NURS 6531 MIDTERM EXAM / NURS6531 MIDTERM EXAM (2 VERSIONS) (100 CORRECT Q & A IN EACH VERSION, TOTAL: 200 Q & A)

Home>Homework Answsers>Nursing homework helpNURS 6531 MIDTERM EXAM/ NURS6531 MIDTERM EXAM(2 VERSIONS) (100 CORRECT Q & A IN EACH VERSION, TOTAL: 200 Q & A)NURS 6531 Midterm Exam / NURS6531 Midterm Exam (Latest): Walden UniversityWalden NURS 6531 Midterm Exam / Walden NURS6531 Midterm Exam (Latest)·Question 1When   completing this quiz, did you comply with Walden University’s Code of Conduct   including the expectations for academic integrity?YesNo·Question 2The most common cancer found on   the auricle is:Actinic keratosisBasal cell carcinomaSquamous cell carcinomaAcral-lentiginous melanoma·Question 3Which of the following   medication classes should be avoided in patients with acute or chronic   bronchitis because it will contribute to ventilation-perfusion mismatch in   the patient?XanthinesAntihistiminesSteroidsAnticholinergics·Question 4A 47 year old male patient   presents to the clinic with a single episode of a moderate amount of bright   red rectal bleeding. On examination, external hemorrhoids are noted. How   should the nurse practitioner proceed?Instruct the patient on     measures to prevent hemorrhoids such as bowel habits and diet.Order a topical hemorrhoid cream along with a stool softener.Refer the patient for a barium enema and sigmoidoscopy.Refer the patient for a surgical hemorrhoidectomy.·Question 5Which of the following patient   characteristics are associated with chronic bronchitis?Overweight, cyanosis, and normal or slightly increased respiratory     rateUnderweight, pink skin, and increased respiratory rateOverweight, pink skin, and normal or slightly increased respiratory     rateNormal weight, cyanosis, and greatly increased respiratory rate·Question 6A 65-year-old female with   a past medical history of hypertension, hyperlipidemia, and polymyalgia   rheumatica presents to urgent care with new onset left lower quadrant pain.   Her current medications include omeprazole 20 milligrams po daily, lisinopril   20 milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12   milligrams po daily. The nurse practitioner suspects acute diverticulitis and   possibly an abscess. The most appropriate diagnostic test for this patient at   this time is:CBCdiffErythrocyte sedimentation rateAbdominal ultrasoundCT scan·Question 7A patient reports “something   flew in my eye” about an hour ago while he was splitting logs. If there were   a foreign body in his eye, the nurse practitioner would expect to find all   except:Purulent drainageTearingPhotophobiaA positive fluorescein stain·Question 8A 21 year old college student   presents to the student health center with copious, markedly purulent   discharge from her left eye. The nurse practitioner student should suspect:Viral conjunctivitisCommon pink eyeGonococcal conjunctivitisAllergic conjunctivitis·Question 9A 35 year old man   presents with radicular pain followed by the appearance of grouped vesicles   consisting of about 15 lesions across 3 different thoracic dermatomes. He   complains of pain, burning, and itching. The nurse practitioner should   suspect:A common case of shingles and prescribe an analgesic and an antiviral     agentA complicated case of shingles and prescribe acyclovir, an analgesic,     and a topical cortisone creamHerpes zoster and consider that this patient may be immunocompromisedA recurrence of chickenpox and treat the patient’s symptoms·Question 10Which type of lung cancer has   the poorest prognosis?AdenocarcinomaEpidermoid carcinomaSmall cell carcinomaLarge cell carcinoma·Question 11An 83-year-old female   presents to the office complaining of diarrhea for several days. She explains   she has even had fecal incontinence one time. She describes loose stools 3–4   times a day for several weeks and denies fever, chills, pain, recent antibiotic   use. The history suggests that the patient has:Acute diarrheaChronic diarrheaIrritable bowelFunctional bowel disease·Question 12Margaret, age 32, comes into   the office with painful joints and a distinctive rash in a butterfly   distribution on her face. The rash has red papules and plaques with a fine   scale. What do you suspect?An allergic reactionRelapsing polychondritisLymphocytoma cutisSystemic lupus erythematosus·Question 13Antibiotic administration has   been demonstrated to be of little benefit to the treatment of which of the   following disease processes?Chronic sinusitisAcute bronchitisBacterial pneumoniaAcute exacerbation of chronic bronchitis·Question 14Lisa, age 49, has daily   symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily.   