Nursing 6501 Final Exam Questions and Answers, Exams of Nursing

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Nursing 6501 final exam questions

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• Question 1

1 out of 1 points

A woman diagnosed with trichomoniasis asks if her sexual partner should be treated as well. What is the appropriate response by the healthcare professional?

Selecte

d

Answer:

Sexual partners should be treated even if they are asymptomatic.

• Question

2 0 out of 1

points

An infant is brought to the emergency department by parents who report that the baby's fontanels seem to be bulging outward. What action by the healthcare provider is most appropriate?

Selecte

d

Answer:

Prepare the baby for a lumbar puncture and blood cultures.

• Question

3 1 out of 1

points

A patient has polycythemia vera and presents to the Emergency Department with plethora and neurological changes. The student asks the healthcare professional to explain the primary cause of these symptoms. What response by the professional is best?

Selecte

d

Answer:

Increased blood viscosity

• Question 4

When are childhood cancers most often diagnosed?

1 out of 1

points

Selecte

d

Answer:

At peak times of physical growth

- Question (^5) 1 out of 1

points

A severely malnourished patient is in the hospital to improve nutrition. On the second day, the patient reports palpitations and difficulty breathing. After placing the patient on a cardiac monitor, what action does the health care professional take next?

Selecte

d

Answer:

Have lab drawn for electrolyte levels.

- Question (^6) 0 out of 1

points

The student wants to know how the clinical manifestations and onset of juvenile idiopathic arthritis (JIA) differ from those of rheumatoid arthritis (RA) in adults. What answer by the healthcare professional is best?

Selecte

d

Answer:

JIA begins insidiously with systemic signs of inflammation.

- Question (^7) 1 out of 1

points

A patient has a temporary displacement of two bones in a joint causing the bone surfaces to partially lose contact with each other. What treatment does the health care professional prepare the patient for?

Selecte

d

Answer:

Reduction and immobilizatio n

- Question (^8) 0 out of 1

points

A preschool teacher notices a child who has burrows on the hands that are several millimeters to 1 cm long, papules, and vesicular lesions. What other assessment finding would help the teacher determine the type of infestation the child has?

Selecte

d

Answer:

Check the child's hair for the presence of small mites.

- Question (^9) 1 out of 1

points

The disruption in cellular adhesion observed in bullous impetigo is caused by an exfoliative toxin related to which organism?

Selecte

d

Answer:

Staphylococcus aureus

- Question (^10) 1 out of 1

points

A mother reports that her young teens have voracious appetites. The healthcare professional would explain that which hormone is linked to an increase in appetite during puberty?

Selecte

d

Answer:

Lept i n

- Question (^11) 1 out of 1

points

What diagnosis is given to parents when their infant's hip maintains contact with the acetabulum but is not well seated within the hip joint?

Selecte

d

Answer:

Subluxated hip

- Question (^12) 1 out of 1

points

The healthcare professional directs a student to assess a teen who has Osgood-Schlatter disease. What assessment finding does the student anticipate for this disorder?

Selecte

d

Answer:

Tendinitis of the anterior patellar tendon

- Question 13 What are the clinical manifestations of testicular cancer?

1 out of 1

points

Selecte

d

Answer:

Firm, nontender testicular mass

- Question (^14) 1 out of 1

points

A man reports to the healthcare professional that he had a sudden onset of malaise, low back pain, and perineal pain with high fever and chills, dysuria, nocturia, and urinary retention. What action by the healthcare professional is most appropriate?

Selecte

d

Answer:

Assist the man in obtaining a urine sample.

- Question (^15) 1 out of 1

points

An infant has been diagnosed with intussusception and the student asks the healthcare professional to explain the condition. What explanation by the professional is most accurate?

Selecte

d

Answer:

One part of the intestine telescopes into another section of the intestine.

- Question 16

1 out of 1

points

Which statement by the healthcare professional accurately describes childhood asthma?

Selecte

d

Answer

:

An obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation

- Question (^17) 1 out of 1

points

A patient is in status epilepticus. In addition to giving medication to stop the seizures, what would the healthcare professional place highest priority on?

