NSG 6440 PREDICTOR EXAM LATEST UPDATE 2024/2025 TEST BANK COMPREHENSIVE QUESTIONS AND CORR, Exams of Nursing

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2024/2025 TEST BANK COMPREHENSIVE QUESTIONS

AND CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+ FOR EXCELLENT

PASS

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? - CORRECT ANSWERS pheochromocytoma What should you use to alkalinize urine to a pH of greater than 7.0? - CORRECT ANSWERS sodium bicarbonate Which of the following is true of pediculosis? - CORRECT ANSWERS 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? - CORRECT ANSWERS Samantha, a 45-year-old female undergoing a hysterectomy A patient has CFS. Which strategy should the clinician consider to manage this patient? - CORRECT ANSWERS Cognitive-behavioral therapy Which statement regarding necrotizing fasciitis is true? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS Initiating stage During treatment for anaphylaxis, which site is used for the initial injection of epinephrine? - CORRECT ANSWERS upper lateral thigh

2024/2025 TEST BANK COMPREHENSIVE QUESTIONS

AND CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+ FOR EXCELLENT

PASS

Treatment for epididymitis includes which of the following? - CORRECT ANSWERS scrotal elevation Which of the following medications for temporomandibular disorder has the warning that patient should NOT drive while taking it? - CORRECT ANSWERS Elavil After 6 months of Synthroid therapy, the clinician should expect which result in the repeat thyroid-stimulating hormone studies? - CORRECT ANSWERS 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? - CORRECT ANSWERS Chlamydia Which of the following is the form of external otitis in which bacterial infection extends from the auditory canal into the skull? - CORRECT ANSWERS Necrotizing otitis Which causes the greatest percentage of mammalian bites? - CORRECT ANSWERS human Which test is used to confirm a diagnosis of epididymitis - CORRECT ANSWERS ultrasound of the scrotum Which statement accurately describes the APRNs scope of practice? - CORRECT ANSWERS 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? - CORRECT ANSWERS Discussing appropriate stress management techniques

2024/2025 TEST BANK COMPREHENSIVE QUESTIONS

AND CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+ FOR EXCELLENT

PASS

Which of the following would be a cause of neuropathic pain? - CORRECT ANSWERS post herpetic pain Which theory regarding the aging process is linked to cancer and Alzheimer's disease? - CORRECT ANSWERS oxidative damage Which heart sound is associated with decreased elasticity of the left ventricle in left ventricular hypertrophy? - CORRECT ANSWERS S Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from infection with which of the following pathogens? - CORRECT ANSWERS 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? - CORRECT ANSWERS Antihepatitis D virus What is the most common form of heart disease in a patient with atrial fibrillation? - CORRECT ANSWERS 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? - CORRECT ANSWERS How long have you been underweight

2024/2025 TEST BANK COMPREHENSIVE QUESTIONS

AND CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+ FOR EXCELLENT

PASS

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? - CORRECT ANSWERS Christian should stand straight and flex90 degrees forward at the waist Which statement is true regarding driving and patients with a seizure disorder? - CORRECT ANSWERS After being seizure free for 6 months, patients may drive Though common as people age, what concerning disease can dysphonia be a cardinal sign for? - CORRECT ANSWERS Laryngeal cancer You are using the CURB-65 clinical prediction tool to decide whether Latisha, whom you have diagnosed with community-acquired pneumonia (CAP), should be hospitalized or treated at home. Which of the following risk factors would increase Latisha's chance of CAP- associated mortality and complications? - CORRECT ANSWERS History of diabetes mellitus Which of the following patients is at risk for developing urinary-tract cancer? - CORRECT ANSWERS The 78-year- old man who smokes three packs of cigarettes a day Which of the following statements is TRUE regarding pain? - CORRECT ANSWERS Nociceptive pain represents a normal response to injury of tissue Which of the following information patients with a UTI can receive Bactrim DS? - CORRECT ANSWERS Tiffany, a 16-year-old with a hypersensitivity to penicillin Which treatment would the clinician recommend for a patient who has relative polycythemia? - CORRECT ANSWERS Rehydration Which board administers and defines advanced nursing practice in all states? - CORRECT ANSWERS The board of Nursing

2024/2025 TEST BANK COMPREHENSIVE QUESTIONS

AND CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+ FOR EXCELLENT

PASS

An acutely presenting, erythematous, tender lump within the eyelid is called? - CORRECT ANSWERS Hordeolum Diagnostic testing for a patient with a newly detected hypertension should include all of the following except: - CORRECT ANSWERS uric acid In the model for future Advanced Practice Registered Nurse (APRN) practice, what does the "C" of LACE represent? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS hospitalization A sunscreen with a sun-protection factor of at least what number will block most harmful ultraviolet radiation? - CORRECT ANSWERS 15 Which of the following is the most common cause of cardiac death in athletes? - CORRECT ANSWERS Hypertrophic cardiomyopathy Which of the following is a specific test to MS? - CORRECT ANSWERS 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? - CORRECT ANSWERS Pepto-Bismol

2024/2025 TEST BANK COMPREHENSIVE QUESTIONS

AND CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+ FOR EXCELLENT

PASS

The barrel-chest characteristic of emphysema is a result of: - CORRECT ANSWERS Hyperinflation Which drug for Alzheimer's disease should be administered beginning at the time of diagnosis? - CORRECT ANSWERS 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? - CORRECT ANSWERS 90% Which of the following scales is useful to assess the degree of dyspnea with a score of 6 to 20? - CORRECT ANSWERS Borg scale The clinician should question the patient with suspected gout about use of which of these medications? - CORRECT ANSWERS 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? - CORRECT ANSWERS Stage D What condition is sometimes confused with anaphylaxis from an insect sting? - CORRECT ANSWERS vasovagal reaction When using the microscope for an intravaginal infection, you see something translucent and colorless. What do you suspect? - CORRECT ANSWERS leukocytes Which of the following persons fits the classic description of a patient with multiple sclerosis (MS)? - CORRECT ANSWERS a 25-year-old female

