NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD, Exams of Nursing

Download NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD and more Exams Nursing in PDF only on Docsity! NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Question : The major impact of the physiological changes that occur with aging is: Student Answer : Reduced physiological reserve Reduced homeostatic mechanisms Impaired immunological response All of the above Instructor Explanatio n: The major impact of all of these physiological changes can be highlighted with three primary points. First, there is a reduced physiological reserve of most body systems, particularly cardiac, respiratory, and renal. Second, there are reduced homeostatic mechanisms that fail to adjust regulatory systems such as temperature control and fluid and electrolyte balance. Third, there is impaired immunological function: infection risk is greater, and autoimmune diseases are more prevalent. (Kennedy-Malone 3) Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014- 01-14. VitalBook file. Question 2 . Question : Men have faster and more efficient biotransformation of drugs and this is thought to be due to: Student Answer: Less obesity rates than women Prostate enlargement Testosterone NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD -582355588 MultipleChoic e 1 True 0 -582355588 MultipleChoic 1 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD 0 - 582355 586 Multiple Choice 3 Question 4 . Question : Functional abilities are best assessed by: Student Answer : Self-report of function Observed assessment of function A comprehensive head-to-toe examination Family report of function NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Instructor Explanatio n: Two well-established tools used to evaluate function in older adults are the Katz Activities of Daily Living Scale (Katz et al., 1963) and the Lawton and Brody scale for Instrumental Activities of Daily Living (Lawton & Brody, 1969). It is important to be cautious about self-report of function (rather than direct observation of function) and to ask, “Do you …?” instead of “Can you …?” in order to determine if patients actually perform the activity. (Kennedy-Malone 40) Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014- 01-14. VitalBook file. Question 5 . Question : Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic anemia. This classification refers to which of the following laboratory data? Student Answer: Hemoglobin and Hematocrit Mean Corpuscular Volume (MCV) and Mean Corpuscular Hemoglobin (MCH) NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD -582355585 MultipleChoic e 4 True 0 -582355585 MultipleChoic 4 Points Received: Comments: 0 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Serum ferritin and serum iron Total iron binding capacity and transferrin saturation Instructor Explanatio n: RBC indices reveal an MCV (mean corpuscular volume/RBC size) that will be decreased to <80 fL in adults; MCH (mean corpuscular hemoglobin/RBC color) will show hypochromia or pale cells; RBC distribution width (RDW)/volume variation will be increased. (Kennedy-Malone page 519) Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-01-14. VitalBook file. - 582355 584 Multiple Choice 5 False 0 - 582355 584 Multiple Choice 5 Question 6 . Question : When interpreting laboratory data, you would expect to see the following in a patient with Anemia of Chronic Disease (ACD): Student Answer : Hemoglobin <12 g/dl, MCV decreased, MCH decreased Hemoglobin >12 g/dl, MCV increased, MCH increased Hemoglobin <12 g/dl, MCV normal, MCH normal Hemoglobin >12 g/dl, MCV decreased, MCH increased NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 0 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Instructor Explanatio n: The pathophysiological hallmark of ACD is a disregulation of iron homeostasis, characterized by an increased uptake and retention of iron within the cells of the reticuloendothelial system (liver/spleen), resulting in decreased RBC production. Essentially, iron is present but inaccessible for use in the production of Hgb with the erythrocytes (Bross et al., 2010). A shortened RBC survival is also a contributing factor to ACD. (Kennedy- Malone page 516-517) Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014- 01-14. VitalBook file. Question 8 . Question : The main focus of treatment of patients with ACD is: Student Answer : Replenishing iron stores NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD -582355582 MultipleChoic e 7 False 0 -582355582 MultipleChoic 7 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Providing for adequate nutrition high in iron Management of the underlying disorder Administration of monthly vitamin B12 injections NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Instructor Explanatio n: Treatment: Treatment of ACD focuses on management of the underlying disorder. Iron supplementation is of no benefit in ACD, except in cases of coexisting IDA. A therapeutic trial of iron supplementation of no longer than 1 month may be useful in