Selecte

d

Answer:

Providin g oxygen

- Question (^18) 1 out of 1

points

A health care professional determines that the student needs more education when the student makes which statement about treating bone infection?

Selecte

d

Answer

:

Bacteria are walled off by macrophages and T lymphocytes; consequently, the antibiotics cannot penetrate the infected area.

- Question (^19) 1 out of 1

points

A health care professional is teaching a group of college women about increasing calcium in the diet to prevent osteoporosis. A participant asks at what age is peak bone mass is reached in women. What response is best?

Selecte

d

Answer:

years

- Question 20 What is the link between major depression and cortisol secretion?

1 out of 1

points

Selecte

d

Answer

:

Individuals with depression show that persistently elevated plasma cortisol levels can result in inflammation that is believed to trigger depression.

- Question (^21) 1 out of 1

points

A student asks the professor to explain the jaundice that accompanies hemolytic anemia. Which statement is by the professor is most accurate?

Selecte

d

Answer:

Heme destruction exceeds the liver's ability to conjugate and excrete bilirubin.

- Question 22 Which cells function to maintain bone matrix?

1 out of 1

points

Selecte

d

Answer:

Osteocytes

- Question (^23) 1 out of 1

points

A child has Duchenne muscular dystrophy and the parents want to know how this occurred. Which statement by the healthcare professional is most accurate?

Selecte

d

Answer:

X-linked recessive inheritance

- Question (^24) 1 out of 1

points

What is the role of thromboxane A (TXA 2 ) in the secretion stage of hemostasis?

Selecte

d

Answer:

Stimulates platelet aggregation.

- Question (^25) 1 out of 1

points

A healthcare professional is educating a community men's group on symptoms of benign prostatic hyperplasia (BPH). The professional relates that most symptoms are a result of which pathophysiologic condition?

Selecte

d

Answer:

Compression of the urethra

- Question (^26) 1 out of 1

points

A student studying osteomyelitis and asks for an explanation of the term sequestrum. What response by the professor is best?

Selecte

d

Answer:

An area of devascularized and devitalized bone

- Question (^27) 1 out of 1

points

A child with acute poststreptococcal glomerulonephritis is voiding smoky, brown-colored urine and asks the healthcare professional to explain what causes it. What explanation by the professional is best?

Selecte d Answer:

P

r esence of red blood cells

- Question (^28) 1 out of 1

points

A patient has been diagnosed with lithium toxicity. Which electrolyte imbalance does the healthcare professional correlate with this condition?

Selecte

d

Answer:

Hyponatremia

- Question (^29) 0 out of 1

points

A 7 year-old-child presents to the clinic where parents report signs and symptoms consistent with asthma. What does the healthcare professional do in order to confirm this diagnosis?

Selecte

d

Answer:

Draw serum levels of immunoglobulin E (IgE) and eosinophil levels

- Question (^30) 1 out of 1

points

A 9-year-old child has a blood pressure of 112/72 mmHg in the school nurse's office. What action by the school nurse is most appropriate?

Selecte

d

Answer:

Note the normal finding in the child's records.

- Question (^31) 1 out of 1

points

A patient has primary immune thrombocytopenic purpura (ITP) and is hospitalized after a bleeding episode. What treatment does the healthcare provider anticipate being ordered for this patient?

Selecte

d

Answer:

Infusion of IVIG

- Question 32 What is the consequence of a splenectomy?

1 out of 1

points

Selecte

d

Answer:

The number of defective cells in circulation increases.

- Question (^33) 0 out of 1

points

Gait disturbances and instability are characteristic of which form of cerebral palsy?

Selecte

d

Answer:

Spas t ic

- Question (^34) 0 out of 1

points

A person has been diagnosed with acute lymphocytic leukemia (ALL) that is positive for the Philadelphia chromosome. What statement by the healthcare professional is most appropriate?

Selecte

d

Answer:

1cYou will need colony-stimulating support during your treatment. 1d

- Question (^35) 1 out of 1

points

A patient in the clinic had a femur x-ray that was read as having a moth-eaten appearance. What treatment option does the health care professional discuss with the patient?

