Download 2022 NURSING MISC NURSING EXAM TEST QUESTIONS WITH ANSWERS and more Exams Nursing in PDF only on Docsity!
QUESTIONS WITH ANSWERS
Which medication is contraindicated during an acute attack of gout? A- Colchicine (for acute attack) B- Allopurinol = prophylaxis, preventive, meds patient drinks everyday C- A steroid D- NSAIDs A cloudy opacity of the eye is noted on ophthalmoscopic examination. This is suggestive of: A- Corneal arcus B- A corneal scar C- A pterygium D- A cataract Which medication is the first-line treatment for chronic bacterial prostatitis (CBP)? A- Erythromycin 4 times daily for 7 to 10 days B- Doxycycline (Vibramycin) twice daily for 14 days C- Macrobid (Nitrofurantoin) twice daily for 6 weeks D- Sulfamethoxazole/trimethoprim (Bactrim DS) twice daily for 4 to 12 weeks Which medication is initially used for patients with benign positional vertigo? A- Hydrochlorothiazide
QUESTIONS WITH ANSWERS
B- Meclizine (Antivert) = or Dimenhydrinate (dramamine) a vestibular suppressant C- Pseudoephedrine (Sudafed) D- Promethazine (Phenergan)which immunization Which of the following conditions is associated with chronic bloody diarrhea? A- Irritable bowel syndrome B- Crohn’s disease C- Hepatitis A D- Celiac disease What is the initial treatment for a patient with premenstrual syndrome who is experiencing acute pain? A- Black cohosh B- B vitamins C- Antidepressant agents D- Heat applied to the lower abdomen Why would a combined hormonal contraceptive be contraindicated in a 36-year-old patient with a past medical history of diabetes, obesity, current smoking and sedentary lifestyle? A- She is obese B- She has type 2 diabetes mellitus C- Her age and tobacco use = risk for blood clots D- She leads a sedentary lifestyle
QUESTIONS WITH ANSWERS
A pediatric patient diagnosed with croup most likely presents with which clinical finding? A- Barking cough B- Sudden onset of symptoms C- Nighttime symptoms D- Shortness of breath What assessment finding suggests osteosarcoma in a pediatric patient? A- Pain in the affected bone B- Pathologic fracture C- Repeat fracture D- Apophyseal avulsion Which of the following is NOT a cause of unilateral rhinitis? A- A foreign body in the nasal canal B- A nasal polyp C- Drug induced rhinitis D- A deviated septum A 64-year-old man complains of leg pain and occasional numbness that worsens with ambulation and improves with lumbar flexion. These symptoms are consistent with: A- ankylosing spondylitis B- spinal stenosis C- bursitis
QUESTIONS WITH ANSWERS
D- cauda equina syndrome What symptom would lead the nurse practitioner to suspect atypical community-acquired pneumonia in an 18-year-old living in a college dorm? A- A low-grade fever, malaise, and clear lung fields on auscultation B- A low-grade fever, malaise, and crackles audible throughout the lung fields C- Temperature of 101°F, sore throat, and diminished breath sounds of auscultation D- Temperature of 102°F, dyspnea, and diminished lung sounds of auscultation A 23-year-old baseball player is evaluated for left shoulder pain secondary to a sports injury. Which of the four rotator cuff muscles is affected if the patient has a pain with abduction movement of the shoulder? A- Supraspinatus = the supraspinatus can be tested by having the patient abduct the shoulders to 90 degrees in forward flexion with the thumbs pointing downward. The patient then attempts to elevate the arms against examiner resistance. This is often referred to as the “empty can” test. B- Infraspinatus
QUESTIONS WITH ANSWERS
C- Keratoacanthoma D- Melanoma The secondary stage of syphilis is associated with which clinical manifestation? A- Absence of symptoms = (latent syphilis) B- A single painless lesion (chancre) on the genital area = (primary syphilis) C- Rash marked by red or reddish-brown, penny-sizes lesions over the palms and soles = does not itch, multiple painless lesions D- Poor muscle coordination = (tertiary syphilis) A 67-year-old woman with a history of arterial fibrillation and an ejection fraction of 48% has had normal digoxin levels of 0.8- ng/dL for the past 9 months. Today the result was 0.4 ng/dL. What could be the cause of this decrease in digoxin levels? A- Decreased creatine clearance B- Weight loss C- Increased exercise D- Regular use of an antacid Short bands of tough, flexible, ropelike collagen fibrils that connect two bones is called: A- Tendons (connect muscle and bone)
QUESTIONS WITH ANSWERS
B- Fibrous connective tissue C- Ligaments = connect 2 bones D- Cartilage (rubber like padding covers and protects the ends of long bone at the joints), an fasciae (connect muscle to other muscle) What is the drug of choice for a pediatric patient diagnosed with scabies? A- Clotrimazole (Lotrimin) lotion B- Permethrin (Nix) cream C- Lindane (Kwell) D- Selenium sulfide (Selsun) Which of the following complaints best describes lower extremity calf pain associated with peripheral artery disease? A- A sharp, stabbing pain B- A dull pain or cramp C- An electric shock D- A pulsating pain Which of the following warning signs of a headache do NOT warrant an immediate investigation? A- New onset after age 50 B- Aggravated or relieved by change of position C- Precipitated by Valsalva maneuver
QUESTIONS WITH ANSWERS
