NR-511 Differential Diagnosis & Primary Care Practicum
Week 5 - 7 Quiz
A 6-year-old girl was bitten by a friend's dog. Her mother asks the clinician if the child needs anti-rabies treatment. Which of the following should the clinician advise?
Correct Answer:
"If a dog is a domestic pet that has been vaccinated, wound cleansing and irrigation is the only treatment needed."
Alice, age 48, has a benign thyroid nodule. The most common treatment
involves:
Correct Answer:
Watchful waiting with annual follow up
A 72-year-old obese male has gout. When teaching him about diet, which of the following should the clinician advise?
Correct Answer:
"Fluid intake should exceed three thousand mL daily to prevent formation of uric acid kidney stones"
- / 2
A client with hyperthyroidism presents with a complaint of a "gritty" feeling in her eyes. Over the past week, her visual acuity has diminished, and her ability to see colors has changed. She also has a feeling of pressure behind
her eyes. The next step for the nurse practitioner is to:
Correct Answer:
Refer the client for immediate evaluation by an ophthalmologist
What is the medication of choice for an initial acute attack of gout?
Correct Answer:
A nonsteroidal anti-inflammatory drug (NSAID)
Which of the following objective findings in a 49-year-old female is a sign of hyperthyroidism?
Correct Answer:
Exophthalmos
A 42-year-old professional golfer complains of chronic back pain for many years. His workup reveals that it is not the result of a degenerative disc problem. His back "goes out" about twice per year, and he is out of work for about a week each time. Which of the following should the clinician advise?
Correct Answer:
Begin a planned exercise program to strengthen back muscles
- / 2