CramX Logo
RegisterLog in

NR511 Clinical Analysis Final Exam With Answers (190 Solved Questions)

NR511 Clinical Analysis Final Exam With Answers allows you to practice under timed conditions with real past papers.

Daniel Miller
Contributor
4.4
30
10 months ago
Preview (10 of 30 Pages)
100%
Log in to unlock

Page 1

NR511 Clinical Analysis Final Exam With Answers (190 Solved Questions) - Page 1 preview image

Loading page ...

NRi511i/iNR511iFINALiEXAMi1Theieffectivenessiofibenzodiazepinesiinitreatingianxietyidisordersisuggestsithatiwhichiofitheifollowingineurotransmittersiplaysiairoleiinianxiety?Gamma-aminobutyriciacidi(GABA)TheicriteriaiforidiagnosingigeneralizedianxietyidisorderiinitheiAmericaniPsychiatriciAssociationsiDiagnosticiandiStatisticaliManualiofiMentaliDisorders,i5thieditioni(textirevision)istateithatiexcessiveiworryioriapprehensionimustibeipresentimoreidaysithaninotiforiatileast?6imonthsAi20-year-oldiwomaniisiseeniinitheiclinicibecauseiheriboyfriendiwasifounditoihaveigonorrhea.iWhichiofitheifollowingiisitheitreatmentiofichoiceiforigonorrhea?a.Ceftriaxoneb.Doxycyclinec.Acyclovird.MetronidazoleiCeftriaxoneAipatientiisiseeniinitheicliniciwithiaichieficomplaintiofihematuria.iToimakeiaidifferentialidiagnosis,iwhichiofitheifollowingiquestionsishouldibeiasked?a."Doiyouihaveiaihistoryiofiliveridisease?"b."Whatimedicationsiareiyouicurrentlyitaking?"c."Haveiyouinoticediswellingiiniyouriankles?"d.Alliofitheiabove"Whatimedicationsiareiyouicurrentlyitaking"Aipatientiisiseeniinitheicliniciwithihematuriaiconfirmedionimicroscopiciexamination.iTheiclinicianishouldiinquireiaboutitheiingestioniofiwhichiofitheseisubstancesithatimightibeitheicauseiofihematuria?a.NSAIDsb.Beetsc.VitaminiAd.RedimeatiNSAIDSAi27-year-oldifemaleipresentsiwithiaichieficomplaintiofiburningiandipainioniurination.iSheihasinoipreviousihistoryiofiurinaryitractiinfectioni(UTI).iWhatiareisomeiadditionalisymptomsiconsistentiwithiaidiagnosisiofiloweriUTI?a.Backiandiabdominalipainb.Fever,ichills,icostovertebralianglei(CVA)itenderness

Page 2

NR511 Clinical Analysis Final Exam With Answers (190 Solved Questions) - Page 2 preview image

Loading page ...

Page 3

NR511 Clinical Analysis Final Exam With Answers (190 Solved Questions) - Page 3 preview image

Loading page ...

c.Bloodiiniurineiandifrequencyd.Foul-smellingidischarge,iperinealiitchiBloodiiniurineiadifrequencyAi30-year-oldipatientipresentsiwithipainioniurination.iTheiurineimicroscopyiofiunspuniurineishowsigreaterithani10ileukocytes/mL,iandiaidipstickiisipositiveiforinitrites.iWhatiisitheiprobableidiagnosis?ia.iLoweriurinaryitractiinfectionb.Chlamydiaiinfectionc.Candidiasisd.PyelonephritisLoweriurinaryitractiinfectionAipatientipresentsiwithiCVAitendernessiandiaiseveral-dayihistoryiofihighifever,ichills,iandidysuria.iWhichiofitheifollowingidiagnosesiisimostilikelyigivenitheiaboveiinformation?a.Pyelonephritisb.Cystitisc.Renalicalculid.BladderitumoriPyelonephritisAipatientiisidiagnosediwithiurgeiincontinence.iBeforeiprescribingiDetroliXL,itheiproviderishouldiquestionitheipatientiaboutiwhichiofitheseicontraindicationsitoithisimedication?a.Diarrheab.Parkinson'sidiseasec.Closed-angleiglaucomad.BreasticanceriClosed-angleiglaucomaAipatientiisiseeniinitheiofficeicomplainingiofisevereiflankipain.iTheiclinicianishouldiassessithisipatientiforiwhichiriskifactoriforikidneyistones?a.Hypertensionb.Constipationc.Tubaliligationd.DiabetesiHypertensionAipatientiisidiagnosediwithioveractiveibladder.iWhichiofitheifollowingiinstructionsishouldibeigivenitoithisiwoman?a.i"Limititheiamountiofiwaterithatiyouidrink."ib.i"Eliminateicaffeineifromiyouridiet."c.i"Wearipantyiliners."d.iAlliofitheiaboveEliminateicaffeineifromiyouridiet

Page 4

NR511 Clinical Analysis Final Exam With Answers (190 Solved Questions) - Page 4 preview image

Loading page ...