Selecte

d

Answer:

Limb- salvaging surgery

- Question (^36) 1 out of 1

points

Local signs and symptoms of Hodgkin disease-related lymphadenopathy are a result of what?

Selecte

d

Answer:

Pressure and obstruction

- Question (^37) 0 out of 1

points

A child has scoliosis with a 40-degree curvature of the spine, and the parent is worried about pulmonary involvement. What statement by the healthcare professional is most appropriate?

Selecte

d

Answer:

Yes, we should obtain pulmonary function studies soon.

- Question (^38) 1 out of 1

points

Without prior exposure to an antigen, which cells are able to destroy some types of tumor cells and some virus-infected cells?

Selecte

d

Answer:

Natural killer (NK) cells

- Question (^39) 1 out of 1

points

Which hospitalized patient does the healthcare professional assess as a priority for the development of delirium?

Selecte

d

Answer:

An elderly male on the second day after hip replacement

- Question 40 What does the student learn distinguishes kwashiorkor from marasmus?

1 out of 1

points

Selecte

d

Answer:

Subcutaneous fat, hepatomegaly, and fatty liver are present in kwashiorkor.

- Question (^41) 1 out of 1

points

The healthcare professor states that a patient has reached pain tolerance. What further information from the professor is most accurate?

Selecte

d

Answer:

The patient cannot endure a higher level of pain intensity at this point.

- Question (^42) 1 out of 1

points

A healthcare professional is caring for a patient who was rewarmed after suffering from hypothermia. What possible long-term complication will the professional continue to assess the patient for?

Selecte

d

Answer:

Renal failur e

- Question (^43) 0 out of 1

points

A patient reports joint stiffness with movement and joint pain in weightbearing joints that is usually relieved by rest. What treatment option does the health care professional discuss with the patient?

Selecte

d

Answer:

Administration of oral methotrexate

- Question (^44) 0 out of 1

points

A child has osteosarcoma and the healthcare team is assessing for metastases. What diagnostic study would be the priority?

Selecte

d

Answer:

Liver biopsy

- Question 45

1 out of 1

points

A patient has defective secretion of the intrinsic factor leading to anemia. What treatment option does the healthcare professional discuss with the patient?

Selecte

d

Answer:

Vitamin B 12 injections initially given once a week.

- Question (^46) 0 out of 1

points

An infant has a continuous machine-type murmur best heard at the left upper sternal border throughout systole and diastole. The healthcare professional suspects a congenital heart disorder. What other assessment finding is inconsistent with the professional's knowledge about this disorder?

Selecte

d

Answer:

Signs of heart failure

- Question (^47) 1 out of 1

points

A student asks the health care professional why obese people are at higher risk for hypertension than non-obese individuals. What response by the professional is best?

Selecte

d

Answer:

They produce more angiotensinogen .

- Question (^48) 1 out of 1

points

A healthcare professional is caring for a patient who has a spinal cord injury at T5. The patient exhibits severe hypertension, a heart rate of 32 beats/min, and sweating above the spinal cord lesion. How does the professional chart this event?

Selecte

d

Answer:

Autonomic hyperreflexi a

- Question 49 What is the most abundant class of plasma protein?

1 out of 1

points

Selecte

d

Answer:

Albumin

- Question (^50) 0 out of 1

points

A healthcare professional is reviewing a patient's laboratory results and sees that the patient has a low reticulocyte count and a high iron level. Which type of anemia does the professional associate these findings with?

Selecte

d

Answer:

Iron deficiency anemia

- Question (^51) 0 out of 1

points

A healthcare professional in an urban clinic is seeing a patient who has iron deficiency anemia (IDA). What question by the professional is most appropriate to assess for the cause of IDA?

Selecte

d

Answer:

1cHow many times a week do you have iron-rich foods? 1d

- Question (^52) 0 out of 1

points

A child has iron deficiency anemia. In addition to iron supplements, what else does the healthcare professional educate the parents on giving the child?