Her exacerbations affect her activities and they occur at least twice weekly   and may last for days. She is affected more than once weekly during the night   with an exacerbation. Which category of asthma severity is Lisa in?Mild intermittentMild persistentModerate persistent·Question 15Which of the following is the   most appropriate therapeutic regimen for an adult patient with no known   allergies diagnosed with group A B-hemolytic strep?Penicillin V 500 milligrams PO every 8 hours for 10 daysAmpicillin 250 milligrams PO twice a day for 10 daysClarithromycin 500 milligrams po daily for 7 daysNone of the above·Question 16A cashier complains of dull   ache and pressure sensation in her lower legs. It is relieved by leg   elevation. She occasionally has edema in her lower legs at the end of the   day. What is the most likely cause of these problems?Congestive heart failureVaricose veinsDeep vein thrombosisArterial insufficiency·Question 17Which statement below is   correct about pertussis?It is also called whooping coughIt begins with symptoms like strep throatIt lasts about 3 weeksIt occurs most commonly in toddlers and young children·Question 18Which of the following is the   most important diagnosis to rule out in the adult patient with acute bronchitis?PneumoniaAsthmaSinusitisPertussis·Question 19A 70 year old patient presents   with left lower quadrant (LLQ) abdominal pain, a markedly tender palpable   abdominal wall, fever, and leukocytosis. Of the following terms, which   correctly describes the suspected condition?DiverticulosisDiverticulaDiverticulitisDiverticulum·Question 20Sylvia, age 83, presents with a   3 day history of pain and burning in the left forehead. This morning she   noticed a rash with erythematous papules in that site. What do you suspect?VaricellaHerpes zosterSyphilisRubella·Question 21A 33-year-old female is   admitted with acute pancreatitis. The nurse practitioner knows that the most   common cause of pancreatitis is:AlcoholGallstonesMedicationsPregnancy·Question 22When a patient presents with symptoms   of acute gallbladder disease, what is the appropriate nurse practitioner   action?Order abdominal x-raysOrder an abdominal ultrasoundRefer the patient to a surgeon for evaluationPrescribe pain medication·Question 23A false-positive result with   the fecal occult blood test can result from:ingestion of large amounts of vitamin Ca high dietary intake of rare cooked beefa colonic neoplasm that is not bleedingstool that has been stored before testing·Question 24A 76-year-old male   complains of weight loss, nausea, vomiting, abdominal cramping and pain.   Physical findings include an abdominal mass and stool positive for occult   blood. The nurse practitioner pain suspects a tumor in the small intestine.   The best diagnostic test for this patient is:ColonoscopySmall bowel follow-throughBarium enemaCT abdomen·Question 25A patient presents to urgent   care complaining of dyspnea, fatigue, and lower extremity edema. The   echocardiogram reveals and ejection fraction of 38%. The nurse practitioner   knows that these findings are consistent with:Mitral regurgitationSystolic heart failureCardiac myxomaDiastolic heart failure·Question 26Maxine, Age 76, has just been   given a diagnosis of pneumonia. Which of the following is an indication that   she should be hospitalized?Multilobar involvement on chest x-ray with the inability to take oral     medicationsAlert and oriented, slightly high but stable vital signs, and no one     to take care of her at homeSputum and gram positive organismsA complete blood count showing leukocytosis·Question 27A 55 year old man is diagnosed   with basal cell carcinoma. The nurse practitioner correctly tells him:“It is the most common cause of death in patients with skin cancer.”“It can be cured with surgical excision or radiation therapy.”“It is a slow growing skin cancer that rarely undergoes malignant     changes.”“It can be cured using 5-flurouracil cream twice daily for 2 to 4     weeks.”·Question 28Expected spirometry readings   when the patient has chronic emphysema include:Decreased residual volume (RV)Increased vital capacity (VC)Increased forced expiratory volume (FEV-1)Increased total lung capacity (TLC)·Question 29An 80-year-old male   admits to difficulty swallowing during the review of systems. The nurse   practitioner recognizes the differential diagnosis for this patient’s   dysphagia is:Esophageal cancerChest painGERDA and CAll of the above·Question 30A 40 year old female with   history of frequent sun exposure presents with a multicolored lesion on her   back. It has irregular borders and is about 11mm in diameter. What should the   nurse practitioner suspect?Squamous cell carcinomaMalignant melanomaA common nevusBasal cell carcinoma·Question 31Which of the following is not a   goal of treatment for the patient with cystic fibrosis?Prevent intestinal obstructionProvide adequate nutritionPromote clearance of secretionsReplace water-soluble vitamins·Question 32The nurse practitioner is   performing a physical exam on a middle-aged African-American man. Which of   the following areas is a common site for melanomas in African-Americans and   other dark-skinned individuals?ScalpNailsFeetB and CAll of the above·Question 33An adult presents with tinea   corporis. Which item below is a risk factor for its development?Topical steroid useTopical antibiotic useA recent lacerationCold climates·Question 34A patient has experienced   nausea and vomiting, headache, malaise, low grade fever, abdominal cramps,   and watery diarrhea for 72 hours. His white count is elevated with a shift to   the left. He is requesting medication for diarrhea. What is the most   appropriate response?Prescribe loperamide (Immodium) or atropine-diphenoxylate (Lomotil)     and a clear liquid diet for 24 hours.Prescribe a broad-spectrum antibiotic such as ciprofloxacin (Cipro),     and symptom management.Offer an anti-emetic medication such as ondansetron (Zofran) and     provide oral fluid and electrolyte replacement instruction.Order stool cultures.