NSG 6440 PREDICTOR EXAM NEWEST 2024/2025 ACTUAL EXAM TEST BANK COMPREHENSIVE Q & A., Exams of Nursing

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NSG 6440 PREDICTOR EXAM NEWEST 2024/

ACTUAL EXAM TEST BANK COMPREHENSIVE

QUESTIONS AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS). ALREADY GRADED A

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? - ANSHow long have you been underweight 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? - ANSAntihepatitis D virus 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? - ANSregular exercise

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? - ANSChlamydia 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? - ANSpheochromocytoma 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? - ANShospitalization 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? - ANSYou have cancer that has spread to the surrounding tissue 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? - ANShave him drink 4 ounce of juice

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?

• ANSPepto-Bismol A patient has CFS. Which strategy should the clinician consider to manage this patient? - ANSCognitive-behavioral therapy 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? - ANSthis tissue is to resistant to gastric acid 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? - ANSpyelonephritis A ratchet-like rhythmic contraction, especially in the hand, during passive stretching is known as: - ANScogwheeling A score of 12 to 24 on this test indicates intermediate Alzheimer's disease: - ANSMMSE

A sunscreen with a sun-protection factor of at least what number will block most harmful ultraviolet radiation? - ANS After 6 months of Synthroid therapy, the clinician should expect which result in the repeat thyroid-stimulating hormone studies? - ANSNormal After typical groin hernia surgery, the patient should be instructed to: - ANSavoid heavy lifting for 4 to 6 weeks an 8-year-old patient is admitted to the hospital due to Reye's syndrome. Which medication was most likely the cause? - ANSaspirin An acutely presenting, erythematous, tender lump within the eyelid is called? - ANSHordeolum 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? - ANSblepharitis Clinicians should ask older adults about their end-of-life plans when older patients are: - ANSundergoing an outpatient procedure

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? - ANSInitiating stage 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? - ANS90% Diagnostic testing for a patient with a newly detected hypertension should include all of the following except: - ANSuric acid Donna is a 36-year-old African American woman with chronic pancreatitis. Which of the following are necessary to manage her condition? - ANSa low-fat diet of less than 50 g of fat per day During treatment for anaphylaxis, which site is used for the initial injection of epinephrine? - ANSupper lateral thigh

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? - ANSsedate Eddie with diazepam Gerald presents with a very dark color on his right pinkie finger. What is the the health-care provider's next care step? - ANSReferral to a dermatologist for a nail biopsy Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from infection with which of the following pathogens? - ANSGroup A streptococcus How much nicotine does an average cigarette contain? - ANS10 to 15 mg In the model for future Advanced Practice Registered Nurse (APRN) practice, what does the "C" of LACE represent? - ANSCertification jean has acute otitis externa with fluid that is black and malodorous. Which of the following is responsible for the infection? - ANSfungal infection

Josh, aged 22, has tinea versicolor. Which description is the most likely for this condition? - ANSThere are round, hypopigmented macules on his back Julie has relapsing-remitting muscular sclerosis. She has not had a good response to interferon. Which medication might help given IV once a month? - ANSNatalizumab 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? - ANSKeeping fingernails short can prevent the spread of impetigo Marie has diabetes mellitus with proliferative retinopathy. how often should she see her ophthalmologist? - ANSannually Robin presents with tearing in her right eye that started this morning. What is the most likely cause in the provider's differential diagnosis? - ANSforeign body in the eye The barrel-chest characteristic of emphysema is a result of: - ANSHyperinflation

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? - ANSChristian should stand straight and flex90 degrees forward at the waist 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? - ANSFreckles, to assess if she potentially has a melanoma 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? - ANSBernadette may be suffering from depression and may need a psychiatric consult The clinician should examine which are for gynecomastia? - ANSmale's breast The clinician should question the patient with suspected gout about use of which of these medications? - ANSthiazide diuretics The forced vital capacity is decreased in: - ANSrestrictive disease

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? - ANSDiscussing appropriate stress management techniques 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? - ANSStage D Though common as people age, what concerning disease can dysphonia be a cardinal sign for? - ANSLaryngeal cancer Tinea unguium is also known as: - ANSonychomycosis Treatment for epididymitis includes which of the following? - ANSscrotal elevation What condition is sometimes confused with anaphylaxis from an insect sting? - ANSvasovagal reaction

