Download NURS 6531 Final Exam and more Exams Nursing in PDF only on Docsity!
• Question
1 0 out of 0
points
When completing this quiz, did you comply with Walden
University’s Code of Conduct including the expectations for
academic integrity?
• Question 2
1 out of 1
points A patient complains of generalized joint pain and stiffness associated with
activity and relieved with rest. This patient history is consistent with which of the following disorders?
Osteoarthritis
• Question 3
What diabetic complications result from hyperglycemia?
- Retinopathy
- Hypertension resistant to treatment
- Peripheral neuropathy
- Accelerated atherogenesis
• Question 4
0 out of 1
points
0 out of 1
points
Which factors are associated with high risk for foot complications in a patient with diabetes mellitus? Obesity Abnormal nails Abnormal gait Poorly controlled lipids
• Question 5
1 out of 1 points
Which of the following is not a common early sign of benign prostatic
hyperplasia (BPH)? What are common early signs of BPH – frequency, urgency,
nocturia TX with alpha adrenergic Terazosin and doxazosin
• Question
1 out of 1
points
A 63-year-old man presents to the office with hematuria, hesitancy, and dribbling. Digital rectal exam (DRE) reveals a moderately enlarged prostate that is smooth. The
• Question
12 0 out of 1
points
A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the
following medications may be used to treat generalized anxiety disorder?
Treatment may include counseling and medications, such as
antidepressants. Selective Serotonin Reuptake Inhibitor (SSRI),
Anxiolytic, and Antidepressant
Paxil Effexor Lexapro and cymbalta
• Question
13 0 out of 1
points
What is the most common cause of Cushing’s syndrome? Pituitary-
dependent/ACTH- dependent (Cushing's disease), one is a pituitary form, which results
from excessive production of ACTH by a tumor of the pituitary gland,
• Question 14
Which of the following is the most cause of low back pain?
Lumbar disc disease
• Question 15
1 out of 1
points
1 out of 1
points
Warfarin (Coumadin) is prescribed for a frail, elderly male with new onset atrial fibrillation. The goal INR for this patient should be: 2.0 to 3.
• Question
16 1 out of 1
points
A 72 year old patient exhibits sudden onset of fluctuating restlessness, agitation, confusion, and impaired attention. This is accompanied by visual hallucinations and sleep disturbance. What is the most likely cause of this behavior? delirium
• Question
17 1 out of 1
points
Which of the following is the most common causative organism of nongonococcal urethritis?
which of the following does not cause nongonococcal
• Question
18 1 out of 1
points
Which appropriate test for the initial assessment of Alzheimer’s disease provides the performance ratings on 10 complex, higher order activities? FAQ
• Question
19 0 out of 1
points
What conditions must be met for you to bill “incident to” the physician,
receiving 100% reimbursement from Medicare? the physician must be on-site and
engaged in client care.
• Question 20
Diagnostic evaluation for urinary calculi includes:
A. Urinalysis and culture
B. Non contrast CT
C. Serum calcium
D. All of the above
• Question 21
1 out of 1
points
1 out of 1
points
Reed-Sternberg B lymphocytes are associated with which of the following disorders:
Hodgkin’s lymphoma
• Question
0 out of 1
points
Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue syndrome, which have many similarities. Which of the following is more characteristic of fibromyalgia?
Musculoskeletal pain is not characteristic of chronic
fatigue syndrome; rather, it is characteristic of
fibromyalgia
• Question
23 1 out of 1
points
Beth, age 49, comes in with low back pain. An x-ray of the lumbosacral spine is within
The most common cause of elevated liver function tests is: 0 out of 1 points
Chronic alcohol abuse.
• Question
1 out of 1
points
A 14 year old female cheerleader reports gradual and progressive dull anterior knee pain, exacerbated by kneeling. The nurse practitioner notes swelling and point tenderness at the tibial tuberosity. X-ray is negative. What is the most likely diagnosis? Osgood
The most likely diagnosis based on the reports of gradual progressive dull anterior
knee pain cause of kneeling and the complains of sore lump on the patient’s knee
which the result of the assessment notes were swelling and point tenderness is
likely Arthritis or gout. It is the symptoms of Arthritis or gouts usually complaining
having knee pain and swelling.
