NR 511 FINAL EXAM VERSION 2 WITH

NR 511 FINAL EXAM VERSION 2 WITH

ALL 100 ACTUAL EXAM QUESTIONS AND

100% CORRECT ANSWERS GRADED A+

CHAMBERLAIN/ NR 511 LATEST FINAL

EXAM -

A 45-year-old patient presents with a chief complaint of generalized abdominal pain. Her physical exam is remarkable for left lower quadrant (LLQ) tenderness.Which of the following should be considered in the differential diagnosis at this time? - ANSWER-Endometriosis, Diverticulitis, Colon cancer

A 22-year-old male is seen in the clinic because he found a hard lump in his testicle when performing testicular self-examination (TSE). Which of the following should be included in the list of differential diagnoses? - ANSWER- Testicular cancer, Varicocele, Inguinal hernia

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? - ANSWER-Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain

The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs to manage his symptoms of pain and discomfort. Which of the following statements would be most appropriate when teaching Sam about the use of NSAIDs to manage his pain? - ANSWER-You should start with the lowest dose that is effective in managing your pain, because long-term use of NSAIDs can result in gastrointestinal (GI) disorders such as ulcers and hemorrhage. 1 / 3

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? - ANSWER-Paresthesia of the perineum and buttocks

The clinician is caring for Diane, a 22-year-old woman who presents with an injured ankle. Diane asks the clinician if she will need an x-ray. The clinician explains to Diane that an x-ray is not always necessary for an injured ankle, and that the decision to obtain radiographs is dependent on the exam and Diane's description of her injury. Which of the following clues in Diane's exam or history would alert the clinician to the need for obtaining radiographs? - ANSWER-If she was not able to bear weight immediately after the injury. If the ankle developed swelling and discoloration after the injury. If crepitation occurs with palpation or movement of the ankle.

A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain after meals. She is often constipated and takes laxatives. Following this, she has diarrhea for a couple of days. She temporarily feels better after a bowel movement. She states she is embarrassed by flatulence and has abdominal distension. She has had no weight loss or blood in her stool. This problem has gone on for about 6 months. What should the next step be? - ANSWER-Obtain a complete history.

A 46-year-old patient is seen in the clinic with abdominal pain. Which of the following tests is essential for this patient? - ANSWER-Urine hCG

A 28-year-old patient is seen in the clinic with colicky abdominal pain, particularly with meals. She has frequent constipation, flatulence, and abdominal distension.Which of the data make a diagnosis of diverticulitis unlikely? - ANSWER-Her age

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A 28-year-old patient is seen with complaints of diarrhea. Which of the following questions would help the clinician establish the diagnosis of irritable bowel syndrome? - ANSWER-Feels relief after a bowel movement, Sometimes is constipated, Does not defecate in the middle of the night

A patient is diagnosed with gastroesophageal reflux disease (GERD), and his endoscopic report reveals the presence of Barrett's epithelium. Which of the following information should the clinician include in the explanation of the pathology report? - ANSWER-This is a premalignant tissue. This tissue is resistant to gastric acid. This tissue supports healing of the esophagus.

Which of the following dietary information should be given to a patient with gastroesophageal reflux disease (GERD)? - ANSWER-Eliminate coffee.

The patient with gastroesophageal reflux disease (GERD) should be instructed to eliminate which of these activities? - ANSWER-Weight lifting

A patient is diagnosed with Giardia after a backpacking trip in the mountains.Which of the following would be the appropriate treatment? - ANSWER- Metronidazole

A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in appendicitis? - ANSWER-Very early

Tests for appendicitis - ANSWER-Rovsing deep palpation of left lower quad with quick release. Psoas lift right leg against gentle pressure. Obturator rotate right leg internally. McBurney pressure halfway between umbilicus and anterior spine.

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