delineating between ACD and IDA. In ACD, there would be no hematological response to iron therapy (Chen & Gandhi, 2004). (Kennedy-Malone page 518) Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014- 01-14. VitalBook file. Question 9 . Question : In addition to the complete blood count (CBC) with differential, which of the following laboratory tests is considered to be most useful in diagnosing ACD and IDA? Student Answer: Serum iron Total iron binding capacity Transferrin saturation Serum ferritin Instructor Explanatio n: Treatment: Treatment of ACD focuses on management of the underlying disorder. Iron supplementation is of no benefit in ACD, except in cases of coexisting IDA. A therapeutic trial of iron supplementation of no longer than 1 month may be useful in delineating between ACD and IDA. In ACD, there would be no hematological response to iron therapy (Chen & Gandhi, 2004). NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD -582355581 MultipleChoic e 8 True 0 -582355581 MultipleChoic 8 Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD - 582355 579 Multiple Choice 10 False 0 - 582355 579 Multiple Choice 10 Question 11 . Question : Essential parts of a health history include all of the following except: Student Answer: Chief complaint History of the present illness Current vital signs All of the above are essential history components Instructor Explanatio n: Vital signs are part of the physical examination portion of patient assessment, not part of the health history. - 582355 578 Multiple Choice 11 True 0 - 582355 578 Multiple Choice 11 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Comments: NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Question 12 . Question : Which of the following clinical reasoning tools is defined as evidence-based resource based on mathematical modeling to express the likelihood of a condition in select situations, settings, and/or patients? Student Answer : Clinical practice guideline Clinical decision rule Clinical algorithm Clinical recommendation Instructor Clinical decision (or prediction) rules provide another support for clinical NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Explanation: reasoning. Clinical decision rules are evidence-based resources that provide probabilistic statements regarding the likelihood that a condition exists if certain variables are met with regard to the prognosis of patients with specific findings. Decision rules use mathematical models and are specific to certain situations, settings, and/or patient characteristics. Goolsby page 7 - 582355 577 Multiple Choice 12 True 0 - 582355 577 Multiple Choice 12 Question 13 . Question : The first step in the genomic assessment of a patient is obtaining information regarding: Student Answer : Family history Environmental exposures Lifestyle and behaviors Current medications NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 0 of 2 Points Received:2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Instructor Explanatio n: In autosomal recessive (AR) disorders, the offspring inherits the condition by receiving one copy of the gene mutation from each of the parents. Autosomal recessive disorders must be inherited through both parents (Nussbaum et al. 2007). Individuals who have an AR disorder have two mutated genes, one on each locus of the chromosome. Parents of an affected person are called carriers because each carries one copy of the mutation on one chromosome and a normal gene on the other chromosome. Carriers typically are not affected by the disease. Goolsby page 28 Question 15 . Question : In AR disorders, carriers have: Student Answer: Two mutated genes; two from one parent that cause disease A mutation on a sex chromosome that causes a disease A single gene mutation that causes the disease One copy of a gene mutation but not the disease Instructor Explanatio n: Individuals who have an AR disorder have two mutated genes, one on each allele of the chromosome. Parents of an affected person are called carriers because each parent carries one copy of the mutation on one chromosome and a normal gene on the other chromosome. Carriers typically are not affected by the disease. In pedigrees with an AR inheritance patterns, males and females will be equally affected because the gene mutation is on an autosome. Goolsby page 28 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD -582355575 MultipleChoic e 14 False 0 -582355575 MultipleChoic 14 Points Received: Comments: 0 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD - 582355 574 Multiple Choice 15 True 0 - 582355 574 Multiple Choice 15 Question 16 . Question : A woman with an X-linked dominant disorder will: Student Answer: Not be affected by the disorder herself Transmit the disorder to 50% of her offspring (male or female) Not transmit the disorder to her daughters Transmit the disorder to only her daughters Instructor Explanatio n: Everyone born with an X-linked dominant disorder will be affected with the disease. Transmission of the disorder to the next generation varies by gender, however. A woman