Download NURS 6501N Final Exam NURS6501 Final Exam (100% Correct Answers and more Exams Nursing in PDF only on Docsity! NURS 6501N Final Exam / NURS6501 Final Exam: (100% Correct Answers 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 Cystic fibrosis is characterized by which symptom? Selected Answer: Excessive mucus production What is the primary pathologic alteration resulting from ankylosing spondylitis (AS)? Selected Answer: Inflammation of fibrocartilaginous joints of the vertebrae Which spinal tract carries the most nociceptive information? Selected Answer: Lateral spinothalamic 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 Answer: Lumbar puncture with CSF cultures A patient reports frequent nightmares. For which of these should the healthcare professional assess the patient? • Question 6 1 out of 1 points • Question 5 0 out of 1 points • Question 4 1 out of 1 points • Question 3 1 out of 1 points • Question 2 1 out of 1 points • Question 1 1 out of 1 points NURS 6501N Final Exam / NURS6501 Final Exam: (100% Correct Answers Selected Answer: History of traumatic event A newborn baby displays jaundice 20 hours after birth. What action by the healthcare professional is most appropriate? Selected Answer: Draw blood to measure total bilirubin. Local signs and symptoms of Hodgkin disease-related lymphadenopathy are a result of what? Selected Answer: Pressure and obstruction Which bones are affected in Legg-Calvé-Perthes disease? Selected Answer: Heads of the femur 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. A newborn has meconium ileus. What diagnostic test does the healthcare professional advise the parents about? Selected Answer: A sweat test • Question 12 1 out of 1 points • Question 11 1 out of 1 points • Question 10 1 out of 1 points • Question 9 1 out of 1 points • Question 8 1 out of 1 points • Question 7 1 out of 1 points NURS 6501N Final Exam / NURS6501 Final Exam: (100% Correct Answers during infection is because of what reason? Selected Answer: The nodes are inflamed. A healthcare professional advises a pregnant woman to add supplements of which nutrient to her diet to prevent birth defects? Selected Answer: Folat e 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 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: The risk is higher when internal fetal monitoring devices are used. Without prior exposure to an antigen, which cells are able to destroy some types of tumor cells and some virus-infected cells? • Question 28 1 out of 1 points • Question 27 0 out of 1 points • Question 26 1 out of 1 points • Question 25 1 out of 1 points • Question 24 1 out of 1 points NURS 6501N Final Exam / NURS6501 Final Exam: (100% Correct Answers Selected Answer: Natural killer (NK) cells 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 What is the role of thromboxane A (TXA 2) in the secretion stage of hemostasis? Selected Answer: Stimulates the synthesis of serotonin. Parents report their 3-week-old infant who eats well and has gained weight began to have projectile vomiting for no apparent reason. What treatment option does the healthcare professional prepare to educate the parents on? Selected Answer: Corrective surgery A child has Duchenne muscular dystrophy. What complication does the healthcare professional teach the parents is most important to control? Selected Answer: Respiratory infection 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 A criterion for a diagnosis of generalized anxiety disorder (GAD) is a period of excessive • Question 34 1 out of 1 points • Question 33 0 out of 1 points • Question 32 1 out of 1 points • Question 31 1 out of 1 points • Question 30 0 out of 1 points • Question 29 1 out of 1 points NURS 6501N Final Exam / NURS6501 Final Exam: (100% Correct Answers worrying that lasts for at least how many months? Selected 6 Answer: A patient has been diagnosed with lithium toxicity. Which electrolyte imbalance does the healthcare professional correlate with this condition? Selected Answer: Hyponatremia 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. Gait disturbances and instability are characteristic of which form of cerebral palsy? Selected Answer: Ataxi c A healthcare professional works with recent refugees. A mother brings in her children who have been diagnosed with iron deficiency anemia. What action by the professional is most appropriate? Selected Answer: Arrange to test for parasitic infections. 