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CURRENTLY TESTING SOLUTIONS OF NSG 6440 PREDICTOR
FINAL EXAM QUESTIONS WITH ACTUAL CORRECT DETAILED
ANSWERS
Treatment for epididymitis includes which of the following? - ANSWER-scrotal elevation Which of the following medications for temporomandibular disorder has the warning that patient should NOT drive while taking it? - ANSWER-Elavil After 6 months of Synthroid therapy, the clinician should expect which result in the repeat thyroid- stimulating hormone studies? - ANSWER-Normal A 24- year old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease has she most probable been exposed to? - ANSWER-Chlamydia Which of the following is the form of external otitis in which bacterial infection extends from the auditory canal into the skull? - ANSWER-Necrotizing otitis Which causes the greatest percentage of mammalian bites? - ANSWER-human Which test is used to confirm a diagnosis of epididymitis - ANSWER-ultrasound of the scrotum Which statement accurately describes the APRNs scope of practice? - ANSWER-This delineates the permissible boundaries of APRN professional practice
The nurse is working with a 65- year- old patient who was recently diagnosed with hypertension. The patient is concerned about their optimal health with their new diagnosis. Which nursing action is necessary for health promotion with the patient? - ANSWER-Discussing appropriate stress management techniques Which of the following would be a cause of neuropathic pain? - ANSWER-post herpetic pain Which theory regarding the aging process is linked to cancer and Alzheimer's disease? - ANSWER- oxidative damage Which heart sound is associated with decreased elasticity of the left ventricle in left ventricular hypertrophy? - ANSWER-S Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from infection with which of the following pathogens? - ANSWER-Group A streptococcus A 21-year-old student presents with complaints of fatigue, headache, anorexia and a runny nose, all of which began about 2 weeks ago. She started taking vitamins and over-the-counter cold preparations but feels worse. The smell of food makes her nauseated. Her boyfriend had mononucleosis about 1 month ago, and she wonders if she might have it also. Examination reveals cervical adenopathy and an enlarged liver and spleen. Which of the following labs would be most helpful in the differential diagnosis at this point? - ANSWER-Antihepatitis D virus What is the most common form of heart disease in a patient with atrial fibrillation? - ANSWER-Coronary artery disease associated with heart failure A 15-year-old girl is seen in the clinic because she has not yet had her first period. Which of the following questions would help the clinician determine the cause? - ANSWER-How long have you been underweight The clinician is examining the back of Christian, a 15-year-old male. What is the correct way for the clinician to check for hamstring flexibility? - ANSWER-Christian should stand straight and flex90 degrees forward at the waist
In the model for future Advanced Practice Registered Nurse (APRN) practice, what does the "C" of LACE represent? - ANSWER-Certification When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes. What do you suspect they are? - ANSWER-spores A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe dysuria. She is diagnosed with acute pyelonephritis. How should this patient be managed? - ANSWER-hospitalization A sunscreen with a sun-protection factor of at least what number will block most harmful ultraviolet radiation? - ANSWER- 15 Which of the following is the most common cause of cardiac death in athletes? - ANSWER-Hypertrophic cardiomyopathy Which of the following is a specific test to MS? - ANSWER-there is no specific test A patient comes to the office complaining of constipation. The patient lists all of the following medications. Which drug could be responsible for the constipation? - ANSWER-Pepto-Bismol The barrel-chest characteristic of emphysema is a result of: - ANSWER-Hyperinflation Which drug for Alzheimer's disease should be administered beginning at the time of diagnosis? - ANSWER-Cholinesterase Inhibitors Data from the Framingham Heart Study suggest that individual who are normotensive at 55 years of age have how much lifetime risk of developing hypertension? - ANSWER-90% Which of the following scales is useful to assess the degree of dyspnea with a score of 6 to 20? - ANSWER-Borg scale
A 35-year-old woman presents with symptoms of hypoglycemia. There is no history of diabetes mellitus. Which condition should be included in the differential diagnosis? - ANSWER-pheochromocytoma What should you use to alkalinize urine to a pH of greater than 7.0? - ANSWER-sodium bicarbonate Which of the following is true of pediculosis? - ANSWER-Patients can be asymptomatic or cause few symptoms in the first 2 weeks Which of these patients is a higher risk for developing deep vein thrombosis? - ANSWER-Samantha, a 45- year-old female undergoing a hysterectomy A patient has CFS. Which strategy should the clinician consider to manage this patient? - ANSWER- Cognitive-behavioral therapy Which statement regarding necrotizing fasciitis is true? - ANSWER-This is a medical emergency and gangrene can develop A patient presents with CVA tenderness and a several-day history of high fever, chills and dysuria. Which of the following diagnoses is most likely given the above information? - ANSWER-pyelonephritis Danielle presents to the clinic saying " I do not feel like I want to eat." She also notes she is experiencing lethargy, nausea, headache, and muscle cramps. She "did not go to the bathroom a lot" yesterday. Which of the following stages of acute kidney injury (AKI) is Danielle in? - ANSWER-Initiating stage During treatment for anaphylaxis, which site is used for the initial injection of epinephrine? - ANSWER- upper lateral thigh The clinician should question the patient with suspected gout about use of which of these medications? - ANSWER-thiazide diuretics There are four stages of heart failure, classified as A to D, that describe the evolution and progression of disease. In which stage are patients hospitalized or treated with specialized interventions or hospice care for refractory symptoms of heart failure despite medical therapy? - ANSWER-Stage D
