Walden University HLTH MISC Week 1-6 Quiz and answers Complete solution, Exams of Nursing

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• Question 1

Telemedicine is defined as

1 out of 1 points

Selected

Answer: When care is provided remotely and the provider and patient are

not physically present with each other

Answers:

When care is provided remotely and the provider and patient are

not physically present with each other

When care is provided remotely and the provider and patient are physically present with each other Remote care that is challenging and only used for psychiatric patients

Remote care provided to patients by providers and does not require HIPPA

compliant video conferencing

• Question 2

What are the main benefits to the NP of NP practice ownership?

1 out of 1

points

Selected

Answer: All of the above

Answers: Decides^ on^ the^ length^ of^ patient^ visits^ and

how the practice is the run Chooses employees and controls qualities May titrate workload to income A and B only

• Question

All of the above

1 out of 1 points

Different states have different titles for NPs. All of the following are recognized titles for Nurse

Practitioners EXCEPT: How is the NP titled in your state? Also list the titles for NPs in two neighboring states.

Selected

Answer: Registered Nurse

Practitioner Provider

Answers:

Advanced Practice Registered Nurse Advanced Registered Nurse Practitioner Certified Nurse Practitioner

• Question

Registered Nurse Practitioner Provider

1 out of 1 points

A 55 year old male was admitted to hospital. The patient's mother wants to know what is happening with her son’s health. The provider begins to share medical information with mom. There is no signed HIPPA waiver in patients chart. This is not a HIPPA violation considering this is the patient’s mother,

Selected

Answer:

Fals

e

Answers: True

• Question

Fal

s e

1 out of 1 points

It is vital for an NP to obtain a family history because

Selected

Answer: B and C correct

Answers: Teaches^ you^ to^ have^ biases^ about

your care Indicate need for Genetic testing

Guide the decision for Diagnostic testing B and C correct

• Question

All of the above

1 out of 1 points

PhRMA will allow pharmaceutical companies to buy meals for clinicians if:

Selected

Answer: Occasional basis during lunchtime

Answers:

Occasional basis during lunchtime

Every other week during lunchtime As often as desires at any time of day

• Question

Dinner time only

1 out of 1 points

When giving patients written information, what is the suggested reading level for that health information?

Selected

Answer: 5 th^ grade

Answers: 10

th gra (^) de 7 th grad e 1 st grad e

• Question

5 th^ grade

1 out of 1 points

Release of information (ROI) to third parties requires authorization by the patient or his or her legal representative. True or False?

Selected

Answer:

True

Answers:

• Question

Tru

e

Fal

s e

0 out of 1 points

In 1997, Medicare reimbursement to NPs regardless of their geographic area of practice was authorized by Congress.

Selected

Answer:

True

Answers: True

Fals

e

• Question 10

1 out of 1 points

If an NP is at a social gathering and someone casually asks his/her medical opinion, that NP could be liable if something goes wrong. True or false?

Selected

Answer:

True

Answers:

True

Fal

s e

• Question

1 1 out of 1 points

If an NP is sued, it is important that the NP not call the insurance company immediately so as to prevent the rates from increasing. True or false?

Selected

Answer:

Fals

e

Answers: True

• Question

Fal

s e

1 out of 1 points

Standard of care is the use of unreasonable, extraordinary care, skill, and diligence as an NP in the type of patient practice in similar cases.

Selected

Answer:

Fals

e

Answers: True

• Question

Fal

s e

1 out of 1 points

How can an NP prevent lawsuits?

Selected

Answer: All of the above

Answers:

Establish a positive patient-provider relationship Follow the standard of care and utilize the practice guidelines in developing a treatment plan When in doubt, rule out the worse diagnoses early on A and B only

• Question

4 All of the above

1 out of 1 points

An occurrence policy covers any incident that occurred while the NP was insured. A claims made policy covers an NP only when the insurance policy is active, no matter when the incident occurred.

