NURS-6531D-1/NURS-6531N-1ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/202, Exams of Nursing

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- Question (^1) 0 out of 1 points A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is prescribed. How long should the nurse practitioner wait before checking the patient’s TSH? **Six to 8 weeks

• Question** 2 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 3 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 4 Which of the following is the most cause of low back pain? Lumbar disc disease

- Question 5 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 6 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 7 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 urethritis a chlamydia – most common b. mycoplasma c. neisseria d. ureaplasma

- Question 8 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 9 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 10 Diagnostic evaluation for urinary calculi includes: A. Urinalysis and culture B. Non contrast CT C. Serum calcium D. All of the above - Question 11 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 12 0 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 13** What diabetic complications result from hyperglycemia? 1. Retinopathy 2. Hypertension resistant to treatment 3. Peripheral neuropathy 4. Accelerated atherogenesis - Question 14 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 15

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+ 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 16 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 PSA is 1.2. What is the most appropriate management strategy for you to follow at this time? Prescribe an alpha adrenergic blocker - Question 17 0 out of 1 points A 30 year old female patient presents to the clinic with heat intolerance, tremors, nervousness, and weight loss inconsistent with increased appetite. Which test would be most likely to confirm the suspected diagnosis? Graves hyperthyroid NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+

- Question 18 1 out of 1 points Which history is commonly found in a patient with glomerulonephritis? Ask about recent infections (skin or upper respiratory); recent travel (possible exposure to viruses, bacteria, fungi, or parasites); recent illnesses, surgery, or invasive procedures (possible infection); any systemic diseases (Systemic Lupus Erythematosus -SLE) - Question 19 1 out of 1 points A 60 year old male patient with multiple health problems presents with a complaint of erectile dysfunction (ED). Of the following, which medication is most likely to be causing the problem? diabetes - Question 20 1 out of 1 points Which of the following is not a characteristic of type 2 diabetes mellitus? characterized by high blood sugar, insulin resistance , and relative lack of insulin. Comm on sympt oms include NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+ increased thirst, frequent urination, and unexplained weight loss.

- 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 22 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? NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+ Musculoskeletal pain is not characteristic of chronic fatigue syndrome; rather, it is characteristic of NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+ 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 normal limits. Which of the following diagnoses do you explore further? herniated nucleus pulposus. - Question 24 0 out of 1 points 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? avoid chocolate, alcohol, carbonated drinks, peppermint, coffee, citrus, onion, and garlic. And weight loss - Question 25 NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+ 1 out of 1 points The cornerstone of treatment for stress fracture of the femur or metatarsal stress fracture is: Rest the affected part of the body

• Once pain free, the person can gradually begin the sporting activity again
• Air splinting can reduce pain and decrease the time until return to full participation or intensity of exercise.
• NSAIDs to reduce pain and inflammation - Question 26 0 out of 1 points Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus? Post-prandial hypoglycemia - Question 27 1 out of 1 points A thymectomy is usually recommended in the early treatment of which disease? NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+ Thymectomy is an important treatment option for Myasthenia Gravis NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+

- Question 28 The most common cause of elevated liver function tests is: Chronic alcohol abuse. - Question 29 0 out of 1 points 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. NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+

- 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 NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+ 1 out of 1 points 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 35 NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+ 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** 37 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? increase the dosage of the current BP medication - Question 38 NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+ 0 out of 1 points Microalbuminuria is a measure of: endothelial dysfunction, dm neuropathy, diabetic kidney disease and end organ damage r/t htn NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+

- Question 39 0 out of 1 points Martin, age 24, presents with an erythematous ear canal, pain, and a recent history of swimming. What do you suspect? External otitis - Question 40 1 out of 1 points 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: : cipro or Levaquin fluoroquinolones 10 to 14 days trimethoprim sulfamethoxazole for 14 days UTI in males should be treated with fluoroquinolones for 10 to 14 days. Acute bacterial prostatitis requires 2 weeks of oral antibiotic treatment with trimethoprim- sulfamethoxazole (TMP-SMX) or fluoroquinolones. Chronic bacterial prostatitis may require 4 to 6 weeks of treatment. NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+

- Question 41 0 out of 1 points 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 urinalysis reveals 10 WBC/ HP Pyuria (neutrophils in the urine) Bacteriuria Hematuria Positive leukocyte esterase and/or nitrite dipstick (Leukocyte esterase = indicates presence of WBCs; suggests bacterial cause) (Positive nitrite = indicates gram - organism) Urine culture indicated in symtpoms and negative urinalysis - Question 42 1 out of 1 points NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+ 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 45 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? NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+ 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 1 out of 1 points 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 NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+ 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 48 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 NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

Café au lait spots CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+ 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. - Question 52 1 out of 1 NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+ points The treatment of choice for chronic bacterial prostatitis (CBP) is: Fluoroquinolones (Ciprofloxacin, levofloxacin, others)- antibiotics of choice NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)

CARE OF ADULTS FINAL EXAM (OVER 100+Q & As) 2022/2023 DOWNLOAD A+ Trimethoprim-sulfamethoxazole - less effective but still an option Other antibiotics - doxycycline, cephalexin, erythromycin Treat for 4 weeks minimum

- Question 53 0 out of 1 points Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel syndrome. Your next step is to: try neutral position wrist splinting and order an oral NSAID - Question 54 0 out of 1 points Urine cultures should be obtained for which of the following patients? All of the above (pregnant females, males, and febrile patients) - Question 55 1 out of 1 NURS- 6531 D- 1 /NURS- 6531 N- 1 ADV PRACTICE CARE OF ADULTS FINAL EXAM (OVER 100+Q & As)