Advanced Practice care of Adults | NURS 6551 FINAL EXAM | CORRECT ANSWERS HIGHLIGHTED, Exams of Nursing

Download Advanced Practice care of Adults | NURS 6551 FINAL EXAM | CORRECT ANSWERS HIGHLIGHTED and more Exams Nursing in PDF only on Docsity! lOMoARcPSD|28578405 Advanced Practice care of Adults | NURS 6551 FINAL EXAM | CORRECT ANSWERS HIGHLIGHTED TEST BANK Walden University NURS 6551 Final Exam Question 1 2 out of 2 points What is the general goal of surgical treatment for stress UI? Answer: D. To support and stabilize the urethra Question 2 2 out of 2 points Gender differences in heart disease can be found in: Answer: D. All of the above Question 3 2 out of 2 points Sarah, who just found out she is pregnant, is taking prenatal vitamins with extra daily supplements of iron. She may be a candidate for Answer: B. Premature delivery. Question 4 2 out of 2 points Margie, who has been breastfeeding for 4 weeks, has mastitis in her right breast and is taking Dixcloxacillin. She asks you what she needs to do about feeding the baby. You respond Answer: B. "There is no need to stop breastfeeding, but start with your left side." infections." Question 9 What is a contributor to the increased incidence of heartburn during pregnancy? Answer: D. The pregnancy hormone relaxin, which softens the lower esophageal sphincter Question 10 0 out of 2 points Nettie, who is pregnant, is suffering from exacerbation of peptic ulcer disorder. Which is the best medication to order for her? Answer: A. Ranitidine Question 11 2 out of 2 points A common prenatal care model in which women have their first visit with one provider and then subsequent visits in a group setting is called: Answer: C. Centering Pregnancy Question 12 2 out of 2 points Lynn comes to the clinic for her initial prenatal visit. Based on her menstral history, the client is at 9 weeks' gestation and is scheduled to have an ultrasound for estimation of the gestational age of the fetus. Which fetal measurement is the best indicator of gestational age at this time? Answer: C. Crown-rump measurement Question 13 How can hormonal influences during pregnancy cause backache? Answer: A. They loosen ligaments and joints. Question 19 2 out of 2 points According to Naegele's rule, if a woman's last normal menstral period (LNMP) was September 23, what is her estimated date of delivery? Answer: D. June 30 Question 20 2 out of 2 points A poorly defined, flat, blue-black macule, present at birth and usually on the trunk and buttocks, is a Answer: C. Mongolian spot Question 21 0 out of 2 points The majority of early pregnancy losses are due to: Answer: D. Chromosomal abnormalities Question 22 2 out of 2 points Without treatment shortly after birth, as many as 90 percent of infants born to hepatitis B– infected mothers will: Answer: D. Become infected Question 23 A 28-year-old pregnant patient gives a history of smoking 1 pack of cigarettes per day (1 PPD). The nurse practitioner is accurate when she tells the patient that cigarette smoking is associated with: Answer: A. Intrauterine growth restriction Question 24 2 out of 2 points Which of the following does not increase a woman's risk for developing cervical cancer? Answer: D. Nulliparity Question 25 0 out of 2 points A nurse practitioner is holding a prenatal nutrition class for a group of patients. Considering cultural variations, which of the following women may be increased risk for inadequate intake of calcium? Answer: A. A 35-year-old Caucasian Question 26 2 out of 2 points What is the best description of Bishop's score? Answer: A. It is an assessment of the cervix's readiness for elective induction. Answer: D. Progressive cervical change Question 28 2 out of 2 points What components make up the biophysical profile? Answer: D. Fetal tone, breathing, motion, amniotic fluid volume, and non-stress test. Question 29 2 out of 2 points What is the leading cause of first-trimester maternal death? Answer: A. Ectopic pregnancy Question 30 2 out of 2 points A newborn delivered by a mother with no prenatal care exhibits the following: dysmorphic facial features including short palpebral fissures, a thin upper lip, an elongated and flattened philtrum, and a flattened midface region. You suspect that the mother engaged in what behavior during pregnancy? Answer: D. Excessive alcohol intake Question 31 2 out of 2 points What is a common cause of leg cramps during pregnancy? Answer: A. An imbalance of calcium and magnesium Question 32 2 out of 2 points What is the simplest and safest method of suppressing lactation after it has started? Answer: A. Von Willibrand's disease Question 37 2 out of 2 points Screening for hyperlipidemia is recommended to begin at what age for women with no risk factors? Answer: C. 45 Question 38 0 out of 2 points A 20-year-old female patient presents with lower abdominal pain, moderate vaginal bleeding, and right shoulder pain. Her blood pressure is 85/50 mmHg, pulse 140, respirations 28, and temperature 98 deg. F. She has a history of pelvic inflammatory disease (PID). Her urine pregnancy test is positive. Which of the following is the most