B- A past medical history of peptic ulcer disease C- Whether the patient is at least 18 years old D- Whether the patient drinks alcohol Giardiasis is an infection in small intestine. It’s caused by a microscopic parasite called Giardia lamblia. Giardiasis spreads through contact with infected people. And you can get giardiasis by eating contaminated food or drinking contaminated water. Pet dogs and cats also frequently contract giardia. Which medication class is contraindicated in a pediatric patient diagnosed with acute sinusitis? A- Antihistamines B- Expectorant C- Decongestants D- Nasal steroids Which medication is used as an anticoagulant reversal agent for dabigatran etexilate (Pradaxa)? A- Idarucizumab (Praxbind) B - Vitamin K – (warfarin coumadin) C - Protamine sulfate – (heparin) D - Fondaparinux (Arixtra) - A prostate gland is found to be tender, swollen, boggy, and warm on a digital rectal exam is consistent with: A- A normal prostate gland
QUESTIONS WITH ANSWERS
B- Acute bacterial prostati tis = bacterial prostatitis is an acute infection of the prostate gland that causes pelvic pain and urinary tract symptoms, such as dysuria, urinary frequency, and urinary retention, and may lead to systemic symptoms, such as fevers, chills, nausea, emesis, and malaise. C- Benign prostatic hyperplasia D- Carcinoma of the prostate Which of the following is the single-dose treatment for a patient with diagnosed chlamydia? A- Doxycycline (Vibramycin) 200 mg orally B- Azithromycin (Zithromax) 1 gram orally C- Metronidazole (Flagyl) 2 grams orally = trichomonas D- Ceftriaxone (Rocephin) 250 mg intramuscular What class of antibiotics can cause decreased hearing? A- Aminoglycosides = vanco mycin , strepto mycin , genta mycin B- Bata lactams C- Cephalosporins D- Macrolides Findings of a nontender, enlarged scrotum in a 48-year-old man suggests a concern for which condition? A- Orchitis B- Epididymitis C- Hydrocele D- Prostatitis
QUESTIONS WITH ANSWERS
D- To prevent cyanotic episodes by trapping blood in the lower extremities The right lymphatic ducts drain into what part of the circulatory system? A- Arterial B- Venous = subclavian veins, venous circulation C- Arteriovenous system D- Capillary bed A 70-year-old woman is seen in the office for complains of mouth soreness that deters eating. During the assessment, findings include a glossy, smooth, beefy-red tongue. This suggests: A- Pernicious anemia due to insufficient intrinsic factor = pernicious anemia caused by Vit. B12 deficiency result in megaloblastic anemia may represent glossitis B- Secondary hypothyroidism C- Cheilosis, a serious disease of the mouth and oropharynx D- A neurological disorder such as Parkinson’s disease. How would a condylomata acuminate lesion in a man be described in the medical record? A- A group of small scattered vesicles B- A chancre C- Multiple papular lesions with verrucous appearance D- A red, nontender, enlarging indurated nodule on the penis Condyloma acuminatum is a single genital wart
QUESTIONS WITH ANSWERS
Condylomata is multiple popular lesions/genital warts (cauliflower like) verrucous appearance
Based on the mechanism of hearing, sensorineural loss in an adult involves the: A - Cochlea and the cochlear nerve = cochlea and vestibulocochlear nerve CN VIII B - External ear canal and the middle ear C - Ossicles and the inner ear D - Transfer of sounds from the external environment into the external auditory canal Which of the following is commonly associated with increased risk for prostatic hypertrophy? A- Constipation B- Fecal incontinence C- Urinary tract infections D- Prostate cancer Which of the following risk factors is NOT associated with breast cancer? A- Personal family history of breast cancer B- Use of hormone replacement therapy C- Postmenopausal obesity D- Low socioeconomic status
QUESTIONS WITH ANSWERS
The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) describes Munchausen syndrome by proxy is: A- A self-inflicted injury to gain attention B- A caregiver making up or causing an illness or injury in a person under his or her care C- An abusive behavior that does not involve the caregiver D- A situation in which the abuser is often inattentive and uncaring toward the victim A woman who is 30 weeks pregnant has a blood pressure of 155/92 mmHg. Which of the following is the most appropriate antihypertensive medication for her? A- Candesartan B- Lisinopril C- Methyldopa = labetalol, nifedipine D- Furosemide Finding of a firm, nodular hypertrophic mass of scar tissue on the posterior surface of a pierced ear lobe is documented as: A- a keloid B- a tophi = a deposit of crystalline uric acid (gout) C- a cutaneous cyst D- chondrodermatitus
QUESTIONS WITH ANSWERS
D-
QUESTIONS WITH ANSWERS
warfarin 5mg now and resume the warfarin 5mg daily doze in the morning as scheduled Which immunization is recommended during adolescence for the prevention of a common sexually transmitted viral infection? A-Shingles (herpes zoster) vaccine B- Human papillomavirus (HPV) vaccine C- Hepatitis A vaccine D- Chlamydia vaccine Fine, silky appearance of the hair is a common finding in: A- Hypothyroidism B- Hyperthyroidism C- Type 2 diabetes D- Celiac disease Which of the following hematology findings suggests need for further evaluation in a patient with a history of cardiac disease? A- Hematocrit 42% (normal male 38.5 – 50%, female 34.9 – 44.55%) B- Potassium 4.2 mg/dL (normal 3.5 – 5.5 mg/dl) C- Sodium 140 mEq/dL (normal 135 – 145 mg/dl) D- Low density lipoprotein of 190 mg/dL = (LDL bad cholesterol, elevated, normal is 100 – 129mg/dl) HDL = is good cholesterol, H means “Happy” What clinical emergency is associated with findings of papilledema?
QUESTIONS WITH ANSWERS
D-
