Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM (100% CORRECT QUESTIONS & ANSWERS)Gr, Exams of Nursing

Download Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM (100% CORRECT QUESTIONS & ANSWERS)Gr and more Exams Nursing in PDF only on Docsity! • Question 1 1 out of 1 points • Question 2 1 out of 1 points • Question 3 1 out of 1 points • Question 4 1 out of 1 points • Question 5 1 out of 1 points • Question 6 1 out of 1 points Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM Nurs 6531 Midterm Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes? Acute Bronchitis Your patient Jerry has gout. What do you suggest? No purine foods Which of the following heart murmurs warrants the greatest concern? Diastolic murmur Which of the following color changes in a pigmented lesion suggests malignant transformation? All color changes An adult presents with tinea corporis. Which item below is a risk factor for its development? Steriod use Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders liver function studies. The patient’s aminotransferase (ALT) is elevated. What laboratory test(s) should be ordered? pg. 1 • Question 7 1 out of 1 points • Question 8 1 out of 1 points • Question 9 1 out of 1 points • Question 10 1 out of 1 points • Question 11 1 out of 1 points • Question 12 1 out of 1 points Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM Hepatitis Panel 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? Antihistamines 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: No purulent drainage Which of the following can result from chronic inflammation of a meibomian gland? Chalazion 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? Blepharitis Risk factors for acute arterial insufficiency include which of the following? All the above pg. 2 Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM Nails and Feet pg. 5 • Question 18 1 out of 1 points • Question 19 1 out of 1 points • Question 20 1 out of 1 points • Question 21 1 out of 1 points • Question 22 1 out of 1 points • Question 23 1 out of 1 points Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM Which of the following is a predisposing condition for furunculosis? Diabetes Harvey has had Meniere’s disease for several years. He has some hearing loss but now has persistent vertigo. What treatment might be instituted to relieve the vertigo? Low salt and rest Sarah has allergic rhinitis and is currently being bothered by nasal congestion. Which of the following meds ordered for allergic rhinitis would be most appropriate? Nasal decongestant 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: Gonoccological conjunctivitis Which antibiotic would be the most effective in treating community acquired pneumonia (CAP) in a young adult without any comorbid conditions? Macrolid Clarithromycin Which of the following dermatologic vehicles are the most effective in absorbing moisture and decreasing friction? Powder pg. 6 • Question 24 1 out of 1 points • Question 25 1 out of 1 points • Question 26 1 out of 1 points • Question 27 1 out of 1 points • Question 28 1 out of 1 points • Question 29 1 out of 1 points Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM Carl, age 78, is brought to the office by his son, who states that his father has been unable to see clearly since last night. Carl reports that his vision is “like looking through a veil.” He also sees floaters and flashing lights but is not having any pain. What do you suspect? Retinal detachment 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? Penicillin V 500mg Which of the following are classic features of ulcerative colitis? Relapse remittent bloody diarrhea, abdominal cramping, etc. When a patient presents with symptoms of acute gallbladder disease, what is the appropriate nurse practitioner action? CT scan or ultrasound Which intervention listed below is safe for long term use by an adult with constipation? Bulk forming agents (fiber) What prophylactic medication is commonly recommended for the patient under 35 years of age with a positive PPD? pg. 7 • Question 37 1 out of 1 points • Question 38 1 out of 1 points • Question 39 1 out of 1 points • Question 40 1 out of 1 points • Question 41 0 out of 1 points Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM Impetigo and folliculitis are usually successfully treated with: Topical antibiotics Your well-nourished 75-year-old patient has come into the office for a physical exam and states that she recently had two nosebleeds. She does not take any anticoagulants, and you have ruled out any coagulopathies. The most likely cause of these nosebleeds is: Trauma A 58 year old complains of tightness in his chest while cutting firewood. It disappears quickly if he stops chopping. He denies shortness of breath, his total cholesterol level is less than 200 mg/dL, and he is a non-smoker. What is the most appropriate action for the nurse practitioner to take with this patient? Cardiac in nature A 45 year old with diabetes has had itching and burning lesions between her toes for 2 months. Scrapings of the lesions confirm the diagnosis tinea pedis. What is the best initial treatment option for this patient? Powder and topical antifungal, watch for secondary infection Of the following choices, the least likely cause of cough is: Pharyngitis Which of the following best describes hypertrophic cardiomyopathy? Decreased Ventricular filling and weak pg. 10 • Question 42 Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM muscle pg. 11 • Question 43 1 out of 1 points • Question 44 1 out of 1 points • Question 45 0 out of 1 points • Question 46 1 out of 1 points • Question 47 1 out of 1 points Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM 1 out of 1 points Which of the following patient characteristics are associated with chronic bronchitis? Overweight, cyanotic, normal or slight increase in RR An elderly patient is being seen in the clinic for complaint of “weak spells” relieved by sitting or lying down. How should the nurse practitioner proceed with the physical examination? Take BP lying, sitting, and standing The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes which of the following? Fever, Cervical lymphadenopathy, red sore throat with or without exudate, NO COUGH Jennifer, age 49, who has a history of hyperlipidemia, has symptoms that lead you to suspect unstable angina. Your next action would be to: Not sure Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily. Her exacerbations affect her