NR 509 Week 8 Final Exam Practice Questions Answers
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B. Upper GI bleed C. Fat malabsorption D. Hemorrhoids ✔ᐏ Correct answer: B. Upper GI bleed 5. Stool Changes A patient reports pale/clay-colored stools. This finding is most consistent with: Answers: A – D A. Biliary obstruction B. Lower GI bleed C. Infection D. IBS ✔ᐏ Correct answer: A. Biliary obstruction 6. Stool Changes A patient reports greasy, floating stools. This suggests: Answers: A – D A. Upper GI bleed B. Infection or inflammation C. Fat malabsorption . D. Hemorrhoids ✔ᐏ Correct answer: C. Fat malabsorption 7. Abdominal Pain Pattern Which clinical pattern is most consistent with ectopic pregnancy? Answers: A – D A. RUQ pain with positive Murphy’s sign B. Missed period, adnexal mass, hypotension C. RLQ pain with rebound and psoas sign D. Rectal pain with discharge and sphincter spasm ✔ᐏ Correct answer: B. Missed period, adnexal mass, hypotension 8. Cranial Nerves D. A normal aging change ✔ᐏ Correct answer: C. Abnormal and suggests CNS pathology 12. Reflexes The Moro reflex should be considered normal in: Answers: A – D A. Adults B. Infants C. School-aged children D. Older adults ✔ᐏ Correct answer: B. Infants 13. Pregnancy – Speculum Exam Which speculum exam finding is normal in pregnancy? Answers: A – D A. Cervical dilation early in pregnancy B. Foul-smelling discharge C. Bluish or purplish cervix D. Vaginal bleeding ✔ᐏ Correct answer: C. Bluish or purplish cervix 14. Pregnancy – Speculum Exam Which speculum exam finding is abnormal in pregnancy? Answers: A – D A. Increased white discharge B. Cervix closed early C. Cervical lesions/ulcerations . D. Bluish cervix ✔ᐏ Correct answer: C. Cervical lesions/ulcerations 15. Pregnancy – Bimanual Exam Which bimanual exam finding is abnormal in pregnancy? Answers: A – D A. Soft cervix Asymmetric pain in weight-bearing joints with Heberden/Bouchard nodes is most consistent with: Answers: A – D A. Rheumatoid arthritis B. Osteoarthritis C. Gout D. Ankylosing spondylitis ✔ᐏ Correct answer: B. Osteoarthritis 20. MSK Emergency Saddle anesthesia with urinary retention is most consistent with: Answers: A – D A. Spinal stenosis B. Ankylosing spondylitis C. Cauda equina syndrome D. Osteoarthritis ✔ᐏ Correct answer: C. Cauda equina syndrome 21. Female GU Thin white discharge with fishy odor and pH > 4.5 indicates: Answers: A – D A. PID B. BV C. Ectopic pregnancy D. Condyloma acuminata ✔ᐏ Correct answer: B. BV 22. Pap Pap screening should begin at: Answers: A – D A. Age 18 B. Age 21 C. Age 25 D. Age 30 ✔ᐏ Correct answer: B. Age 21 C. CN VII D. CN IX ✔ᐏ Correct answer: B. CN V 2. Cranial Nerves Hoarseness and dysphagia suggest damage to which nerve? Answers: A – D A. CN IX B. CN X . C. CN XI D. CN XII ✔ᐏ Correct answer: B. CN X 3. Reflexes Upward toe fanning in an adult indicates: Answers: A – D A. Normal reflex B. Peripheral nerve injury C. CNS pathology . D. Normal aging ✔ᐏ Correct answer: C. CNS pathology 4. Reflexes An absent Moro reflex
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