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 Gate control theory • Question 39 1 out of 1 points • Question 38 1 out of 1 points • Question 37 1 out of 1 points • Question 36 1 out of 1 points • Question 35 1 out of 1 points NURS 6501N Final Exam / NURS6501 Final Exam: (100% Correct Answers 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. The disruption in cellular adhesion observed in bullous impetigo is caused by an exfoliative toxin related to which organism? Selected Answer: Staphylococcus aureus A healthcare professional is seeing a patient with suspected schizophrenia. For which prenatal occurrence should the professional assess? Selected Answer: Viral infection In order to help prevent a preadolescent girl from developing later cervical cancer, which virus does the healthcare professional recommend vaccination against to the parent? • Question 56 1 out of 1 points • Question 55 1 out of 1 points • Question 54 1 out of 1 points • Question 53 1 out of 1 points • Question 52 1 out of 1 points NURS 6501N Final Exam / NURS6501 Final Exam: (100% Correct Answers Selected Answer: Human papillomavirus (HPV) A child has cystic fibrosis (CF). Which medication does the healthcare professional teach the parents about? Selected Answer: Pancreatic enzymes A healthcare professional is discussing breast feeding with a pregnant woman. Which beneficial substance does the professional tell the mother is found in breast milk? Selected Answer: IgA Which condition is considered a clinical cause of amenorrhea? Selected Answer: Failure to ovulate A person comes to the healthcare clinic and reports night sweats and fever. The healthcare professional obtains a chest x-ray which shows a mediastinal mass. What other assessment or diagnostic test does the professional provide as a priority? Selected Answer: Listen to heart sounds. What initiates inflammation in acute poststreptococcal glomerulonephritis? Selected Answer: Immune complexes The student asks the professor for a definition of orexigenic neurons. What description • Question 62 1 out of 1 points • Question 61 1 out of 1 points • Question 60 1 out of 1 points • Question 59 1 out of 1 points • Question 58 1 out of 1 points • Question 57 1 out of 1 points NURS 6501N Final Exam / NURS6501 Final Exam: (100% Correct Answers by the professor is most accurate? Selected Answer: Promote appetite and stimulate eating 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 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. 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? Selected Answer: Dysrhythmias 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? • Question 67 1 out of 1 points • Question 66 1 out of 1 points • Question 65 0 out of 1 points • Question 64 1 out of 1 points • Question 63 1 out of 1 points NURS 6501N Final Exam / NURS6501 Final Exam: (100% Correct Answers 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 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 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 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 In immunoglobulin G (IgG) nephropathies such as glomerulonephritis, IgG is deposited in which location? Selected Answer: Glomerulus basement membranes A patient has been exposed to prolonged high environmental temperatures and now • Question 84 1 out of 1 points • Question 83 1 out of 1 points • Question 82 1 out of 1 points • Question 81 1 out of 1 points • Question 80 1 out of 1 points • Question 79 1 out of 1 points NURS 6501N Final Exam / NURS6501 Final Exam: (100% Correct Answers shows signs of dehydration, decreased plasma volumes, hypotension, decreased cardiac output, and tachycardia. What treatment does the healthcare professional prepare to administer to this patient? Selected Answer: Give the patient plenty of cool fluids to drink. What does the student learn distinguishes kwashiorkor from marasmus? Selected Answer: Muscle wasting, diarrhea, low hemoglobin, and infection characterize kwashiorkor. 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? Selected Answer: Limb-salvaging surgery 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? Selected Answer: Subluxated hip 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 A patient has damage to the lower pons and medulla. What finding does the healthcare professional associate with this injury? • Question 89 0 out of 1 points • Question 88 1 out of 1 points • Question 87 1 out of 1 points • Question 86 1 out of 1 points • Question 85 0 out of 1 points NURS 6501N Final Exam / NURS6501 Final Exam: (100% Correct Answers Selected Answer: Flexion with or without extensor response of the lower extremities In infectious mononucleosis (IM), what does the Monospot test detect? Selected Answer: Immunoglobulin M (IgM) 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. 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 • Question 95 1 out of 1 points • Question 94 1 out of 1 points • Question 93 1 out of 1 points • Question 92 1 out of 1 points • Question 91 1 out of 1 points • Question 90 1 out of 1 points