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Course NURS-6 531 D- 1 /NURS- 6531 N- 1 - Adv.
Practice Care of Adults2018 Fall Quarter
08/27-11/18-PT
Test Final Exam
Started 11/9/18 11:30 AM
Submitted 11/9/18 1:20 PM
Due Date 11/12/18 1:59 AM
Status Completed
Attempt Score 30 out of 100 points
Time Elapsed 1 hour, 50 minutes out of 1 hour and 50
minutes
• Question 1
• out of 0
points When completing this quiz, did you comply with Walden
University’s
Code of Conduct including the expectations for academic integrity?
• Question 2
• out of 1
points A patient complains of generalized joint pain and stiffness associated with
activity and relieved with rest. This patient history is consistent with which of the following disorders?
Osteoarthritis
• Question 3
What diabetic complications result from hyperglycemia?
- Retinopathy
- Hypertension resistant to treatment
- Peripheral neuropathy
- Accelerated atherogenesis
• Question 4
0 out of 1 points
• out of 1 points
Which factors are associated with high risk for foot complications in a patient with diabetes mellitus? Obesity Abnormal nails Abnormal gait Poorly controlled lipids
• Question 5
1 out of 1 points
Which of the following is not a common early sign of benign prostatic
hyperplasia (BPH)? What are common early signs of BPH – frequency,
urgency, nocturia TX with alpha adrenergic Terazosin and doxazosin
• Question 6
• out of 1 points
A 63-year-old man presents to the office with hematuria, hesitancy, and dribbling. Digital rectal exam (DRE) reveals a moderately enlarged prostate that is smooth. The PSA is 1.2. What is the most appropriate management strategy for you to follow at this time?
Prescribe an alpha adrenergic blocker
• Question 7
• out of 1 points
A 30 year old female patient presents to the clinic with heat intolerance, tremors, nervousness, and weight loss inconsistent with increased appetite. Which test would be most likely to confirm the suspected diagnosis? Graves
0 out of 1 points
A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the following medications may be used to treat generalized anxiety
disorder? Treatment may include counseling and medications, such as
antidepressants. Selective Serotonin Reuptake Inhibitor (SSRI),
Anxiolytic, and Antidepressant
Paxil Effexor Lexapro and cymbalta
• Question 13
• out of 1 points
What is the most common cause of Cushing’s syndrome? Pituitary-
dependent/ACTH- dependent (Cushing's disease), one is a pituitary form, which
results from excessive production of ACTH by a tumor of the pituitary gland,
• Question 14
Which of the following is the most cause of low back pain?
Lumbar disc disease
• Question 15
• out of 1 points
1 out of 1 points
Warfarin (Coumadin) is prescribed for a frail, elderly male with new onset atrial fibrillation. The goal INR for this patient should be: 2.0 to 3.
• Question 16
1 out of 1 points
A 72 year old patient exhibits sudden onset of fluctuating restlessness, agitation, confusion, and impaired attention. This is accompanied by visual hallucinations and sleep disturbance. What is the most likely cause of this behavior? delirium
• Question 17
1 out of 1 points
Which of the following is the most common causative organism of nongonococcal urethritis?
which of the following does not cause nongonococcal
urethritis a chlamydia – most common
- mycoplasma - neisseria
- ureaplasma
• Question 18
1 out of 1 points
Which appropriate test for the initial assessment of Alzheimer’s disease provides the performance ratings on 10 complex, higher order activities? FAQ
• Question 19
• out of 1 points
What conditions must be met for you to bill “incident to” the physician,
receiving 100% reimbursement from Medicare? the physician must be on-site and
engaged in client care.
• Question 20
Beth, age 49, comes in with low back pain. An x-ray of the lumbosacral spine is within normal limits. Which of the following diagnoses do you explore further?
herniated nucleus pulposus.
• Question 24
• out of 1 points
Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid?
avoid chocolate, alcohol, carbonated drinks, peppermint, coffee, citrus, onion, and
garlic. And weight loss
• Question 25
• out of 1 points
The cornerstone of treatment for stress fracture of the femur or metatarsal stress fracture is:
Rest the affected part of the body
- Once pain free, the person can gradually begin the sporting activity again
- Air splinting can reduce pain and decrease the time until return to full participation or
intensity of exercise.
- NSAIDs to reduce pain and inflammation
• Question 26
• out of 1 points
Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus?
Post-prandial hypoglycemia
• Question 27
• out of 1 points
A thymectomy is usually recommended in the early treatment of which disease?
Thymectomy is an important treatment option for Myasthenia Gravis
• Question 28
The most common cause of elevated liver function tests is:
Chronic alcohol abuse.
• Question 29
• out of 1 points
• out of 1 points
A 14 year old female cheerleader reports gradual and progressive dull anterior knee pain, exacerbated by kneeling. The nurse practitioner notes swelling and point tenderness at the tibial tuberosity. X-ray is negative. What is the most likely diagnosis? Osgood
The most likely diagnosis based on the reports of gradual progressive dull
anterior knee pain cause of kneeling and the complains of sore lump on the
patient’s knee which the result of the assessment notes were swelling and
point tenderness is likely Arthritis or gout. It is the symptoms of Arthritis or
gouts usually complaining having knee pain and swelling.
A middle-aged female presents complaining of recent weight loss. The physical exam reveals an enlarged painless cervical lymph node. The differential diagnosis for this patient’s problem includes:
All of the above (mono, toxoplasmosis, and infection)
• Question 34
• out of 1 points
Risk factors for prostate cancer include all of the following except: History of
genital trauma and bph
• Question 35
1 out of 1 points
Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of: carpal tunnels
• Question 36
1 out of 1 points
The most effective intervention(s) to prevent stroke is (are): smoking cessation and
treatment of hypertension
• Question 37
1 out of 1 points
A diabetic patient is taking low-dose enalapril for hypertension. A record of the patient’s blood pressure over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg diastolic. How should the nurse practitioner respond?
increase the dosage of the current BP medication
• Question 38
0 out of 1 points
Microalbuminuria is a measure of: endothelial dysfunction, dm neuropathy,
diabetic kidney disease and end organ damage r/t htn
• Question 39
• out of 1 points
Martin, age 24, presents with an erythematous ear canal, pain, and a recent history of swimming. What do you suspect?
