NRNP6531 midterm 2022 100% graded

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Course  NURS-6531N-8,Adv. Practice Care of Adults.2018 Summer Qtr 05/29-08/19-PT27

Test       Midterm Exam

Status   Needs Grading

 

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All Answers, Submitted Answers, Correct Answers

 

•             Question 1

 

 

0              out of 0 points

 

When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?

Selected Answer:             Ye

s

Answers:

Ye s

No

 

•             Question 2

 

The most common cancer found on the auricle is:

 

Answers:             Actinic keratosis

 

Basal cell carcinoma

Squamous cell carcinoma

Acral-lentiginous melanoma

•             Question 3

 

 

1              out of 1 points

 

 

 

 

 

 

 

 

 

 

 

 

 

0 out of 1 points

 

Which of the following medication classes should be avoided in patients with acute or chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the

 

patient?

 

Answers:             Xanthines

 

Antihistimine

s Steroids

Anticholinerg ics

•             Question 4

0 out of 1 points

A 47 year old male patient presents to the clinic with a single episode of a moderate amount of bright red rectal bleeding. On examination, external hemorrhoids are noted. How should the nurse practitioner proceed?

 

 

Answers:             Instruct the patient on measures to prevent hemorrhoids such as bowel habits and diet.

 

Order a topical hemorrhoid cream along with a stool softener.

 

 

Refer the patient for a barium enema and sigmoidoscopy.

 

Refer the patient for a surgical hemorrhoidectomy.

•             Question 5

0              out of 1 points

Which of the following patient characteristics are associated with chronic bronchitis?

 

 

Answers:

 

Overweight, cyanosis, and normal or slightly increased respiratory rate

 

Underweight, pink skin, and increased respiratory rate

 

Overweight, pink skin, and normal or slightly increased respiratory rate

 

Normal weight, cyanosis, and greatly increased respiratory rate

•             Question 6

1              out of 1 points

A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain. Her current medications include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams po daily. The nurse practitioner suspects acute diverticulitis and possibly an abscess. The most appropriate diagnostic test for this patient at this time is:

 

Answers:             CBC/dif

 

Erythrocyte sedimentation rate

 

Abdominal ultrasound

 

 

 

CT scan

•             Question 7

1 out of 1 points

A patient reports “something flew in my eye” about an hour ago while he was splitting logs. If there were a foreign body in his eye, the nurse practitioner would expect to find all except:

 

 

 

Answers:

 

 

 

Purulent drainage

 

Tearing Photophobia

A positive fluorescein stain

•             Question 8

1 out of 1 points

A 21 year old college student presents to the student health center with copious, markedly purulent discharge from her left eye. The nurse practitioner student should suspect:

 

 

Answers:             Viral conjunctivitis Common pink eye

 

Gonococcal conjunctivitis

 

Allergic conjunctivitis

•             Question 9

0 out of 1 points

A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles consisting of about 15 lesions across 3 diferent thoracic dermatomes. He complains of pain, burning, and itching. The nurse practitioner should suspect:

 

 

Answers:             A common case of shingles and prescribe an analgesic and an antiviral agent

 

A complicated case of shingles and prescribe acyclovir, an analgesic, and a topical cortisone cream

 

 

 

Herpes zoster and consider that this patient may be immunocompromised

 

A recurrence of chickenpox and treat the patient’s symptoms

•             Question 10

 

 

Which type of lung cancer has the poorest prognosis?

 

 

Answers:             Adenocarcinoma

 

Epidermoid carcinoma

 

 

Small cell carcinoma

 

Large cell carcinoma

•             Question 11

 

0              out of 1 points

 

 

 

 

1              out of 1 points

 

An 83-year-old female presents to the office complaining of diarrhea for several days. She explains she has even had fecal incontinence one time. She describes loose stools 3– 4 times a day for several weeks and denies fever, chills, pain, recent antibiotic use. The history suggests that the patient has:

 

Answers:             Acute diarrhea

 

 

Chronic diarrhea Irritable bowel

 

Functional bowel disease

•             Question 12

1 out of 1 points

Margaret, age 32, comes into the office with painful joints and a distinctive rash in a butterfly distribution on her face. The rash has red papules and plaques with a fine scale. What do you suspect?