will transmit the mutation to 50% of all her offspring (male or female). Goolsby page 29 - 582355 573 Multiple Choice 16 False 0 - 582355 573 Multiple Choice 16 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Comments: NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Question 17 . Question : According to the Genetic Information Nondiscrimination Act (GINA): Student Answer: Nurse Practitioners (NPs) should keep all genetic information of patients confidential NPs must obtain informed consent prior to genetic testing of all patients Employers cannot inquire about an employee’s genetic information NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Student Answer : Variable expressivity related to inherited disease Dysmorphic features related to genetic disease De novo mutations of genetic disease Different penetrant signs of genetic disease Instructor Explanatio n: Assessing for dysmorphic features may enable identification of certain syndromes or genetic or chromosomal disorders (Jorde, Carey, & Bamshad 2010; Prichard & Korf 2008). Dysmorphology is defined as “the study of abnormal physical development” (Jorde, Carey, & Bamshad 2010, 302). Goolsby page 37 - 582355 570 Multiple Choice 19 True 0 - 582355 570 Multiple Choice 19 Question 20 . Question : In order to provide a comprehensive genetic history of a patient, the NP should: Student Answer : Ask patients to complete a family history worksheet Seek out pathology reports related to the patient’s disorder Interview family members regarding genetic disorders All of the above NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Instructor Explanatio n: Asking the patient to complete a family history worksheet prior to the appointment saves time in the visit while offering the patient an opportunity to contribute to the collection of an accurate family history. Reviewing the family information can also help establish family rapport while verifying medical conditions in individual family members. If a hereditary condition is being considered but family medical information is unclear or unknown, requesting medical records and pathology or autopsy reports may be warranted. Goolsby page 32 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD 1. Question : An 86-year-old patient who wears a hearing aid complains of poor hearing in the affected ear. In addition to possible hearing aid malfunction, this condition is often due to: Student Answer : Acoustic neuroma Cerumen impaction Otitis media Ménière’s disease NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Instructor Explanatio n: When examining the nose, assess the mucosa for integrity, color, moistness, and edema/lesions and the nasal septum for patency. The turbinates should be assessed for color and size. Pale, boggy turbinates suggest allergies; erythematous, swollen turbinates are often seen with infection. Any discharge should be noted. Clear, profuse discharge is often associated with allergies. (Goolsby 128-129) Patients with seasonal allergic rhinitis report rhinorrhea, sneezing, obstructed nasal passages, and pruritic eyes, nose, and oropharynx during the spring and fall. Patients with perennial allergic rhinitis have similar symptoms associated with exposure to environmental allergens typically in their homes. Physical examination may reveal a pale, boggy nasal mucosa, injected conjunctiva, enlarged turbinates, dark discoloration or bags under the eyes, and mouth breathing; absence of pale, boggy nasal mucosa does not rule out allergic rhinitis. (Kennedy-Malone 182-183) Question 3 . Question : A 45 year old patient presents with ‘sore throat’ and fever for one week. After a quick strep screen you determine the patient has Strep throat. You know that streptococcal pharyngitis should be NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD -580490445 MultipleChoic e 2 True 0 -580490445 MultipleChoic 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD treated with antibiotic s to prevent complica tions and to shorten the course of disease. Which of the following antibiotics should be considered when a patient is allergic to Penicillin? Student Answer: Amoxicillin EES (erythromycin) NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Bicillin L-A Dicloxacilli n NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD 0 - 580490 442 Multiple Choice 5 Question 6 . Question : Your patient has been using chewing tobacco for 10 years. On physical examination, you observe a white ulceration surrounded by erythematous base on the side of his tongue. The clinician should recognize that very often this is: Student Answer : Malignant melanoma NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Squamous cell carcinoma Aphthous ulceration Behcet’s syndrome NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Instructor Explanatio n: Most oral malignancies are painless until quite advanced, so patients are often unaware of the lesion unless the lip or anterior portion of the tongue is involved. The patient may become aware of the lesion if it bleeds. Squamous cell cancer lesions vary