NURS 6531 FINAL EXAM VERSION 1 2024-2025 ACTUAL QUESTIONS WITH TESTED AND VERIFIED ANSWERS, Exams of Nursing

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NURS 6531 FINAL EXAM VERSION 1 2024- 2025 ACTUAL

QUESTIONS WITH TESTED AND VERIFIED ANSWERS /100%

CORRECT/A+ GRADE

Question 1

The most reliable indicator(s) of neurological deficit when assessing a patient with acute low back pain is(are): Patient report of bladder dysfunction, saddle anesthesia, and motor weakness of limbs. History of significant trauma relative to the patient’s age. Decreased reflexes, strength, and sensation in the lower extremities. Patient report of pain with the crossed straight leg raise. Question 2. Which of the following is a potential acquired cause of thrombophilia? Homocysteinuria Protein C deficiency Factor V Leiden Antiphospholipid antibodies

Question 3

Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of: Ulnar tunnel syndrome Carpal tunnel syndrome Tarsal tunnel syndrome Myofascial pain syndrome

A 72 year old female patient reports a 6 month history of gradually progressive swollen and painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is the

Question 4

Which patient would benefit most from screening for type 2 diabetes? A 30 year old female with unintended weight loss. A 25 year old male with family history of type 1 diabetes An obese female with recurrent vaginitis A 50 year old hyperlipidemic male

Question 5

Rheumatoid arthritis (RA) Osteoarthritis (OA ) Lupus Periphera l neuropathy

Question 6

Trimethoprim-sulfamethoxazole for 3 days Ciprofloxacin for 7 - 10 days Trimethoprim-sulfamethoxazole for 14 days Ciprofloxacin for 3 days A thymectomy is usually recommended in the early treatment of which disease? A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be: Parkinson’s disease

Family history

Question 8

The diagnosis of human papilloma virus (HPV) infection in males is usually made by: Clinical appearanc e Viral culture Tzanck smear KOH prep

Question 9

The most effective intervention(s) to prevent stroke is (are): 81 mg of aspirin daily Carotid endarterectomy for patients with high-grade carotid lesions Routine screening for carotid artery stenosis with auscultation for bruits Smoking cessation and treatment of hypertension

Question 10

What is the most common cause of Cushing’s syndrome? Excessive ACTH production Administration of a glucocorticoid or ACTH Multiple sclerosis Myasthenia gravis Huntington’s chorea

Family history Pituitary adenoma or a non-pituitary ACTH- producing tumor Autonomous cortisol production from adrenal tissue

Question 11

Routinely after 3 weeks of low back pain symptoms. To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of more of low back pain. When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection. As a part of a pre-employment physical when heavy lifting is included in the job description.

Question 12

An enzyme-linked immunosorbent assay titer A urea breath test A rapid urease test A repeat endoscopy

Question 13

MMSE

CAGE questionnaire FAQ – Functional Activities Questionnaire Diagnostic radiological^ studies^ are^ indicated^ for^ low^ back^ pain: After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been cured? Which appropriate test for the initial assessment of Alzheimer’s disease provides the performance ratings on 10 complex, higher order activities?

Family history Holmes and Rahe social readjustment scale

Question 14

Myocardial infarction Parkinson’s disease Stroke Alzheimer’s disease

Question 15

Which of the following statements about multiple sclerosis (MS) is correct? MS is a chronic, untreatable illness that is almost always fatal. MS is a disease of steadily progressive and unrelenting neurologic deterioration. MS is a chronic, treatable illness with unknown cause and a variable course. Patients with MS who take active steps to improve their health have the best cure rate.

Question 16

Diagnostic evaluation of hypothyroidism reveals: Elevated TSH and decreased T Decreased TSH and increased T Decreased TSH and decreased T

Family history Elevated TSH and increased T

Question 17

Risk factors for prostate cancer include all of the following except: Benign prostatic hypertrophy African American race Age

Question 18

Hypoglycemia is a rare complication. Hypoglycemia requires professional medical treatment. Hypoglycemia is serious, dangerous, and can be fatal if not treated quickly. Hypoglycemia occurs only as a result of insulin overdose.