Which of the following is part of the treatment plan for the patient with IBS? - ANSWER-High fiber diet an 8-year-old patient is admitted to the hospital due to Reye's syndrome. Which medication was most likely the cause? - ANSWER-aspirin Which type of stomatitis results in necrotic ulceration of the oral mucous membranes? - ANSWER- Vincent's stomatitis A male patient with type 1 diabetes comes to the clinic complaining of feeling nervous and clammy. He states that he took his insulin this morning but was late for work and did not eat breakfast. Which action should the clinician take first? - ANSWER-have him drink 4 ounce of juice Which of the following medications is safe to use when an adult patient has a perforated tympanic membrane? - ANSWER-Floxin otic 10 drops in affected ear for 7 days What is the most common cause of microcytic anemia? - ANSWER-iron-deficiency Donna is a 36-year-old African American woman with chronic pancreatitis. Which of the following are necessary to manage her condition? - ANSWER-a low-fat diet of less than 50 g of fat per day Which of the following is the proper way to take a blood pressure measurement? - ANSWER-Patient is in a sitting position, cuff size has a bladder length of 80% and a width of 40% of arm circumference, patient has rested for 3 minutes before measurement Which drug category of antiretroviral (ARV) therapy is generally effective in crossing the blood-brain barrier and may be useful in managing HIV associated dementia? - ANSWER-Integrase inhibitors Maria had impetigo and is seeing her health-care provider for a follow-up visit. Which of the following teaching points should the provider discuss? - ANSWER-Keeping fingernails short can prevent the spread of impetigo
A ratchet-like rhythmic contraction, especially in the hand, during passive stretching is known as: - ANSWER-cogwheeling Which statement by the patient would indicate teaching has been successful regarding management of Cushing's syndrome at home? - ANSWER-I will stay away from large crowds Gerald presents with a very dark color on his right pinkie finger. What is the the health-care provider's next care step? - ANSWER-Referral to a dermatologist for a nail biopsy Your patient is in her second trimester of pregnancy and has a yeast infection. Which of the following is the most appropriate treatment? - ANSWER-Metronidazole 2% cream 5 g intravaginally 7 days Which condition is characterized by the impaired ability to learn new information along with a cognitive disturbance in either language, function, or perception? - ANSWER-Alzheimer's disease You are doing a cerumen extraction and touch the external meatus of your patient's ear. He winces and starts coughing. What is the name of this reflex? - ANSWER-Arnold reflex A 22-year-old woman is diagnosed with premenstrual syndrome. Which of the following lifestyle changes should the clinician suggest to help minimize the patient's symptoms? - ANSWER-regular exercise Eddie, age 4, presents to the emergency department with a live insect trapped in his ear canal causing a lot of distress. What should be your first step? - ANSWER-sedate Eddie with diazepam After typical groin hernia surgery, the patient should be instructed to: - ANSWER-avoid heavy lifting for 4 to 6 weeks Robin presents with tearing in her right eye that started this morning. What is the most likely cause in the provider's differential diagnosis? - ANSWER-foreign body in the eye Which of the following must be completed prior to administering TPA (tissue plasminogen activator)? - ANSWER-Head CT
The clinician is examining the skin of Mary, who would like to be cleared to play beach volleyball. What is the clinician's most important focus point when looking at her skin? - ANSWER-Freckles, to assess if she potentially has a melanoma Julie has relapsing-remitting muscular sclerosis. She has not had a good response to interferon. Which medication might help given IV once a month? - ANSWER-Natalizumab What is the bulls-eye rash of Lyme disease called? - ANSWER-erythema migraines Which of the following is an aerobic gram-negative bacteria involved in prostatitis? - ANSWER- pseudomonas Which of the following statements is correct regarding the leading cause of blindness in the US known as macular degeneration? - ANSWER-it is slow or sudden painless loss of central vision What describes a pandemic? - ANSWER-An event of epidemic magnitude affecting multiple communities and countries in a short period of time. A 78-year-old man says he has been diagnosed with stage 0 bladder cancer and asks the provider what that means. Which is the best response? - ANSWER-You have cancer that has spread to the surrounding tissue The most cost-effective screening test for determining HIV status is which of the following? Western blot Enzyme-linked immunosorbent assay Venereal Disease Research Laboratory test Viral load - ANSWER-Enzyme-linked immunosorbent assay Which blood test is a nonspecific method and most helpful for evaluating the severity and course of an inflammatory process? Erythrocyte sedimentation rate White blood cell count Polymorphonuclear cells
C-reactive protein (CRP) - ANSWER-C-reactive protein (CRP) Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter? GABA Acetylcholine Dopamine Serotonin - ANSWER-Dopamine Mrs. Thomas was seen in the office complaining of pain and point tenderness in the area of her elbow. The pain has increased following a day of gardening one week ago. A physical finding that differentiates the diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is: Ecchymosis, edema, and erythema over the lateral epicondyle Pain at the elbow with resisted movements at the wrist and forearm Inability to supinate and pronate the arm Inability to flex or extend the elbow against resistance - ANSWER-Pain at the elbow with resisted movements at the wrist and forearm Which of the following statements concerning the musculoskeletal examination is true? The uninvolved side should be examined initially and then compared to the involved side.