likely diagnosis? Answer: D. Threatened spontaneous abortion Question 39 2 out of 2 points Which of the following recommendations should you provide to parents about reducing the risk of sudden infant death syndrome (SIDS)? Answer: C. A bare crib with firm sleep surface; no soft objects, wedges, or ruffles. Question 40 2 out of 2 points What is the recommended timing for gestational diabetes screening? Answer: B. 24-28 weeks' gestation Question 41 2 out of 2 points What is an indication of the second stage of labor? Answer: A. Complete dilation of the cervix Question 42 2 out of 2 points Liza is 34 weeks pregnant and has mild hypertension. You are performing a nonstress test (NST). What is the criterion for a reactive NST? Answer: C. At least two fetal heart rate accelerations in response to fetal movement in a 20- minute test period. Question 43 2 out of 2 points You see G5P4015 on a client's history form. You surmise that Answer: B. The woman has five living children, including a set of twins, and she has had one abortion. Question 50 2 out of 2 points An example of an X-linked recessive condition or trait is Answer: C. Hemophilia d. She needs two additional blood pressure checks on two separate occasions. 4.What tends to cause acne in adolescence? a.A decrease in estrogen b.Dietary changes c.Hormonal birth control use d.An increase in testosterone 5.What tends to cause acne in adolescence? Answer: fluctuations in hormone levels 6.The onset of labor is indicated by regular uterine contractions and: a. Complete dilation of the cervix b. Change in the position of the fetus c. Rupture of the membranes d. Progressive cervical change 7.Which of the following statements does not support the diagnosis of Alzheimer’s disease? a. Crying every day b. Forgetting where she puts things c. Getting lost driving to the grocery store d. Lost ability to balance a checkbook 8.A 23-year-old woman is seeing the clinician because of chronic headaches. These headaches are typically preceded by seeing flashing lights. These visual distortions spontaneously resolve followed by throbbing pain on either the right or left side of her head. Pain is associated with photophobia, nausea, and vomiting. The most likely diagnosis is: a.Cluster headache b.Migraine headache c.Temporal arteritis d.Transient ischemic attacks (TIAs) 9.When is round ligament pain most likely to occur in pregnant women? Question 24 2 out of 2 points When can relief from pregnancy induces nausea and vomiting be expected? Answer: B. 12–14 weeks’ gestation Question 25 0 out of 2 points What is the most common type of UTI that affects women? Answer: C. Asymptomatic bacteriuria Question 26 2 out of 2 points The onset of labor is indicated by regular uterine contractions and: Answer: D. Progressive cervical change Question 27 0 out of 2 points Fever associated with pyelonephritis will usually resolve within how many hours of treatment with antibiotics? Answer: A. 24 hours Question 28 2 out of 2 points What is a possible cause of abdominal pain during pregnancy? Answer: A. Round ligament pain 12.What is the most typical schedule of prenatal care in the first 28 weeks of pregnancy? a.Visits scheduled every 2 weeks b.Visits scheduled every 3 weeks c.Visits scheduled every week d.Visits scheduled every 4 weeks 13.About what percentage of pregnant women develop gestational hypertension, preeclampsia, or pregnancy-induced hypertensive disorder? a.5–7% b.10–12% c.1–3% d.12–15 14.What is the term for a postpartum disorder in which bacteria ascend from the lower genital tract and infect the uterus? a.Postpartum amenorrhea b.Postpartum endometritis c.Postpartum staphylococcus d.Postpartum lochia 15.How does women’s anatomy make them more susceptible to UTIs? a. Asymptomatic UTIs do not resolve themselves without treatment. b. Women tend to get UTIs when they are pregnant. c. There is a longer distance between the urethra and anus. d. Their urethras are shorter. 65.What is the most common disorder leading to hyperthyroidism? a. Parkinson’s disease b. Graves’ disease c. Multiple sclerosis d. Epilepsy 67.A 72-year-old woman is presenting with chest pain. Which of the following statements best differentiates chest pain due to angina versus myocardial infarction? a. Angina pain is frequently relieved by nitroglycerin. b. Angina pain is more substernal and does not radiate to other areas. c. Myocardial pain with an infarction is always associated with fatigue. d. Myocardial pain with an infarction is more severe. 