Asymptomatic bacteriuria is more common

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Reference no: EM134033870

Questions

1. When assessing a patient with acute low back pain, the most reliable indicator(s) of neurologic deficit is (are):

A-A straight leg raise test
B-A vibratory sensation test and spinal tenderness.
C-Deep tendon reflexes, strength, and sensation
D-Proprioception and changes in bowel and bladder function.

2. Heart murmurs are graded based on their intensity. The nurse practitioner would document a murmur as Grade 3 (III/VI) if the murmur were :

A-barely audible.
B-faint but audible immediately
C-moderately loud but with a palpable thrill
D-loud with a palpable thrill

3. A 78-year-old patient with diabetes states that when reading, sentences on a page appear wavy or distorted. The nurse practitioner suspects:

A-glaucoma.
B-retinal detachment
C-diabetic retinopathy
D-macular degeneration

4. Which of the following liver enzyme values are indicative of alcohol-related hepatitis?

A-ALT-AST ratio >2.0
B-AST-ALT ratio >2.0
C-ALT and AST equally elevated

D-GGT-AST ratio >40

5. The nurse practitioner is discussing contraception options during lactation with a pregnant patient. Which of the following methods of contraception would NOT be appropriate for use while breastfeeding?

A-Levonorgestrel
B-A low-dose oral contraceptive
C-An intrauterine device
D-A diaphragm and spermicide

6. Which one of the following is not a medical emergency that may be attributed to acute cocaine intoxication?

A-Hyperthermia leading to extreme rhabdomyolysis.
B-Hypertension with or without vasculitis, causing cerebrovascular accident
C-Negative inotropic effects leading to depressed left ventricular function and heart failure
D-Vasodilation and disseminated intravascular coagulation

7. A patient complains of lower extremity edema. The patient reports that the swelling began 3 months ago after starting a new medication. Physiologic causes of this condition have been excluded. Which medication is MOST likely causing the edema?

A-Nifedipine (Procardia)
B-Losartan (Cozaar)
C-Enalapril (Vasotec)
D-Metoprolol (Toprol)

8. A college student was exposed to varicella yesterday and is scheduled to take final exams in 2 days. The patient did not have varicella during childhood and asks the nurse practitioner if any medication would prevent them from contracting the disease. The nurse practitioner informs the patient that:

A-nothing can be done to prevent the disease after exposure, and the patient should expect the first symptoms within the next 7-10 days.
B-the patient should receive the Varivax immunization to prevent the onset of the disease
C-Variella zoster immune globulin (VanZIG) may be beneficial if it is administered immediately
D-intravenous immune globulin (IVIG) will prevent the illness.

9. Asymptomatic bacteriuria is more common in:

A-patients who are pregnant
B-patients with prostatitis

C-toddlers
D-female patients older than 65 years.

10. A-52 year-old female presents with a firm, nontender 1-cm mass in the right breast. No palpable axillary lymph nodes or nipple discharge is present. The patient had a screening mammogram 6 months ago, and no suspicious masses were noted. The most appropriate action today is to:

A-order a bilateral diagnostic mammogram
B-repeat a bilateral screening mammogram
C-schedule an ultrasound of the breast.
D-plan a repeat mammogram in 6 months

11. The nurse practitioner is reviewing laboratory testing results for a patient who completed the hepatitis B series 3 months ago. Which of the following lab results reflects this?

A-Positive hepatitis B surface antigen
B-Positive hepatitis B surface antibody, negative core antibody
C-Positive hepatitis B surface antibody, positive core antibody
D-Positive core antibody

12. Which of the following findings is MOST consistent with otitis externa?

A-Purulent drainage and fever
B-Posterior cervical lymphadenopathy
C-Middle ear effusion
D-Tragal pain and hearing loss

13. A young adult has varicose veins. Varicose veins are:

A. Usually diagnosed based on inspection palpation percussion and handheld Doppler examination
B. painful with ambulation and elevation
C. secondary to congenital valve deformities
D. the result of low-pressure flow into a normally high-pressure system

14. Which diabetes complications result from hyperglycemia?

1 Retinopathy 2 Glaucoma 3. Resistant hypertension 4 Accelerated atherogenesis

A-1,2
B-2.3
C-1.4
D-2-4

Reference no: EM134033870

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