NURSING 6531 final exam 1 with complete solutions Latest Update 2022 Q&A GUARANTEED succes, Exams of Nursing

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A Trauma

.

B Tight shoes

.

C Arthritis flare

.

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A Metabolic syndrome

.

B Unilateral

. pheochromocytoma

C Cushing’s syndrome

.

D None of the above

.

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Central obesity, “moon” face, and dorsocervical fat pad are associated with: An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender left great toe. The likely precipitant of this patient’s pain is:

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The most effective treatment of non-infectious bursitis includes: Conservative treatment

NURSING 6531 final exam 1 with complete solutions Latest Update

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includes rest,^ cold^ and^ heat^ treatments,^ elevation,^ administration^ of^ nonsteroidal^ anti- drugs (NSAIDs), bursal aspiration, and intrabursal steroid injections



What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare?

SELECTED

Answer: The^ physician^ must^ be^ on-site^ and engaged in patient care Answers: You^ must^ initiate^ the^ plan^ of^ care^ for^ the^ patient The physician must be on-site and engaged in patient care You must be employed as an independent contractor You must be the main health care provider who sees the patient Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus?

THE METABOLIC SYNDROME REFERS TO THE CO-OCCURRENCE OF SEVERAL KNOWN

CARDIOVASCULAR RISK FACTORS, INCLUDING INSULIN RESISTANCE, OBESITY,

ATHEROGENIC DYSLIPIDEMIA AND HYPERTENSION.

NURSING 6531 final exam 1 with complete solutions Latest Update

• Question^8

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Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?

A. NOCTURIA

B. Urgency incontinence

C. STRONG URINARY STREAM FLOW

D. Straining to void

Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to

NURSING 6531 final exam 1 with complete solutions Latest Update

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reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid? Food that is very hot or very cold Fatty or fried foods Peppermint or spearmint, including flavoring Coffee, tea, and soft drinks that contain caffeine Spicy, highly seasoned foods

FRIED FOOD DT CAFFEINE, CHOCOLATE AND ANTICHOLINERGICS

Which drug category contains the drugs that are the first line Gold standard therapy for COPD? Beta antagonist The most commonly recommended pharmacological treatment regimen for low back pain (LBP) is: Nsaid Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?

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Erythromycin 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?

.A OBTAIN A THOROUGH HISTORY AND PHYSICAL, AND CHECK

SERUM CORTISOL AND ACTH LEVELS.

B. Perform a diet history and check CBC and FBS.

NURSING 6531 final exam 1 with complete solutions Latest Update

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C. PROVIDE NUTRITIONAL GUIDANCE AND HAVE THE PATIENT RETURN

IN ONE MONTH.

D. Consult home health for intravenous administration

You are assessing a patient after a sports injury to his right knee. You elicit a positive anterior/posterior drawer sign. This test

indicates an injury to the: he

A. LATERAL

MENISCUS B.

CRUCIATE

LIGAMENT

C. medial meniscus

D. COLLATERAL LIGAMENT.

A 32 year old female patient presents with fever, chills, right flank pain, right costovertebral angle tenderness, and hematuria. Her urinalysis is positive for leukocytes and red blood cells. The nurse practitioner diagnoses pyelonephritis. The most appropriate management is:

NURSING 6531 final exam 1 with complete solutions Latest Update

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I nclude 500 mg of oral ciprofloxacin ( Cipro ) twice per day for seven days;

1,000 mg of extended-release ciprofloxacin once per day for seven

days; or 750 mg of levofloxacin ( Levaquin ) once per day for five days.

A middle-aged man presents to urgent care complaining of pain of the medial condyle of the lower humerus. The man works as a carpenter and describes a gradual onset of pain. On exam, the medial epicondyle is tender and pain is increased with flexion and pronation. Range of motion is full The most likely cause of this patient’s pain is:

epicondylitis

NURSING 6531 final exam 1 with complete solutions Latest Update

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The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy

S TO MEASURE ALBUMIN IN A SPOT URINE SAMPLE, COLLECTED

EITHER AS THE FIRST URINE IN THE MORNING OR AT RANDOM, FOR

EXAMPLE, AT THE MEDICAL VISIT. THIS METHOD IS

ACCURATE, :EARLY MORNING

What is the first symptom seen in the majority of patients with Parkinson’s disease? Tremor at rest The most commonly recommended method for prostate cancer screening in a 55 year old male is: digital rectal exams, Martin, age 24, presents with an erythematous ear canal, pain, and a recent history of swimming. What do you suspect? Otitis externa/ swimmer’s ear

NURSING 6531 final exam 1 with complete solutions Latest Update

• Question 29

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WHICH OF THE FOLLOWING SYMPTOMS SUGGESTS A MORE

SERIOUS CAUSE OF BACK PAIN?

