NSG 6420 FINAL Exam Questions and Answers (Latest Update 2023) Verified Answers, Exams of Nursing

Download NSG 6420 FINAL Exam Questions and Answers (Latest Update 2023) Verified Answers and more Exams Nursing in PDF only on Docsity! NSG 6420 FINAL Exam Questions and Answers (Latest Update 2023) Verified Answers Most accurate test in diagnosing pancreatitis? - Correct Answer ✅LIPASE When to d/c an ACE I based on creatinine - Correct Answer ✅2.0 Predisposing factors of hyperthyroidism - Correct Answer ✅Fam hx of hyperthy or other autoimmune, RA, vitiligo, pernicious anemia, trisomy 21, pregnancy/mothers with grave's, puberty, myasthenia gravis, addison, amiodarone, Iodine contrast dye, stress, sex steroids, DM I, SLE, smoking, neck radiation hypothyroidism prevalence - Correct Answer ✅More prevalent in women than men at a ratio of 5- 10:1 More common in older: >60 yrs increases to 6-10% of women and 2-3% of men with 13.7% with subclinical presentation DM diagnosis - Correct Answer ✅A1C: >/6.5% FPG >/126 2 hour PP glucose >/200 during OGTT NSG 6420 FINAL Exam Questions and Answers (Latest Update 2023) Verified Answers Random: >/200 with sx DM 2 symptoms - Correct Answer ✅fatigue, recurrent infections, recurrent vaginal yeast infections, prolonged wound healing, visual changes, may have classic sx of type 1 (polys) When is Niacin used? - Correct Answer ✅In combo with other meds to tx triglycerides Common sign associated with parkinsons? - Correct Answer ✅pill rolling tremor First line tx for OA? - Correct Answer ✅Acetaminophen MOA of metformin? - Correct Answer ✅Pulls glucose into muscle cells to be utilized -enhances insulin sensitivity at tissues -Reduces glucose production by liver NSG 6420 FINAL Exam Questions and Answers (Latest Update 2023) Verified Answers Fatigue/weakness, tremors, heat intolerance, nervousness/anxiety, heart palps, consipation/diarrhea, swelling, inc sweating, diplopia, fine hair, moist smooth skin, hyperactivity, nightmares RAI in hyperthyroid tx - Correct Answer ✅single dose to 2 doses of 75- 200 mCi/g capsule orally to render hypothyroid **Tx of choice for Grave's dx -Euthyroid in 2-6 months **NOT IN children or pregnancy Lantus- type of insulin and peak - Correct Answer ✅Long-acting -Peak: no pronounced peak -onset 1-2 hours duration 24+ hours CKD risk factors - Correct Answer ✅DM, HTN, Heart dx, smoking, obesity, high cholesterol, AA/NA/Asian-am, fam hx, >65yrs NSG 6420 FINAL Exam Questions and Answers (Latest Update 2023) Verified Answers Gold standard for diagnosis of CKD? - Correct Answer ✅ MVP heart sound - Correct Answer ✅crisp mid systolic click Rovsing sign - Correct Answer ✅RLQ pain with palpation of the LLQ- suggests peritoneal irritation in the RLQ precipitated by palpation at a remote location Obturator sign - Correct Answer ✅RLQ pain with internal and external rotation of flexed right hip- suggests inflamed appendix is located deep in the right hemipelvis Psoas sign - Correct Answer ✅RLQ pain with extension of right hip or with flexion of right hip against resistance- inflamed appendix located along course of right psoas muscle -(lifting extended right leg against resistance) Murphy sign - Correct Answer ✅Increased tenderness with inspiration in RUQ- gallbladder NSG 6420 FINAL Exam Questions and Answers (Latest Update 2023) Verified Answers Tenderness at McBurney's point - Correct Answer ✅appendicitis Negative HbsAg Positive HbsAb Negative HbcAB - Correct Answer ✅indicative of immunization Synthroid dosage - Correct Answer ✅Kg x 1.6 Hypothyroid prevalence in countries - Correct Answer ✅prevalence in US is low compared to rest of world 0.3% d/t iodine consumption S/sx hypothyroidism - Correct Answer ✅depression, forgetfulness, los of hair, weight gain, dry skin, infertility, brady, goiter, brittle nails, cold skin, constipation, fullness in throat (hashimoto), jaundice, and distention, muscle aches NSG 6420 FINAL Exam Questions and Answers (Latest Update 2023) Verified Answers clarith + flagyl + PPI levo + amox + PPI QUAD: Pepto + flagyl + tetracycline + PPI Hyperlipidemia treatment and