Ai34-year-oldipatientiwasitreatediforiaiUTIiandihasinotirespondeditoiantibioticitherapy.iWhichiofitheifollowingiactionsishouldibeitakeninext?a.Sendiaiurineispecimeniforimicroscopyiandievaluateiforifungalicolonies.b.Increaseitheidoseiofiantibiotic.c.Orderiaicytoscopy.d.Orderiaidifferentiantibiotic.SendiaiurineispecimeniforimicroscopyiandievaluateiforifungalicoloniesiWhichiofitheifollowingiareipredisposingifactorsiforipyelonephritis?a.Pregnancyb.Dehydrationc.Smokingd.AlkalineiurineiPregnancyAi42-year-oldiwomaniisiseeniinitheicliniciwithifever,ichills,ivomiting,iandisevereidysuria.iSheiisidiagnosediwithiacuteipyelonephritis.iHowishouldithisipatientibeimanaged?a.i3-dayicourseiofioraliantibioticsib.iHospitalizationc.iEncourageicranberryijuiceiintake.d.i6-weekicourseiofiantibioticsiHospitalizationOraliantibioticsimayibeiprescribediinimildicasesiofiacuteipyelonephritis,icharacterizedibyitheiabsenceiofinauseaiandivomitingiorisignsiofisepsis.iFirst-lineitherapyiincludesiciprofloxacini(Cipro)i500imgitwoitimesidailyifori7idays,ioriciprofloxaciniextended-releasei(CiproiXR)i1,000imgidailyifori7idays,iorilevofloxacini(Levaquin)i750imgidailyifori5idays.Hospitalizationimayibeiindicated,idependingionitheipatient'siabilityitoimaintainiadequateifluidiintakeanditoitolerateioraliantibiotics,ialongiwithitheiseverityiofitheisymptomsiandievidenceiofibacteremia.Hospitalizationiofipatientsiwhoiareipregnant,ivomiting,ioridehydratedishouldibeistronglyiconsidered.Likewise,itheipatient'sidegreeiofisystemiciillnessi(bacteremiaioriurosepsis),iage,ihistoryiofichronicdisease,iorinonadherenceitoitherapyimayileaditoitheiassessmentithatihospitalizationiisinecessary.Ninety-ifiveipercentiofipatientsidemonstrateiaigoodiresponseiwithini48ihoursitoiIViantibioticitreatmentandimayibeidischargedioniappropriateioralimedication,ionceiurineicultureiandiantibioticisensitivityresultsiareiavailableiandisubsequentiantimicrobialitherapyimayibeinarrowediinispectrum.Aipatientiisiseeniwithiaisuddenionsetiofiflankipainiaccompaniedibyinausea,ivomiting,iandidiaphoresis.iIniadditionitoinephrolithiasis,iwhichiofitheifollowingishouldibeiaddeditoitheilistiofidifferentialidiagnoses?a.Pancreatitisb.Pepticiulceridisease

Page 5

NR511 Clinical Analysis Final Exam With Answers (190 Solved Questions) - Page 5 preview image

Loading page ...

