MN 566 Unit 1-5 (New 2024/2025 Update) Questions and Verified Answers 100% Correct, Exams of Nursing

Download MN 566 Unit 1-5 (New 2024/2025 Update) Questions and Verified Answers 100% Correct and more Exams Nursing in PDF only on Docsity! Unit 1 - 5: MN 566/ MN566 (New 2024/ 2025 Update) Questions and Verified Answers 100% Correct Graded A+ Unit 5 QUESTION Madeline is a smoker in a primary-care visit with her provider. After her provider asks if she is willing to quit, she says she has decided to quit, has bought nicotine gum, and is interested in hearing about Chantix. Which of the following steps is Madeline in regarding behavior changes and her attempts at cessation? A. Precontemplation B. Action C. Maintenance D. Preparation Answer: D. Preparation QUESTION Amy has a history of lung cancer and is experiencing new-onset right side ptosis and miosis and says, "I'm so hot, but I'm not sweating." Which of the following conditions can be attributed to her new-onset symptoms? A. Bell's Palsy B. Turner's Syndrome C. Murphy's Syndrome D. Horner's Syndrome Answer: D. Horner's Syndrome QUESTION Supplemental oxygen for how many hours per day has been shown to improve the mortality associated with COPD? A. 3 Hours B. 6 Hours C. 11 Hours D. 15 Hours Unit 1 - 5: MN 566/ MN566 (New 2024/ 2025 Update) Questions and Verified Answers 100% Correct Graded A+ Unit 5 QUESTION Madeline is a smoker in a primary-care visit with her provider. After her provider asks if she is willing to quit, she says she has decided to quit, has bought nicotine gum, and is interested in hearing about Chantix. Which of the following steps is Madeline in regarding behavior changes and her attempts at cessation? A. Precontemplation B. Action C. Maintenance D. Preparation Answer: D. Preparation QUESTION Amy has a history of lung cancer and is experiencing new-onset right side ptosis and miosis and says, "I'm so hot, but I'm not sweating." Which of the following conditions can be attributed to her new-onset symptoms? A. Bell's Palsy B. Turner's Syndrome C. Murphy's Syndrome D. Horner's Syndrome Answer: D. Horner's Syndrome QUESTION Supplemental oxygen for how many hours per day has been shown to improve the mortality associated with COPD? A. 3 Hours B. 6 Hours C. 11 Hours D. 15 Hours QUESTION Which instruction should the clinician include in patient teaching regarding management of obesity? A. Occasionally skipping meals is acceptable. B. Try to use nonstick cookware when baking or frying. C. High-intensity physical activity is recommended D. Exercise for about 100 minutes per week Answer: B. Try to use nonstick cookware when baking or frying QUESTION Which question should the clinician ask to determine the most frequent cause of diabetic ketoacidosis? A. "How often are you taking your insulin?" B. "Which type of infection have you experienced recently?" C. "What type of diet have you been following?" D. "Is there any reason you don't like taking your medications?" Answer: B. "What type of infection have you experienced recently?" QUESTION 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? A. Administer glucagon subcutaneously. B. Have him drink 4 ounces of juice C. Call 911 D. Ask him about his usual eating habits Answer: B. Have him drink 4 ounces of juice QUESTION Which action would the clinician take to elicit Chvostek's sign? A. Check serum level of glucose after drinking a glass of juice. B. Tap the facial nerve below the zygomatic arch anterior to the earlobe. C. Press into the lower quadrant of the abdomen and release quickly D. Pump a blood pressure cuff 20 mm Hg about the patient's systolic pressure Answer: B. Tap the facial nerve below the zygomatic arch anterior to the earlobe QUESTION Which of the following is a common sign of type 2 DM? A. Anorexia B. Recurrent yeast infection C. Fluid overload D. Elevated high-density lipoprotein cholesterol Answer: B. Recurrent yeast infection QUESTION A male patient with diabetes asks the clinician why he needs to check his blood sugar at home even when he feels good. Which response by the clinician would be most appropriate? A. "Control of glucose will help postpone or delay complications." B. "Regularly checking blood sugar will