Download NURS 6501N Final Exam 1 (August 2020 - 100 out of 100) and more Exams Nursing in PDF only on Docsity! NURS 6501N Final Exam 1 (August 2020 - 100 out of 100). NURS 6501N Final Exam 1 (August 2020 - 100 out of 100). Status Completed Attempt Score 100 out of 100 points Question 1 A woman diagnosed with trichomoniasis asks if her sexual partner should be treated as well. What is the appropriate response by the healthcare professional? Selected Answer: Question 2 Sexual partners should be treated even if they are asymptomatic. 1 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? Selected Answer: Question 3 Measure the head circumference and plot it on a growth chart. 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? Selected Answer: Increased blood viscosity 1 out of 1 points NURS 6501N Final Exam 1 (August 2020 - 100 out of 100). Question 4 1 out of 1 points When are childhood cancers most often diagnosed? Selected Answer: Question 5 At peak times of physical growth 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? Selected Answer: Have lab drawn for electrolyte levels. • Question 6 1 out of 1 points What is the link between major depression and cortisol secretion? Selected Answer: Individuals with depression show that persistently elevated plasma cortisol levels can result in inflammation that is believed to trigger depression. • 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? Selected Answer: Reduction and immobilization • Question 8 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? Selected Erythropoietin NURS 6501N Final Exam 1 (August 2020 - 100 out of 100). student makes which statement about treating bone infection? Selected 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? Selected Answer: 30 years • Question 20 1 out of 1 points What is the link between major depression and cortisol secretion? Selected 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? Selected Answer: Heme destruction exceeds the liver's ability to conjugate and excrete bilirubin. • Question 22 1 out of 1 points Which cells function to maintain bone matrix? Selected Answer: Osteocytes • Question 23 1 out of 1 points NURS 6501N Final Exam 1 (August 2020 - 100 out of 100). A child has Duchenne muscular dystrophy and the parents want to know how this occurred. Which statement by the healthcare professional is most accurate? Selected 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? Selected 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? Selected 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? Selected 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? Selected Answer: Presence of red blood cells • Question 28 1 out of 1 points NURS 6501N Final Exam 1 (August 2020 - 100 out of 100). A patient has been diagnosed with lithium toxicity. Which electrolyte imbalance does the healthcare professional correlate with this condition? Selected Answer: Hyponatremia • Question 29 1 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? Selected Answer: Measure expiratory flow rate with spirometry testing • 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? Selected 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? Selected Answer: Infusion of IVIG • Question 32 1 out of 1 points What is the consequence of a splenectomy? Selected Answer: The number of defective cells in circulation increases. NURS 6501N Final Exam 1 (August 2020 - 100 out of 100). Selected Answer: Renal failure • Question 43 1 out of 1 points Clinical manifestations that include irregular or heavy bleeding, the passage of large clots, and the depletion of iron stores support which diagnosis? Selected Answer: Dysfunctional uterine bleeding • Question 44 1 out of 1 points A child has osteosarcoma and the healthcare team is assessing for metastases. What diagnostic study would be the priority? Selected 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? Selected Answer: Vitamin B 12 injections initially given once a week. • Question 46 1 out of 1 points The health care professional is caring for a person who has a pathologic fracture. The patient asks the professional to explain the condition. What response by the professional is best? Selected Answer: A fracture that happens at the site of an abnormality already in that bone. • Question 47 1 out of 1 points A student asks the health care professional why obese people are at higher risk for NURS 6501N Final Exam 1 (August 2020 - 100 out of 100). hypertension than non-obese individuals. What response by the professional is best? Selected 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? Selected Answer: Autonomic hyperreflexia • Question 49 1 out of 1 points What is the most abundant class of plasma protein? Selected Answer: Albumin • Question 50 1 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? Selected Answer: Folate deficiency anemia • Question 51 1 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? Selected Answer: 1cHave you ever noticed any blood in your stool? 1d • Question 52 1 out of 1 points NURS 6501N Final Exam 1 (August 2020 - 100 out of 100). A child has iron deficiency anemia. In addition to iron supplements, what else does the healthcare professional educate the parents on giving the child? Selected Answer: Vitamin C • Question 53 1 out of 1 points A healthcare professional is planning a community event to reduce risk of cerebrovascular accident (CVA) in high risk groups. Which group would the professional target as the priority? Selected 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? Selected Answer: Folic acid absorption is dependent on the enzyme folacin. • Question 55 1 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? Selected Answer: Peripheral Vasoconstriction • 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? Selected Answer: Immunize the newborn within 12 hours. NURS 6501N Final Exam 1 (August 2020 - 100 out of 100). 