NURS 6501N FINAL EXAM NURS-6501N FINAL EXAM 2 |100 Q& A in Each Version, Verified and 100, Exams of Nursing

Download NURS 6501N FINAL EXAM NURS-6501N FINAL EXAM 2 |100 Q& A in Each Version, Verified and 100 and more Exams Nursing in PDF only on Docsity! pg. 1 1 NURS 6501N FINAL 2 EXAM NURS-6501N FINAL EXAM |100 Q & A in Each Version, Verified and 100 % Correct| Question 1 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 2 1 out of 1 points Cystic fibrosis is characterized by which symptom? Selected Answer: Excessive mucus production Question 3 1 out of 1 points What is the primary pathologic alteration resulting from ankylosing spondylitis (AS)? Selected Answer: Inflammation of fibrocartilaginous joints of the vertebrae Question 4 1 out of 1 points pg. 2 2 Which spinal tract carries the most nociceptive information? Selected Answer: Lateral spinothalamic Question 5 1 out of 1 points Parents bring their 1-year-old child to the emergency department, reporting that the child has been irritable and pounding on her head, has projectile vomiting, and seems very sleepy for most of the last 3 days. What diagnostic testing does the healthcare professional prepare the child and parents for as the priority? Selected Lumbar puncture with CSF cultures pg. 5 5 the professional would be best in working with this patient? Selected Answer: Provide speech therapy. Question 16 1 out of 1 points What are the clinical manifestations of testicular cancer? Selected Answer: Firm, nontender testicular mass Question 17 1 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? Selected Answer: 1cWe are planning to get your disease in remission, but it will be hard.1d Question 18 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? Selected Answer: Tendinitis of the anterior patellar tendon Question 19 1 out of 1 points Which statement by the healthcare professional accurately describes childhood asthma? Selected Answer: An obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation. Question 20 1 out of 1 points A mother reports that her young teens have voracious appetites. The healthcare pg. 6 6 professional would explain that which hormone is linked to an increase in appetite during puberty? Selected Answer: Lepti n Question 21 1 out of 1 points What directly causes ovulation during the menstrual cycle? Selected Answer: Sudden increase of LH Question 22 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? Selected Answer: We can test your blood for factor V Leiden. Question 23 1 out of 1 points A professor explains to a class that the reason lymph nodes enlarge and become tender during infection is because of what reason? Selected Answer: B. Lymphocytes proliferate Question 24 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 25 1 out of 1 points pg. 7 7 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 26 1 out of 1 points A person has abnormally severe tooth decay and erosion of the tooth enamel. What problem should the health care professional assess the person for? Selected Answer: Bulimia 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 indicates the professional needs to provide more information? Selected Answer: Neonatal infection with HSV rarely occurs in the intrapartum or postpartum period. Without prior exposure to an antigen, which cells are able to destroy some types of tumor cells and some virus-infected cells? Selected Answer: Natural killer (NK) cells Which statement by the professor best describes acute respiratory distress syndrome (ARDS)? Selected A pulmonary disease characterized by severe hypoxemia, decreased • Question 29 1 out of 1 points • Question 28 1 out of 1 points • Question 27 1 out of 1 points pg. 10 10 the higher centers in the central nervous system (CNS) modulates the transmission of pain? Selected Answer: Gate control theory (GCT) 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 Which statement by the healthcare professional accurately describes childhood asthma? Selected Answer: An obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation A patient has a spinal cord injury at C4. What should the healthcare professional assess as the priority in this patient? Selected Answer: Respirations Why is nasal congestion a serious threat to young infants? Selected Answer: Infants are obligatory nose breathers. • Question 44 1 out of 1 points • Question 43 1 out of 1 points • Question 42 1 out of 1 points • Question 41 1 out of 1 points • Question 40 1 out of 1 points pg. 11 11 A patient is in the Emergency Department with heat stroke. What finding does the healthcare provider associate with this condition? Selected Answer: Absence of sweating despite a high core temperature A student is learning about pelvic inflammatory disease (PID). What information does the student clarify with a study partner as being correct? Selected Answer: Such an inflammation may result in permanent changes to the ciliated epithelium of the fallopian tubes. 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 Which immunoglobulin (Ig) is present in childhood asthma? Selected Answer: IgE To quickly assess a patient's nervous system for dysfunction, what assessment should the healthcare professional perform as the priority? Selected Answer: Level of consciousness • Question 49 1 out of 1 points • Question 48 1 out of 1 points • Question 47 1 out of 1 points • Question 46 1 out of 1 points • Question 45 1 out of 1 points pg. 12 12 An adult patient has been hospitalized with thrombocytopenia with a platelet count of 8000/mm 3. What action by the healthcare professional is most appropriate? Selected Answer: Tell the patient not to get out of bed without assistance. 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. 