·Question 35Janine, age 29, has numerous   transient lesions that come and go, and she is diagnosed with urticaria. What   do you order?AspirinNSAIDsOpioidsAntihistamines·Question 36Of the following signs   and symptoms of congestive heart failure (CHF), the earliest clinical   manifestation is:Peripheral edemaWeight gainShortness of breathNocturnal dyspnea·Question 37A 16 year old male presents   with mild sore throat, fever, fatigue, posterior cervical adenopathy, and   palatine petechiae. Without a definitive diagnosis for this patient, what   drug would be least appropriate to prescribe?IbuprofenErythromycinAmoxicillinAcetaminophen·Question 38A 70 year old man who walks 2   miles every day complains of pain in his left calf when he is walking. The   problem has gotten gradually worse and now he is unable to complete his 2   mile walk. What question asked during the history, if answered affirmatively,   would suggest a diagnosis of arteriosclerosis obliterans?“Are you wearing your usual shoes?”“Do you also have chest pain when you have leg pain?”“Is your leg pain relieved by rest?”“Do you ever have the same pain in the other leg?”·Question 39Which of the following   statements about malignant melanomas is true?They usually occur in older adult malesThe patient has no family history of melanomaThey are common in blacksThe prognosis is directly related to the thickness of the lesion·Question 40Sheila, age 78, presents with a   chief complaint of waking up during the night coughing. You examine her and   find an S3 heart sound, pulmonary crackles that do not clear with coughing,   and peripheral edema. What do you suspect?AsthmaNocturnal allergiesValvular diseaseHeart failure·Question 41Which antibiotic would be the   most effective in treating community acquired pneumonia (CAP) in a young   adult without any comorbid conditions?ErythromycinClarithromycin (Biaxin)Doxycycline (Vibramycin)Penicillin·Question 42Which of the following   dermatologic vehicles are the most effective in absorbing moisture and   decreasing friction?PowdersGelsCreamsLotion·Question 43A 70 year old patient presents   with a slightly raised, scaly, erythematous patch on her forehead. She admits   to having been a “sun worshiper.” The nurse practitioner suspects actinic   keratosis. This lesion is a precursor to:Squamous cell carcinomaBasal cell carcinomaMalignant melanomaAcne vulgaris·Question 44An elderly patient is being   seen in the clinic for complaint of “weak spells” relieved by sitting or   lying down. How should the nurse practitioner proceed with the physical   examination?Assist the patient to a standing position and take her blood     pressure.Assess the patient’s cranial nerves.Compare the patient’s blood pressure lying first, then sitting, and     then standing.Compare the amplitude of the patient’s radial and pedal pulses.·Question 45What oral medication might be   used to treat chronic cholethiasis in a patient who is a poor candidate for   surgery?UrsodiolIbuprofenPrednisoneSurgery is the only answer·Question 46A 46-year-old female with a   past medical history of diabetes presents with a swollen, erythematous right   auricle and is diagnosed with malignant otitis externa. The nurse   practitioner knows that the most likely causative organism for this patient’s   problem is:Staphylococcus aureusGroup A beta hemolytic streptococcusHaemophilus influenzaPseudomonas aeruginosa·Question 47Which of the following is not a   symptom of irritable bowel syndrome?Painful diarrheaPainful constipationCramping and abdominal painWeight loss·Question 48A patient comes in complaining   of 1 week of pain in the posterior neck with difficulty turning the head to   the right. What additional history is needed?Any recent traumaDifficulty swallowingStiffness in the right shoulderChange in sleeping habits·Question 49Marvin, age 56, is a smoker   with diabetes. He has just been diagnosed as hypertensive. Which of the   following drugs has the potential to cause the development of bronchial   asthma and inhibit gluconeogenesis?ACE InhibitorBeta BlockerCalcium channel blockerDiuretic·Question 50The differential diagnosis for   a patient complaining of a sore throat includes which of the following?Gonococcal infectionThrushLeukoplakiaB onlyA, B, and C·Question 51A patient presents to the   primary care provider complaining of a rash on his right forehead that   started yesterday and is burning and painful. The physical exam reveals an   erythematous, maculopapular rash that extends over the patient’s right eye to   his upper right forehead. Based on the history and examination, the most   likely cause of this patient’s symptoms is:Rhus dermatitisOphthalmic zosterChemosisOptic neuritis·Question 52Before initiating an HMG   CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders   liver function studies. The patient’s aminotransferase (ALT) is elevated.   