. What is the most likely diagnosis? De Quervain's disease Estrogen-progestin therapy used in osteoporosis A. Reduces risk of bone fractures B. Increases risk of breast cancer, CHD, stroke, and venous thrombosis C. Is no longer recommended for osteoporosis treatment in women D. All of the above D. All of the Above NOTE: Evista (raloxifene) least helpful tx- not recommended A patient with a back injury reports numbness and tingling. You suspect a compression fracture. What is your next step? Order X-ray The Spurling Test is used for Cervical nerve compression 80% of bursitis is caused by Staph aureus
A 16 - year-old patient comes to the clinic with a suspected meniscal tear. What are the steps for confirming this? McMurray Test, MRI T/F? Acetaminophen is a useful tx for RA False A 65 - year-old patient presents with bilateral knee pain and stiffness that is worse in the morning, malaise, and low-grade fever. What is the most likely dx? Rheumatoid arthritis. Ankle sprain grades grade 1 - localized tenderness, normal ROM (exercise, physio) grade 2 - mod to severe pain and swelling, difficulty walking (exercise, physio, brace) grade 3 - not able to bear weight, egg shaped swelling (brace, rehab, possible surgery) First line tx for osteoarthritis? Tylenol Back pain that is exacerbated by standing and walking and relieved by leanign forward
What would prompt the NP to order an X-ray on a patient with lower back pain? Numbness/tingling in thighs Tamsulosin (Flomax) is used to tx benign prostatic hyperplasia (is an alpha blocker) NOTE: Good for male pt of European descent w/ HTN T/F? Ibuprofen causes osteoporosis FALSE Paget disease of bone (osteitis deformans) Common idiopathic alteration of bone exhibiting abnormal resorption and deposition, resulting in distorted and weakened bones Tx is not with OPIODS Body core temp >104. Heat stroke Tinel's Test
- Used for Dx of Carpal Tunnel Syndrome
- Physician taps over the volar aspect of the pts transverse carpal ligament
- Positive test will cause tingling or paresthesia into the thumb, index, middle or lateral half of the ring finger
A patient with gout has been experiencing symptoms for the past 72 hours. How would the provider treat this flare up? NSAIDs Spurling's Test tests for cervical nerve compression Thoracic Outlet Syndrome compression of brachial plexus, subclavian artery and vein Mr. S presents in the clinic with pain, tenderness, erythema, and swelling to his L great toe. The clinician suspects acute gout. Which of the following should the clinician expect in the initial test results for this pt? A. Elevated uric acid level B. Elevated blood urea nitrogen C. Decreased urine pH D. Decreased C-reactive protein A. Elevated uric acid level Definitive test for gout Aspiration of joint fluid
A GFR<20 indicates Stage 5 chronic renal failure A patient with a leaking bladder should be instructed to perform Kegel exercises Best test to monitor CKD is GFR Prostatitis should be treated for 6 to 12 weeks T/F? Isosorbide is a contraindication for Viagra True The main tx for CPPS (chronic prostatitis/pelvic pain) Alpha blockers Which medication slows down contractility and causes urge incontinence? Diphenhydramine
1st sign of bladder cancer? Gross hematuria Pseudogout vs. gout crystals? Pseudogout = calcium pyrophosphate = positively birefringent Gout = monosodium urate = negatively birefringent What is the 1st line of tx for a pregnant woman with a UTI? Amoxicillin A GFR of 55 indicates Stage 3 CKD- refer to urology! A 39 - year-old man has been dx with a UTI. He is allergic to fluoroquinolones. What medication is the best tx option? Bactrim A patient presents to the clinic with sudden onset right sided back pain and gross hematuria. What test should the provider order? CT What is NOT a cause of AKI?
Best med to start with when treating anxiety? SSRI (Zoloft, lexapro, etc.) T/F? Folate is used to treat macrocytic anemia in alcohol abuse True The justification for ordering CBC, CMP,TSH, and serum B12 for a pt you may suspect have clinical depression is: Because of overlapping symptoms w/anemia, thyroid dysfunction, and nutritional deficiencies A female patient presents to the ER with shooting back pain. A dipstick UA reveals gross hematuria. What is the next step? Order CT to confirm dx S/S olecranon bursitis? Local redness, swelling, warmth What med to avoid with GFR of 50? Lisinopril Issues with gait and paresthesia can indicate
B12 deficiency T/F: Silvadene (silver sulfadiazine) is a topical antibiotic that may be used to prevent and treat wound infections in burn patients. It can be applied topically to face FALSE- not to face T/F? Hydrocortisone cream is not a good tx choice for sunburn True T/F? Decreased ESR is seen in RA False Tx for carpal tunnel syndrome splint wrist + NSAIDs. Surgery for intolerable symptoms. What condition can be exacerbated by UV rays? SLE When is patient at highest risk for suicide after tarting depression medication? 1 - 2 weeks after start The duration of medication treatment for uncomplicated major depression is a minimum of what?
Bone marrow bx How long does a tick need to be in place before it transfers a disease? 24 - 48 hours What lab would be abnormal for a child with mono? Elevated LFT Nitrates in UA? Bactrim absent cremasteric reflex testicular torsion T/F? Negative Babinski can indicate caudal equina False Caudal equina (severe spinal stenosis) needs immediate referral to neurosurgeon Wellbutrin is a good choice for males with sexual dysfunction
Risk factors for osteoporosis Hysterectomy, smoking, steroid use Positive anti-CCP antibodies Rheumatoid arthritis Anemia of chronic disease Microcytic anemia with ↓ serum iron, ↓ total iron-binding capacity (TIBC), and normal or ↑ ferritin. What should be done immediately following an a dog bite? Check tetanus shot status, vaccinations T/F? Heat cramps can be related to sodium depletion TRUE Fosamax (alendronate) is used for osteoporosis- take with water! Neer's Test and Hawkins-Kennedy Test Used to assess impingement of soft tissue structures Pain = positive
What is a complicated UTI? structural or functional abnormality of the urinary tract Ex: men, DM, stones, strictures, obstruction (BPH), pregnant B12 deficiency treatment if neuro symptoms? 1,00 mcg of vitamin B12 intramuscularly is suggested daily for the first 7 days, then weekly for a month, followed by monthly administration for life.