68.At what time during pregnancy does nausea typically occur? a. At 3–6 weeks’ gestation b. At 6–8 weeks’ gestation c. At 12–15 weeks’ gestation d. At 1–3 weeks’ gestation 17.After how many weeks’ gestation is a pregnancy loss considered a fetal death or stillbirth? a. 18 weeks b. 30 weeks c. 20 weeks d. 24 weeks 18.What can be used as a space-filling device, replacing normal pressure on the vaginal walls when levator ani support is unreliable? a.Diaphragms b. Tampons c. Kegels d. Sacral nerve stimulators b. Blood culture c. Urine dipstick d. Parenteral culture 47.What is a contributor to the increased incidence of heartburn during pregnancy? a. The increased incidence of hypertension during pregnancy b. The dilation of veins in the esophagus, due to increased blood flow c. The increased levels of magnesium and calcium in the blood d. The pregnancy hormone relaxin, which softens the lower esophageal sphincter 48.Gender differences in heart disease can be found in: a. Diagnosis b. Treatment c. Identification of symptoms d. All of the above 49.What is the recommended amount of Kegel contractions per day for women whose pelvic muscles are weak? a.10 b.50 c.30 d.7 50.What is a common cause of leg cramps during pregnancy? a. An imbalance of calcium and magnesium b. Dehydration c. An inability to sleep d. Poor nutrition 51.What is the most common cause of medical complications in pregnancy? a. Hypertension b. Gestational diabetes c. Hepatitis d. Anemia 24.What is the definition of a primary headache? a. A headache that occurs only before and during menstruation b. A headache is caused by a preexisting condition c. A headache that is not a symptom of, or caused by, another condition d. A headache that is characterized by muscle tension 25.What is the leading cause of first-trimester maternal death? a. Ectopic pregnancy b. Complications from prior gynecologic surgeries c. Abortion d. Complications from unresolved STIs 26.When considering a diagnosis of Alzheimer’s disease, the clinician should: a. Interview her with a family member or close friend b. Interview her separately (alone) then with a family member or close friend c. Obtain the history from a family member or close friend d. Rely on client observation without obtaining a history 27.What is the most common cause of death in women in the United States? a. Breast cancer b. Cardiovascular disease c. Cervical cancer b. To predict preterm births c. To assess women’s nutritional needs d. To test women for disease 75.A common prenatal care model in which women have their first visit with one provider and then subsequent visits in a group setting is called: a. HolisticBirthing b. Midwifery c. Centering Pregnancy d. PathologyCare 29.How does the third stage of labor end? a. With the birth of the baby b. With the delivery of the placenta c. With the clamping of the umbilical cord d. With the complete dilation of the cervix 30.What is a possible cause of abdominal pain during pregnancy? a. Round ligament pain b. Diabetes c. Anemia d. Cytomegalovirus 31.Type 2 diabetes includes insulin resistance and affects what percentage of those who have diabetes? a.75–80% b.65–70% c.55–60% d.90–95% 32.The primary endocrine disorders affecting women are diabetes mellitus and: a. Psoriatic arthritis b. Thyroid conditions d. Eczema 38.What is a potential benefit of circumcision? a. Decreased incidence of urinary tract infections b. Prevention of prostate cancer c. Increased immunity against herpes simplex virus d. Prevention of transmission of sexually transmitted bacteria 39.Without treatment shortly after birth, as many as 90 percent of infants born to hepatitis B– infected mothers will: a. Develop HIV b. Have cognitive difficulties c. Need blood transfusions d. Become infected 40.Fever associated with pyelonephritis will usually resolve within how many hours of treatment with antibiotics? a.24 hours b.12 hours c.72 hours d.80 hours 41.What is more likely to occur in women with female genital cutting? a.Low birth-weight babies b.Birth-related complications c.Miscarriages d.Premature births 42.What is the general goal of surgical treatment for stress UI? a. To increase the capacity of the bladder b. To increase pressure on the vaginal walls c. To support and strengthen the levator ani d. To support and stabilize the urethra 43.The clinician is ordering a lipid panel for a 50-year-old woman. The following advice should be given: a.Eat a normal breakfast the morning of the blood draw b.Fast for 12 hours prior to the blood draw c.No dietary changes d.Eat a low-fat breakfast the morning of the blood draw 44.All except which of the following are important historical questions for a 29-year-old woman in clinic for right-sided weakness? a. Use of oral combined hormonal contraceptives b. Recent childbirth c. History of recent deep venous thrombosis d. History of pelvic inflammatory disease 45.What is the initial symptom of Lyme disease, seen in approximately 70 to 80 percent of people infected with the bacterium? a.Red facial patches b.A circular red rash c.Rough bumps on the skin d.Shortness of breath 46.According to the CDC, what percentage of pregnant women continues to drink alcohol during their pregnancies? a.10% b.20% 56.How often does breech presentation occur in singleton pregnancies? a.1–2% b.3–4% c.6–7% d.10–11% 57.How are pregnancy-related DHA (docosahexaenoic acid) needs best met? a. By consuming 2 servings of fatty low-mercury-content fish per week b. By taking a prenatal vitamin supplement c. By consuming 2 to 4 servings of fruit daily d. By consuming 3 to 4 servings of dairy products daily 58.What should be considered in order to interpret the Mini-Mental State exam when considering the diagnosis of