What laboratory test(s) should be ordered?Serologic markers for hepatitisSerum bilirubinSerum cholesterol with HDL and LDLA liver biopsy·Question 53A patient with elevated lipids   has been started on lovastatin. After 3 weeks of therapy, he calls to report   generalized muscle aches. The nurse practitioner should suspect:A drug interactionHepatic dysfunctionHypersensitivity to lovastatinRhabdomyolysis·Question 54Treatment of acute vertigo   includes:Bedrest and an antihistamineFluids and a decongestantA sedative and decongestantRest and a low sodium diet·Question 55Treatment of H.pylori includes   which of the following?Proton pump inhibitorAntibiotic therapyBismuth subsalicylateA and BA, B, and C·Question 56Carl, age 78, is brought to the   office by his son, who states that his father has been unable to see clearly   since last night. Carl reports that his vision is “like looking through a   veil.” He also sees floaters and flashing lights but is not having any pain.   What do you suspect?CataractsGlaucomaRetinal detachmentIritis·Question 57In order to decrease deaths   from lung cancer:All smokers should be screened annuallyAll patients should be screened annuallyOnly high risk patients should be screened routinelyPatients should be counseled to quit smoking·Question 58John, age 33, has a total   cholesterol level of 188 mgdL. How often should he be screened for   hypercholesterolemia?Every 5 yearsEvery 2 yearsEvery yearWhenever blood work is done·Question 59Mort is hypertensive. Which of   the following factors influenced your choice of using an alpha blocker as the   antihypertensive medication?Mort is blackMort also has congestive heart failureMort has benign prostatic hyperplasiaMort has frequent migraine headaches·Question 60John, age 59, presents with   recurrent, sharply circumscribed red papules and plaques with a powdery white   scale on the extensor aspect of his elbows and knees. What do you suspect?Actinic keratosisEczemaPsoriasisSeborrheic dermatitis·Question 61Harriet, a 79-year-old woman,   comes to your office every 3 months for follow up on her hypertension. Her   medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium   1500 mg daily. At today’s visit. Her blood pressure is 17089. According to   JNC VIII guidelines, what should you do next to control Harriet’s blood   pressure?Increase her Lisinopril to 20mg dailyAdd a thiazide diuretic to the Lisinopril 5mg dailyDiscontinue the Lisinopril and start a combination of ACE Inhibitor     and calcium channel blockerDiscontinue the Lisinopril and start a diuretic·Question 62An active 65-year-old man under   your care has known acquired valvular aortic stenosis and mitral   regurgitation. He also has a history of infectious endocarditis. He has   recently been told he needs elective replacement of his aortic valve. When he   comes into the office you discover that he has 10 remaining teeth in poor   repair. Your recommendation would be to:defer any further dental work until his valve replacement is completedinstruct him to have dental     extraction done cautiously, having no more than 2 teeth per visit removed.suggest he consult with his     oral surgeon about having all the teeth removed at once and receiving     appropriate antibiotic prophylaxiscoordinate with his cardiac and oral surgeons to have the tooth     extractions and valve replacement done at the same time to reduce the risk     of anesthetic complications.·Question 63Appropriate therapy for peptic   ulcer disease (PUD) is:Primarily by eradication of infectionBased on etiologyAimed at diminishing prostaglandin synthesisDependent on cessation of NSAID use·Question 64Shirley, age 58, has been a   diabetic for 7 years. Her blood pressure is normal. Other than her diabetes   medications, what would you prescribe today during her routine office visit?A calcium channel blockerA beta blockerAn ACE InhibitorNo hypertension medication·Question 65Medicare is a federal program   administered by the Centers for Medicare and Medicaid Services (CMS). The CMS   has developed guidelines for Evaluation and Management coding, which all providers   are expected to follow when coding patient visits for reimbursement. Which of   the following is an important consideration regarding billing practices?It is important to “undercode” so that one does not get charged with     Medicare fraudThe practice of “overcoding” is essential in this age of decreasing     reimbursementsFailing to bill for billable services will lead to unnecessarily low     revenuesTime spent with the patient is a very important determinant of billing·Question 