External otitis
• Question 40
• out of 1 points
A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be:
: cipro or Levaquin fluoroquinolones 10 to 14 days
trimethoprim sulfamethoxazole for 14 days
UTI in males should be treated with fluoroquinolones for 10 to 14 days. Acute bacterial prostatitis requires 2 weeks of oral antibiotic treatment with trimethoprim- sulfamethoxazole (TMP-SMX) or fluoroquinolones. Chronic bacterial prostatitis may require 4 to 6 weeks of treatment.
arms, legs and face; stiffness; slow movement (bradykinesia); and difficulty with
balance and coordination.
• Question 45
• out of 1 points
A child with type 1 diabetes mellitus has experienced excessive hunger, weight gain and increasing hyperglycemia. The Somogyi effect is suspected. What steps should be taken to diagnose and treat this condition?
Testing blood sugar levels at 3.00 a.m. and again in the morning can help
distinguish between the Somogyi effect and the dawn phenomenon. ’s relatively
easy to test for the Somogyi effect. For several consecutive nights:
• Check your blood sugar just before bed.
• Set an alarm to check it again around 3:00 a.m.
• Test it again upon waking.
If your blood glucose is low when you check it at 3:00 a.m., it’s likely the Somogyi effect.
• Question 46
• out of 1 points
A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks later with the same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What
action(s) should the nurse practitioner take? the correct next step is to measure
baseline serum
cortisol, to test ACTH levels, and to order an ACTH stimulation test with
cosyntropin.Primary adrenocortical insufficiency work up for
• Question 47
• out of 1 points
Other than smoking cessation, which of the following slows the progression of
COPD in smokers? Engaging in moderate-to-high levels of physical activity
• Question 48
• out of 1 points
A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse practitioner what the treatment for this disorder is. The nurse
practitioner explains: Primary hyperparathyroidism is treated with
parathyroidectomy
• Question 49
0 out of 1 points
The hallmark of neurofibromatosis (von Recklinghausen’s disease) present in almost 100% of patients is:
• Question 50
0 out of 1 points
A patient has HIV infection and is having a problem with massive diarrhea. You
suspect the cause is:. Cryptosporidiosis
- When patients with HIV infection have massive diarrhea, a
protozoa of the cryptosporidium genus is the most likely
cause.
• Question 51
• Question 55
• out of 1 points
Which of the following is the best response to a woman who has just admitted she is a victim of spousal abuse?
• Question 56
0 out of 1 points
The diagnosis which must be considered in a patient who presents with a severe headache of sudden onset, with neck stiffness and fever, is: migrane or meningitis
• Question 57
0 out of 1 points
An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for this patient, the nurse practitioner is most concerned with which of the following side effects? hypogyclemia
• Question 58
0 out of 1 points
Which patient would benefit most from screening for type 2 diabetes? Gdma,
black, htn, pcos, black, family hx
• Question 59
0 out of 1 points
The intervention known to be most effective in the treatment of severe
depression, with or without psychosis, is: electroconvulsive therapy (ECT).
• Question 60
0 out of 1 points
Jennifer says that she has heard that caffeine can cause osteoporosis and asks you why. How do you respond?
The effect of caffeine in causing
osteoporosis is controversial, but it is
postulated to result from caffeine ' s
diuretic effect that causes calcium to be
excreted more rapidly
• Question 61
0 out of 1 points
Which of the following patients most warrants screening for hypothyroidism?
Screening whole populations for hypothyroidism is not warranted. There is a high
prevalence of hypothyroidism among the elderly with cognitive impairment.
• Question 62
0 out of 1 points
Successful management of a patient with attention deficit hyperactivity disorder (ADHD) may be achieved with:
psychosti
mulant
Ritalin
• Dexedrine
• Focalin
Diagnostic confirmation of acute leukemia is based on: Bone marrow aspiration
and biopsy
• Question 66
0 out of 1 points
Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?
• Question 67
0 out of 1 points
The most effective treatment of non-infectious bursitis includes: Need
options rest, cold and heat treatments, elevation, administration of nonsteroidal
anti-inflammatory drugs (NSAIDs), bursal aspiration, and intrabursal steroid
injections (with or without local anesthetic agents).
• Question 68
Differential diagnosis of proteinuria includes which of the following?
Differential diagnosis of proteinuria includes which of the following?
A. Orthostatic proteinuria
0 out of 1 points
B. Nephrotic syndrome
C. Infection
D. Trauma
E. A and B
• Question 69
0 out of 1 points
You are assessing a patient after a sports injury to his right knee. You elicit a positive
anterior/posterior drawer sign. This test indicates an injury to the: cruciatanklee ligament
• Question 70
A positive drawer sign supports a diagnosis of: cruciate ligament
• Question 71
0 out of 1 points
0 out of 1 points
A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified as: overweight
• Question 72
0 out of 1 points
A patient has been taking fluoxetine (Prozac) since being diagnosed with major depression, first episode, 2 months ago. She reports considerable improvement in her symptoms and her intention to discontinue the medication. What should be the nurse practitioner’s recommendation? Recommend that the patient continue the antidepressant medication for at least 4 more months.
• Question 73
Diagnostic radiological studies are indicated for low back pain: Xray
• Question 74
0 out of 1 points