help you" C. "Monitoring glucose will promote a sense of connectedness." D. "Because you know it is the right thing to do for your disease." Answer: A. "Control of glucose will help postpone or delay complications." QUESTION 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 muscular stiffness, coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which test should be ordered next? A. Serum calcium B. Thyroid-stimulating hormone C. Electrolytes D. Urine Specific Gravity Answer: B. Thyroid-stimulating hormone QUESTION Which laboratory test result is diagnostic for hypoglycemia? A. A1C 7.0% B. Fasting blood sugar 75 mg/dL C. Glucose level 43 mg/dL D. Random glucose level 64 mg/dL Answer: C. Glucose level 43 mg/dL QUESTION Which of the following would be considered the research design for Level IV evidence? Question options: A. Single descriptive or qualitative study B. Opinion of authorities and expert committees C. Systematic review of randomized clinical trial studies D. Well-designed case Control or Cohort Study Level Answer: D. Well-designed case Control or Cohort Study Level QUESTION Which of the following medications can cause hyperlipidemia? A. High Dose Diuretics B. Exercising 30 minutes every day C. Hyperthyroidism D. Angiotensin II Receptor Blocker Answer: C. Diamox D. Promethazine Answer: C. Diamox QUESTION Gabby, age 22, has Bell's Palsy on the right side of her face. Her mouth is distorted and she is concerned about permanent paralysis and pain. What do you tell her? A. "Most patients have complete recovery in 3-6 months" B. "Unfortunately, you'll probably have a small amount of residual damage." C. "Don't worry, I'll take care of everything." D. "You may have a few more episodes over your lifetime, but no permanent damage." Answer: A. "Most patients have complete recovery in 3-6 months" QUESTION About 90% of all headaches are: A. Tension B. Migraine C. Cluster D. Without pathological cause Answer: D. Without pathological cause QUESTION Julie has relapsing-remitting muscular sclerosis. She has not had a good response to interferon. Which medication might help if given IV once a month? A. Glatiramer Acetate B. Natalizumab C. Fingolimod D. Glucocorticoids Answer: B. Natalizumab QUESTION A score of 12 to 24 on this test indicates intermediate Alzheimer's: A. SLUMS B. MoCA C. FAST D. MMSE Answer: D. MMSE QUESTION IV thrombolytic therapy following an ischemic CVA should be given within how many hours of symptom onset? A. 1 hour B. 3 hours C. 6 hours D. 12 Hours Answer: B. 3 Hours QUESTION Which of the following should be started promptly if viral encephalitis is suspected? A. Oral amoxicillin B. IV acyclovir C. IV ampicillin D. Oral acyclovir Answer: B. IV acyclovir QUESTION When a patient has a carotid bruit, which of the following should the PCP gather from the patient history? A. History of hemophilia B. History of peripheral vascular occlusive disease C. History of seizure disorder D. History of sickle cell disease Answer: B. History of peripheral vascular occlusive disease QUESTION Which patient is most likely to have myasthenia gravis (MG)? A. A 75 year-old Caucasian Woman B. A 31 year-old Hispanic woman C. A 55-year-old African American male D. A 10-year-old Middle Eastern male Answer: B. A 31-year-old Hispanic Woman QUESTION Which patient is most likely to be diagnosed with Guilllan-Barre Syndrome? A. A 6-month-old infant B. A 30-year-old man C. A 72-year-old woman D. A 50-year-old man Answer: C. A 72-year-old woman QUESTION Which of the following persons fit the classic description of a patient with multiple sclerosis (MS)? A. A teenage male B. A 65-year-old male QUESTION What is the most common cause of CAP? A. Streptococcus pneumoniae B. Klebsiella pneumoniae C. Legionella pneumoniae D. Pseudomonas aeruginosa Answer: A. streptococcus pneumoniae QUESTION Joyce is taking a long-acting beta agonist for her asthma. What additional medication should she be taking? A. Inhaled corticosteroid B. Leukotriene-receptor antagonist C. Systemic Corticosteroid D. Methylxanthines Answer: A. Corticosteroids QUESTION It is always important to consider the pathological process that could be causing the patients problems. Choose all that