Answers:             An allergic reaction

 

Relapsing polychondritis

 

Lymphocytoma cutis

 

 

 

Systemic lupus

erythematosus

•             Question 13

1 out of 1 points

Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes?

 

 

Answers:             Chronic sinusitis

 

 

Acute bronchitis Bacterial pneumonia

Acute exacerbation of chronic bronchitis

•             Question 14

0 out of 1 points

 

Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily. Her exacerbations afect her activities and they occur at least twice weekly and may last for days. She is afected more than once weekly during the night with an exacerbation. Which category of asthma severity is Lisa in?

 

 

Answers:             Mild intermittent

 

Mild persistent

 

 

 

Moderate

persistent

•             Question 15

0 out of 1 points

Which of the following is the most appropriate therapeutic regimen for an adult patient with no known allergies diagnosed with group A B-hemolytic strep?

 

Answers:

Penicillin V 500 milligrams PO every 8 hours for 10 days

 

Ampicillin 250 milligrams PO twice a day for 10 days

 

Clarithromycin 500 milligrams po daily for 7 days

None of the above

•             Question 16

0 out of 1 points

A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by leg elevation. She occasionally has edema in her lower legs at the end of the day. What is the most likely cause of these problems?

 

 

insufficiency

Answers:             Congestive heart failure

 

 

 

 

 

Varicose veins

Deep vein thrombosis

Arterial insufficiency

•             Question 17

 

Which statement below is correct about pertussis?

 

 

 

 

 

1 out of 1 points

 

 

 

Answers:

 

 

 

It is also called whooping cough

 

It begins with symptoms like strep throat It lasts about 3 weeks

 

It occurs most commonly in toddlers and young children

•             Question 18

 

 

 

 

0 out of 1 points

 

Which of the following is the most important diagnosis to rule out in the adult patient with acute bronchitis?

 

Answers:

Pneumo nia

 

Asthma

 

 

Sinusitis

 

Pertussis

•             Question 19

1 out of 1 points

A 70 year old patient presents with left lower quadrant (LLQ) abdominal pain, a markedly tender palpable abdominal wall, fever, and leukocytosis. Of the following terms, which correctly describes the suspected condition?

 

Answers:             Diverticulo sis

 

Diverticula

 

 

Diverticulit is

 

Diverticulu m

•             Question 20

1 out of 1 points

Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. This morning she noticed a rash with erythematous papules in that site. What do you suspect?

 

Answers:             Varicella

 

Herpes zoster

Syphilis Rubella

•             Question 21

 

0              out of 1 points

A 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knows that the most common cause of pancreatitis is:

 

Answers:             Alcohol

 

 

Gallstone s

 

Medicatio ns

 

Pregnanc y

•             Question 22

1              out of 1 points

When a patient presents with symptoms of acute gallbladder disease, what is the appropriate nurse practitioner action?

 

Answers:             Order abdominal x-rays

 

 

Order an abdominal ultrasound

 

Refer the patient to a surgeon for evaluation

 

 

Prescribe pain medication

•             Question 23

 

A false-positive result with the fecal occult blood test can result from:

 

 

 

0 out of 1 points

 

before testing

Answers:             ingestion of large amounts of vitamin C

 

 

 

a high dietary intake of rare cooked beef

 

a colonic neoplasm that is not bleeding

 

stool that has been stored before testing

•            

 

Enalapril Amlodipine

Hydrochlorothia zide

•             Question 85

1 out of 1 points

Stacy, age 27, states that she has painless, white, slightly raised patches in her mouth. They are probably caused by:

Answers:             Herpes simplex

 

Aphthous ulcers

 

 

 

Candidiasis

 

 

Oral cancer

•             Question 86

 

Risk factors for acute otitis media (AOM) include all of the following except:

 

 

Answers:             Household cigarette smoke

 

Group daycare attendance

 

Sibling history of acute otitis media

 

 

 

1              out of 1 points

 

 

 

African-American ethnicity

 

•             Question 87

1 out of 1 points

Which of the following can result from chronic inflammation of a meibomian gland?

