NURS-6531N-8,Adv. Practice Care of Adults./Midterm Exam Already graded A, Exams of Nursing

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

SummerQtr Test Midterm Exam

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• 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:

Ye s

No

• Question 2

The most common cancer found on the auricle is:

Selected

Answer: Basal cell c

Answers: Actinic ker

Basal cell carcinoma

Squamous cell carcinoma

Acral-lentiginous melanoma

• Question 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: Anticholinerg

ics

Answers: Xanthines

Antihistimine s

Steroids

Anticholinerg 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

Answers:

O v e r w e i g h t , c y a n o s i s , a n d n o r m a l o r s l i g h t l y i n c r e a s e d 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

Answers:

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

conjunctivitis

Answers: Viral conjunctivitis

Common pink eye

Gonococcal conjunctivitis

Allergic conjunctivitis

• 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

erythematosus

Answers: An allergic reaction

Relapsing polychondritis

Lymphocytoma cutis

Systemic lupus erythematosus

• 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- 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

intermittent

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

insufficiency

Answers: Congestive heart

failure

Varicose veins

Deep vein thrombosis

Arterial insufficiency

• Ques

tion

Which statement below is correct about pertussis?

Selected

1 out of 1

points

Answer: It is also called whooping cough

Answers:

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

Answers:

Pneumo nia

Asthma

Sinusitis

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: Diverticulit

is

Answers: Diverticulo

sis

Diverticula

Diverticulit is

Diverticulu 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: Herpes

zoster

Answers: Varicella

Herpes 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: Medicatio

ns

Answers: Alcohol

Gallstone s

Medicatio ns

Pregnanc 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

0 out of 1

points

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

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

regurgitation

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

Answers:

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