c.Diverticulitisd.AlliofitheiaboveiAlliofitheiaboveWhichiofitheifollowingiinstructionsishouldibeigivenitoitheipatientiwithinephrolithiasis?ia.iTakeiibuprofen,i600imgieveryi8ihours.b.TakeiTums®iforistomachiupset.c.Drinkimoreiblackitea.d.Increaseiintakeiofivegetables,ilikeispinach.iTakeiibuprofen,i600imgieveryi8ihoursWhichiofitheifollowingipatientsiisiatiriskiforidevelopingiurinaryitracticancer?a.Thei45-year-oldiwomaniwhoiisi100ilbsioverweightb.Thei78-year-oldimaniwhoismokesithreeipacksioficigarettesiaidayc.Thei84-year-oldimaniwhoiworkediinitheiasbestosiminesid.iAlliofitheiaboveAlliofitheiaboveObesity;iexposureitoiasbestos,icadmium,iand/origasoline;itheiuseiofiphenacetin-iandiaspirin-containingianalgesics;iandichronicihemodialysisiforiacquiredipolycysticikidneyidiseaseiareialliriskifactorsiforirenalicellicarcinoma.iCigaretteismokingihasiai25%itoi30%icorrelationiwithitheidevelopmentiofirenalicellicarcinoma.Ani86-year-oldiwomaniisiseeniinitheicliniciforirecurrentihematuria.iTheiproviderisuspectsibladdericancer.iWhichiofitheifollowingidataifromitheihistoryiisiconsiderediairiskifactoriforithisitypeioficancer?a.Historyiofialcoholismb.Sedentaryilifestylec.Obesityd.65-yearismokingihistoryi65-yearismokingihistoryWhichiofitheifollowingidiagnosticitestsishouldibeiorderediforiaipatientisuspectediofihavingibladdericancer?a.iKidneys,iureter,ibladderix-rayib.iCystoscopyiwithibiopsyc.iMagneticiresonanceiimagingd.iUrineitumorimarkeri(NMP22)iCystoscopyiwithibiopsyAi78-year-oldimaniisidiagnosediwithiStageiDibladdericanceriandiasksitheiprovideriwhatithatimeans.iWhichiisitheibestiresponse?a."ThereiisinoisuchithingiasiStageiDicancer."b."Youihaveicancerithatihasispreaditoitheisurroundingitissue."

Page 6

NR511 Clinical Analysis Final Exam With Answers (190 Solved Questions) - Page 6 preview image

Loading page ...

c."Youricancerihasispreaditoiotheriorgans."d."Youricancericanibeicuredibyiremovingiyouribladder."i"Youricancerihasispreaditoiotheriorgans"Inigeneral,iTRANSITIONALiCELLiCARCINOMASiareistagedifromiAitoiD,iaccordingitoileveliofiinvasion:istagei0itumorsiareiconfineditoitheimucosa;stageiAitumorsiinvadeitheilaminaipropria;istageiBitumorsiinvadeitheimuscularilayer;stageiCitumorsiextenditoitheiperipelvicifatiorirenaliparenchyma;iandistageiDiindicatesimetastaticidisease.Theitumor-node-metastasisi(TNM)isystemiofitheiAmericaniJointiCommitteeioniCancerimayialsoibeiused,iwithinodalimetastasesireflectingistageiIVicancer.iWhenitransitionalicellicarcinomasiareilookediatiasiaiwhole,iinisituidiseaseihasiai5-yearisurvivalirateiofi95%,ilocalizedidiseaseinearlyi90%,iregionalidiseaseijustioveri60%,iandidistantidiseaseionlyi17%Hematuriaidifferentialidiagnosisiinclude?UTI,ipylyonephritis,icancer,iBPHiHematuriaiphysicaliexamishouldiinclude?Abdominaliexam,itenderness,imassess,iCVAitenderness,ipelvic/prostateiexamiDiagnosticitestsineedediinievaluationiofihematuria?UA,iC&S,iCMP,iBMP,iIVPiintravenousipyelogram,icystoscopy,iUS,iCTiscanHematuriaimanagementiandifollow-upIfibacterialisuchiasiUTI-iantibioticitherapy**ifinotifurtherievaluationireferitoiurologyiorinephrologyiLoweriUTIioccursiwhere?urethra,ibladder,iprostateMosticommonipathogeniofiUTIiincludes?E.coliClinicalipresentationiofiUTIiS/S?dysuria,iurinaryifrequency/urgency,inocturia,ihematuria,ilowibackiorisuprapubicipain,iurinaryiincontinence,ifoulismellingiurine**elderlyialternedimentalistatusimayibeionlyimanifestation!

Page 7

NR511 Clinical Analysis Final Exam With Answers (190 Solved Questions) - Page 7 preview image

Loading page ...