66A 2 year old presents with a   white pupillary reflex. What is the most likely cause of this finding?Viral conjunctivitisGlaucomaCorneal abrasionRetinoblastoma·Question 67Harvey has had Meniere’s   disease for several years. He has some hearing loss but now has persistent   vertigo. What treatment might be instituted to relieve the vertigo?Pharmacological therapyA labyrinthectomyA vestibular neurectomyWearing an earplug in the ear with the most hearing loss·Question 68Which of the following is not a   risk factor for coronary arterial insufficiency?HyperhomocysteinemiaSmokingGenetic factorsAlcohol ingestion·Question 69An 18-year-old female presents   to the urgent care center complaining of severe pruritus in both eyes that   started 2 days ago. Associated symptoms include a headache and fatigue. On   examination, the nurse practitioner notes some clear discharge from both eyes   and some erythema of the eyelids and surrounding skin. Which of the following   is the most likely cause of this patient’s symptoms?Allergic conjunctivitisBacterial conjunctivitisGonococcal conjunctivitisViral conjunctivitis·Question 70A 20 year old is diagnosed with   mild persistent asthma. What drug combination would be most effective in   keeping him symptom-free?A long-acting bronchodilatorAn inhaled corticosteroid and cromolynTheophylline and a short acting bronchodilatorA bronchodilator PRN and an inhaled corticosteroid·Question 71Acute rheumatic fever is an   inflammatory disease which can follow infection with:Group A StreptococcusStaphlococcus areusΒ-hemolytic StreptococcusStreptococcus pyogenes·Question 72A 60 year old male diabetic   patient presents with redness, tenderness, and edema of the left lateral   aspect of his face. His left eyelid is grossly edematous. He reports history   of a toothache in the past week which “is better.” His temperature is 100°F and   pulse is 102 bpm. The most appropriate initial action is to:Start an oral antibiotic, refer the patient to a dentist immediately,     and follow up within 3 daysOrder mandibular x-rays and question the patient about physical abuseStart an oral antibiotic, mouth swishes with an oral anti-infective,     and an analgesicInitiate a parenteral antibiotic and consider hospital admission·Question 73If a patient presents with a   deep aching, red eye and there is no discharge, you should suspect:IritisAllergic conjunctivitisViral conjunctivitisBacterial conjunctivitis·Question 74The National Cholesterol   Education Program’s Adult Treatment Panel III recommends that the goal for   low density lipoproteins in high risk patients be less than:160 mgdL130 mgdL100 mgdL70 mgdL·Question 75A patient presents with   classic symptoms of gastroesophageal reflux disease (GERD). He is instructed   on life style modifications and drug therapy for 8 weeks. Three months later   he returns, reporting that he was “fine” as long as he took the medication.   The most appropriate next step is:Referral for surgical intervention such as a partial or complete     fundoplicationDependent upon how sever the practitioner believes the conditionTo repeat the 8 week course of drug therapy while continuing lifestyle     modificationsInvestigation with endoscopy, manometry, andor pH testing·Question 76Group A β-hemolytic   streptococcal (GABHS) pharyngitis is most common in which age group?Under 3 years of agePreschool children6 to 12 years of ageAdolescents·Question 77The most appropriate treatment   for a child with mild croup is:A bronchodilatorAn antibioticA decongestantA cool mist vaporizer·Question 78A child complains that his   “throat hurts” with swallowing. His voice is very “throaty” and he is   hyperextending his neck to talk. Examination reveals asymmetrical swelling of   his tonsils. His uvula is deviated to the left. What is the most likely   diagnosis?Peritonsillar abscessThyroiditisMononucleosisEpiglottitis·Question 79Salmeterol (Servent) is   prescribed for a patient with asthma. What is the most important teaching   point about this medication?It is not effective during an acute asthma attack.It may take 2 to 3 days to begin working.This drug works within 10 minutes.This drug may be used by patients 6 years and older.·Question 80Which intervention listed below   is safe for long term use by an adult with constipation?Bulk-forming agentsStool softenersLaxativesOsmotic agents·Question 81A 40 year old presents with a   hordeolum. The nurse practitioner teaches the patient to:Apply a topical antibiotic and warm compresses.Apply cool compresses and avoid touching the hordeolum.Use an oral antibiotic and eye flushes.Apply light palpation to facilitate drainage.·Question 82Sarah has allergic rhinitis and   is currently being bothered by nasal congestion. Which of the following meds   ordered for allergic rhinitis would be most appropriate?An antihistamine intranasal sprayA decongestant nasal sprayIpratropiumOmalizumab·Question 83What is the Gold standard for   the diagnosis of asthma?Patient’s perception of clogged airwaysValidated quality-of-life questionnairesBronchoscopySpirometry·Question 84A patient complains of “an aggravating   cough for the past 6 weeks.” There is no physiological cause for the cough.   