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? Selected Answer: Assist the man in obtaining a urine sample. A patient has been hospitalized with Guillain-Barré syndrome (GBS). The patient asks how this could have occurred. What response by the healthcare professional is best? Selected Answer: It is often preceded by a viral illness. A student asks the healthcare professional why researchers are trying to link specific genes to specific asthma phenotypes. What response by the professional is best? Selected Answer: It can lead to personalized approaches to treatment. • Question 54 1 out of 1 points • Question 53 1 out of 1 points • Question 52 1 out of 1 points • Question 51 1 out of 1 points • Question 50 1 out of 1 points pg. 15 15 A patient is 8 hours postoperative after a long orthopedic procedure. The student asks why this patient is at particular risk of developing a thromboembolism. What response by the healthcare professional is best? Selected Answer: Patients tend to have venous stasis from orthopedic operations. What is the effect of low plasma albumin? Selected Answer: Osmotic pressure decreases; thus water moves from the capillaries to the interstitium. Which patient finding would lead the health care professional to assess the patient for inflammatory joint disease? Selected Answer: Systemic symptoms of inflammation A child has osteosarcoma and the healthcare team is assessing for metastases. What diagnostic study would be the priority? Selected Answer: Chest x-ray or CT scan Compared with an adult, an infant has a greater content of extracellular fluid, as well as a greater rate of fluid exchange. What effect does this have on the fluid balance of a child compared with that of an adult? • Question 68 1 out of 1 points • Question 67 1 out of 1 points • Question 66 1 out of 1 points • Question 65 1 out of 1 points • Question 64 1 out of 1 points pg. 16 16 • Question 70 1 out of 1 points Selected Answer: The control of dehydration is more difficult. Which immunoglobulin (Ig) is present in childhood asthma? Selected Ig Answer: E Which mother does the healthcare professional prepare to administer Rh immune globulin (Rho-GAM) to? Selected Answer: Is Rh-negative and the fetus is Rh- positive A patient is in status epilepticus. In addition to giving medication to stop the seizures, what would the healthcare professional place highest priority on? Selected Answer: Providing oxygen 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: Sexual partners should be treated even if they are asymptomatic. 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 • Question 73 1 out of 1 points • Question 72 1 out of 1 points • Question 71 1 out of 1 points • Question 69 1 out of 1 points pg. 17 17 puberty? Selected Answer: Lepti n 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 Answer: Erythropoietin A man has balanitis. What action by the healthcare professional is most appropriate? Selected Answer: Perform a finger stick for a blood glucose reading. A pregnant woman is seen for the first time at 6 months' gestation and has not taken prenatal vitamins. The healthcare professional educates the woman on the need for a blood test specifically to assess what substance? Selected Answer: a-F etoprotein 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 echocardiogra m • Question 78 • Question 77 1 out of 1 points • Question 76 1 out of 1 points • Question 75 1 out of 1 points • Question 74 1 out of 1 points pg. 20 20 acetabulum but is not well seated within the hip joint? Selected Answer: Subluxated hip Question 88 1 out of 1 points A hospitalized patient's lab work is as follows: WBC 2000, bands 14.8%, and segmented neutrophils 5. The healthcare professional calculates the patient's absolute neutrophil count (ANC). What action does the professional take next? Selected Answer: Implements protocols to prevent life-threatening infections Question 89 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: Flaccid response in the upper and lower extremities Question 90 1 out of 1 points In infectious mononucleosis (IM), what does the Monospot test detect? Selected Answer: Immunoglobulin M (IgM) Question 91 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 92 1 out of 1 points pg. 21 21 Which condition is consistent with the cardiac defect of transposition of the great vessels? Selected Answer: The aorta arises from the right ventricle. 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? Selected Answer: One part of the intestine telescopes into another section of the intestine. 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 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 The healthcare professor states that a patient has reached pain tolerance. What further information from the professor is most accurate? Selected Answer: The patient cannot endure a higher level of pain intensity at this point. • Question 96 1 out of 1 points • Question 95 1 out of 1 points • Question 94 1 out of 1 points • Question 93 1 out of 1 points pg. 22 22 Tuesday, August 11, 2020 5:20:44 PM EDT OK 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. How is gonorrhea transmitted from a pregnant woman to her fetus? Selected Answer: Predominately through infected cervical and secretions during the birth process What is the first indication of nephrotic syndrome in children? Selected Answer: Periorbital edema Hypothalamic-pituitary-adrenal (HPA) system abnormalities exist in a large percentage of individuals with what? Selected Answer: Major depression When completing this exam, did you comply with Walden University's Code of Conduct including the expectations for academic integrity? Selected Ye Answer: s • Question 101 0 out of 0 points • Question 100 1 out of 1 points • Question 99 1 out of 1 points • Question 98 1 out of 1 points • Question 97 1 out of 1 points