Answers:

A

chalazion Uveitis Keratitis

A

pterygiu m

•             Question 88

0              out of 1 points

What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare?

 

Answers:             You must initiate the plan of care for the patient

 

The physician must be on-site and engaged in

patient care

You must be employed as an independent contractor

You must be the main health care provider who sees the patient

•             Question 89

1              out of 1 points

 

Of the following choices, the least likely cause of cough is:

 

Answers:             Asthma

 

Gastroesophageal reflux

 

 

 

Acute pharyngitis

Allergic rhinitis

•             Question 90

1 out of 1 points

The most common correlate(s) with chronic bronchitis and emphysema is(are):

 

 

Answers:             Familial and genetic

factors

 

 

 

Cigarette smoking Air pollution

Occupational environment

•             Question 91

0 out of 1 points

Which choice below is least efective for alleviating symptoms of the common cold?

 

Answers:

 

 

 

Antihistamines

 

Oral decongestants

Topical decongestants

Antipyretics

•             Question 92

0              out of 1 points

When teaching a patient with hypertension about restricting sodium, you would include which of the following instructions?

 

Answers:             Diets with markedly reduced intakes of sodium may be associated with other beneficial efects beyond blood pressure control

 

Sodium restriction can cause serious adverse efects

 

A goal of 3 g of sodium chloride or 1.2 g of sodium per day is easily achievable

 

 

 

Seventy-five of sodium intake is derived from processed foods

•             Question 93

1              out of 1 points

Which of the following heart murmurs warrants the greatest concern?

 

 

Answers:             Systolic murmur

 

Venous hum murmur

 

 

 

Diastolic murmur

 

Flow murmur

•             Question 94

1 out of 1 points

A patient presents with an inflamed upper eyelid margin. The conjunctiva is red and there is particulate matter along the upper eyelid. The patient complains of a sensation that “there is something in my eye.” What is the diagnosis and how should it be treated?

 

Answers:             Hordeolum; treat with a topical antibiotic and warm compress Conjunctivitis; treat with topical antibiotic and warm compresses

 

Blepharitis; treat with warm compresses and gentle debridement with a cotton swab

 

Chalazion; refer to an ophthalmologist for incision and drainage

•             Question 95

1 out of 1 points

A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the past hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that these changes are consistent with which myocardial infarction territory?

 

Answers:

Inferior wall

 

Anterior wall

 

Apical wall Lateral

 

wall

•             Question 96

0 out of 1 points

The nurse practitioner observes a tympanic membrane that is opaque, has decreased mobility, and is without bulging or inflammation. The least likely diagnosis for this patient is:

 

Answers:

Acute otitis media (AOM)

 

Otitis media with efusion

 

Mucoid otitis media

 

Serous otitis media

•             Question 97

0              out of 1 points

Alan, age 54, notices a bulge in his midline every time he rises from bed in the morning. You tell him it is a ventral hernia, also known as:

 

Answers:             inguinal hernia

 

 

 

epigastric hernia

 

umbilical hernia

 

incisional

 

hernia

•             Question 98

1              out of 1 points

A 58-year-old man is diagnosed with Barrett’s esophagus after an endoscopy. He has no known allergies. Which of the following medications is MOST appropriate to treat this patient’s disorder?

Answers:

Omeprazole Ranitidine An antacid

None of the above

•             Question 99

1 out of 1 points

Larry, age 66, is a smoker with hyperlipidemia and hypertension. He is 6 months post-MI. To prevent reinfarction, the most important behavior change that he can make is to:

 

Answers:

Quit smoking

 

Maintain aggressive hypertension therapy

 

Stick to a low-fat, low-sodium diet

 

Continue with his exercise program

•             Question 100

1 out of 1 points

 

Risk factors for acute arterial insufficiency include which of the following?

 

Answers:             Recent myocardial infarction

 

Atrial fibrillation Atherosclerosis

 

 

 

All of the above

•             Question 101

 

Impetigo and folliculitis are usually successfully treated with:

 

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