activities and they occur at least twice weekly and may last for days. She is affected more than once weekly during the night with an exacerbation. Which category of asthma severity is Lisa in? Moderate persistent Of the following, the patient who should be referred for periodic colonoscopy is the patient with: pg. 12 Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM infection with: Strep A pg. 15 • Question 54 1 out of 1 points • Question 55 1 out of 1 points • Question 56 1 out of 1 points • Question 57 1 out of 1 points • Question 58 1 out of 1 points • Question 59 1 out of 1 points Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM A 15 year old male presents with abdominal pain that began in the peri-umbilical area then localized to the right lower quadrant (RLQ). He complains of anorexia, and low grade fever. A complete blood count (CBC) reveals moderate leukocytosis. What is the most likely diagnosis? Acute appendicitis An 18-year-old female presents to the urgent care center complaining of severe pruritus in both eyes that started 2 days ago. Associated symptoms include a headache and fatigue. On examination, the nurse practitioner notes some clear discharge from both eyes and some erythema of the eyelids and surrounding skin. Which of the following is the most likely cause of this patient’s symptoms? Allergic conjunctivitis A 40 year old presents with a hordeolum. The nurse practitioner teaches the patient to: Topical antibiotics and warm compress An AST that is more than twice the level of ALT is suggestive of: Alcoholic liver An 18 year old patient is afebrile and complains of severe left ear pain. On examination, the TM is gray and intact and there is a green discharge in the external canal. What action by the nurse practitioner is most appropriate? Otic antibiotic/corticosteriod pg. 16 Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM A patient presents with classic symptoms of gastroesophageal reflux disease (GERD). He is instructed on life style modifications and drug therapy for 8 weeks. Three months later pg. 17 • Question 71 1 out of 1 points • Question 72 1 out of 1 points • Question 73 1 out of 1 points • Question 74 1 out of 1 points • Question 75 1 out of 1 points • Question 76 1 out of 1 points Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM Appropriate therapy for peptic ulcer disease (PUD) is: Depends on eitology Which of the following is not a symptom of irritable bowel syndrome? Weight loss Risk factors for acute otitis media (AOM) include all of the following except: African American Medicare is a federal program administered by the Centers for Medicare and Medicaid Services (CMS). The CMS has developed guidelines for Evaluation and Management coding, which all providers are expected to follow when coding patient visits for reimbursement. Which of the following is an important consideration regarding billing practices? Bill services so you can avoid missed billable service that leads to missed revenue. A 55 year old patient has a work-up for hypertension and is noted to have elevated BUN and creatinine. Which of the following should the nurse practitioner suspect? Renal workup John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be screened for hypercholesterolemia? pg. 20 Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM Every 5 years pg. 21 • Question 77 1 out of 1 points • Question 78 1 out of 1 points • Question 79 1 out of 1 points • Question 80 1 out of 1 points • Question 81 1 out of 1 points • Question 82 1 out of 1 points Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM Sheila, age 78, presents with a chief complaint of waking up during the night coughing. You examine her and find an S3 heart sound, pulmonary crackles that do not clear with coughing, and peripheral edema. What do you suspect? Heart Failure Martha had a less than 7% value on her Schilling test. What medication do you anticipate she might need? Vitamin B12 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? Lupus 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? Inferior wall infarct Which of the following statements about malignant melanomas is true? Staged based on depth of lesion pg. 22 • Question 88 1 out of 1 points • Question 89 1 out of 1 points • Question 90 1 out of 1 points • Question 91 1 out of 1 points • Question 92 1 out of 1 points • Question 93 1 out of 1 points Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM No gluten The differential diagnosis for a patient complaining of a sore throat includes which of the following? I think all of the above: candidiasis, gonorrhea, leukoplakia Stacy, age 27, states that she has painless, white, slightly raised patches in her mouth. They are probably caused by: Candidiasis Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her hypertension. Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium 1500 mg daily. At today’s visit. Her blood pressure is 170/89. According to JNC VIII guidelines, what should you do next to control Harriet’s blood pressure? Add thiazide diuretic Which of the following is a secondary cause of hyperlipidemia? Diabetes 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: Chronic diarrhea pg. 25 • Question 94 1 out of 1 points • Question 95 1 out of 1 points • Question 96 1 out of 1 points • Question 97 1 out of 1 points • Question 98 1 out of 1 points Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM When teaching a patient with hypertension about restricting sodium, you would include which of the following instructions? 75% of salt comes from processed foods Shirley, age 58, has been a diabetic for 7 years. Her blood pressure is normal. Other than her diabetes medications, what would you prescribe today during her routine office visit? Ace inhibitor A patient presents to the primary care provider complaining of a rash on his right forehead that started yesterday and is burning and painful. The physical exam reveals an erythematous, maculopapular rash that extends over the patient’s right eye to his upper right forehead. Based on the history and examination, the most likely cause of this patient’s symptoms is: Ophthalmic shingles (herpes) What is the Gold standard for the diagnosis of asthma? Spirometry In the initial evaluation of a patient with new onset hypertension, the nurse practitioner should: Evaluate modifiable risk factors In order to decrease deaths from lung cancer: Stop smoking pg. 26 • Question 99 Chamberlain College of Nursing/NURS 6531 MIDTERM EXAM pg. 27