NR511 Midterm Exam Latest Updated 2024 Questions With Detailed Answers Graded A+

NR511 Midterm Exam Latest Updated 2024 Questions
With Detailed Answers Graded A+

Identify at least two disorders that are considered to be disorders related to conductive
hearing loss. - Cerumen accumulation/impaction
FB in ear canal
Otitis externa
Chronic otitis media
Middle ear effusion
Tosclerosis
Vascular anomaly
Cholesteatoma
What is the most common cause of bacterial pharyngitis? - Group A Beta Hemolytic
Streptococcus (GABHS)
What are the clinical findings associated with mononucleosis? - Gradual onset of fever
Marked malaise
Severe sore throat
Maybe exudative tonsillitis (50% of cases)
Palatal petechiae/rash
Anterior/posterior cervical lymphadenopathy
Splenic enlargement
How is the diagnosis of streptococcal pharyngitis made clinically based on the Centor
criteria? - Fever >38C (100.5F)
Tender anterior cervical lymphadenopathy
No cough
Pharyngotonsillar exudate
Presence of all 4 strongly suggest GABHS infection.
3 or more present: empirically dx and treat w/out further testing
What is one intervention for a pt with gastroenteritis? - Fluid repletion (PO if possible,
pedialyte; IVF for more severe dehydration)
Nutrition
When are stool studies warranted? - In pts with severe or prolonged diarrhea, fever >38.5C,
bloody stools, stools +leukocytes/occult blood
What is an appropriate treatment for prophylaxis or treatment of traveler's diarrhea? -
Trimethoprim-sulfamethoxazole (Bactrim DS) 1 tab BID x3days
Cipro 500mg
Norfloxacin (Noroxin) 400mg
Ofloxacin (Floxin) 300mg
Describe the component of the H&P that should be done for a pt with abd pain. - OLDCARTS
Upper abd pain: ask about chronic/recurring and related symptoms (bloating, fullness,
heartburn, n/v)
Lower abd pain: if acute, is pain sharp, intermittent continuous? If chronic, is there a change
in bowel habits (alternating diarrhea/constipation)?
Radiation?
What is at least one effective treatment for IBS? - Diet (avoid lactose, caffeine, legumes,
artificial sweeteners; eat low-fat diet with increased protein, high fiber, bulk-producing
agents, 64oz water daily)
Lifestyle modification
Exercise
Stress reduction
Pharm (for moderate-severe symptoms only): antidiarrheals (imodium, lomotil), laxatives
(lactulose, mag hydroxide), antispasmodics (dicyclomine, hyoscyamine), tricyclic
antidepressants; avoid anticholinergics with glaucoma and BPH pts.
Define diagnostic reasoning - Reflective thinking because the process involves questioning
one's thinking to determine if all possible avenues have been explored and if the conclusions
that are being drawn are based on evidence.
Seen as a kind of critical thinking.
What is subjective data? - Anything the patient tells you or complains of regarding their
symptoms
Chief complaint
HPI
ROS
What is objective data? - Anything YOU can see, touch, feel, hear, or smell as part of your
exam
Includes lab data, diagnostic test results, etc.