NRNP 6531 Midterm Exam / NRNP6531 Midterm Exam(100 Questions & Answers)(New, 2022-2023), Exams of Nursing

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NRNP 6531 Midterm Exam

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Course NURS-6531N-8,Adv. Practice Care of Adults.

Summer Qtr 05/29-08/19-PT

Test Midterm Exam

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t Score

0 out of 100 points

Time Elapsed 1 hour, 53 minutes out of 1 hour and 50

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All Answers, Submitted Answers, Correct Answers

• 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?

Selected

Answer:

Ye s

Answers:

Y

e s No

• Question 2

The most common cancer found on the auricle is:

Selected

Answer: Basal^ cell^ carcinoma

Answers: Actinic^ keratosis

Basal cell carcinoma Squamous cell carcinoma Acral- lentiginous melanoma

• Que

stio

n 3

1 out of 1 points

0 out of 1

points

Which of the following medication classes should be avoided in patients with acute or chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the patient?

Selected

Answer:

Anticholiner g ics

Answers: Xanthines

Antihistimin e s Steroids Anticholiner g ics

- Question 4

0 out of 1 points

A 47 year old male patient presents to the clinic with a single episode of a moderate amount of bright red rectal bleeding. On examination, external hemorrhoids are noted. How should the nurse practitioner proceed?

Selected

Answer: Instruct^ the^ patient^ on^ measures^ to^ prevent

hemorrhoids such as bowel habits and diet.

Answers: Instruct^ the^ patient^ on^ measures^ to^ prevent

hemorrhoids such as bowel habits and diet. Order a topical hemorrhoid cream along with a stool softener. Refer the patient for a barium enema and sigmoidoscopy. Refer the patient for a surgical hemorrhoidectomy.

- Question 5

0 out of 1 points

Which of the following patient characteristics are associated with chronic bronchitis?

Selected

Answer: Underweight,^ pink^ skin,^ and^ increased^ respiratory^ rate

Answer

s: Overweight, cyanosis, and normal or slightly increased

respiratory rate Underweight, pink skin, and increased respiratory rate

Overweight, pink skin, and normal or slightly increased respiratory rate Normal weight, cyanosis, and greatly increased respiratory rate

- Question 6

1 out of 1 points

A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain. Her current medications include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams po daily. The nurse practitioner suspects acute diverticulitis and possibly an abscess. The most appropriate diagnostic test for this patient at this time is:

Selected

Answer: CT^ scan

Answers: CBC/diff

Erythrocyte sedimentation rate Abdominal ultrasound CT scan

- Question 7

1 out of 1 points

A patient reports “something flew in my eye” about an hour ago while he was splitting logs. If there were a foreign body in his eye, the nurse practitioner would expect to find all except:

Selected

Answer: Purulent^ drainage

Answer

s: Purulent

drainage Tearing Photophobia A positive fluorescein stain

- Question (^8) 1 out of 1

points

A 21 year old college student presents to the student health center with copious, markedly purulent discharge from her left eye. The nurse practitioner student should suspect:

Selected

Answer: Gonococcal

conjunctiviti s

Answers: Viral

conjunctivitis Common pink eye Gonococcal conjunctiviti s Allergic conjunctiviti s

- Question 9

0 out of 1 points

A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles consisting of about 15 lesions across 3 different thoracic dermatomes. He complains of pain, burning, and itching. The nurse practitioner should suspect:

Selected

Answer: A^ complicated^ case^ of^ shingles^ and^ prescribe^ acyclovir,^ an

analgesic, and a topical cortisone cream

Answers: A^ common^ case^ of^ shingles^ and^ prescribe^ an^ analgesic^ and

an antiviral agent A complicated case of shingles and prescribe acyclovir, an analgesic, and a topical cortisone cream Herpes zoster and consider that this patient may be immunocompromised A recurrence of chickenpox and treat the patient’s symptoms

- Question 10

0 out of 1 points

Which type of lung cancer has the poorest prognosis?

Selected

Answer: Adenocarcinoma

Answers: Adenocarcinoma

Epidermoid carcinoma Small cell carcinoma Large cell carcinoma

- Question 11

1 out of 1 points

An 83-year-old female presents to the office complaining of diarrhea for several days. She explains she has even had fecal incontinence one time. She describes loose stools 3– 4 times a day for several weeks and denies fever, chills, pain, recent antibiotic use. The history suggests that the patient has:

Selected

Answer: Chronic^ diarrhea

Answers: Acute^ diarrhea

Chronic diarrhea Irritable bowel Functional bowel disease

- Question 12

1 out of 1 points

Margaret, age 32, comes into the office with painful joints and a distinctive rash in a butterfly distribution on her face. The rash has red papules and plaques with a fine scale. What do you suspect?