Selected

Answer:

True

Answers:

• Question

Tru

e

Fal

s e

1 out of 1 points

A court can revoke an NP’s license. True or False?

Selected

Answer:

Fals

e

Answers: True

Respons

e

Feedbac

k:

• Question

Fal

s e

A board of nursing can suspend or revoke an NP’s license.

1 out of 1 points

If a patient is dismissed from a practice, it is important that certain rules are followed. A patient should be sent a dismissal letter by First Class mail with return receipt requested. What elements need to be included in the letter?

Selected

Answer: The^ last^ day^ the^ practitioner^ will^ be^ available^ to^ render^ medical^ care,^ which

should be at least 30 days; indication that med refills will be provided during this

period; alternative sources of medical care; how to obtain medical records

Answers:

The last day the practitioner will be available to render medical care, which should

be at least 30 days; indication that med refills will be provided during this period;

alternative sources of medical care; how to obtain medical records

The last day the practitioner will be available to render

medical care, which can be immediately; referral information to another provider, and how to obtain medical records

Notice of immediate discharge from the practitioners care, prescriptions for 30 days of their medications, and how to obtain medical records

The last day the practitioner will be available to render medical care, which should

be at least 60 days; indication that med refills will not be provided during this

period; referral to new provider; how to obtain medical records

• Question 7

0 out of 1 points

Medicare is a program that is administered by the federal government.

Selected

Answer:

Fals

e

Answers:

• Question

Tru

e

Fal

s e

1 out of 1 points

The review of systems (ROS) is documented in the Physical Exam section of the visit.

Selected

Answer:

Fals

e

Answers: True

• Question

Fal

s e

1 out of 1 points

Name four of the seven vital signs that can be included when documenting the constitutional

part of the general multisystem examination

Selected

Answer: Sitting or standing BP, supine BP, pulse rate and regularity,

respiration, temperature, height, weight

Answers:

Sitting or standing BP, supine BP, pulse rate and regularity,

respiration, temperature, height, weight

Sitting, lounging, lifting, and moving Heart rate, walking straight line, squatting, and arm raise Blood pressure, pulse, oxygen saturation, BMI

• Question 10

0 out of 1 points

Patient handoff means to the transfer of care of a patient from one practitioner to another.

Selected

Answer:

Fals

e

Answers:

• Question

Tru

e

Fal

s e

1 out of 1 points

The NP recognizes common causes of tympanic membrane perforation include:

Selected

Answer: barotrauma, physical trauma, blast injury, pressure and inflammation

of AOM

Answers:

sinus inflammation, external ear canal irritation, barotrauma barotrauma, physical trauma, blast injury, pressure and inflammation of AOM pressure and inflammation of AOM, tugging on the ear, physical trauma

• Question

sinus infection, pharyngitis, and barotrauma

1 out of 1 points

What is normal intraocular pressure?

Selected

Answer: (^) 10—20 mm

hg

Answer

s: 5-8 mm hg

2-4 mm hg

• Question

10—20 mm hg

50 mm hg or greater

1 out of 1 points

Common symptoms of a hordeolum include warm, tender, and red eyelid.

Selected

Answer:

True

Answers:

• Question

Tru

e

Fal

s e

1 out of 1 points

Rhinitis medicamentosa is a condition in which nasal decongestants are overused and the patient’s congestion has worsened.

Selected

Answer:

True

Answers:

• Question

Tru

e

Fal

s e

1 out of 1 points

The NP recognizes common symptoms for allergic rhinitis include:

Selected

Answer: Runny nose and itchy eyes

Answers:

Bloody nasal discharge

Runny nose and itchy eyes

Purulent nasal discharge

• Question

Cough and fever

1 out of 1 points

Match the definitions using the following three terms: hyposmia; anosmia, parosmia. o

Question

Correct

Match

Selected

Match

Olfactory dysfunction

(loss of smell) A.

anosmi a

A.

anosmia

Smell distortion B.

parosmia

B.

parosmia Diminished sense of

smell: C.