should be considered when creating your differential list using a mnemonic.. Question options: A. Inflammatory B. Neoplastic C. toxic or metabolic D. infectious E. congenital F. traumatic Answer: QUESTION Choose all that should be considered when ordering a diagnostic test. Question options: A. patients request for test to be done B. cost C. sensitivity and specificity of the test D. convenience of test E. Will the outcome of the test change your plan of care F. diagnosis by exclusion Answer: B. cost C. sensitivity and specificity of the test E. Will the outcome of the test change your plan of care QUESTION Which of the following would be considered the research design for Level I evidence? Question options: A. Single, well-designed randomized clinical trial B. Systematic review of randomized clinical trial studies C. Well-designed controlled trials without randomization D. Systematic reviews of descriptive or qualitative studies Answer: B. Systematic review of randomized clinical trial studies QUESTION The Goals of Diagnostic Reasoning is to:(choose all that apply) Question options: A. Solve a problem B. establish a relationship with your patient C. support research D. Screen for disease and illness E. Promote healthy lifestyles F. Support research Answer: A. Solve a problem D. Screen for disease and illness E. Promote healthy lifestyles QUESTION Using mnemonics for gathering a health history can be helpful when trying to analyse the symptoms presented and create a differential list.Which mnemonic will give you the most comprehensive approach to collecting your history? Question options: A. OLDCARS B. COLDSPA C. MEDLIST D. OLDCARTS Answer: D. OLDCARTS QUESTION A 37 year old man that was diagnosed with cluster headaches and takes high doses of aspirin. Indicate the appropriate course of action :Question options: A. head CT B. head MRI C. neither for the following patient. D. All of the above Answer: C. neither for the following patient. QUESTION Generalized patterns of nursing care are represented in The Circle of Caring Model as:(choose all that apply) Question options: A. self care B. Patience C. listening D. courage E. Authentic presence F. advocacy G. knowing H. commitment QUESTION What are the questions you should ask yourself before using clinical guidelines in your practice? All are correct except (mark the ones that apply)Question options: A. How strong are the recommendations B. Are the guidelines applicable to my patients C. Can I get reimbursed for using these guidelines D. Are the guidelines clinically important E. Are these guidelines from a reliable source F. How old are these guidelines Answer: C. Can I get reimbursed for using these guidelines QUESTION The Circle of Caring Model is a new and more contemporary approach to medicine. Choose the characteristics that best describe this model of care in the primary care setting.Question options: A. AIl includes both traditional nursing as well as traditional medical practice B. It is a transformative model C. It considers both assessment and patient outcomes D. It is a patient centered model E. All of the Above Answer: E. All of the Above QUESTION Which of the following would be considered the research design for Level V evidence? Question options: A. Systematic review of randomized clinical trial studies B. Well-designed controlled trials without randomization C. Systematic reviews of descriptive or qualitative studies D. Single descriptive or qualitative study Answer: C. Systematic reviews of descriptive or qualitative studies QUESTION Understanding other factors that can be causing the patients problems include:. Choose all that should be considered Question options: A. Demographics B. Age C. Gender D. weight E. medications F. education Answer: A. Demographics B. Age C. Gender D. weight E. medications F. education QUESTION The Circle of Caring Model has grown out of and is rooted in the assumption that caring is the central concept in nursing and is uniquely known and expressed in nursing.Question options: A. True B. False Answer: A. True QUESTION Bloom's (1956) taxonomies of learning includes all of the following except: Question options: A. the cognitive domain B. the communication