Pain associated with lying down at night

A patient taking levothyroxine is being over-replaced. What condition is he at risk for? osteoporosis

NURSING 6531 final exam 1 with complete solutions Latest Update

A Lumbar disc

disease

.

B Spinal stenosis

.

C Traumatic fracture

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1 out of 1 points Which of the following is the most common cause of low back pain? Which is the most common cause of end-stage renal disease in the United States? Diabetes A 77-year-old female presents to the office complaining a sudden swelling on her right elbow. She denies fever, chills, trauma, or pain. The physical exam reveals a non-tender area of swelling over the extensor surface over the right elbow with evidence of trauma or irritation. The nurse practitioner suspects:

NURSING 6531 final exam 1 with complete solutions Latest Update

A Arthritis

.

B Ulnar neuritis

.

C Septic arthritis

.

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NURSING 6531 final exam 1 with complete solutions Latest Update

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A 60 year old female patient complains of sudden onset unilateral, stabbing, surface pain in the lower part of her face lasting a few minutes, subsiding, and then returning. The pain is triggered by touch or temperature extremes. Physical examination is normal. Which of the following is the most likely diagnosis? A. fibromyligia or neuro something 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? Arthritis, C

• QUESTION 34

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1 OUT OF 1 POINTS

A patient exhibits extrapyramidal side effects of antipsychotic medications. Which of the following symptoms would lead you to look for another diagnosis?

NURSING 6531 final exam 1 with complete solutions Latest Update

• Question 38

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HIGH FEVER (102 TO 104 DEGREES F), IRREGULAR PULSE,

ACCELERATED HEARTBEAT (TACHYCARDIA), INCREASED RATE OF

RESPIRATION (TACHYPNEA), MUSCLE RIGIDITY, ALTERED MENTAL

STATUS, AUTONOMIC NERVOUS SYSTEM DYSFUNCTION RESULTING

IN HIGH OR LOW BLOOD PRESSURE, PROFUSE PERSPIRATION, AND

EXCESSIVE SWEATING. CALLED MALIGNANT HYPERTHERMIA” OR

NEUROLEPTIC MALIGNANT SYNDROME HALLUCINATIONS.

Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of: carpal tunnel syndrome The most common cause of elevated liver function tests is: alcohol

NURSING 6531 final exam 1 with complete solutions Latest Update

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1 out of 1 points Reed-Sternberg B lymphocytes are associated with which of the following disorders:

A APLASTIC ANEMIA

.

B HODGKIN’S LYMPHOMA

.

C NON HODGKIN’S

.

lymphoma

D MYELODYSPLASTIC

.

syndromes Which of the following is a potential acquired cause of thrombophilia?

A HOMOCYSTEINURIA

.

B PROTEIN C DEFICIENCY

.

C FACTOR V LEIDEN

.

D ANTIPHOSPHOLIPID

.

antibodies 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:

NURSING 6531 final exam 1 with complete solutions Latest Update

Primary hyperparathyroidism is treated with Vitamin D restriction

Primary hyperparathyroidism is treated with parathyroidectomy

Primary hyperparathyroidism is treated with daily magnesium

Primary hyperparathyroidism is treated with parenteral

parathyroid

hormone (PTH)

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A 25 year old overweight patient presents with a complaint of dull achiness in his groin

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and history of a palpable lump in his scrotum that “comes and goes”. On physical examination, the nurse practitioner does not detect a scrotal mass. There is no tenderness, edema, or erythema of the scrotum, the scrotum does not transilluminate. What is the most likely diagnosis?

A.TESTICULAR TORSION

B.Epididymitis

C. INGUINAL HERNIA

D.Varicocele

Dave, age 38, states that he thinks he has an ear infection because he just flew back from a business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next action?