Question 19

Which history is commonly found in a patient with glomerulonephritis? Beta-hemolytic strep infection Frequent urinary tract infections Kidney stones Hypotension

Question 20

Which of the following is characteristic of a manic episode? weight loss of gain What information should patients with diabetes and their families receive about hypoglycemia?

insomnia or hypersomnia diminished ability to think or concentrate grandiose delusions

Question 21

Central obesity, “moon” face, and dorsocervical fat pad are associated with: Metabolic syndrome Unilateral pheochromocytoma Cushing’s syndrome None of the above

Question 22

Which of the following is the most common cause of low back pain? Lumbar disc disease Spinal stenosis Traumati c fracture Osteoporosis

Question 23

Infection Toxoplasmosis A middle-aged female presents complaining of recent weight loss. The physical exam reveals an enlarged painless cervical lymph node. The differential diagnosis for this patient’s problem includes:

Mononucleo si s All of the above None of the above

Question 24

Weigh t gain Fractur e risk Hypoglyce mia Weight loss

Question 25

cryptococco si s toxoplasmo si s cryptospori di osis cytomegalo vi ru An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for this patient, the nurse practitioner is most concerned with which of the following side effects? A patient has HIV infection and is having a problem with massive diarrhea. You suspect the cause is:

Question 26

Which of the following is the most common causative organism of nongonococcal urethritis? Chlamydia trachomati s Ureaplasm a urealyticu m Mycoplas ma hominis Trichonom as vaginalis

Question 27

The most common symptoms of transient ischemic attack (TIA) include: Nausea, vomiting, syncope, incontinence, dizziness, and seizure. Weakness in an extremity, abruptly slurred speech, or partial loss of vision, and sudden gait changes. Headache and visual symptoms such as bright spots or sparkles crossing the visual field. Gradual onset of ataxia, vertigo, generalized weakness, or lightheadedness

Question 28

What is the first symptom seen in the majority of patients with Parkinson’s disease? Rigidity Bradykines i a Rest tremor Flexed posture

• Question

1 – 4 red blood cells per high- powered field Specific gravity 1.012 Urobilinogen 10 - white blood cells per high- powered field

Question 30

Radial tunnel syndrome Ulnar collateral ligament sprain Olecranon bursitis Lateral epicondylitis

Question 31

Depression Panic disorder Anxiety Post-traumatic stress disorder

Question 32

A 21-year-old female presents to the office complaining of urinary frequency and urinary burning. The nurse practitioner suspects a urinary tract infection when the A 26 year old female presents with elbow pain that is described as aching and burning. There is point tenderness along the lateral aspect of the elbow and painful passive flexion and extension. She reports she has been playing tennis almost daily for the past month. The most likely diagnosis is: Maria, age 17, was raped when she was 13 year old. She is now experiencing sleeping problems, flashbacks, and depression. What is your initial diagnosis?

Trauma Tight shoes Arthritis flare Hydrochloroth ia zide

Question 33

Which of the following is a contraindication for metformin therapy? Insulin therap y Creatinine

Edema None of the above

Question 34

A positive drawer sign supports a diagnosis of: Sciatica Cruciate ligament injury Meniscal injury Patellar ligament injury An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender left gr eat toe. The likely precipitant of this patient’s pain is:

Question 35

Apples Pepper m int Cucum b ers Popsicles

Question 36

Osteopor o sis Constipa ti on Depressi o n Exopth al mia

Question 37

HbA1C 2 - hour 75 gram oral glucose tolerance test C-peptide level A and B Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid? A patient taking levothyroxine is being over-replaced. What condition is he at risk for? Diabetes screening recommendations for asymptomatic adults age 45 and over include which of the following:

All of the above

Question 38

Prescribe systemic antibiotics Prescribe antibiotic ear drops Prescribe nasal steroids and oral decongestants Refer him to an ear, nose, and throat specialist

Question 39

Maintain moderate bed rest for 3 - 4 days Call the office for narcotics if there is no relief with the NSAID in 24-48 hours Begin lower back strengthening exercises depending on pain tolerance Wear a Boston brace at night

Question 40

Risk factors for Addison’s disease include which of the following? Tuberculosis Autoimmun e disease Dave, age 38, states that he thinks he has an ear infection because he just flew back from a business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next action? Josh, age 22, is a stock boy and has an acute episode of low back pain. You order and NSAID and tell him which of the following?

AIDS

All of the above

Question 41

Urine cultures should be obtained for which of the following patients? Suspected urinary tract infection in pregnancy Febrile patients Young men All of the above

Question 42

“Caffeine has not effect on osteoporosis.” “A high caffeine intake has a diuretic effect that may cause calcium to be excreted more rapidly.” “Caffeine affects bone metabolism by altering intestinal absorption of calcium and assimilation of calcium into the bone matrix.” “Caffeine increase bone resorption.”

Question 43

Migraine headache Subarachno id hemorrhag e Glaucoma Jennifer says that she has heard that caffeine can cause osteoporosis and asks you why. How do you respond? The diagnosis which must be considered in a patient who presents with a severe headache of sudden onset, with neck stiffness and fever, is:

Meningitis

Question 44

You must initiate the plan of care for the patient The physician must be on-site and engaged in patient care You must be employed as an independent contractor You must be the main health care provider who sees the patient

Question 45

Digital rectal examination (DRE) plus prostate specific antigen (PSA) Prostate specific antigen (PSA) alone Transrectal ultrasound (TRUS) alone Prostate specific antigen (PSA) and transrectal ultrasound (TRUS)

Question 46

The primary goals of treatment for patients with alcohol abuse disorder are: Reduction in withdrawal symptoms and reduction in desire for alcohol Psychotherapeutic and pharmacological interventions to decrease desire for and effects of alcohol Abstinence or reduction in use, relapse prevention, and rehabilitation The most commonly recommended method for prostate cancer screening in a 55 year old male is: What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare?

Marital satisfaction, improvement in family functioning, and reduction in psychiatric impairment

Question 47

Lateral meniscus Cruciate ligament Medical menisc us Collateral ligament

Question 48

Musculoskeletal pain Difficulty sleeping Depression Fatigue

Question 49

Differential diagnosis of proteinuria includes which of the following? Orthostati c proteinuria Nephroti c syndrom e You are assessing a patient after a sports injury to his right knee. You elicit a positive anterior/posterior drawer sign. This test indicates an injury to the: Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue syndrome, which have many similarities. Which of the following is more characteristic of fibromyalgia?

Scored a 76% on the answers This is the Final for Aug 2020 Moussa Class

Infection Traum a A and B

Question 50

Underweig h t Norm al weigh t Overweight Obese

Question 51

Reed-Sternberg B lymphocytes are associated with which of the following disorders: Aplastic anemia Hodgkin’s lymphoma Non Hodgkin’s lymphoma Myelodysplast ic syndromes

Question 53

A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified as: A 77-year-old female presents to the office complaining a sudden swelling on her right elbow. She denies fever, chills, trauma, or pain. The physical exam reveals a non-tender area of swelling over the extensor surface over the right elbow with evidence of trauma or irritation. The nurse practitioner suspects:

Scored a 76% on the answers This is the Final for Aug 2020 Moussa Class

Arthritis

Scored a 76% on the answers This is the Final for Aug 2020 Moussa Class

Ulnar neuritis Septic arthritis Olecrano n bursitis

Question 54

Establishment of a definitive diagnosis of osteomyelitis requires: A known causative injury such as a puncture wound, bite, or decubitus ulcer. Biopsy of culture of the pathogen from blood or bone aspirate. Visualization of purulent material draining into soft tissue. Lucent areas identified on plain x-ray.