hyposm ia

C.

hyposmia o

All

Answer

Choices

A.

anosmia

B.

parosmia

C.

hyposmia o

• Question 7

The NP recognizes characteristics of acute sinusitis include:

1 out of 1 points

Selected

Answer: nasal congestion, facial/dental pain, postnasal drip, fever, yellow/green

nasal discharge, headache

Answer

s:

nasal congestion, facial/dental pain, postnasal drip, fever, yellow/green nasal

discharge, headache

clear nasal drainage, cough, and wheezing

Cough, wheezing, post nasal drip, and afebrile

• Question

Headache, afebrile, sneezing, cough

1 out of 1 points

The Centor criteria have been shown to be predictive of a positive diagnosis of in adult patients.

Selected

Answer: Group A streptococcal pharyngitis

Answers:

Staphylococcus

Group A streptococcal pharyngitis

Group B streptococcal pharyngitis

• Question

H.

Influenza

1 out of 1 points

All of the following can lead to recurrent epistaxis: hemophilia, Von Willebrand disease, hereditary hemorrhagic telangiectasia, and thrombocytopenia

Selected

Answer:

True

Answers:

True

Fal

s e

• Question 10

1 out of 1 points

A 15 year old child with sore throat comes to clinic and rapid strep is positive for strep. The NP will more than likely treat patient with:

Selected

Answer: All of the above

Answers: PCN V 500 mg bid

x10 days Salt water gargles Throat lozenges

• Question

All of the above

1 out of 1 points

COPD beings earlier in life while asthma symptoms don't usually appear until midlife

Selected

Answer:

Fals

e

Answers: True

• Question

Fal

s e

1 out of 1 points

How would you interpret this EKG?

Selected

Answer: Second degree

heart block Mobitz Type 2

Answer

s:

STEMI

Second degree heart block Mobitz Type 2 Atrial fibrillation

• Question

Ventricular tachycardia

1 out of 1 points

A PPD skin test result that is a bright-red color and is not indurated is a positive result.

Selected

Answer:

Fals

e

Answers: True

• Question

Fal

s e

1 out of 1 points

In patients with hypertension, salt should be restricted to a maximum of grams per day.

Selected

Answer:

Answers: 1.

• Q

u

e

s

t

i

on 5

1 out of 1 points Classify the following diuretics as either thiazide diuretics, loop diuretics, or potassium

sparing diuretics. o Question Correc t Match Selected Match Hydrochlorothiazide: Spironolactone: Chlorthalidone: _ Eplerenone: Furosemide: Bumetanide: Torsemide: _ A. thiazide B. potassiu m sparing C. thiazide D. potassiu m sparing E. loop F. loop G. loop A. thiazide B. potassiu m sparing C. thiazide D. potassiu m sparing E. loop F. loop G. loop o All Answer Choices A. thiazide B. potassium sparing C. thiazide D. potassium sparing

E.

loop

F.

loop

G.

loop o

• Question 6

What is the leading cause of death for women in the United States?

Selected

Answer:

Cardiovascul ar disease

1 out of 1 points

Answer

s: Lung disease

Cardiovascular disease

• Question

Breast cancer Neuromuscul ar disease

1 out of 1 points

How would you interpret this EKG?

Selected

Answer: Atrial fibrillation

Answers:

STEMI

First degree heart block Atrial fibrillation

• Question

Sinus rhythm

1 out of 1 points

How would you interpret this EKG?

Selected

Answer:

Ventricular tachycardia

Answer

s: STEMI

Third degree heart block Atrial fibrillation

• Question

Ventricular tachycardi a

1 out of 1 points

All are a risk factor for COPD except:

Selected

Answer: airway hyporeactivity

Answers:

cigarette smoking

airway hyporeactivity

childhood respiratory infections

• Question

occupational exposures

1 out of 1 points

Treatment of an abdominal aortic aneurysm is recommended when it has grown to greater than in diameter.

Selected

Answer: 5.5

Answers: 4.0