• Question 30
Which of the following is a contraindication for metformin therapy?
Creatinine > 1.
Renal dysfunction.
Congestive cardiac failure needing drug
treatment.
Hypersensitivity to metformin.
Acute or chronic metabolic
acidosis. Impaired hepatic
function.
• Question 31
1 out of 1
points
0 out of 1
points
The best test to determine microalbuminuria to assist in the diagnosis of
diabetic neuropathy: albumin-to-creatinine ratio with a spot urine
• Question
32 1 out of 1
Which is the most common cause of end-stage renal disease in the United States?
Diabetic Neuropahty, hypertenson, glomerulonephritis, systemic lupus, cystic kidney disease
• Question
33 0 out of 1
points
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:
All of the above (mono, toxoplasmosis, and infection)
• Question
34 1 out of 1
points
Risk factors for prostate cancer include all of the following except: History of
genital trauma and bph
• Question
1 out of 1
points
Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of: carpal tunnels
• Question
36 1 out of 1
points
The most effective intervention(s) to prevent stroke is (are): smoking cessation
and treatment of hypertension
• Question
1 out of 1
points
A diabetic patient is taking low-dose enalapril for hypertension. A record of the patient’s blood pressure over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg diastolic. How should the nurse practitioner respond?
increasethedosageofthecurrentBPmedication
• Question
38 0 out of 1
points
Microalbuminuria is a measure of: endothelial dysfunction, dm neuropathy, diabetic
Urine culture indicated in symtpoms and negative urinalysis
• Question
42 1 out of 1
points
Which of the following medications increase the risk for metabolic syndrome? Antihistamine and protease inhibitor
• Question 43
The most accurate measure of diabetes control is: a1c
• Question 44
1 out of 1
points
0 out of 1
points
The 4 classic features of Parkinson’s disease are: shaking (tremor) of the hands,
arms, legs and face; stiffness; slow movement (bradykinesia); and difficulty with
balance and coordination.
• Question
0 out of 1
points
A child with type 1 diabetes mellitus has experienced excessive hunger, weight gain and increasing hyperglycemia. The Somogyi effect is suspected. What steps should be taken to diagnose and treat this condition?
Testing blood sugar levels at 3.00 a.m. and again in the morning can help distinguish
between the Somogyi effect and the dawn phenomenon. ’s relatively easy to test for the
Somogyi effect. For several consecutive nights:
• Check your blood sugar just before bed.
• Set an alarm to check it again around 3:00 a.m.
• Test it again upon waking.
If your blood glucose is low when you check it at 3:00 a.m., it’s likely the Somogyi effect.
• Question 46
Café au lait spots A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks later with the same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and
weight loss. What action(s) should the nurse practitioner take? the correct
next step is to measure baseline serum cortisol, to test ACTH levels, and to order an
ACTH stimulation test with cosyntropin.Primary adrenocortical insufficiency work
up for
• Question
47 0 out of 1
points
Other than smoking cessation, which of the following slows the progression of
COPD in smokers? Engaging in moderate-to-high levels of physical activity
• Question
1 out of 1
points
A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse practitioner what the treatment for this disorder is. The nurse
practitioner explains: Primary hyperparathyroidism is treated with
parathyroidectomy
• Question
49 0 out of 1
points
The hallmark of neurofibromatosis (von Recklinghausen’s disease) present in almost 100% of patients is:
• Question
50 0 out of 1
points
A patient has HIV infection and is having a problem with massive diarrhea.
You suspect the cause is:. Cryptosporidiosis
- When patients with HIV infection have massive diarrhea, a protozoa of the
cryptosporidium genus is the most likely cause.
• Question
51 0 out of 1
points
How do you respond when Jessica, age 42, asks you what constitutes a good minimum cardiovascular workout? Exercising for at least 20 minutes 3 or more days per week.