Cleanicatchiurineisampleishowingipresenceiofibacteria**>100iorganisms/mliwithipresenceioficlinicalisymptomsWhatidiagnosticitestsiwouldioneiuseiforiUTI?*Urineicultureimayibeiindicatediificomplicatediinfectioniisisuspected,iifiatypicalisymptomsiareipresentioriifisymtpomsipersistiorirecuriwithiniaimonthiofiptirecievingiempiricicourseiofiantibiotics.WhatiantibioticsiwouldibeiprescribediforianiuncomplicatediUTI?Bactrimi(TMP-SMP)i160/800imgiBIDifori3idays**foriptsiwithinoidrugiallergies,ipreviousihospitalizationioriantibioitciuseiini3imonthsMacrobidi(Nitrofurantoin)i100imgiBIDixi7idaysiusediasianialternativeiforiptsiwithisulfaiallergiesiorithoseiwithipreviousiantibioticsiwithinilasti3imonthsFluoroquinolonesisuchiasiCiproi250imgiBIDixi3idaysiorilevaquini250imgidailyixi3idaysiWhatiwouldiyouitreatiaipatientiwithiaifungaliUTI?Whatiisiusuallyitheicause?Diflucani(Fluconazole)i200imgiPOidailyifori7-14idays.**usuallyisiassociatediwithiindwellingicatheteriALMOSTiHALFiCASESiRESOLVEiONiTHEIRiOWNiWHENiCATHETERiISiREMOVEDiANDidoesinotineeditreatment.Whatiisipyelonephritis?infectioniofitheikidneyithatiisicharacterizedibyiinfectioniwithinirenalipelvis,itubules,ioriinterstialitissueithatimayibeiunilateralioribilateralWhatiareitheipre-disposingiriskifactorsiforipyelonephritis?ia.iPregnancyb.Dehydrationc.Smokingd.AlkalineiurineiPregnancyincreasediinipatientsiwithipredisposingifactorsiincludingianatomicaliabnormalitiesisuchiasiureterovesicalireflux,iurinaryiobstruction,stressiincontinence,multipleiorirecurrentiurinaryitractiinfectionsi(UTIs),irenalidisease,kidneyitrauma,

Page 8

NR511 Clinical Analysis Final Exam With Answers (190 Solved Questions) - Page 8 preview image

Loading page ...

pregnancy,iandmetabolicidisordersisuchiasidiabetesimellitus.Whatiareitheisignsiandisymptomsiofiacuteipylonephritissuddenionsetiofifever,ishaking,ichills,in/v,iunilateraliorilocalizediflankipain,ifatigue,idiarrhea**largelyiasymptomatic**elderlyiptsiwithialteredimentationWhaticanibeiseenioniphysicaliexamiforipylonephritis?markeditendernessionideepiabdominalipalpation**mayibeihypertensive.Diagnosticsineedediforipylonephritis?dxiconfirmedithroughiUAi(positiveiforibacteria,iproteinuria,ileukocytesiesterase,iurinaryinitrates,ihematuria,ipyuria,iWBCiCASTSi(passageithroughinuetrophilsithorughirenalitubules)**Urineiculturei>100,000icfu/mli(allowingiforiidentificationioficausitiveiorganism)**MOSTiIMPORTANTiisiWBCiCASTS*cystoscopyiwithiureteralicatheterization,irenaliultrasound,iintravenousipyelogramiWhatiassessmentiisiperformeditoitryiandidiagnoseipylonephritis?physicaliexam:iTendernessionideepipalpation/percussioniofiCVAitendernessi(back)**iptsimayibeihypertensiveWhatiantibioticsishouldibeiusediforipyleonephritis?Ciproi500imgiBIDifori7idaysiCiproiXRi1000mgidailyifori7idaysiLevaquini750imgidailyifori5idaysTXiforikidneyistonesiinclude?painireliefi(oraliNSAIDS,iopiates,iantispasmodics,iwarmicompresses,ifocusedibreathingidiversionalitherapy)*thiazideidiureticsi(calcium)iAllopurinoli(uriciacid)Dipenicillaminei(cystine)increaseiwateriintakenoninvasiveiandiinvasiveisurgicaliinterventions

Page 9

NR511 Clinical Analysis Final Exam With Answers (190 Solved Questions) - Page 9 preview image

Loading page ...