1 out of 1 points Cystic fibrosis is characterized by which symptom? Selected Answer: Excessive mucus production • Question 68 1 out of 1 points To quickly assess a patient's nervous system for dysfunction, what assessment should the healthcare professional perform as the priority? Selected Answer: Pattern of breathing • 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? Selected 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? Selected Answer: Folat 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? Selected Answer: Tertiar y NURS 6501N Final Exam 1 (August 2020 - 100 out of 100). • 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 health care professional is best? Selected Answer: It reduces the production of prostaglandins in your body. • Question 73 1 out of 1 points A healthcare professional has taught a parent group about the causes of enuresis. What statement by a parent indicates the professional needs to give more information? Selected Answer: Elevated nocturnal levels of vasopressin may cause enuresis. • Question 74 1 out of 1 points An infant has gluten-sensitive enteropathy and the parents ask the healthcare professional to explain why the baby bruises so easily. The professional explains that the baby has which deficit? Selected Answer: Vitamin K deficiency from fat malabsorption • Question 75 1 out of 1 points A child has phenylketonuria (PKU). The healthcare professional educates the parents on the special diet needed, telling them that children with PKU are unable to synthesize what? Selected Answer: Essential amino acid, phenylalanine, to tyrosine • Question 76 1 out of 1 points A healthcare professional had taught a pregnant woman about the risk of transmitting herpes simplex virus (HSV) from her to her fetus. What statement by the woman NURS 6501N Final Exam 1 (August 2020 - 100 out of 100). indicates the professional needs to provide more information? Selected Answer: Neonatal infection with HSV rarely occurs in the intrapartum or postpartum period. • Question 77 1 out of 1 points Prenatal exposure to diethylstilbestrol (DES) can result in which type of cancer? Selected Answer: Vaginal cancer • Question 78 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? Selected Answer: Reduction and immobilization • Question 79 1 out of 1 points What congenital malformation is commonly linked to acute leukemia in children? Selected Answer: Down syndrome • Question 80 1 out of 1 points Which pain theory proposes that a balance of impulses conducted from the spinal cord to the higher centers in the central nervous system (CNS) modulates the transmission of pain? Selected Answer: Gate control theory (GCT) • Question 81 1 out of 1 points NURS 6501N Final Exam 1 (August 2020 - 100 out of 100). inflammatory joint disease? Selected Answer: Systemic symptoms of inflammation • Question 92 1 out of 1 points A parent brings a 10-year-old child to the clinic and reports a mottled appearance to the skin and legs cramps when the child is in physical education class. Physical assessment positive for upper extremity hypertension. What diagnostic testing or treatment does the healthcare professional prepare the family for? Selected Answer: An echocardiogram • Question 93 1 out of 1 points A patient has been diagnosed with acute lymphocytic leukemia (ALL) and asks the healthcare professional to describe it. What description by the professional is most accurate? Selected Answer: ALL is a progressive neoplasm defined by the presence of greater than 30% lymphoblasts in the bone marrow or blood. • Question 94 1 out of 1 points A patient has damage to the lower pons and medulla. What finding does the healthcare professional associate with this injury? Selected Answer: Flexion with or without extensor response of the lower extremities • Question 95 1 out of 1 points How should the healthcare professional reply when parents question why a computed tomographic (CT) scan of the head was not ordered for their 5-year-old child after a minor fall? Selected Answer: Research suggests that repeated CT scans can increase the risk of developing brain cancer. NURS 6501N Final Exam 1 (August 2020 - 100 out of 100). • Question 96 0 out of 1 points A patient is in the intensive care unit and has intercranial pressure (ICP) monitoring. The patient's ICP is 17 mmHg. The healthcare professional notes that the chart indicates the patient is now in stage 1 intracranial hypertension. What assessment finding does the professional associate with this condition? Selected Answer: A widened pulse pressure and bradycardia • Question 97 1 out of 1 points A baby is born with a myelomeningocele and needs urgent surgery to repair the defect. The parents want to take the baby home instead. What does the healthcare professional tell the parents about the purpose of this surgery? Selected Answer: 1cAdditional nervous system damage will occur the longer we wait. 1d • Question 98 1 out of 1 points An infant has gluten-sensitive enteropathy and the parents ask the healthcare professional to explain why the baby bruises so easily. The professional explains that the baby has which deficit? Selected Answer: Vitamin K deficiency from fat malabsorption • Question 99 1 out of 1 points Which statement by the professor best describes acute respiratory distress syndrome (ARDS)? Selected Answer: A pulmonary disease characterized by severe hypoxemia, decreased pulmonary compliance, and the presence of bilateral infiltrates on chest x-ray imaging • Question 100 1 out of 1 points A healthcare professional advises a pregnant woman to add supplements of which NURS 6501N Final Exam 1 (August 2020 - 100 out of 100). nutrient to her diet to prevent birth defects? Selected Answer: Selected Answer: Folat e Ye s Sunday, August 16, 2020 10:17:56 PM EDT