Download MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST and more Exams Nursing in PDF only on Docsity! a) Malabsorption MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Random Section 1 Question 1 2 / 2 points Which of the following is associated with celiac disease (celiac sprue)? Question options: b) Constipation c) Rectal bleeding d) Esophageal ulceration Questio n 2 The nurse practitioner (NP) suspects a patient has a peptic ulcer. Which of the following items on the history would lead the NP to this conclusion? Question options: a) Use of NSAIDs b) Cigarette smoker c) E t h a n o l c MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ d) All of the above a) Eliminate coffee. MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ onsumption 2 / 2 poin ts Question 3 Which of the following dietary instructions should be given to a patient with GERD? Question options: 2 / 2 points b) Drink peppermint tea to relieve stomach distress. MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ d) Stage D a) Her age MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Question options: a) Stage A b) Stage B c) Stage C Questio n 7 2 / 2 points A 28-year-old patient is seen in the clinic with colicky abdominal pain particular with meals. She has frequent constipation, flatulence, and abdominal distension. Which of the data make a diagnosis of diverticulitis unlikely? Question options: b) Frequent constipation c) Flatulence MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ b) ST-segment elevation MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ d) Colicky abdominal pain Questio n 8 Which ECG change is typical of cardiac ischemia? Question options: a) T-wave inversion 0 / 2 poin ts c) Significant Q wave MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ b) About 30% MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ d) U-wave Questio n 9 2 / 2 poin ts What percentage of patients with angina pectoris will have simultaneous dyspnea, caused by transient increase in pulmonary venous pressures that accompany ventricular stiffening during an episode of myocardial ischemia? Question options: a) About 20% c) About 50% d) Almost all Questio n 10 MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ d) Thyroid-stimulating hormone test MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ b) Liver enzymes c) Antihepatitis D virus Questio n 13 0 / 2 points A 29-year-old Englishman is seen in the office with complaints of pain in his chest and belly. He has been suffering the pain for 2 weeks and gets temporary relief from Alka- Seltzer®. The burning pain wakes him at night and radiates up to his chest. Which factor favors a diagnosis of gastric ulcer? Question options: a) His gender MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ c) His use of Alka-Seltzer c) Age MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ b) His age d) His ethnic origin Questio n 14 In the CHADS2 Index for the stroke risk score for AF, the ‘A’ stands for: Question options: a) Anticoagulation b) Autoimmune disease 2 / 2 poin ts d) Antihypertension MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Question 15 If chest pain can be alleviated with time, analgesics, and heat applications, what might the differential diagnosis be? Question options: a) Peptic ulcer b) Hiatal hernia c) Costochondritis 0 / 2 points Questio n 16 2 / 2 points MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ d) Pericarditis b) HAV IgG MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ c) Does not defecate in the middle of the night d) All of the above Questio n 19 0 / 2 poin ts On further questioning, the 21-year-old patient with complaints of fatigue, headache, anorexia, and a runny nose explains that she is sexually active only with her boyfriend, does not use injectable drugs, and works as an aide in a day-care center. Which of the following tests would be most helpful in confirming your diagnosis? Question options: a) Hepatitis A virus (HAV) IgM c) Anti-HAcAg d) Anti-HAsAg MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Questio n 20 0 / 2 poin ts A patient has acute pancreatitis with seven of the diagnostic criteria from Ranson’s criteria. In order to plan care, the NP must understand that this criteria score has which of the following meanings? Question options: a) A high mortality rate b) An increased chance of recurrence c) A 7% chance of the disease becoming chronic Questio n 21 2 / 2 poin MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ d) All of the above MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ t s MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ a) 911 should be called, and the patient should be transported immediately to the emergency department. MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ d) Third-degree AV block Questio n 24 2 / 2 poin ts Nitroglycerine (NTG) is given for a patient having ischemic chest pain. One tablet or one spray should be used under the tongue every 5 minutes for three doses. What should be done if the pain has not been relieved after three doses? Question options: b) One more dose of NTG may be tried. c) The person should be given two aspirin to chew. d) A portable defibrillator should be located to ascertain the cardiac rhythm. Questio n 25 MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ a) 6 hours MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ 0 / 2 poin ts For the best therapeutic effect after a myocardial infarction (MI), thrombolytics should be administered within the first 3 hours (ideally 30 minutes) of symptom onset. Studies have shown, however, that thrombolytic therapy can be of benefit up to how many hours after the initial presentation of MI symptoms? Question options: b) 8 hours c) 10 hours d) 12 hours Questio n 26 2 / 2 poin ts MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ a) Obtain a complete history. MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain after meals. She is often constipated and takes laxatives, which are followed by a couple of days of diarrhea. She temporarily feels better after a bowel movement. She states she is embarrassed by flatulence and has abdominal distension. She has had no weight loss or blood in her stool. This problem has gone on for about 6 months. What should the next step be? Question options: b) Order a barium enema. c) Schedule a Bernstein’s test. d) Prescribe a trial of antispasmodics. Questio n 27 0 / 2 poin ts A patient is seen in the office with complaints of six to seven liquid bowel movements per day. Which of the following assessment findings would lead the NP to a diagnosis of inflammatory bowel disease? Question options: a) Intermittent constipation with periods of diarrhea MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ d) Individuals of all ages with diabetes mellitus (DM) MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ ich group would most benefit from statins? Question options: a) Those with a low density lipoprotein-cholesterol greater than 100 mg/dL b) Individuals with clinical arteriosclerotic cardiovascular disease c) Individuals with a 10-year risk greater than 10% 0 / 2 points Question 0 / 2 MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ d) Computed tomography of the abdomen b) Weight lifting MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ 31 points A 46-year-old female patient is seen in the clinic with abdominal pain. Which of the following tests is essential for this patient? Question options: a) CBC with differential b) Urine human chorionic gonadotropin c) Barium enema Question 32 The patient with GERD should be instructed to eliminate which of these activities? Question options: a) Swimming 2 / 2 points MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ c) Golfing d) Walking Questio n 33 2 / 2 poin ts 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? Question options: a) Multivitamin b) Magnesium hydroxide MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ c) Children over the age of 10 MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ 36 points Statins are approved for which age group? Question options: a) Children over the age of 2 b) Children over the age of 6 d) Only adolescents and adults Questio n 37 0 / 2 poin ts George, age 64, has cardiovascular disease (CVD), a total cholesterol of 280 mg/dL, and a systolic BP of 158. He is being treated for hypertension. You are doing a Framingham Risk Assessment on him. Which assessment factor would give him the highest number of points on the scale? Question options: MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ a) His age b) His cholesterol level c) His systolic BP Question 38 The American College of Cardiology/American Heart Association states which of the following regarding the use of non-statin lipid-lowering agents? Question options: a) Nicotinic acid derivatives are effective for lowering LDL and triglycerides (TGs). b) Bile acid sequestrates increase HDL. 2 / 2 points MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ d) The fact that he is on antihypertensive medication MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ c) Cholesterol absorption inhibitors decrease LDL. Questio n 39 2 / 2 points A 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which of the following should be included in the history and physical examination? Question options: a) Digital rectal exam b) Pelvic exam c) Sexual history Questio n 40 2 / 2 points When teaching MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ d) There is no sufficient evidence to use non-statin lipid-drugs. d) All of the above MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ 2 / 2 points MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ a) Serum calcium c) Less than 0.90 MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Sandra has palpitations that occur with muscle twitching, paresthesia, and fatigue. What specific diagnostic test might help determine the cause? Question options: b) Electrocardiogram (ECG) c) Thyroid-stimulating hormone test d) Complete blood cell count Questio n 42 What value on the ankle-brachial index diagnoses peripheral artery disease? Question options: a) Less than 0.25 b) Less than 0.50 2 / 2 poin ts MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ d) Greater than 1 Questio n 43 Which heart sound may be heard with poorly controlled hypertension, angina, and ischemic heart disease? Question options: a) A physiologic split S2 b) A fixed split S2 c) S3 2 / 2 poin ts MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ d) A prosthetic heart valve a) 1 month MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ a) Severe asthma b) A common valvular lesion c) Severe hypertension Questio n 47 2 / 2 points You just started Martha on HTN therapy. The Eighth Joint National Committee recommends that if her goal BP is not reached in what length of time, you should increase the initial drug or add a second drug to it? Question options: b) 3 months c) 6 months d) 1 year MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ a) History and physical MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Questio n 48 Which of the following is most effective in diagnosing appendicitis? Question options: 2 / 2 poin ts b) Sedimentation rate c) Kidney, ureter, and bladder x-ray MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ b) Moving MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ d) Complete blood count (CBC) with differentials Questio n 49 Which pain characteristic is usually indicative of cardiac pathology? Question options: a) Fleeting 0 / 2 poin ts c) Diffuse d) Localized Questio n 50 0 / 2 poin ts Jamie, age 55, has just started on a statin after having his liver function tests (LFTs) come back normal. He now asks you how often he has to have the LFTs repeated. What do you tell him? MN568-Quiz 4 Q & As ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+