Question 55

The most accurate measure of diabetes control is: Avoidance of micro- and macro-vascular complications. Insulin sensitivity. Early morning glucose levels. HgbA1c

Question 56

Alprazolam or diazepam A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the following medications may be used to treat generalized anxiety disorder?

Scored a 76% on the answers This is the Final for Aug 2020 Moussa Class

Venlafaxine or buspirone Trazodone or sertraline Venlafaxine or hydroxyzine pamoate

Question 57

The most common presentation of thyroid cancer is: Generalized enlargement of the thyroid gland. A solitary thyroid nodule. A multinodular goiter. Abnormal thyroid function tests.

Question 58

Cigarette smoke, both active and passive inhalation Chemicals from plastic and rubber Chronic use of phenacetin- containing analgesic agents Working long hours and not voiding often

Question 59

Sjogren’s syndrome Pancreatic cancer Which of the following accounts for half of the bladder tumors among men and one- third in women? You have a new patient that presents with generalized lymphadenopathy. You know that this is indicative of:

Scored a 76% on the answers This is the Final for Aug 2020 Moussa Class

Disseminated malignancy of the hematologic system Cancer of the liver

Question 60

Refer her to a hand surgeon Take a more complete history Try neutral position wrist splinting and oral NSAID Order a nerve conduction study such as am electromyography

Question 61

Corticosteroids Inhaled beta- 2 agonist bronchodilators Inhaled anticholinergic bronchodilators Xanthines

Question 62

Potential causes of septic arthritis include which of the following? Lyme disease Prosthetic joint infection Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel syndrome. Your next step is to: Which drug category contains the drugs that are the first line Gold standard therapy for

Scored a 76% on the answers This is the Final for Aug 2020 Moussa Class

A patient has been taking fluoxetine (Prozac) since being diagnosed with major depression, first episode, 2 months ago. She reports considerable improvement in her symptoms and her intention to discontinue the medication. What should be the nurse practitioner’s recommendation? Reiter’s syndrome A and B All of the above

Question 63

Oral ciprofloxacin (Cipro) Oral doxycycline (Virbamycin) plus intramuscular ceftriaxone Oral trimethoprim-sulfamethoxazole (Bactrim DS) Intramuscular penicillin

Question 64

Advise the patient to stop the antidepressant medication Question the patient to determine if the self-assessment is correct before advising her to discontinue the medication Recommend that the patient continue the antidepressant medication for at least 4 more months Discuss with the patient the need to take the antidepressant medication indefinitely

Question 65

Iron- deficiency anemia The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is: Your patient has an elevated mean cell volume (MCV). What should you be considering in terms of diagnosis?

Scored a 76% on the answers This is the Final for Aug 2020 Moussa Class

Hemolytic anemia Lead poisoning Liver disease

Question 66

Which of the following medications increase the risk for metabolic syndrome? Antihistamines Proton pump inhibitors Proteas e inhibitor s A and C All of the above

Question 67

Acoustic neuroma Astrocytoma of the retina Distinctive osseous lesions Café au lait spots

Question 68

The hallmark of neurofibromatosis (von Recklinghausen’s disease) present in almost 100% of patients is: The most commonly recommended pharmacological treatment regimen for low back pain (LBP) is:

Scored a 76% on the answers This is the Final for Aug 2020 Moussa Class

Acetaminophen or an NSAID A muscle relaxant as an adjunct to an NSAID An oral corticosteroid and diazepam (Valium) Colchicine and an opioid analgesic

Question 69

Legal authority for advanced practice nursing rests with: The Health Care Financing Administration Federal statutes State laws and regulations Certifying bodies

Question 70

Superficial and deep heat Application of cold Transcutaneous electrical nerve stimulation (TENS) Exercise

Question 71

Which of the following physical modalities recommended for treatment of rheumatoid arthritis provides the most effective long term pain relief?