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Bates Assessment, Top Exam Questions and accurate answers. 100% Accurate. VERIFIED

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Bates Assessment, Top Exam Questions and accurate answers. 100% Accurate. VERIFIED The nurse practitioner would test the obturator and iliopsoas muscle to evaluate for: A) Cholecystitis B) Acute appendicitis C) Inguinal hernia D) Gastric ulcer - -B) Acute appendicitis S/S of an acute ab...

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  • August 8, 2023
  • 43
  • 2023/2024
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Bates Assessment, Top Exam Questions
and accurate answers. 100% Accurate.
VERIFIED

The nurse practitioner would test the obturator and iliopsoas muscle to evaluate for:

A) Cholecystitis

B) Acute appendicitis

C) Inguinal hernia

D) Gastric ulcer - ✔✔-B) Acute appendicitis



S/S of an acute abdomen include involuntary guarding, rebound tenderness, boardlike abdomen, and a
positive obturator and psoas sign.

+ obturator--pain is elicited by internal rotation of the right hip from 90 degrees hip/knee flexion.

+Psoas--pain occurs with passive extension of the thigh while the patient is lying on his/her side with
knees extended, or when pain occurs with active flexion of his or her thigh at the hip



Kyphosis is a late sign of:

A) Old age

B) Osteopenia

C) Osteoporosis

D) Osteoarthritis - ✔✔-C) Osteoporosis



Kyphosis curvatue of the spine that causes a rounding of the back, which leads to a slouching posture.
Sever thinning of the bones (osteoporosis), contributes to this curvature in the spine. Symptoms that
may occur with severe cases of kyphosis include difficulty breathing, fatigue, and back pain.



The Lachman maneuver is used to detect which of the following?

A) Knee instability

,B) Nerve damage of the knee due to past knee injuries

C) The integrity of the patellar tendon

D) Tears on the meniscus of the knee - ✔✔-A) knee instability



The Lachman maneuver is a test performed to assess for knee instability. Knee instability indicates a tear
of the ACL



What does a positive posterior drawer sign in a 10 y/o soccer player signify?

A) An abnormal knee

B) Instability of the knee

C) A large amount of swelling on the knee

D) An injury of the meniscus - ✔✔-B) Instability of the knee



The drawer sign performed on the knee or ankle to assess for knee instability. The affected knee will
have more laxity when compared to the unaffected knee.



All of the following are false statements regarding acute gastritis?

A) Chronic intake of nonsteroidal anti-inflammatory drugs (NSAIDS) can cause the disorder

B) Chronic lack of dietary fiber is the main cause of the disorder

C) The screening test for the disorder is the barium swallow test

D) The gold standard to evaluate the disorder is a colonoscopy - ✔✔-C) The screening test for the
disorder is the barium swallow test



The gold standard for diagnosing gastric disease is biopsy of gastric and/or duodenal tissue by upper
endoscopy. Chronic use of NSAIDS disrupts the production of prostaglandins, which decreases blood
supply and then breaks down the protective layer of the mucosa, which leads to gastric disease.



Which of the following is an accurate description of eliciting for Murphy's sign?

A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of the abdomen
below the costoverbral angle?

B) Bend the patient's hips and knees at 90 degrees, then passively rotate hip externally, then internally

,C) Ask the patient to squat, then place the stethoscope on the apical area

D) Press into the abdomen deeply, then release it suddenly - ✔✔-A) Upon deep inspiration by the
patient, palpate firmly in the RUQ of the abdomen below the costovertebral angle.



Murphy's sign is positive if pain occurs when performing RUQ palpation while the patient takes a deep
inspiration, causing the patient to abruptly stop the deep breath due to pain. As the liver is palpated, it
will descend and push up against the inflamed gallbladder and cause sharp pain (cholecystitis).



All of the following patients are at higher risk for suicide except:

A) A 66 y/o white male whose wife of 40 years recently died

B) A high school student with a history of bipolar disorder

C) A depressed 45 y/o female with family history of suicide

D) A 17 y/o teen who has only 1 close friend in school - ✔✔-D) 17 y/o teen who has one close friend in
school.



Risk factors for suicide include:

1) elderly white males (especially after the death of a spouse)

2) Past hx of suicide

3) Family hx of suicide

4) Plans for use of a lethal weapon such as a gun or a knife

5) Female gender has higher attempts, but males have a higher success

6) Personal hx of bipolar disorder or depression



A 53 y/o crossing guard complains of twisting his right knee while working that morning. The knee is
swollen and tender to palpation. The nurse practitioner diagnoses a Grade II sprain. The initial treatment
plan includes which of the following?

A) Application of cold packs the first 24 hours followed by applications of low heat at bedtime

B) Elevation of the affected limb and intermittent applications of cold packs for the next 48 hours

C) Rechecking the knee in 24 hours and isometric exercise

D) Application of an ace bandage to the affected knee - ✔✔-B) Elevation of the affected limb and
intermittent applications of cold packs for the next 48 hours.

, Elevation of the injured knee above the heart will reduce the amount of swelling that can occur. Use of
ice packs immediately after injury is most effective in reducing the tissue swelling. Ice the affected area
for 15 minutes at a time intermittently to prevent frostbite and further damage to the tissue. Allowing
30-45 minutes between icing of the limb is recommended.



40 y/o bank teller has recently been diagnosed with OCD by her therapist. Her symptoms would include:

A) Ritualistic behaviors that the patient feels compelled to repeat

B) Attempts to ignore or suppress the repetitive behaviors which increase anxiety

C) Frequent intrusive and repetitive thoughts and impulses

D) All of the above - ✔✔-D) All of the above



Signs and symptoms of OCD include ritualistic behaviors that are repeated, increased anxiety with
attempting to ignore repetitive behaviors and frequent intrusive and repetitive thoughts and impulses.



Which of the following medications is indicated for the treatment of OCD?

A) Paroxetine (Paxil CR)

B) Haloperidol (Haldol)

C) Lorazepam (Xanax)

D) Imipramine (Elavil) - ✔✔-A) Paroxetine (Paxil CR)



Antidepressants are the most common medications used for OCD. Those antidepressants that are
approved for OCD by the FDA include:

Clomipramine (Anafranil)

Fluvoxamine (Luvox)

Fluoxetine (Prozac)

Paroxetine (Paxil, Pexeva)

Sertraline (Zoloft)



All of the following help lower the risk of osteoporosis except:

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