A. PRESCRIBE NASAL STEROIDS AND ORAL

DECONGESTANTS

B.Prescribe antibiotic eardrops

C. PRESCRIBE SYSTEMIC EARDROPS

D.Refer David to an ear, nose, and throat specialist

NURSING 6531 final exam 1 with complete solutions Latest Update

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A. PRESCRIBE

The physiological explanation of syncope is:

SYNCOPE IS A TRANSIENT LOSS OF CONSCIOUSNESS (TLOC) DUE TO GLOBAL CEREBRAL

HYPOPERFUSION CHARACTERIZED BY RAPID ONSET, SHORT DURATION AND SPONTANEOUS

COMPLETE RECOVERY.

NURSING 6531 final exam 1 with complete solutions Latest Update

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A Weight gain

.

B Fracture risk

.

C Hypoglycem

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A 20 year old male patient complains of “scrotal swelling.” He states his scrotum feels heavy, but denies pain. On examination, the nurse practitioner notes transillumination of the scrotum. What is the most likely diagnosis? hydrocele 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: nclude nitrofurantoin monohydrate/macrocrystals,

trimethoprim-sulfamethoxazole (TMP-SMX), or fosfomycin.

trimethoprim and sulfamethoxazole Diagnostic radiological studies are indicated for low back pain: Diagnostic imaging is indicated for patients with low back pain only if they have severe progressive neurologic deficits or signs or symptoms that suggest a serious or specific underlying condition. In other patients, evidence indicates that routine imaging is not associated with clinically meaningful benefits but can lead to harms. An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for this patient, the nurse practitioner is most concerned with which of the following side effects?

NURSING 6531 final exam 1 with complete solutions Latest Update

D Weight loss

.

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The diagnosis of human papilloma virus (HPV) infection in males is usually made by:

The diagnosis of HPV in men is made when external genital warts are

seen. The diagnosis of genital warts is made by examination of the

lesions

Which history is commonly found in a patient with glomerulonephritis?

upper respiratory tract infection or a skin infection that was

caused by those bacteria

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

The most common presentation of thyroid cancer is:

NURSING 6531 final exam 1 with complete solutions Latest Update

is an asymptomatic thyroid mass or a nodule that can be felt in

• Question^57

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women with a family history of Duchenne or Becker MD may be carriers.

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The obligatory criteria for diagnosis of muscular dystrophy (MD) are:

Genetic testing to evaluate missing or repeated mutations in the dystrophin

gene. A lack of the dystrophin gene can lead to a diagnosis of Duchenne or

Becker MD. The test is important not only to confirm the MD diagnosis in males

but also to determine whether

THE CASE FOR

genetic diagnosis.

ACCURATE DIAGNOSIS OF THE MUSCULAR

DYSTROPHIES IS IMPORTANT FOR PATIENTS, THEIR

FAMILIES, AND EFFICIENT AND COST-EFFECTIVE

USE OF MEDICAL RESOURCES.

NURSING 6531 final exam 1 with complete solutions Latest Update

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(EEG.) The diagnosis which must be considered in a patient who presents with a severe headache of sudden onset, with neck stiffness and fever, is: viral meningitis 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? Hypertensive medication such as hydrochlorothiazides, and other DM2 medications 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?

A.DEMENTIA

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B. Delirium

C. PARKINSON'S DISEASE

D.Depression

Which of the following set of symptoms should raise suspicion of a brain tumor?

HOLOCRANIAL HEADACHES PRESENT IN THE MORNING AND

ACCOMPANIED BY PROJECTILE VOMITING WITHOUT NAUSEA

NURSING 6531 final exam 1 with complete solutions Latest Update

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The cornerstone of treatment for stress fracture of the femur or metatarsal stress fracture is: relative rest-that being the cessation of the offending activity for a period of time until the irritation is eliminated, pain is gone and the bone is given a chance to heal.

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 Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel syndrome. Your next step is to:

A.REFER HER TO A HAND SURGEON

b. take a more complete hx

C. TRY NEUTRAL POSITION WRIST SPLINTING AND ORDER AN ORAL NSAID

d. order a nerve conduction study such as an electromyography (EMG)

Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue syndrome, which have many similarities. Which of the following is more characteristic of fibromyalgia?

A.MUSCULOSCKELETAL PAIN

B.Difficulty sleeping

C. DEPRESSION

D.Fatigue

NURSING 6531 final exam 1 with complete solutions Latest Update

• Question^65

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• Question^66

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The cardinal sign of infectious arthritis is:

AFFECTED JOINT IS PAINFUL AT REST, WITH MOVEMENT AND WEIGHT

BEARING

NURSING 6531 final exam 1 with complete solutions Latest Update