Selected

Answer: Systemic

lupus erythematos

us

Answers: An^ allergic^ reaction

Relapsing polychondritis Lymphocytoma cutis Systemic lupus erythematos us

- Question 13

1 out of 1 points

Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes?

Selected

Answer: Acute^ bronchitis

Answers: Chronic^ sinusitis

Acute bronchitis Bacterial pneumonia Acute exacerbation of chronic bronchitis

- Question 14

0 out of 1 points

Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily. Her exacerbations affect her activities and they occur at least twice weekly and may last for days. She is affected more than once weekly during the night with an exacerbation. Which category of asthma severity is Lisa in?

Selected

Answer: Mild^ persistent

Answers: Mild

intermitten t Mild persistent

Moderate persistent

- Question 15

0 out of 1 points

Which of the following is the most appropriate therapeutic regimen for an adult patient with no known allergies diagnosed with group A B-hemolytic strep?

Selected

Answer: None^ of^ the^ above

Answers:

Penicillin V 500 milligrams PO every 8 hours for 10 days Ampicillin 250 milligrams PO twice a day for 10 days Clarithromycin 500 milligrams po daily for 7 days None of the above

- Question 16

0 out of 1 points

A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by leg elevation. She occasionally has edema in her lower legs at the end of the day. What is the most likely cause of these problems?

Selected

Answer: Arterial

insufficienc y

Answers: Congestive

heart failure Varicose veins Deep vein thrombos is Arterial insufficiency

- Question 17 Which statement below is correct about pertussis?

Selected

1 out of 1

points

Answer: It^ is^ also^ called^ whooping^ cough

Answer

s: It is also called whooping cough

It begins with symptoms like strep throat It lasts about 3 weeks It occurs most commonly in toddlers and young children

- Question 18

0 out of 1

points

Which of the following is the most important diagnosis to rule out in the adult patient with acute bronchitis?

Selected

Answer: Asthma

Answer

s: Pneum

o nia Asthm a Sinusiti s Pertussis

- Question 19^1 out^ of^1

points

A 70 year old patient presents with left lower quadrant (LLQ) abdominal pain, a markedly tender palpable abdominal wall, fever, and leukocytosis. Of the following terms, which correctly describes the suspected condition?

Selected

Answer:

Diverticul it is

Answers:

Diverticul o sis Diverticula

Diverticuli t is Diverticul u m

- Question 20

1 out of 1 points

Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. This morning she noticed a rash with erythematous papules in that site. What do you suspect?

Selected

Answer:

Herpe s zoster

Answers: Varicella

Herpe s zoster Syphilis Rubella

- Question 21

0 out of 1 points

A 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knows that the most common cause of pancreatitis is:

Selected

Answer:

Medicati o ns

Answers: Alcohol

Gallston e s Medicati o ns Pregnan c y

- Question 22

1 out of 1 points

When a patient presents with symptoms of acute gallbladder disease, what is the appropriate nurse practitioner action?

Selected

Answer: Order^ an^ abdominal^ ultrasound

Answers: Order^ abdominal^ x-rays

Order an abdominal ultrasound Refer the patient to a surgeon for evaluation Prescribe pain medication

- Question 23 A false-positive result with the fecal occult blood test can result from:

Selected

Answer: stool^ that^ has^ been^ stored

before testing

Answers: ingestion^ of^ large

amounts of vitamin C a high dietary intake of rare cooked beef a colonic neoplasm that is not bleeding stool that has been stored before testing

- Question 24

0 out of 1

points

0 out of 1

points

A 76-year-old male complains of weight loss, nausea, vomiting, abdominal cramping and pain. Physical findings include an abdominal mass and stool positive for occult blood. The nurse practitioner pain suspects a tumor in the small intestine. The best diagnostic test for this patient is:

Selected

Answer: Colonoscopy

Answers: Colonoscopy

Small bowel follow- through Barium enema CT abdomen

- Question 25

1 out of 1 points

A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema. The echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that these findings are consistent with:

Selected

Answer: Systolic

heart failure

Answers: Mitral

regurgitatio n Systolic heart failure Cardiac myxoma Diastolic heart failure

- Question 26

1 out of 1 points

Maxine, Age 76, has just been given a diagnosis of pneumonia. Which of the following is an indication that she should be hospitalized?

