NU 518 EXAM 1 AND PRACTICE EXAM NEWEST

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NU 518 EXAM 1 AND PRACTICE EXAM NEWEST

2024-2025 ACTUAL EXAM COMPLETE 330

QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS ) |ALREADY

GRADED A+

NU 518 EXAM 1

A 37-year-old nurse comes for evaluation of colicky right upper quadrant abdominal pain. The pain is associated with nausea and vomiting and occurs 1 to 2 hours after eating greasy foods.Which one of the following physical examination descriptions would be most consistent with the diagnosis of cholecystitis?

• Abdomen is soft, nontender, and nondistended, without

hepatosplenomegaly or masses.

• Abdomen is soft and tender to palpation in the right lower

quadrant, without rebound or guarding.

• Abdomen is soft and tender to palpation in the right upper

quadrant with inspiration, to the point of stopping inspiration, and there is no rebound or guarding. 1 / 4

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• Abdomen is soft and tender to palpation in the mid-epigastric

area, without rebound or guarding. - CORRECT ANSWER -C

A 55-year-old data entry operator comes to the clinic to establish care. She has the following

symptoms: headache, neck pain, sinus congestion, sore throat,

ringing in ears, sharp brief chest pains at rest, burning abdominal pain with spicy foods, constipation, urinary frequency that is worse with coughing and sneezing, and swelling in legs. This cluster of symptoms is explained

by:

• One disease process
• More than one disease process - CORRECT ANSWER -B

A 62-year-old teacher presents to the clinic for evaluation of the

following symptoms: fever,

headache, sinus congestion, sore throat, green nasal discharge, and cough. This cluster of

symptoms is best explained by:

• One disease process
• More than one disease process - CORRECT ANSWER -A 2 / 4

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Steve has just seen a 5-year-old girl who wheezes when exposed to cats. The patient's family history is positive for asthma. You think the child most likely has asthma. What have you just accomplished?

• You have tested your hypothesis.
• You have developed a plan.
• You have established a working diagnosis.
• You have created a hypothesis. - CORRECT ANSWER -D

Ms. Washington is a 67-year-old who had a heart attack last month. Now she complains of shortness of breath and not being able to sleep in a flat position (orthopnea). On examination you note increased jugular venous pressure, an S3 gallop, crackles low in the lung fields, and

swollen ankles (edema). This is an example of a:

• Pathophysiologic problem
• Psychopathologic problem - CORRECT ANSWER -A

On the way to see your next patient, you glance at the calendar and make a mental note to 3 / 4

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buy a Mother's Day card. Your patient is Ms. Hernandez, a 76- year-old widow who lost her husband in May, two years ago. She comes in today with a headaches, abdominal pain, and general malaise. This happened once before, about a year ago, according to your detailed office notes. You have done a thorough evaluation but are unable to arrive at a consistent picture to tie these symptoms together.

This is an example of a:

• Pathophysiologic problem
• Psychopathologic problem - CORRECT ANSWER -B

Mr. Larson is a 42-year-old widowed father of two children, ages 4 and 11. He works in a sales office to support his family. Recently he has injured his back and you are thinking he would benefit from physical therapy, three times a week, for an hour per session. What would be your next step?

• Write the physical therapy prescription.
• Have your office staff explain directions to the physical

therapy center.

• Discuss the plan with Mr. Larson.
• Tell Mr. Larson that he will be going to physical therapy

three times a week. - CORRECT ANSWER -C

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