Week 4 Midterm Exam Version 1, 2, 3 & 5
NR 511 Week 4 Midterm Exam Version 1, 2, 3 & 5
Version 1
Question 1: Which of the following is a crucial element of developing a guideline?
a. Creating a physician expert panel
b. Reviewing the literature with ratings of available evidence
c. Conducting an external review of a guideline
d. Developing evidence-based tables
Question 2: African American patients seem to have a negative reaction to which of the following asthma medications?
a. Inhaled corticosteroids
b. Long-term beta-agonist bronchodilators
c. Leukotriene receptor agonist
d. Oral corticosteroid
Question 3: Jolene has breast cancer that has been staged as T1, N0, M0. What might this mean?
a. The tumor size cannot be evaluated, the cancer has not spread to the lymph nodes, and the distant spread cannot be evaluated.
b. The cancer is in situ, it is spreading into the lymph nodes, but the spread otherwise cannot be evaluated.
c. The cancer is less than 2 cm in size and has not spread to the lymph nodes or other parts of the body.
d. The cancer is about 5 cm in size, nearby lymph nodes cannot be evaluated, and there is no evidence of distant spreading.
Question 4: Sondra’s peripheral vestibular disease causes dizziness and vertigo. Which of the following medications will help to decrease edema in the labyrinth of the ear?
a. Meclizine
b. Diphenhydramine
c. Diamox
d. Promethazine
Question 5: Mandy presents with a cauliflower-like wart that is in her anogenital region. You suspect it was sexually transmitted and document this as a:
a. Filiform/digitate wart.
b. Dysplastic cervical lesion.
c. Condyloma accuminata.
d. Koilocytosis.
Question 6: Inattention and a sleep-wake cycle disturbance are the hallmark symptoms of?
a. Dementia
b. Alzheimer’s disease
c. Parkinson’s disease
d. Delirium
Question 7: You have taught Jennifer, age 15, about using a flow meter to assess how to manage her asthma exacerbations. She calls you today because her peak expiratory flow rate is 65%. What would you tell her?
a. “Take your short-acting beta-2 agonist, remain quiet, and call back tomorrow.”
b. “Use your rescue inhaler, begin the prescription of oral glucocorticoids you have, and call back tomorrow.”
c. “Drive to the emergency room (ER) now.”
d. “Call 911.”
Question 8: A patient is seen in the clinic with hematuria confirmed on microscopic examination. The clinician should inquire about the ingestion of which of these substances that might be the cause of hematuria?
a. NSAIDs
b. Beets
c. Vitamin A
d. Red meat
Question 9: Which of the following is an example of tertiary prevention in a patient with chronic renal failure?
a. Fluid restriction
b. Hemodialysis 4 days a week
c. High-protein diet
d. Maintain blood pressure at 120/80
Question 10: Which of the following conditions is associated with cigarette smoking?
a. Glaucoma
b. Increased sperm quality
c. Bladder cancer
d. Eczema
Question 11: A chronic cough lasts longer than:
a. 3 weeks
b. 1 month
c. 6 months
d. 1 year
Question 12: The ‘freezing phenomenon’ is a cardinal feature of?
a.Parkinson’s disease
b. Alzheimer’s disease
c. A CVA
d. Bell’s palsy
Question 13: When administered at the beginning of an attack, oxygen therapy may help this kind of headache?
a. Tension
b. Migraine
c. Cluster
d. Stress
Question 14: Which ethnic group has the highest lung cancer incidence and mortality rates?
a. African American men
b. Scandinavian men and women
c. Caucasian women
d. Asian men
Question 15: The most significant precipitating event leading to otitis media with effusion is:
a. Pharyngitis
b. Allergies
c. Viral upper respiratory infection (URI)
d. Perforation of the eardrum
Question 16: Samuel is going to the dentist for some work and must take endocarditis prophylaxis because of his history of:
a. Severe asthma.
b. A common valvular lesion.
c. Severe hypertension.
d. A previous coronary artery bypass graft (CABG).
Question 17: A 34-year-old patient was treated for a urinary tract infection (UTI) and has not responded to antibiotic therapy. Which of the following actions should be taken next?
a. Send a urine specimen for microscopy looking for fungal colonies.
b. Increase the dose of antibiotic.
c. Order a cytoscopy.
d. Order a different antibiotic.
Question 18: Which statement best describes a carotid bruit?
a. It is felt with the middle three fingers over the carotid artery.
b. A bruit becomes audible when the lumen is narrowed to 1 mm or less.
c. A low-pitched bruit is a medical emergency.
d. The higher the pitch of the bruit, the higher the degree of stenosis.
Question 19: Which statement is true regarding chloasma, the ‘mask of pregnancy’?
a. It is caused by a decrease in the melanocyte-stimulating hormone duringpregnancy.
b. This condition only occurs on the face.
c. Exposure to sunlight will even out the discoloration.
d. It is caused by increased levels of estrogen and progesterone.
Question 20: Simon presents with alopecia areata with well-circumscribed patches of hair loss on the crown of his head. How do you respond when he asks you the cause?
a. “You must be under a lot of stress lately.”
b. “It is hereditary. Did your father experience this also?”
c. “The cause is unknown, but we suspect it is due to an immunologic mechanism.”
d. “We’ll have to do some tests.”
Question 21: A blood pressure (BP) of 150/90 is considered:
a. Stage 2 hypertension
b. Hypertensive
c. Normal in healthy older adults
d. Acceptable if the patient has DM