What describes a pandemic? - ANSAn event of epidemic magnitude affecting multiple communities and countries in a short period of time. What is the bulls-eye rash of Lyme disease called? - ANSerythema migraines What is the most common cause of microcytic anemia? - ANSiron-deficiency What is the most common form of heart disease in a patient with atrial fibrillation? - ANSCoronary artery disease associated with heart failure What of the following patients is a candidate for statins? - ANSChrista is a 65-year- old female with a history of myocardial infarction (MI) What should you use to alkalinize urine to a pH of greater than 7.0? - ANSsodium bicarbonate When giving discharge instructions to a patient with a laceration injury to his lower leg. Which is the most important one? - ANSkeep the leg elevated at waist level to prevent any edema

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? - ANSspores When using the microscope for an intravaginal infection, you see something translucent and colorless. What do you suspect? - ANSleukocytes Which blood test would confirm a diagnosis of diabetes mellitus? - ANSoral glucose tolerances test 250mg/dL (2-hour level) Which board administers and defines advanced nursing practice in all states? - ANSThe board of Nursing Which causes the greatest percentage of mammalian bites? - ANShuman Which condition is characterized by the impaired ability to learn new information along with a cognitive disturbance in either language, function, or perception? - ANSAlzheimer's disease

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? - ANSIntegrase inhibitors Which drug for Alzheimer's disease should be administered beginning at the time of diagnosis? - ANSCholinesterase Inhibitors Which element is a primary focus of health- care reform? - ANSdisease prevention Which heart sound is associated with decreased elasticity of the left ventricle in left ventricular hypertrophy? - ANSS Which method is used to remove heavy metals, such as lead? - ANSchelation Which of the following information patients with a UTI can receive Bactrim DS? - ANSTiffany, a 16-year-old with a hypersensitivity to penicillin Which of the following is a specific test to MS? - ANSthere is no specific test Which of the following is an aerobic gram-negative bacteria involved in prostatitis? - ANSpseudomonas

Which of the following is part of the treatment plan for the patient with IBS? - ANSHigh fiber diet Which of the following is the form of external otitis in which bacterial infection extends from the auditory canal into the skull? - ANSNecrotizing otitis Which of the following is the most common cause of cardiac death in athletes? - ANSHypertrophic cardiomyopathy Which of the following is the proper way to take a blood pressure measurement? - ANSPatient 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 of the following is true of pediculosis? - ANSPatients can be asymptomatic or cause few symptoms in the first 2 weeks Which of the following medications for temporomandibular disorder has the warning that patient should NOT drive while taking it? - ANSElavil

Which of the following medications is safe to use when an adult patient has a perforated tympanic membrane? - ANSFloxin otic 10 drops in affected ear for 7 days Which of the following must be completed prior to administering TPA (tissue plasminogen activator)? - ANSHead CT Which of the following patients is at risk for developing urinary-tract cancer? - ANSThe 78-year- old man who smokes three packs of cigarettes a day Which of the following persons fits the classic description of a patient with multiple sclerosis (MS)? - ANSa 25-year-old female Which of the following produces a slow and painless visual field loss that usually begins peripherally? - ANSmacular degeneration Which of the following scales is useful to assess the degree of dyspnea with a score of 6 to 20? - ANSBorg scale

Which of the following statements is correct regarding the leading cause of blindness in the US known as macular degeneration? - ANSit is slow or sudden painless loss of central vision Which of the following statements is TRUE regarding pain? - ANSNociceptive pain represents a normal response to injury of tissue Which of the following would be a cause of neuropathic pain? - ANSpost herpetic pain Which of these patients is a higher risk for developing deep vein thrombosis? - ANSSamantha, a 45-year-old female undergoing a hysterectomy Which statement about HIV post exposure prophylaxis (PEP) for health-care- workers is the most accurate? - ANSPEP should be started within the 72 hours of exposure Which statement accurately describes the APRNs scope of practice? - ANSThis delineates the permissible boundaries of APRN professional practice

Which statement by the patient would indicate teaching has been successful regarding management of Cushing's syndrome at home? - ANSI will stay away from large crowds Which statement is true regarding driving and patients with a seizure disorder? - ANSAfter being seizure free for 6 months, patients may drive Which statement regarding necrotizing fasciitis is true? - ANSThis is a medical emergency and gangrene can develop which symptom is the cardinal subjective symptom of sickle cell crisis? - ANSpain Which test is used to confirm a diagnosis of epididymitis - ANSultrasound of the scrotum Which theory regarding the aging process is linked to cancer and Alzheimer's disease? - ANSoxidative damage Which treatment would the clinician recommend for a patient who has relative polycythemia? - ANSRehydration

Which type of stomatitis results in necrotic ulceration of the oral mucous membranes? - ANSVincent's stomatitis 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? - ANSArnold reflex 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? - ANSHistory of diabetes mellitus Your patient is in her second trimester of pregnancy and has a yeast infection. Which of the following is the most appropriate treatment? - ANSMetronidazole 2% cream 5 g intravaginally 7 days