and leadership domain C. the affective domain D. psychomotor domain Answer: B. the communication and leadership domain QUESTION Diagnostic test should be the deciding factor when making your final diagnosis. Question options: A. True B. False Answer: B. False QUESTION Practice Standards are designed to be flexible and can be tailored to be used in any medical arena. Question options: A. True B. False Answer: B. False QUESTION Indicators that a headache can be the presenting symptom of a serious illness and may require neuroimaging include all the following except:Question options: A. Headaches that occur periodically in clusters B. Increase frequency and severity of headaches C. Headaches causing confusion, dizziness and or lack of coordination. D. Headaches causing you to wake at night. Answer: A. Headaches that occur periodically in clusters QUESTION Practice guidelines are designed to: Question options: A. Be inflexible B. Be utilized in every circumstance QUESTION There are 4 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 treatment? A. Stage A B. Stage B C. Stage C D. Stage D Answer: D. Stage D QUESTION Which of the following is abundant in the heart and rapidly rises in the bloodstream in the presence of heart failure, making it a good diagnostic test? A. Brain Natriuretic Peptide B. C-Reactive Protein C. Serum Albumin D. Erythrocyte Sedimentation Rate Answer: A. Brain Natriuretic Peptide QUESTION If a pulmonary embolus is suspected, which testing should be performed? A. Ultrasound B. MRI C. V/Q Scan D. D-Dimer Answer: A. V/Q Scan Unit 4 QUESTION The clinician suspects that a patient seen in the office has hyperthyroidism. Which test should the clinician order on the initial visit? a). Sensitive thyroid-stimulating hormone (TSH) assay and T4 b). Free T4 and serum calcium c). Nuclear scintigraphy with radiolabeled iodine (123i) d). Magnetic resonance imaging Answer: A). Sensitive thyroid-stimulating hormone (TSH) assay and T4 QUESTION A patient with type 2 diabetes comes to the clinic after reading about metformin in a magazine. Which condition that the patient also has would be a contraindication to take metformin? a). Ulcerative colitis b). Inflammatory bowel disease c). Chronic obstructive pulmonary disease d). Renal disease Answer: D). Renal Disease QUESTION The clinician suspects a patient has Addison's disease. Which clinician manifestation would the clinician observe upon a physical examination? a). Moon face b). Central obesity c). Hyperpigmentation d). Myxedema coma Answer: D). Hyperpigmentation QUESTION Which blood test would confirm a diagnosis of diabetes mellitus? a). A1c 5.5% b). Fasting plasma glucose level of 120 mg/dL c). Oral glucose tolerance test 250 mg/dL (2-hour level) d). Random plasma glucose level 175 mg/dL Answer: C. Oral glucose tolerance test 250 mg/dL (2- hour level) QUESTION The patient has metabolic syndrome. The patient is at increased risk for which condition? a). Anxiety disorder b). Gallbladder disease c). Diabetes mellitus d). Hyperparathyroidism Answer: C). Diabetes Mellitus QUESTION What test is needed for hyperthyroidism? Answer: TSH, T4 QUESTION What medication is a contraindication for a pt. with kidney disease? Answer: QUESTION Evaluating organ damage r/t HTN Answer: LVH through echocardiography QUESTION Treatment guidelines for African Americans with HTN Answer: Polytherapy: HCTZ, lisinopril Mono: CCB QUESTION JNC8 Guideline for HTN Answer: If a person with healthy BMI & BP is constantly 130/80, it is considered normal QUESTION First-line antihypertensive for a person without DM Answer: HCTZ, lisinopril, amlodipine, but not METOPROLOL Unit 1 QUESTION Purpose of nursing research Answer: To contribute to nursing knowledge as an independent field QUESTION Using clinical guideline Answer: Look at date: Must at least be published within 2 years QUESTION Practice guidelines Answer: Created by professional organizations to guide the profession QUESTION Guidelines and patients Answer: Important that guidelines are applicable to patients i.e. primary care providers should seek guidelines written for primary care providers. QUESTION Evidence-based practice Answer: How is the finding going to be used