Selecte

d

Answer:

Zinc

- Question 53 A healthcare professional is planning a community event to reduce risk of

1 out of 1

points

cerebrovascular accident (CVA) in high risk groups. Which group would the professional target as the priority?

Selecte

d

Answer:

Hypertension

- Question (^54) 1 out of 1

points

A healthcare professional has educated a student on folic acid. Which statement by the student indicates that more teaching is needed?

Selecte

d

Answer:

Folic acid absorption is dependent on the enzyme folacin.

- Question (^55) 0 out of 1

points

In acute hypothermia, what physiologic change shunts blood away from the colder skin to the body core in an effort to decrease heat loss?

Selecte

d

Answer:

Shive ri ng

- Question 56

1 out of 1

points

A woman who is positive for hepatitis B is in labor. What action by the healthcare professional is most appropriate?

Selecte

d

Answer:

Immunize the newborn within 12 hours.

- Question 57 What is the first indication of nephrotic syndrome in children?

1 out of 1

points

Selecte

d

Answer:

Periorbita l edema

- Question 58 Which condition is considered a clinical cause of amenorrhea?

1 out of 1

points

Selecte

d

Answer:

Failure to ovulate

- Question (^59) 1 out of 1

points

A patient is admitted to the hospital with multiple myeloma (MM). Which diagnostic test should the healthcare professional assess as the priority?

Selecte

d

Answer:

Serum calcium level

- Question (^60) 1 out of 1

points

What is the primary pathologic alteration resulting from ankylosing spondylitis (AS)?

Selecte

d

Answer:

Inflammation of fibrocartilaginous joints of the vertebrae

- Question (^61) 1 out of 1

points

A woman has been diagnosed with polycystic ovary syndrome but is confused because her pelvic ultrasound (US) was read as normal and did not show cysts. What response by the health care professional is most appropriate?

Selecte

d

Answer:

You do not need to have cysts on your ovaries to have this condition.

- Question 62 Why is nasal congestion a serious threat to young infants?

1 out of 1

points

Selecte

d

Answer:

Infants are obligatory nose breathers.

- Question (^63) 0 out of 1

points

What causes the vasomotor flushes (hot flashes) that are associated with declining ovarian function with age?

Selecte

d

Answer:

Decreased estrogen levels

- Question (^64) 1 out of 1

points

A patient has chronic anemia associated with chronic renal failure. What substance does the healthcare professional tell the patient is needed to treat this anemia?

Selecte

d

Answer:

Erythropoietin

- Question (^65) 1 out of 1

points

A patient has been hospitalized for a large deep vein thrombosis and states he is the third person in his family to have this condition in the last 2 years. What response by the healthcare professional is most appropriate?

Selecte

d

Answer:

We can test your blood for factor V Leiden.

- Question (^66) 1 out of 1

points

A patient reports frequent nightmares. For which of these should the healthcare professional assess the patient?

Selecte d Answer:

H

i story of traumatic event

- Question 67 Cystic fibrosis is characterized by which symptom?

Selected Excessive^ mucus

1 out of 1

points

Answer: production

- Question 68

0 out of 1 points

To quickly assess a patient's nervous system for dysfunction, what assessment should the healthcare professional perform as the priority?

Selecte

d

Answer:

Motor respons e

- Question (^69) 1 out of 1

points

A healthcare professional wants to volunteer for a community education project to help prevent spinal cord injury. What activity would the professional most likely volunteer for?

Selecte

d

Answer:

Teaching older adults how to prevent trip- and- fall events

- Question (^70) 1 out of 1

points

A healthcare professional advises a pregnant woman to add supplements of which nutrient to her diet to prevent birth defects?

Selecte

d

Answer:

Fola t e

- Question (^71) 1 out of 1

points

In which stage of syphilis would the following clinical manifestations be found: destructive skin, bone and soft tissue lesions, aneurysms, heart failure, and neurosyphilis?

Selecte

d

Answer:

Tertia r y

- Question (^72) 1 out of 1

points

A person has been diagnosed with primary dysmenorrhea and wants to know why ibuprofen is a good choice for pain control. What response by the