AVOIDiTUMS,iloopidiuretics,ivitaminisupplementsiStressiincontinenceicanibeibroughtionieasilyiby?coughingisneezing,istrainingManagementiofistressiincontinenceiincludes?kegalsi40-60icontractionsidailyi(slowitighteni10iseconds,iholdi10iseconds,ireleaseioveri10iseconds)PelvicifloorimuscleitrainingVaginaliconesioripessariesloseiwtlimitifluidsiinieveningMEDS:ivaginaliestrogeniSurgicaliinterventionOveriActiveiBladderimedicationsiinclude?Anticholinergic/AntimuscarinicimedicationsOxybutynin-iDitropaniandiXLiPOioripatchiTolterodinei(DetroliandiDetroliLA)Sideieffects:idryimouth,iconstipation,iblurredivisionTheiresultiofitheipatient'si24-houriurineiforiproteiniwasi4.2ig/day.iTheiclinicianishoulditakeiwhichiofitheifollowingiactions?a.Repeatitheitest.b.Referitoiainephrologist.c.Measureitheiserumiprotein.d.Obtainiaibloodiureainitrogeni(BUN)iandicreatinine.Referitoiainephrologist.Ifitheiexcretionirateiisiabovei3.0itoi3.5ig/day,itheipatient,ibyidefinition,ihasinephroticisyndromeiandimustibeireferreditoiainephrologist.CanileaditoiAKI,iEndistageirenalifailureiandihypertension

Page 10

NR511 Clinical Analysis Final Exam With Answers (190 Solved Questions) - Page 10 preview image

Loading page ...

Aipatientiisiseenicomplainingiofi"leakingiurineiwheniIisneeze."iWhichiofitheifollowingiactionsishoulditheiclinicianitakeifirst?a.Orderiaicystometrogram.b.Obtainiaicomputeditomographyiscan.ic.iInstructitheipatientioniKegeliexercises.d.iPrescribeiimipramine.InstructitheipatientioniKegeliexercises.WhichiofitheifollowingiinformationiisiessentialibeforeiprescribingiBactrimiDSitoiai24-year-oldiwomaniwithiaiUTI?a.Lastimenstrualiperiodb.Methodiofibirthicontrolc.Lastiunprotectedisexualicontactid.iAlliofitheiaboveAlliofitheiaboveCertainipatternsiofipain,inumbness,ianditinglingiareiassociatediwithicarpalitunnelisyndrome.KatzihandidiagramTinelisignMedianinerveiintegrityTinelisigniisitestedibyistrikingitheipatient'siwristiwithiyouriindexiorimiddleifingeriwhereitheimedianinerveipassesiunderitheiflexoriretinaculumiandivolaricarpaliligament.AitinglingisensationiradiatingifromitheiwristitoitheihandiinitheidistributioniofitheimedianinerveiisiaipositiveiTinelisigniandiisisuggestiveioficarpalitunnelisyndrome.MedianiNerveiIntegrity/iCarpaliTunnelitestingTinelisign,iPhalen,iThumbiabductionThumbiabductionHaveitheipatientiplaceitheihandipalmiupiandiraiseitheithumbiperpendicularitoiit.iApplyidownwardipressureionitheithumbitoitestimuscleistrength.Fulliresistanceitoipressureiisiexpected.iWeaknessiisiassociatediwithicarpalitunnelisyndrome.PhalenitestToiperformitheiPhalenitest,iaskitheipatientitoiholdibothiwristsiiniaifullyipalmar-flexedipositioniwithitheidorsalisurfacesipresseditogetherifori1iminuteNumbnessiandiparesthesiaiinitheidistributioniofitheimedianinerveiareisuggestiveioficarpalitunnelisyndrome.
Preview Mode

This document has 30 pages. Sign in to access the full document!

Study Now!

X-Copilot AI
Unlimited Access
Secure Payment
Instant Access
24/7 Support
Document Chat

Document Details

University
Chamberlain College of Nursing
Course
NR 511
Subject
Medicine

Related Documents

View all
Past Exams

NR511 Healthcare Assessment Midterm Exam With Answers (15 Solved Questions)

Past Exams

2024 NR511 Clinical Analysis Final Exam With Answers (99 Solved Questions)

Past Exams

NR511 Nursing Diagnosis Midterm Exam With Answers (401 Solved Questions)

Past Exams

2022 NR511 Clinical Analysis Final Exam Week 8 With Answers (100 Solved Questions)

Past Exams

2023 NR511 Clinical Analysis Final Exam Week 8 With Answers (103 Solved Questions)

Past Exams

NR511 Differential Diagnosis and Primary Care Practicum Week 5 Quiz With Answers (15 Solved Questions)

Past Exams

2023-2024 NR511 Pharmacology Mid Term Exam Final Exam With Answers (79 Solved Questions)

Past Exams

PETH 410 Midterm

Class Notes

EPI Notes

Class Notes

Understanding Hemodialysis Patient Guide and Meal