Endometrial biopsy MRI Abdominal computed tomography scan - ANSWER-Transvaginal ultrasound A diabetic patient asks the clinician why he needs to check his blood sugar at home even when he feels good. Which of the following responses would be most appropriate? "Control of glucose will help postpone or delay complications." "Regularly checking blood sugar will help establish a routine." "Monitoring glucose will promote a sense of control." All of the above - ANSWER-All of the above "Control of glucose will help postpone or delay complications." "Regularly checking blood sugar will help establish a routine." "Monitoring glucose will promote a sense of control." A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain, and constipation for the past 3 months. On physical examination, the clinician notices a sinus bradycardia; muscular stiffness; coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which of the following tests should be ordered next? Serum calcium
TSH
Electrolytes Urine specific gravity - ANSWER-TSH Which of the following medications for type 2 diabetes mellitus should not be prescribed during pregnancy? Insulin Metformin Glucotrol Precose - ANSWER-Glucotrol During a DRE on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious? An enlarged rubbery gland A hard irregular gland A tender gland A boggy gland - ANSWER-An enlarged rubbery gland Eddie, age 4, presents to the ED with a live insect trapped in his ear canal causing a lot of distress. What should be your first step? Remove the insect with tweezers. Immobilize the insect with 2% lidocaine. Sedate Eddie with diazepam.
immediate pain in her left wrist. She thought she just bruised it but is worried because it has not improved. She has used Tylenol® and ice at home, and that has helped slightly. You examine her and find she has moderate swelling and ecchymosis but no overtly obvious deformity. Her ROM is uncomfortable and severely diminished due to the pain. No crepitus is heard or felt. Her fingers are warm; her pulse is strong; and capillary refill is less than 2 seconds. What should you do? Make an immediate referral for an orthopedic evaluation without further assessment. Tell her that it takes time for these bruises to improve, so she should be patient. Obtain a wrist x-ray and place her wrist in a splint or prescribe a splint. Send her to the emergency room for reduction of this obvious wrist fracture. - ANSWER-Obtain a wrist x- ray and place her wrist in a splint or prescribe a splint. The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excessive worry or apprehension must be present more days than not for at least: 1 month 3 months 6 months 12 months - ANSWER-6 months A 60-year-old man presents with an enlarged scrotum. The clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to find?
The scrotum will be dark. The scrotum will appear light pink or yellow. The scrotum will appear milky white. The internal structures will be clearly visible. - ANSWER-The scrotum will appear light pink or yellow. According to Kübler-Ross, the stages of grief occur in which order? Anger, denial, depression, bargaining, acceptance Anger, denial, bargaining, acceptance, depression Denial, anger, depression, bargaining, acceptance Denial, anger, bargaining, depression, acceptance - ANSWER-Denial, anger, bargaining, depression, acceptance Reuben, age 24, has HIV and just had a routine viral load test done. The results show a falling viral load. What does this indicate? A favorable prognostic trend Disease progression The need to be more aggressive with Reuben's medications
1,300 mg/day 1,500 mg/day - ANSWER-1,500 mg/day When assessing a woman for infertility, which of the following tests should be done first? Analysis of partner's sperm Magnetic resonance imaging (MRI) Hysterosalpingogram Estrogen level - ANSWER-Analysis of partner's sperm Which type of burn injury results in destruction of the epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact? Superficial burns Superficial partial-thickness burns Deep partial-thickness burns Full-thickness burns - ANSWER-Deep partial-thickness burns A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her examination?
Human papillomavirus (HPV) Endometrial hyperplasia Vagismus Polycystic ovarian syndrome - ANSWER-Human papillomavirus (HPV) As a rule of thumb, the estimated level of hematocrit is how many times the value of the hemoglobin? Two Three Four Five - ANSWER- 3 Sam is a 25-year-old who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc? Morning stiffness and limited mobility of the lumbar spine Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain Fever, chills, and elevated erythrocyte sedimentation rate Pathologic fractures, severe night pain, weight loss, and fatigue - ANSWER-Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following laboratory tests would help establish a diagnosis
