Nokea
Match the conditions in column A with their correct description in column B
- A. Torticollis
- B. Damage to the sternomastoid muscles
- C. Erb’s palsy
- D. Damage to the upper brachial plexus
Correct Answer: A
Rationale: Torticollis is caused by damage to the sternomastoid muscles, while Erb’s palsy affects the upper brachial plexus.
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Postmaturity is pregnancy equal to or more than
- A. 38 completed weeks
- B. 42 completed weeks
- C. 40 completed weeks
- D. 36 completed weeks
Correct Answer: B
Rationale: Postmaturity refers to pregnancies that last beyond 42 weeks.
The relationship between abdominal pain and vomiting typically can be characterized by saying
- A. When the vomiting precedes pain, the likelihood of surgical abdomen increases appreciably
- B. Conditions that may produce only mild nausea in the younger patient often will cause vomiting in older patients
- C. The majority of surgical abdomens do not produce vomiting as a primary symptom
- D. The presence of bile in vomitus suggests pyloric stenosis NURS 6550 Final Exam Questions and Answers 2024 QUESTION 1
Correct Answer: B
Rationale: When the vomiting precedes pain, the likelihood of surgical abdomen increases appreciably. This statement is based on how the timing of symptoms can indicate the severity of the underlying condition. In cases where vomiting occurs before the onset of abdominal pain, it can be a sign of a more serious issue requiring urgent medical attention, such as a surgical abdomen. This sequence of symptoms suggests that there may be an obstruction or other critical issue in the gastrointestinal tract that is leading to the symptoms of vomiting and pain. Therefore, recognizing the relationship between the timing of symptoms like abdominal pain and vomiting is crucial in determining the urgency of intervention and appropriate medical management.
Postmaturity is pregnancy equal to or more than
- A. 38 completed weeks
- B. 42 completed weeks
- C. 40 completed weeks
- D. 36 completed weeks
Correct Answer: B
Rationale: Postmaturity refers to pregnancies that last beyond 42 weeks.
The AGACNP is counseling a patient about various methods of tumor biopsy. Which of the following is not an accurate statement?
- A. Incisional biopsy is preferred to excisional biopsy when possible
- B. Core needle biopsy has a higher rate of false positive than does fine needle aspiration
- C. Fine needle aspiration does not allow grading of tumors
- D. Core needle and incisional biopsies are virtually identical in terms of false results
Correct Answer: C
Rationale: Typically, excisional biopsy is preferred over incisional biopsy whenever feasible because it provides a more accurate representation of the tumor since the entire mass is removed. This benefits both the patient (by potentially preventing the need for a second procedure) and the medical team (by ensuring a more comprehensive evaluation of the tumor). It is important to remove the entire lesion during excisional biopsy to make an accurate diagnosis. Incisional biopsy, on the other hand, involves taking only a portion of the tumor for examination, which may lead to potential sampling error and inadequate representation of the tumor.
R. R. is a 61-year-old male patient who presents with a chief complaint of fever and urinary symptoms. He was in his usual state of good health when for no apparent reason he developed pain in his back and perineal region, as well as fever and chills. He presents as septic. He had urinary hesitancy and decreased stream but now reports that he has not passed urine in more than 12 hours. Palpation of the lower abdomen is consistent with bladder distention. The AGACNP knows that which of the following is contraindicated in this circumstance?
- A. Digital prostate examination
- B. Urinary catheterization
- C. Fluoroquinolone antibiotics
- D. Drainage of prostate abscess
Correct Answer: D
Rationale: In a patient with suspected prostatic abscess and urinary retention, urinary catheterization is contraindicated due to the risk of spreading infection and causing potential complications such as septicemia or worsening of the abscess. The introduction of a catheter can disrupt the abscess capsule, leading to dissemination of the infection. Therefore, other methods of decompression and treatment should be considered, such as drainage of the abscess or other appropriate interventions guided by a healthcare provider.