NR 511 WEEK 8 FINAL EXAM QUESTIONS AND ANSWERS
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NR 511 Week 8 Exam
Question 1. The effectiveness of benzodiazepines in treating anxiety
disorders suggests that which of the following
neurotransmitters plays a role in anxiety?
Student Answer: Acetylcholine
Gamma-aminobutyric acid
(GABA) Dopamine
Serotonin
Points Received: (not
graded) Comments:
Question 3.Question : Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter?
Student Answer: GABA
Acetylcholine
Dopamine
Serotonin
Points Received: 0 of 2
Question 2.Question :
During a DRE on a 75-year-old man, the clinician suspects
the patient has prostate cancer. What physical finding
should make the clinician suspicious?
Student Answer: An enlarged rubbery gland
A hard irregular gland
A tender gland
A boggy gland
Points Received: (not graded)
Comments:

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:
Student Answer: 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?
Student Answer: The uninvolved side should be examined initially
andthen 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:

inflammatory etiology to musculoskeletal pain?
Student Answer: Decreased C-reactive protein
Hyperalbuminemia
Morning stiffness
Weight gain
Points Received: (not graded)
Comments:
Question 7.Question : Which causes the greatest percentage of mammalian
bites?
Student Answer: Dogs
Cats
Humans
Rodents
Points Received: (not graded)
Comments:
Question 8.Question : A 48-year-old woman is seen in the clinic with complaints
of
prolonged heavy menstrual periods. She is pale and
states she can no longer exercise. Pelvic exam reveals a
single, very large mass. Which of the following diagnostic
tests should the clinician order first?
Student Answer: Transvaginal ultrasound
Endometrial biopsy
MRI
Abdominal computed tomography
scan Points Received: (not graded)
Comments:
Question 9.Question : A diabetic patient asks the clinician why he needs to check

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intolerance, weight gain, and constipation for the past 3
months. On physical examination, the clinician notices a
sinus bradycardia; muscular stiffness; coarse, dry hair; and
a delay in relaxation in deep tendon reflexes. Which of the
following tests should be ordered next?
Student Answer: Serum
calcium TSH
Electrolytes
Urine specific
gravity Points Received: (not graded)
Comments:
Question 11.Question : Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy?
Student Answer: Insulin
Metformin
Glucotrol
Precose
Points Received: (not graded)
Comments:
Question 12.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)

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Points Received: 0 of 2
Comments:
Question 13.Question : Eddie, age 4, presents to the ED with a live insect trapped
in
his ear canal causing a lot of distress. What should be
your first step?
Student Answer: Remove the insect with tweezers.
Immobilize the insect with 2% lidocaine.
Sedate Eddie with diazepam.
Shine a light in the ear for the insect to "find its way
out." Points Received: (not graded)
Comments:

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Question 14.Question : What is the most common cause of microcytic anemia?
Student Answer: Anemia of chronic disease
Sideroblastic anemia
Iron-deficiency anemia
Thalassemia
Points Received: (not graded)
Comments:
Question 15.Question : An 82-year-old man is seen in the primary care office with
complaints of dribbling urine and difficulty starting his
stream. Which of the following should be included in the list
of differential diagnoses?
Student Answer: Benign prostatic hyperplasia (BPH)
Parkinson's disease
Prostate cancer
All of the
above Points Received: (not graded)
Comments:
Question 17.Question : A 70-year-old female has fallen 2 weeks ago and developed
immediate pain in her left wrist. She thought she just
bruised it but is worried because it has not improved. She
has used Tylenol® and ice at home, and that has helped
Question 16.Question : Early rheumatoid disease is characterized by:
Student Answer: Pain and swelling in both small and large
peripheral joints
Rigid joints with diminished range of motion
Joint swelling and immobility on rising
A cardiac rub or pulmonary friction
rub Points Received: (not graded)
Comments:

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slightly. You examine her and find she has moderate
swelling and ecchymosis but no overtly obvious deformity.
Her ROM is uncomfortable and severely diminished due to
the pain. No crepitus is heard or felt. Her fingers are warm;
her pulse is strong; and capillary refill is less than 2
seconds. What should you do?
Student Answer: Make an immediate referral for an orthopedic
evaluation without further assessment.
Tell her that it takes time for these to improve,
so she should be patient.

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prescribe a splint.
Send her to the emergency room for reduction of
this obvious wrist fracture.
Points Received: (not graded)
Comments:
Question 19.Question : A -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?
Student Answer: The scrotum will be dark.
The scrotum will appear light pink or yellow.
The scrotum will appear milky white.
The internal structures will be clearly visible.
Points Received: (not graded)
Comments:
Question 20.Question : According to Kübler-Ross, the stages of grief occur in
Question 18.Question : The criteria for diagnosing generalized anxiety disorder in
the American Psychiatric Association's Diagnostic and
Statistical Manual of Mental Disorders, 5th edition (text
revision) state that excessive worry or apprehension must
be present more days than not for at least:
Student Answer: 1 month
3
months
6 months
12 months
Points Received: (not graded)
Comments:

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Disease progression
The need to be more aggressive with
Reuben's medications
The eradication of the HIV
Points Received: (not graded)
Comments:
Question 22.Question : The exanthem of Lyme disease
is: Student Answer: Erythema infectiosum
Laterothoracic exanthem
Erythema migrans
Morbilli exanthem
Points Received: (not graded)
Comments:
Question 24.Question : What is the recommended daily calcium intake for adults
over the age of 50 with low bone mass?
Student Answer: 1,200
mg/day
Question 23.Question : You have detected the presence of crepitus on examination
of a patient with a musculoskeletal complaint. Additionally,
there is limited range of motion (ROM) with both active and
passive movement. These findings suggest that the origin
of the musculoskeletal complaint is:
Student Answer: Articular
Inflammatory
Nonarticular
A and B
Points Received: (not graded)
Comments:

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