in appearance, from the reddened patches of erythroplakia to areas of induration/thickening, ulceration, or necrotic lesions. Lesions of malignant melanoma have varied pigmentation, including brown, blue, and black. Even lesions that appear flat and smooth may be nodular, indurated, or fixed to adjacent tissue on palpation. Even though patients with squamous cell malignancies often have a history of heavy alcohol and/or tobacco use or poor dentition, these are not risk factors for malignant melanoma. In Behcet’s syndrome, the patient complains of recurrent episodes of oral lesions that are consistent with aphthous ulcers. The number of lesions ranges from one to several; the size of the ulcers varies from less than to greater than 1 cm. Like aphthous ulcers, the lesions are well defined, with a pale yellow or gray base surrounded by erythema. The majority of patients also develop lesions on the genitals and eyes. (Goolsby 153) Tobacco use and heavy alcohol consumption, alone or synergistically, are strongly related to the development of oral cancer. Pipe smoking and sun exposure have been implicated in lip cancer. Leukoplakia and erythroplasia are often precursors to oral cancer. Relationships between oral cancer and Epstein-Barr virus, HPV, herpes simplex virus, and immunodeficiency NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Hi sto ry of bri gh t fla sh of light followed by significantly blurred vision History of transient and painless monocular loss of vision History of monocular severe eye pain, blurred vision, and ciliary flush All of the above Instructor Explanatio n: Amaurosis fugax is a monocular, transient loss of vision. It stems from transient ischemia of the retina and presents an important warning sign for impending stroke. Depending on the circumstances reported, the patient NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD should be immediately referred to either a cardiovascular or neurological specialist. (Goolsby 108) - 580490 439 Multiple Choice 8 True 0 - 580490 439 Multiple Choice 8 Question 9 . Question : Dizziness that is described as "lightheaded" or, "like I'm going to faint," is usually caused by inadequate cerebral perfusion and is classified as? Student Answer: Presyncope Disequilibriu m Vertigo Syncope NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 0 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Instructor Explanation : MedU Card #5 Question 10 . Question : It is important to not dilate the eye if is suspected. Student Answer: Cataract Macular degeneration Acute closed-angle glaucoma NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD -580490438 MultipleChoic e 9 False 0 -580490438 ultipleChoic 9 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD - 580490 436 Multiple Choice 11 True 0 - 580490 436 Multiple Choice 11 Question 12 . Question : Which of the following patients with vertigo would require neurologic imaging? Student Answer: A 68-year-old woman with a history of hypertension and sudden acute onset constant vertigo. She has right nystagmus that changes direction with gaze and that does not disappear when she focuses. A 45-year-old man with recurrent episodes of brief intense vertigo every time he turns his head rapidly. He has no other neurologic signs or symptoms. He has a positive Dix-Hallpike maneuver. A 66-year-old man with recurrent episodes of vertigo associated with tinnitus and hearing loss. His head thrust test is positive. A 28-year-old otherwise well woman with new onset constant vertigo with no other neurologic symptoms. On physical exam, she has unidirectional nystagmus that disappears when her gaze is fixed. Instructor Explanatio n: MedU Card #11. There are multiple reasons to be concerned about a central lesion and possible infarct in this patient. Her age puts her at risk as does her hypertension. Her physical exam NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Comments: Points Received: Comments: 0 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD shows nystagmu s that changes direction and that does not inhibit with focus. Both of these findings are consistent with a central lesion. She needs an urgent MRI. - 580490 435 Multiple Choice 12 False 0 - 580490 435 Multiple Choice 12 Question 13 . Question : A patient presents with eye redness, scant discharge, and a gritty NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD sensation. Your examination reveals the palpable preauricular nodes, which are most likely with: Student Answer : Bacterial conjunctivitis Allergic conjunctivitis Chemical conjunctivitis Viral conjunctivitis NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Instructor Explanatio n: Patients with seasonal allergic rhinitis report rhinorrhea, sneezing, obstructed nasal passages, and pruritic eyes, nose, and oropharynx during the spring and fall. Patients with perennial allergic rhinitis have similar symptoms associated with exposure to environmental allergens typically in their homes. Physical examination may reveal a pale, boggy nasal mucosa, injected conjunctiva, enlarged