NURS6501 Week 11 Final Exam Latest 2022 November

Question 1 A health care professional is caring for a patient admitted to the hospital with severe anorexia. What action by the health care professional would be most important?

                                Ensuring the patient is on a cardiac monitor

                                Facilitating laboratory testing of electrolytes                    

                                Arranging a psychiatry consultation            

                                Assessing the patient's favorite foods         

Question 2 John, 64, reports that he has a severe curvature of his penis which occurred all at once. He is involved in vigorous athletic activities 4-5 days per week and does not recall an injury during his activities, only that he awoke with a painful curved erection and shortened erection. The nurse practitioner knows that:

                                Peyronie’s disease self-limiting and will go away on its own.

                                Peyronie’s disease is an inflammatory condition, resulting in noncompliant fibrous nodules in the tunica albuginea.

                                Peyronie’s disease only occurs as a result of microvascular trauma. All activities should be avoided for 4-6 weeks, to allow for healing.

                                Peyronie’s disease results from an abnormality in arterial inflow, resulting in venous leakage at the site of veno-occlusion.

 

Question 3 A severely malnourished patient is in the hospital to improve nutrition. On the second day, the patient reports palpitations and difficulty breathing. After placing the patient on a cardiac monitor, what action does the health care professional take next?

                                Take the patient's temperature.

                                Have lab drawn for electrolyte levels.

                                Cancel the patient's next meal.

                                Facilitate a chest x-ray.

Question 4 What is the primary pathologic alteration resulting from ankylosing spondylitis (AS)?

                                Inflammation of the bursa     

                                Inflammation of the long bones                   

                                Inflammation of fibrocartilaginous joints of the vertebrae

                                Inflammation of the small hand and feet bones      

Question 5 Which spinal tract carries the most nociceptive information?

                                Archeospinothalamic             

                                Paleospinothalamic                

                                Dorsal spinothalamic             

                                Lateral spinothalamic            

Question 6 A patient is 8 hours postoperative after a long orthopedic procedure. The student asks why this patient is at particular risk of developing a thromboembolism. What response by the healthcare professional is best?

                                Patients tend to have venous stasis from orthopedic operations.

                                Anesthetic agents often cause an immune response against clotting factors.

                                Endothelial damage occurs and repair is slowed by postoperative pain.

                                Atherosclerotic build up causes turbulent blood flow leading to clots.

Question 7 In which stage of syphilis would the following clinical manifestations be found: destructive skin, bone and soft tissue lesions, aneurysms, heart failure, and neurosyphilis?

                                Primary                                  

                                Secondary                             

                                Latent

                                Tertiary

Question 8 A student studying osteomyelitis and asks for an explanation of the term sequestrum. What response by the professor is best?

                                An area of devascularized and devitalized bone              

                                An enzyme that phagocytizes necrotic bone

                                A subperiosteal abscess         

                                A layer of new bone surrounding the infected bone        

Question 9 Which mother does the healthcare professional prepare to administer Rh immune globulin (Rho-GAM) to?

                                Is Rh-positive and the fetus is Rh-negative

                                Is Rh-negative and the fetus is Rh-positive

                                Has type A blood and the fetus has type O

                                Has type AB blood and the fetus has type B

Question 10 A child has iron deficiency anemia. In addition to iron supplements, what else does the healthcare professional educate the parents on giving the child?

                                Vitamin A                              

                                Magnesium                             

                                Vitamin C                              

                                Zinc   

Question 11 A healthcare professional is planning a community event to reduce risk of cerebrovascular accident (CVA) in high risk groups. Which group would the professional target as the priority?

                                Insulin-resistant diabetes mellitus               

                                Hypertension                         

                                Polycythemia                         

                                Smoking                                

Question 12 Which pain theory proposes that a balance of impulses conducted from the spinal cord to the higher centers in the central nervous system (CNS) modulates the transmission of pain?

                                Gate control theory (GCT)    

                                Pattern theory                        

                                Specificity theory                  

                                Neuromatrix theory

Question 13 Bronchiolitis tends to occur during the first years of life and is most often caused by what type of infection?

                                Respiratory syncytial virus (RSV)               

                                Influenza virus                      

                                Adenoviruses                         

                                Rhinovirus                             

Question 14 What is the most abundant class of plasma protein?

                                Globulin                                  

                                Albumin                                

                                Clotting factors                     

                                Complement proteins            

Question 15 The APRN is assessing a patient that has monotone speech and unchanged facial expressions even though he states he is happy and excited about his life.   This is an example of:

                                Delusion

                                Hallucination

                                Anhedonia

                                Pressured speech

Question 16 A patient in the hospital has been receiving heparin injections. The platelet count on admission was 222,000/mm 3 and four days later is 113,000/mm 3. What action by the healthcare professional is best?