Selected

Answer: Multilobar involvement on chest x-ray with the inability to

take oral medications

Answer

s: Multilobar involvement on chest x-ray with the inability to

take oral medications

Alert and oriented, slightly high but stable vital signs, and no one to take care of her at home Sputum and gram positive organisms A complete blood count showing leukocytosis

- Question 27

0 out of 1 points

A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him:

Selected

Answer: “It^ is^ the^ most^ common^ cause^ of^ death^ in^ patients

with skin cancer.”

Answers: “It^ is^ the^ most^ common^ cause^ of^ death^ in^ patients

with skin cancer.” “It can be cured with surgical excision or radiation therapy.” “It is a slow growing skin cancer that rarely undergoes malignant changes.” “It can be cured using 5-flurouracil cream twice daily for 2 to 4 weeks.”

- Question 28

1 out of 1

points

Expected spirometry readings when the patient has chronic emphysema include:

Selected

Answer: Increased^ total^ lung^ capacity^ (TLC)

Answers: Decreased^ residual^ volume^ (RV)

Increased vital capacity (VC) Increased forced expiratory volume (FEV-1) Increased total lung capacity (TLC)

- Question 29

1 out of 1

points

An 80-year-old male admits to difficulty swallowing during the review of systems. The nurse practitioner recognizes the differential diagnosis for this patient’s dysphagia is:

Selected

Answer: A^ and^ C

Answers:

Esophage al cancer Chest pain GERD A and C All of the above

- Question 30

0 out of 1 points

A 40 year old female with history of frequent sun exposure presents with a multicolored lesion on her back. It has irregular borders and is about 11mm in diameter. What should the nurse practitioner suspect?

Selected

Answer: Basal

cell carcinom a

Answers: Squamous

cell carcinoma Malignant melanoma A common nevus Basal cell carcinoma

- Question 31

1 out of 1 points

Which of the following is not a goal of treatment for the patient with cystic fibrosis?

Selected

Answer: Replace^ water-

soluble vitamins

Answers: Prevent

intestinal obstruction Provide adequate nutrition Promote clearance of secretions Replace water- soluble vitamins

- Question 32

1 out of 1 points

The nurse practitioner is performing a physical exam on a middle-aged African- American man. Which of the following areas is a common site for melanomas in African-Americans and other dark-skinned individuals?

Selected

Answer: B^ and^ C

Answers:

Scal p Nail s Feet B and C All of the above

- Question 33

1 out of 1 points

An adult presents with tinea corporis. Which item below is a risk factor for its development?

Selected

Answer: Topical

steroid use

Answer

s: Topical

steroid use Topical antibiotic use A recent laceratio n Cold climates

- Question 34

0 out of 1

points

A patient has experienced nausea and vomiting, headache, malaise, low grade fever, abdominal cramps, and watery diarrhea for 72 hours. His white count is elevated with a shift to the left. He is requesting medication for diarrhea. What is the most appropriate response?

Selected

Answer: Order^ stool^ cultures.

Answers: Prescribe^ loperamide^ (Immodium)^ or^ atropine-diphenoxylate

(Lomotil) and a clear liquid diet for 24 hours. Prescribe a broad-spectrum antibiotic such as ciprofloxacin (Cipro), and symptom management. Offer an anti-emetic medication such as ondansetron (Zofran) and provide oral fluid and electrolyte replacement instruction. Order stool cultures.

- Question 35

1 out of 1 points

Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria. What do you order?

Selected

Answer:

Antihista mi nes

Answers:

Aspiri

n NSAID s Opioids

Antihista mi nes

- Question 36

0 out of 1 points

Of the following signs and symptoms of congestive heart failure (CHF), the earliest clinical manifestation is:

Selected

Answer:

Peripher al edema

Answers:

Peripher al edema Weight gain Shortness of breath Nocturn al dyspnea

- Question 37

1 out of 1 points

A 16 year old male presents with mild sore throat, fever, fatigue, posterior cervical adenopathy, and palatine petechiae. Without a definitive diagnosis for this patient, what drug would be least appropriate to prescribe?

Selected

Answer: Amoxicillin

Answers: Ibuprofen

Erythromy ci n Amoxicillin Acetaminop hen

- Question 38

1 out of 1 points

A 70 year old man who walks 2 miles every day complains of pain in his left calf