turbinates, dark discoloration or bags under the eyes, and mouth breathing; absence of pale, boggy nasal mucosa does not rule out allergic rhinitis. (Kennedy-Malone 182-183) Question 16 . Question : Patients that have atopic disorders are mediated by the production of Immunoglobulin E (IgE) will have histamine stimulated as an immediate phase response. This release of histamine results in which of the following? Student Answer: Sinus pain, increased vascular permeability, and NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD -580490432 MultipleChoic e 15 True 0 -580490432 MultipleChoic 15 Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD bronchodilation Bronchospasm, vascular permeability, and vasodilatation Instructor Explanatio n: Contraction of smooth muscle, decreased vascular permeability, and vasoconstriction Vasodilatation, bronchodilation, and increased vascular permeability Rhinitis may be either allergic or nonallergic. Allergic rhinitis results as a response of the nasal mucosa to airborne allergens in atopic genetically prone individuals. This response is mediated by the production of immunoglobulin E (IgE). IgE antibodies produced in response to the initial and subsequent exposure to allergens bind to the nasal mucosa. With repeated exposure, immediate type 1 hypersensitivity reactions may occur (Simoens & Laekeman, 2009). Antigen-specific T cells are activated through the lymphatic system in response to the antigen. The activated antigen-specific T cells activate B cells, and IgE is created in lymphoid tissue and at local tissue sites (Adelman, Casale, & Corren, 2002; Novak, 2009). The newly created antigen-specific IgE is released by plasma cells and binds to high-affinity IgE receptors located on the basophils and mast cells. This leads to the sensitization of the cells in the tissues of the nose, lung, or skin (Adelman et al., 2002; Cirillo, Pistorio, Tosca, & Ciprandi, 2009). IgE also binds with the antigen protein, beginning degranulation of the mast cells and basophils. These actions start the allergic cascade. Mediators are released as a result of the degranulation and include histamine, proteoglycans, enzymes, leukotrienes, cytokines, and many others. The chain in the release of mediators is responsible for the immediate and late phase responses of the cells. Histamine may be fully released within 30 minutes of degranulation, whereas cytokines may be released over many hours (Adelman et al., 2002; Derendorf & Meltzer, 2008). (Kennedy-Malone 181-182) - Multiple 16 True NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD 580490 431 Choice 0 - 580490 431 Multiple Choice 16 Question 17 . Question : You have a patient complaining of vertigo and want to know what could be the cause. Knowing there are many causes for vertigo, you question the length of time the sensation lasts. She tells you NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD - 580490 429 Multiple Choice 18 True 0 - 580490 429 Multiple Choice 18 Question 19 . Question : Rheumatic heart disease is a complication that can arise from which type of infection? Student Answer : Epstein-Barr virus Diphtheria Group A beta hemolytic streptococcus Streptococcus pneumoniae Instructor Explanatio n: Group A beta-hemolytic streptococcal (GABHS) pharyngitis is a bacterial infection of the pharynx, commonly called strep throat. Complications of GABHS pharyngitis, although rare, include rheumatic heart disease and glomerulonephritis, and the condition requires prompt diagnosis and definitive treatment. Most patients with GABHS pharyngitis are children and youths. Other bacterial causes of pharyngitis include mycoplasmal pneumonia, gonorrhea, and diphtheria. (Goolsby 156) - Multiple 19 True NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD 580490 428 Choice 0 - 580490 428 Multiple Choice 19 Question 20 . Question : A patient complains of fever, fatigue, and pharyngitis. On physical examination there is pronounced cervical lymphadenopathy. Which of the following diagnostic tests should be considered? Student Answer : Mono spot Strep test NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Throat culture All of the above NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD 01-14. VitalBook file. (page 206) & Goolsby, Mary J., Laurie Grubbs. Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses, 3rd Edition. F.A. Davis Company, 11/2014. VitalBook file. (page 213) - 576289 521 Multiple Choice 1 True 0 - 576289 521 Multiple Choice 1 Question 2 . Question : A patient presents complaining of a 5 day history of upper respiratory symptoms including nasal congestion and drainage. On the day the symptoms began he had a low-grade fever that has now resolved. His nasal congestion persisted and he has had yellow nasal drainage for three days associated with mild headaches. On exam he is afebrile and in no distress. Examination of his tympanic membranes and throat are normal. Examination of his nose is unremarkable although a slight yellowish-clear drainage is noted. There is tenderness when you lightly percuss his maxillary