Alzheimer’s disease? Education a. Education b. Family history of Alzheimer’s disease c. Medications that include estrogen d. Past history of concussion 59.About how many infants born to mothers colonized with Group B streptococcus will become colonized as well? a.40% b.25% c.10% d.50% 60.What is an indication of the second stage of labor? a. Complete dilation of the cervix b. Rupture of the membranes c. Emergence of the infant’s head d. Presence of bloody show 69.What step can a clinician take to learn more about any chemicals used in a woman’s workplace? a. Contact OSHA (Occupational Health and Safety Administration). Any woman with a complicated cystitis or symptoms of upper tract disease needs a urine culture and: Answer: A. Sensitivity test Question 3 2 out of 2 points What is significant about cytomegalovirus (CMV)? Answer: B. It can remain dormant within the body for life. Question 4 2 out of 2 points How can hormonal influences during pregnancy cause backache? Answer: A. They loosen ligaments and joints. Question 5 2 out of 2 points In the formula to estimate gestational age, woman are considered pregnant from: Answer: A. The first day of the last menstrual period Question 6 2 out of 2 points What is considered to be a common trigger of psoriasis? Answer: A. Stress Question 7 2 out of 2 points What is a contributor to the increased incidence of heartburn during pregnancy? Answer: D. The pregnancy hormone relaxin, which softens the lower esophageal sphincter Question 8 2 out of 2 points What is an indication of the second stage of labor? Answer: A. Complete dilation of the cervix Question 9 2 out of 2 points When is round ligament pain most likely to occur in pregnant women? Answer: D. Between 16–20 weeks’ gestation Question 10 2 out of 2 points How are pregnancy-related DHA (docosahexaenoic acid) needs best met? Answer: A. By consuming 2 servings of fatty low-mercury-content fish per week Answer: C. Pica Question 34 2 out of 2 points The primary endocrine disorders affecting women are diabetes mellitus and: Answer: B. Thyroid conditions Question 35 0 out of 2 points What is a potential benefit of circumcision? Answer: A. Decreased incidence of urinary tract infections Question 36 2 out of 2 points What was the reason that prenatal care began in the early 1900s? Answer: A. To screen for preeclampsia Question 37 2 out of 2 points What do current theories suggest as to how cranberry products can reduce UTIs? Answer: B. The fructose keeps E. coli bacteria from adhering to bladder cell walls. Question 38 2 out of 2 points Screening for hyperlipidemia is recommended to begin at what age for women with no risk factors? Answer: C. 45 Question 15 2 out of 2 points What has changed in terms of recommended antibiotic treatment for uncomplicated lower UTIs? Answer: C. Three-day regimens are now recommended. Question 21 2 out of 2 points What is more likely to occur in women with female genital cutting? Answer: B. Birth-related complications Question 45 2 out of 2 points Optimal weight gain during pregnancy is based on the woman’s prepregnant BMI and: Answer: A. Age Question 46 2 out of 2 points What should be addressed during late postpartum maternal evaluation (weeks 2–6)? Answer: B. The need for birth control information or supplies Question 47 2 out of 2 points How does the third stage of labor end? Answer: B. With the delivery of the placenta Question 29 2 out of 2 points Uncomplicated acute bacterial cystitis occurs in women who: Answer: B. Have no signs of upper tract infection Question 30 2 out of 2 points Gender differences in heart disease can be found in: Answer: D. All of the above Question 31 2 out of 2 points What is the term for stimulation of the uterus by an external agent to enhance uterine contractions after labor has started? Answer: C. Augmentation Question 32 2 out of 2 points What is the potential danger of a fetus born through meconium-stained amniotic fluid? Answer: B. The infant can breathe meconium into the lungs. Question 39 2 out of 2 points setting is called: Answer: C. Centering Pregnancy Question 46 2 out of 2 points A 30-year-old female patient is seeking advice from the nurse practitioner about becoming pregnant. She is currently taking an oral contraceptive. She gives a history of having a hydatidiform molar pregnancy 2 years ago. The appropriate plan of care for this patient should include: Answer: C. Discontinuing the oral contraceptive Question 47 2 out of 2 points A woman with hyperemesis gravidarum would most likely benefit from a plan of care designed to address which of the following nursing diagnosis? Answer: C. Anxiety, related to effects of hyperemesis on fetal well- being Question 48 2 out of 2 points What step can a clinician take to learn more about any chemicals used in a woman’s workplace? Answer: C. Ask the woman to obtain her workplace MSDs (material safety data sheets). Question 49 2 out of 2 points What is the general goal of surgical treatment for stress UI? Answer: D. To support and stabilize the urethra Question 50 2 out of 2 points What is the leading cause of first-trimester maternal death?