                                Prepare to transfuse the patient with platelets.

                                Do nothing; this is an expected side effect.

                                Switch the heparin to lepirudin                   

                                Stop all the patient's medications.

Question 17 A child has phenylketonuria (PKU). The healthcare professional educates the parents on the special diet needed, telling them that children with PKU are unable to synthesize what?

                                Essential amino acid, phenylalanine, to tyrosine               

                                Renin, erythropoietin, and antidiuretic hormone              

                                Aldosterone, cortisol, and androgens          

                                Neurotransmitters gamma-aminobutyric acid (GABA) and acetylcholine

Question 18 A healthcare professional is trying to lower a patient's body temperature by convection. What action by the professional will accomplish this?

                                Lower the temperature in the patient's room.

                                Place the patient in a cooling blanket.

                                Obtain a fan and set it to blow over the patient.

                                Place cold moist towels over the patient.

Question 19 What are the clinical manifestations of testicular cancer?

                                Firm, nontender testicular mass                   

                                Painful, mobile, firm testicular mass           

                                Painful fluid-filled testicular mass              

                                Soft, nontender testicular mass                   

Question 20  Which condition is consistent with the cardiac defect of transposition of the great vessels?

                                The aorta arises from the right ventricle.

                                The pulmonary trunk arises from the right ventricle.

                                The right ventricle pumps blood to the lungs.

                                An intermittent murmur is present.

Question 21 What directly causes ovulation during the menstrual cycle?

                                Gradual decrease in estrogen levels            

                                Sudden increase of LH         

                                Sharp rise in progesterone levels                 

                                Gradual increase in estrogen levels          

Question 22 A woman attempting to conceive tells the healthcare professional that she and her partner have intercourse when her basal body temperature (BBT) is around 37?C (98?F) without getting pregnant. What information does the professional give the woman?

                                Maybe you need a fertility workup.

                                That's a normal temperature, but during ovulation BBT decreases.

                                Temperature alone is not the most accurate way to predict ovulation.

                                BBT rises consistently above 37.8"1eC (100"1eF) with ovulation.

Question 23 Cystic fibrosis is characterized by which symptom?

                                Excessive mucus production 

                                Elevated blood glucose levels

                                Low sodium content in perspiration            

                                Abnormally thin exocrine secretions           

Question 24 A patient is in the intensive care unit and has intercranial pressure (ICP) monitoring. The patient's ICP is 17 mmHg. The healthcare professional notes that the chart indicates the patient is now in stage 1 intracranial hypertension. What assessment finding does the professional associate with this condition?

                                Rapid spike in measured ICP

                                No significant change in ICP readings        

                                Restlessness and subtle breathing and pupil changes        

                                A widened pulse pressure and bradycardia

Question 25 What is the role of thromboxane A (TXA 2) in the secretion stage of hemostasis?

                                Stimulates the synthesis of serotonin.

                                Promotes vasodilation.

                                Stimulates platelet aggregation.

                                Promotes formation of cyclooxygenase.

Question 26 When examining a male age 50 and older, the Nurse Practitioner should know that:

                                It is not necessary to perform a DRE if the PSA is normal.

                                It is not necessary to perform a PSA if the DRE is normal.

                                The DRE and PSA should be performed.

                                The Nurse Practitioner can use her discretion until age 60.

Question 27 A patient has pernicious anemia and asks the healthcare professional to explain the disease. Which statement by the professional is most accurate?

                                The lack of certain foods in your diet         

                                Your body cannot absorb vitamin B 12.

                                You are not getting enough vitamin C.

                                Your bone marrow has stopped working.

Question 28 Clinical manifestations that include irregular or heavy bleeding, the passage of large clots, and the depletion of iron stores support which diagnosis?

                                Premenstrual syndrome         

                                Abnormal uterine bleeding    

                                Polycystic ovary syndrome   

                                Primary dysmenorrhea          

Question 29 To quickly assess a patient's nervous system for dysfunction, what assessment should the healthcare professional perform as the priority?

                                Size and reactivity of pupils  

                                Pattern of breathing              

                                Motor response                      

                                Level of consciousness          

Question 30 A healthcare professional is seeing a patient with suspected schizophrenia. For which prenatal occurrence should the professional assess?

                                Viral infection                       

                                Maternal depression              

                                Maternal smoking                  

                                Exposure to toxic waste