Which medication is most likely causing the cough?MethyldopaEnalaprilAmlodipineHydrochlorothiazide·Question 85Stacy, age 27, states that she   has painless, white, slightly raised patches in her mouth. They are probably   caused by:Herpes simplexAphthous ulcersCandidiasisOral cancer·Question 86Risk factors for acute otitis   media (AOM) include all of the following except:Household cigarette smokeGroup daycare attendanceSibling history of acute otitis mediaAfrican-American ethnicity·Question 87Which of the following can   result from chronic inflammation of a meibomian gland?A chalazionUveitisKeratitisA pterygium·Question 88What conditions must be met for   you to bill “incident to” the physician, receiving 100% reimbursement from   Medicare?You must initiate the plan of care for the patientThe physician must be on-site and engaged in patient careYou must be employed as an independent contractorYou must be the main health care provider who sees the patient·Question 89Of the following choices, the   least likely cause of cough is:AsthmaGastroesophageal refluxAcute pharyngitisAllergic rhinitis·Question 90The most common correlate(s)   with chronic bronchitis and emphysema is(are):Familial and genetic factorsCigarette smokingAir pollutionOccupational environment·Question 91Which choice below is least   effective for alleviating symptoms of the common cold?AntihistaminesOral decongestantsTopical decongestantsAntipyretics·Question 92When teaching a patient with   hypertension about restricting sodium, you would include which of the   following instructions?Diets with markedly reduced intakes of sodium may be associated with     other beneficial effects beyond blood pressure     controlSodium restriction can cause serious adverse effectsA goal of 3 g of sodium chloride or 1.2 g of sodium per day is easily     achievableSeventy-five of sodium intake is derived from processed foods·Question 93Which of the following heart   murmurs warrants the greatest concern?Systolic murmurVenous hum murmurDiastolic murmurFlow murmur·Question 94A patient presents with an   inflamed upper eyelid margin. The conjunctiva is red and there is particulate   matter along the upper eyelid. The patient complains of a sensation that   “there is something in my eye.” What is the diagnosis and how should it be   treated?Hordeolum; treat with a topical antibiotic and warm compressConjunctivitis; treat with topical antibiotic and warm compressesBlepharitis; treat with warm compresses and gentle debridement with a     cotton swabChalazion; refer to an ophthalmologist for incision and drainage·Question 95A 57-year-old male presents to   urgent care complaining of substernal chest discomfort for the past hour. The   EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner   is aware that these changes are consistent with which myocardial infarction   territory?Inferior wallAnterior wallApical wallLateral wall·Question 96The nurse practitioner observes   a tympanic membrane that is opaque, has decreased mobility, and is without   bulging or inflammation. The least likely diagnosis for this patient   is:Acute otitis media (AOM)Otitis media with effusionMucoid otitis mediaSerous otitis media·Question 97Alan, age 54, notices a bulge   in his midline every time he rises from bed in the morning. You tell him it   is a ventral hernia, also known as:inguinal herniaepigastric herniaumbilical herniaincisional hernia·Question 98A 58-year-old man is diagnosed   with Barrett’s esophagus after an endoscopy. He has no known allergies. Which   of the following medications is MOST appropriate to treat this patient’s   disorder?OmeprazoleRanitidineAn antacidNone of the above·Question 99Larry, age 66, is a smoker with   hyperlipidemia and hypertension. He is 6 months post-MI. To prevent   reinfarction, the most important behavior change that he can make is to:Quit smokingMaintain aggressive hypertension therapyStick to a low-fat, low-sodium dietContinue with his exercise program·Question 100Risk factors for acute arterial   insufficiency include which of the following?Recent myocardial infarctionAtrial fibrillationAtherosclerosisAll of the above·Question 101Impetigo and folliculitis are   usually successfully treated with:Systemic antibioticsTopical antibioticsTopical steroid creamsCleansing and debridementNURS 6531 Midterm Exam / NURS6531 Midterm Exam (Latest): Walden UniversityWalden NURS 6531 Midterm Exam / Walden NURS6531 Midterm Exam (Latest)Question 1A patient has experienced nausea and vomiting, headache, malaise, low grade fever, abdominal cramps, and watery diarrhea for 72 hours. His white count is elevated with a shift to the left. He is requesting medication for diarrhea. What is the most appropriate response?Question 2Which type of lung cancer has the poorest prognosis?Question 3Stacy, age 27, states that she has painless, white, slightly raised patches in her mouth. They are