sinus. What would your treatment plan for this patient be? Student Answer: Observation and reassurance Treatment with an antibiotic such as amoxicillin NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Instructor Explanatio n: Treatment with an antibiotic such as a fluoroquinoline or amoxicillin-clavulanate Combination of a low dose inhaled corticosteroid and a long acting beta2 agonist inhaler. MedU Card #4. According to the American Academy of Ortolaryngology —Head and Neck Surgery Foundation guidelines (2007) on sinusitis, making the distinction between a lingering viral upper respiratory NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD infection that affects the nose and sinuses (viral rhinosinusitis) or early acute bacterial sinusitis can be difficult. It is more likely to be a viral rhinosinusitis if the duration of symptoms is less than ten days and they are not worsening. In this case, you can continue to observe the patient and reassure him that antibiotics are not necessary at this time. - 576289 520 Multiple Choice 2 True 0 - 576289 520 Multiple Choice 2 Question 3 . Question : Emphysematous changes in the lungs produce the following characteristic in COPD patients? Student Answer : Asymmetric chest expansion Increased lateral diameter Increased anterior-posterior diameter Pectus excavatum Instructor Explanatio n: In COPD, patients commonly develop a barrel-shaped chest due to emphysematous changes in the lungs. A barrel shape is due to an increased anterior-posterior (AP) diameter. In emphysema, there is a 1:1 ratio of AP to lateral diameter; AP diameter equals the lateral diameter. Normally the AP diameter is twice the lateral diameter. Goolsby, Mary J., Laurie Grubbs. Advanced Assessment Interpreting NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD & Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014- 01-14. VitalBook file. (page 193) NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD - 576289 518 Multiple Choice 4 True 0 - 576289 518 Multiple Choice 4 Question 5 . Question : Your patient presents with complaint of persistent cough. After you have finished obtaining the History of Present Illness, you realize that the patient may be having episodes of wheezing, in addition to his cough. The most common cause of cough with wheezing is asthma. What of the following physical exam findings will support your tentative diagnosis of asthma? Student Answer: Clear, watery nasal drainage with nasal turbinate swelling Pharyngeal exudate and lymphadenopathy Clubbing, cyanosis and edema. Diminished lung sounds with rales in both bases Instructor Explanatio n: MedU Card #9 - 576289 517 Multiple Choice 5 True 0 - 576289 Multiple Choice 5 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD 517 Question 6 . Question : Which of the following imaging studies should be considered if a pulmonary malignancy is suspected? Student Answer: Computed tomography (CT) scan Chest X-ray with PA, lateral, and lordotic views Ultrasound Positron emission tomography (PET) scan Instructor For pulmonary malignancy, chest films are often nondiagnostic, although NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014- 01-14. VitalBook file. (page 206) - 576289 515 Multiple Choice 7 True 0 - 576289 515 Multiple Choice 7 Question 8 . Question : Upon assessment of respiratory excursion, the clinician notes asymmetric expansion of the chest. One side expands greater than the other. This could be due to: Student Answer : Pneumothorax Pleural effusion Pneumonia Pulmonary embolism NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Instructor Explanatio n: The respiratory excursion, or expansion, is determined by placing hands around the patient’s posterior rib cage with the thumbs approximately at the level of the 10th rib between the thumbs, and then asking the patient to take a deep breath and observing the movement of the hands. The motion should be symmetrical. Less than anticipated movement occurs with advanced COPD and many restrictive processes, such as interstitial lung disease. Asymmetry of movement occurs with atelectasis, lobar collapse, pneumothorax, and several other conditions. Goolsby, Mary J., Laurie Grubbs. Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses, 3rd Edition. F.A. Davis Company, 11/2014. VitalBook file (page 208-209) Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014- NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD 01-14. VitalBook file. (pages 193 & 227) - 576289 514 Multiple Choice 8 True 0 - 576289 514 Multiple Choice 8 Question 9 . Question : A 72-year-old woman and her husband are on a cross- country driving vacation. After a long day of driving, they stop for dinner. Midway through the meal, the woman becomes very short of breath, with chest pain and a feeling of panic. Which of the following problems is most likely? Student Answer : Pulmonary edema Heart failure Pulmonary embolism Pneumonia NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Instructor Explanatio n: Cough is classified as acute (less than 3 weeks in duration), subacute (lasting 3 to 8 weeks), and chronic (8 or more weeks in duration), and these distinctions help to narrow the potential differential diagnoses. Goolsby, Mary J., Laurie Grubbs. Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses, 3rd Edition. F.A. Davis Company, 11/2014. VitalBook file. (page 211) Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014- 01-14. VitalBook file. ((page 206) Question 11 . Question : Testing is necessary for the diagnosis of asthma because history and physical are not reliable means of excluding other diagnoses or determining the extent of lung impairment. What is the study that is used to evaluate upper respiratory symptoms with new onset wheeze? NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD - MultipleChoic 10 True 0 - 576289512 MultipleChoic e 10 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Student Answer: Chest X-ray Methacholine challenge test Spirometry, both with and without bronchodilation Ventilation/perfusion scan NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Instructor Explanatio n: Decision Rule: CURB-65 provides framework for determining whether the patient diagnosed with community-acquired pneumonia can be safely monitored and treated at home. One point is awarded for each of the following factors present: • Confusion of new onset • BUN greater than 20mg/dL • Respiratory rate of ≥ 30 breaths/minute • Blood pressure is less than 90 mmHg systolic or diastolic ≤ 60 mm Hg • Age 65 or older Patients scoring 3 to 5 typically require hospitalization for observation and therapy. Scores of 0 to 1 indicate likelihood that outpatient management is appropriate. A score of 2 is inconclusive. Goolsby, Mary J., Laurie Grubbs. Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses, 3rd Edition. F.A. Davis NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Company, 11/2014. VitalBook file (page 214-216) Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-01-14. VitalBook file.( page 241) - 576289 509 Multiple Choice 13 True 0 - 576289 509 Multiple Choice 13 Question 14 . Question : Medications are chosen based on the severity of asthma. Considering the patient that is diagnosed with moderate persistent asthma, the preferred option for maintenance medication is: Student Answer: High-dose inhaled corticosteroid and leukotriene receptor antagonist Oral corticosteroid—high and low dose as appropriate Short acting beta2 agonist inhaler and theophylline NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Instructor Explanation : Low dose inhaled corticosteroid and long acting beta2 agonist inhaler MedU Card #16 Question 15 . Question : A 75-year-old patient with community-acquired pneumonia presents with chills, productive cough, temperature of 102.1, pulse 100, respiration 18, BP 90/52, WBC 12,000, and blood urea nitrogen (BUN) 22 mg/dl. He has a history of mild dementia and NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD -576289508 MultipleChoic e 14 True 0 -576289508 MultipleChoic 14 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD - 576289 507 Multiple Choice 15 False 0 - 576289 507 Multiple Choice 15 Question 16 . Question : Which of the following is considered a “red flag” when diagnosing a patient with pneumonia? Student Answer : Fever of 102 Infiltrates on chest X-ray Pleural effusion on chest X- ray Elevated white blood cell count NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Comments: Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Instructor Explanatio n: With pneumonia, the chest film typically reveals an area of infiltrate. It is a red flag if a pleural effusion is also visualized, in which case adequate follow-up to exclude development of an empyema is mandatory. This often involves prompt referral to a pulmonologist for possible thoracentesis. Cultures and Gram stains of sputum are usually not ordered for outpatients. The white blood cell count is often elevated. Goolsby, Mary J., Laurie Grubbs. Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses, 3rd Edition. F.A. Davis Company, 11/2014. VitalBook file. (page 214) Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014- 01-14. VitalBook file. (page 240) Question 17 . Question : A 23-year-old patient who has had bronchiectasis since childhood is likely to have which of the following: NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD -576289506 MultipleChoic e 16 True 0 -576289506 MultipleChoic 16 Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Student Answer : Barrel-shaped chest Clubbing Pectus excavatum Prolonged capillary refill Instructor Explanatio n: In bronchiectasis, there is usually a history of chronic, productive cough. Sputum is typically mucopurulent and produced in increased amounts. Other common findings include shortness of breath, wheezing, fatigue, and possibly hemoptysis. Physical examination reveals rhonchi and/or wheezing. In advanced disease, clubbing and cyanosis may be present. Goolsby, Mary J., Laurie Grubbs. Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses, 3rd Edition. F.A. Davis Company, 11/2014. VitalBook file (page 216) - 576289 505 Multiple Choice 17 True 0 - 576289 505 Multiple Choice 17 Question 18 . Question : Your patient has just returned from a 6-month missionary trip to Southeast Asia. He reports unremitting cough, hemoptysis, and an unintentional weight loss of 10 pounds over the last month. These symptoms should prompt the clinician to suspect: Student Answer: NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD T u b e r c u l o s i s Pneumonia COPD Instructor Explanatio n: Dyspnea is the most common symptom associated with pleural effusion, but effusion may be accompanied by cough, pain, and systemic symptoms, such as malaise and fever. Abnormal physical findings become evident as the NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD effusion increases in volume. These include decreased lung sounds, dullness over the effusion, decreased fremitus, egophony, and whispered pectoriloquy. With extremely large effusions, the mediastinum and trachea may shift to the opposite side. The exception involves effusion related to malignancy, in which case the mediastinum and trachea may be pulled toward the malignancy. Goolsby, Mary J., Laurie Grubbs. Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses, 3rd Edition. F.A. Davis Company, 11/2014. VitalBook file (page 217-218) Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-01- 14. VitalBook file.(page 232) - 576289 503 Multiple Choice 19 True 0 - 576289 503 Multiple Choice 19 Question 20 . Question : A 24-year-old patient presents to the emergency department after sustaining multiple traumatic injuries after a motorcycle accident. Upon examination, you note tachypnea, use of intercostal muscles to breathe, asymmetric chest expansion, and no breath sounds over the left lower lobe. It is most important to suspect: Student Answer : NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD P u l m o n a r y e m b o l i sm Pleural effusion Pneumothorax Fracture of ribs Instructor Explanatio n: Pneumothorax involves air in the pleural cavity. A pneumothorax can occur spontaneously in otherwise healthy individuals or be secondary to trauma or intrinsic lung disease. There is history of sudden onset of shortness of breath associated with chest pain. The patient usually presents in great distress, with tachycardia and tachypnea, and is often splinting the chest. There is decreased fremitus and increased hyperresonance on the affected side. Lung NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Goolsby, Mary J., Laurie Grubbs. Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses, 3rd Edition. F.A. Davis Company, 11/2014. VitalBook file. - 572739 309 Multiple Choice 1 True 0 - 572739 309 Multiple Choice 1 Question 2 . Question : A key symptom of ischemic heart disease is chest pain. However, angina equivalents may include exertional dyspnea. Angina equivalents are important because: Student Answer: Women with ischemic heart disease many times do not present with chest pain Some patients may have no symptoms or atypical symptoms; diagnosis may only be made at the time of an actual myocardial infarction Elderly patients have the most severe symptoms A & B only NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Points Received: Comments: 2 of 2 NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD Instructor Explanation : The key symptom of IHD is chest pain, but other common symptoms include arm pain, lower jaw pain, shortness of breath, and diaphoresis. These symptoms are referred to as angina equivalents and can also include fatigue or breathlessness. Some patients may have no symptoms or atypical ones so that CAD may not be diagnosed until they experience a myocardial infarction. (Kennedy-Malone 227) Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-01-14. VitalBook file. NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD - 572739 308 Multiple Choice 2 True 0 - 572739 308 Multiple Choice 2 Question 3 . Question : A 55-year-old post-menopausal woman with a history of hypertension complains of jaw pain on heavy exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm without ST segment abnormalities. Your plan may include: Student Answer : Echocardiogram Exercise stress test Cardiac catheterization Myocardial perfusion imaging Instructor Explanatio n: Once all the results of the initial laboratory and ECG testing are reviewed, a pretest probability of disease can be generated and additional tests can be ordered.2 The probability of CAD can be calculated by considering the chosen noninvasive test's sensitivity and specificity.2 Selection of the proper cardiac test (see Table 115-1) for an individual depends on the person's risk stratification, age, and tolerable level of activity. The most common and least invasive test for diagnosis of CAD is the stress test, also called the exercise tolerance test (ETT) or treadmill exercise. (Buttaro 488) Buttaro, Terry, JoAnn Trybulski, Patricia Bailey, Joanne Sandberg- Cook. Primary Care, 4th Edition. Mosby, 2013. VitalBook file. NSG 6420-Adult-Geriatrics Test Questions (2) BEST STUDY GUIDE LATEST DOWNLOAD