LFTs-- which med doesn't monitor - Correct Answer ✅Bile Acid sequestran Anterior drawer test? - Correct Answer ✅tests integrity of ACL Red flags associated with a migraine? - Correct Answer ✅first or worst HA of life, change in frequency/severity, new progressive HA persisting for days, precipitation of HA with valsalva, presence of neuro sx, onset after 55, persistent one sided, stiff neck/fever Indications for migraine prophy? - Correct Answer ✅*Suffers from frequent high-impact migraine attacks (>/3 attacks per month) *Significant disability despite receiving acute tx NSG 6420 FINAL Exam Questions and Answers (Latest Update 2023) Verified Answers *concomitant co-morbids or illness that precludes effective acute therapy *At risk of using acute meds and therefore developing chronic daily HA *One of rare migraine subtypes such as hemiplegic or basilar migraine, migraine with prolonged aura or migrainous infarction Asthma definition - Correct Answer ✅Primarily inflammation with superimposed bronchospasm What does the get up and go test evaluate for? - Correct Answer ✅balance/falls fall risk Most common s/sx of cholecystitis - Correct Answer ✅Upper abd pain right shoulder/scapula pain colicky or constant pain N/V/fever NSG 6420 FINAL Exam Questions and Answers (Latest Update 2023) Verified Answers High frequency hearing loss d/t non-pathological/normal aging - Correct Answer ✅Prebycusis Interference of sound through external auditory canal or transmission of vibration from tympanic membrane through ossicular chain to the oval window - Correct Answer ✅Conductive hearing loss Hearing loss- involves inner ear, cochlea, or auditory nerve - Correct Answer ✅sensorineural Sensorineural hearing loss causes - Correct Answer ✅loud noises, ototoxic meds (antibiotics-vanco, gent, diuretics, salicylates) neuro disorders (MS, syphilis, meniere's) chalky white mark on TM - Correct Answer ✅scarring 3 types of ADHD - Correct Answer ✅1. inattentive 2. Hyperactie-impulsive NSG 6420 FINAL Exam Questions and Answers (Latest Update 2023) Verified Answers Lab test confirms menopause? - Correct Answer ✅FSH increase, estrogen decreases Most common cause of bleeding in post menopause? - Correct Answer ✅atrophy of vaginal mucosa or endometrium Drugs to avoid with G6PD? - Correct Answer ✅NSAIDs, aspirin Thalassemia type of anemia - Correct Answer ✅Microcytic hypochromic Time interval for cervical screening in women less than 60? - Correct Answer ✅21-65: every 3 years or age 30-65 every 5 years what does topical 5-Fu treat? - Correct Answer ✅Fluorouracil cream- treats actinic or solar keratoses Difference between cellulite and erysipelas? - Correct Answer ✅Erysipelas involves upper dermis and superficial lymphatics NSG 6420 FINAL Exam Questions and Answers (Latest Update 2023) Verified Answers -has more distinctive anatomic features than cellulitis; lesions are raised above the level of surrounding skin with a clear line of demarcation bt involved and uninvolved tissue- "butterfly" involvement of face Cellulitis involves deeper dermis and subq fat Ischemic arterial ulcer characteristics? - Correct Answer ✅Cool to touch, pale shiny taut thin, no hair, often located distally on dorsum of foot or toes Base grayish, unhealthy appearing granulation tissue pain at night when supine RA xray findings - Correct Answer ✅soft tissue swelling (fusiform and periarticular) Joint effusion osteoporosis joint space narrowing marginal erosions NSG 6420 FINAL Exam Questions and Answers (Latest Update 2023) Verified Answers Acute bacterial prostatitis PE? - Correct Answer ✅Tender, nodular, hot, boggy or normal feeling prostate gland Suprapubic abd tenderness enlarged tender bladder d/t urinary retention Most common cause of sinusitis in elderly? - Correct Answer ✅strep pneumo When to check PSA after prostatitis? - Correct Answer ✅8 weeks after treatment OA thinning of what cartilage? - Correct Answer ✅articulate (surface) cartilage seborrheic keratosis - Correct Answer ✅sharply defined, light brown, flat macules Most common oral precancerous lesion? - Correct Answer ✅leukoplakia