probably caused by:Question 4An 80-year-old male admits to difficulty swallowing during the review of systems. The nurse practitioner recognizes the differential diagnosis for this patient’s dysphagia is:Question 5A 40 year old presents with a hordeolum. The nurse practitioner teaches the patient to:Question 6Marvin has sudden eye redness that occurred after a strenuous coughing episode. You diagnose a subconjunctival hemorrhage. Your next step is to:Question 7Which of the following is not a goal of treatment for the patient with cystic fibrosis?Question 8The most common cancer found on the auricle is:Question 9Which of the following color changes in a pigmented lesion suggests malignant transformation?Question 10Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes?Question 11The Centorcriteria for diagnosis of Group A B-hemolytic streptococcus includes which of the following?Question 12When teaching a patient with hypertension about restricting sodium, you would include which of the following instructions?Question 13Mark has just been given a diagnosis of congestive heart failure. Which of his medications should be discontinued?Question 14Which of the following patient characteristics are associated with chronic bronchitis?Question 15Treatment of acute vertigo includes:Question 16A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles consisting of about 15 lesions across 3 different thoracic dermatomes. He complains of pain, burning, and itching. The nurse practitioner should suspect:Question 17A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective in keeping him symptom-free?Question 18Diagnosis of Crohn’s disease is made considering signs, symptoms and:Question 19Which of the following is a predisposing condition for furunculosis?Question 20Expected spirometry readings when the patient has chronic emphysema include:Question 21A child complains that his “throat hurts” with swallowing. His voice is very “throaty” and he is hyperextending his neck to talk. Examination reveals asymmetrical swelling of his tonsils. His uvula is deviated to the left. What is the most likely diagnosis?Question 22Of the following signs and symptoms of congestive heart failure (CHF), the earliest clinical manifestation is:Question 23Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important teaching point about this medication?Question 24An active 65-year-old man under your care has known acquired valvular aortic stenosis and mitral regurgitation. He also has a history of infectious endocarditis. He has recently been told he needs elective replacement of his aortic valve. When he comes into the office you discover that he has 10 remaining teeth in poor repair. Your recommendation would be to:Question 25A middle-aged male presents to urgent care complaining of fever, dysphagia, and shortness of breath. The nurse practitioner notes the patient leaning forward in a tripod position and drooling. The clinical presentation of this patient suggests:Question 26Alan, age 54, notices a bulge in his midline every time he rises from bed in the morning. You tell him it is a ventral hernia, also known as:Question 27The differential diagnosis for a patient complaining of a sore throat includes which of the following?Question 28Sheila, age 78, presents with a chief complaint of waking up during the night coughing. You examine her and find an S3 heart sound, pulmonary crackles that do not clear with coughing, and peripheral edema. What do you suspect?Question 29The American Cancer Society recommends a flexible sigmoidoscopy for colorectal cancer screening in persons at average risk every:Question 30Jennifer, age 49, who has a history of hyperlipidemia, has symptoms that lead you to suspect unstable angina. Your next action would be to:Question 31A 2 year old presents with a white pupillary reflex. What is the most likely cause of this finding?Question 32A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema. The echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that these findings are consistent with:Question 33John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be screened for hypercholesterolemia?Question 34A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him:Question 35Your patient Jerry has gout. What do you suggest?Question 36Your well-nourished 75-year-old patient has come into the office for a physical exam and states that she recently had two nosebleeds. She does not take any anticoagulants, and you have ruled out any coagulopathies. The most likely cause of these nosebleeds is:Question 37A 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knows that the most common cause of pancreatitis is:Question 38A 76-year-old male complains of weight loss, nausea, vomiting, abdominal cramping and pain. Physical findings include an abdominal mass and stool positive for occult blood. The nurse practitioner pain suspects a tumor in the small intestine. The best diagnostic test for this patient is:Question 39Carl, age 78, is brought to the office by his son, who states that his father has been