2024/2025 TEST BANK COMPREHENSIVE QUESTIONS

AND CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+ FOR EXCELLENT

PASS

The clinician should examine which are for gynecomastia? - CORRECT ANSWERS male's breast Josh, aged 22, has tinea versicolor. Which description is the most likely for this condition? - CORRECT ANSWERS There are round, hypopigmented macules on his back Which of the following produces a slow and painless visual field loss that usually begins peripherally? - CORRECT ANSWERS macular degeneration What of the following patients is a candidate for statins? - CORRECT ANSWERS Christa is a 65-year-old female with a history of myocardial infarction (MI) Which statement about HIV post exposure prophylaxis (PEP) for health-care-workers is the most accurate? - CORRECT ANSWERS PEP should be started within the 72 hours of exposure Which element is a primary focus of health- care reform? - CORRECT ANSWERS disease prevention Tinea unguium is also known as: - CORRECT ANSWERS onychomycosis which symptom is the cardinal subjective symptom of sickle cell crisis? - CORRECT ANSWERS pain How much nicotine does an average cigarette contain? - CORRECT ANSWERS 10 to 15 mg Which of the following is part of the treatment plan for the patient with IBS? - CORRECT ANSWERS High fiber diet

2024/2025 TEST BANK COMPREHENSIVE QUESTIONS

AND CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+ FOR EXCELLENT

PASS

an 8-year-old patient is admitted to the hospital due to Reye's syndrome. Which medication was most likely the cause? - CORRECT ANSWERS aspirin Which type of stomatitis results in necrotic ulceration of the oral mucous membranes? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS Floxin otic 10 drops in affected ear for 7 days What is the most common cause of microcytic anemia? - CORRECT ANSWERS iron- deficiency Donna is a 36-year-old African American woman with chronic pancreatitis. Which of the following are necessary to manage her condition? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS Integrase inhibitors

2024/2025 TEST BANK COMPREHENSIVE QUESTIONS

AND CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+ FOR EXCELLENT

PASS

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? - CORRECT ANSWERS Keeping fingernails short can prevent the spread of impetigo A ratchet-like rhythmic contraction, especially in the hand, during passive stretching is known as: - CORRECT ANSWERS cogwheeling Which statement by the patient would indicate teaching has been successful regarding management of Cushing's syndrome at home? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS regular exercise

2024/2025 TEST BANK COMPREHENSIVE QUESTIONS

AND CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+ FOR EXCELLENT

PASS

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? - CORRECT ANSWERS sedate Eddie with diazepam After typical groin hernia surgery, the patient should be instructed to: - CORRECT ANSWERS 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? - CORRECT ANSWERS foreign body in the eye Which of the following must be completed prior to administering TPA (tissue plasminogen activator)? - CORRECT ANSWERS Head CT When giving discharge instructions to a patient with a laceration injury to his lower leg. Which is the most important one? - CORRECT ANSWERS keep the leg elevated at waist level to prevent any edema jean has acute otitis externa with fluid that is black and malodorous. Which of the following is responsible for the infection? - CORRECT ANSWERS fungal infection A patient is diagnosed with GERD, and his endoscopic report reveals the presence of Barrett's epithelium. Which of the following should the PCP include in the explanation of the pathology report? - CORRECT ANSWERS this tissue is to resistant to gastric acid Billy presents with edematous and erythematous lid margins and closer visual inspection with a Wood's lamp reveals scaling. Which of the following conditions could be the diagnosis? - CORRECT ANSWERS blepharitis Marie has diabetes mellitus with proliferative retinopathy. how often should she see her ophthalmologist? - CORRECT ANSWERS annually

2024/2025 TEST BANK COMPREHENSIVE QUESTIONS

AND CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+ FOR EXCELLENT

PASS

A score of 12 to 24 on this test indicates intermediate Alzheimer's disease: - CORRECT ANSWERS MMSE Clinicians should ask older adults about their end-of-life plans when older patients are: - CORRECT ANSWERS undergoing an outpatient procedure The forced vital capacity is decreased in: - CORRECT ANSWERS restrictive disease The clinician is speaking with Bernadette, who has recently been diagnosed with urinary incontinence. She has had this condition for a number of years, she is 5 feet 5 inches, and she weighs 140 pounds. Which of the following should the health-care provider be aware of? - CORRECT ANSWERS Bernadette may be suffering from depression and may need a psychiatric consult Which blood test would confirm a diagnosis of diabetes mellitus? - CORRECT ANSWERS oral glucose tolerances test 250mg/dL (2-hour level) Which method is used to remove heavy metals, such as lead? - CORRECT ANSWERS chelation 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS Natalizumab What is the bulls-eye rash of Lyme disease called? - CORRECT ANSWERS erythema migraines

2024/2025 TEST BANK COMPREHENSIVE QUESTIONS

AND CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+ FOR EXCELLENT

PASS

Which of the following is an aerobic gram-negative bacteria involved in prostatitis? - CORRECT ANSWERS pseudomonas Which of the following statements is correct regarding the leading cause of blindness in the US known as macular degeneration? - CORRECT ANSWERS it is slow or sudden painless loss of central vision What describes a pandemic? - CORRECT ANSWERS 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? - CORRECT ANSWERS You have cancer that has spread to the surrounding tissue