unable to see clearly since last night. Carl reports that his vision is “like looking through a veil.” He also sees floaters and flashing lights but is not having any pain. What do you suspect?Question 40A 55 year old patient has a work-up for hypertension and is noted to have elevated BUN and creatinine. Which of the following should the nurse practitioner suspect?Question 41Which of the following is not a symptom of irritable bowel syndrome?Question 42Impetigo and folliculitis are usually successfully treated with:Question 43Which of the following is not a risk factor for coronary arterial insufficiency?Question 44The most appropriate treatment for a child with mild croup is:Question 45John, age 59, presents with recurrent, sharply circumscribed red papules and plaques with a powdery white scale on the extensor aspect of his elbows and knees. What do you suspect?Question 46Appropriate therapy for peptic ulcer disease (PUD) is:Question 47An AST that is more than twice the level of ALT is suggestive of:Question 48A 45 year old with diabetes has had itching and burning lesions between her toes for 2 months. Scrapings of the lesions confirm the diagnosis tineapedis. What is the best initial treatment option for this patient?Question 49An elderly patient is being seen in the clinic for complaint of “weak spells” relieved by sitting or lying down. How should the nurse practitioner proceed with the physical examination?Question 50Sandra has celiac disease. You place her on which diet?Question 51Larry, age 66, is a smoker with hyperlipidemia and hypertension. He is 6 months post-MI. To prevent reinfarction, the most important behavior change that he can make is to:Question 52Group A β-hemolytic streptococcal (GABHS) pharyngitis is most common in which age group?Question 53A very active elderly patient has a documented diagnosis of arteriosclerosis obliterans. Common expected lower extremity physical exam findings include:Question 54Which of the following is a secondary cause of hyperlipidemia?Question 55Harvey has had Meniere’s disease for several years. He has some hearing loss but now has persistent vertigo. What treatment might be instituted to relieve the vertigo?Question 56An employee picnic menu includes grilled hamburgers, potato salad, and homemade ice cream sundaes. Within an hour after the meal, several children and parents begin to have nausea, vomiting and stomach cramps. None of those affected have fever. What is the most likely etiologic agent?Question 57The nurse practitioner is performing a physical exam on a middle-aged African-American man. Which of the following areas is a common site for melanomas in African-Americans and other dark-skinned individuals?Question 58A 58-year-old man is diagnosed with Barrett’s esophagus after an endoscopy. He has no known allergies. Which of the following medications is MOST appropriate to treat this patient’s disorder?Question 59Shirley, age 58, has been a diabetic for 7 years. Her blood pressure is normal. Other than her diabetes medications, what would you prescribe today during her routine office visit?Question 60A 70 year old patient presents with a slightly raised, scaly, erythematous patch on her forehead. She admits to having been a “sun worshiper.” The nurse practitioner suspects actinic keratosis. This lesion is a precursor to:Question 61A patient presents to the office with a blood pressure 142/80. This patient is classified as having:Question 62Which of the following is the most appropriate therapeutic regimen for an adult patient with no known allergies diagnosed with group A B-hemolytic strep?Question 63A patient reports “something flew in my eye” about an hour ago while he was splitting logs. If there were a foreign body in his eye, the nurse practitioner would expect to find all except:Question 64A patient complains of “an aggravating cough for the past 6 weeks.” There is no physiological cause for the cough. Which medication is most likely causing the cough?Question 65Which choice below is least effective for alleviating symptoms of the common cold?Question 66An 83-year-old female presents to the office complaining of diarrhea for several days. She explains she has even had fecal incontinence one time. She describes loose stools 3–4 times a day for several weeks and denies fever, chills, pain, recent antibiotic use. The history suggests that the patient has:Question 67A patient reports to the nurse practitioner that he was diagnosed with hepatitis B a year ago and has not seen a health care provider since then. What information should this patient be given?Question 68The most common correlate(s) with chronic bronchitis and emphysema is(are):Question 69If a patient presents with a deep aching, red eye and there is no discharge, you should suspect:Question 70Treatment of H.pylori includes which of the following?Question 71Which of the following is the most important diagnosis to rule out in the adult patient with acute bronchitis?Question 72What oral medication might be used to treat chronic cholethiasis in a patient who is a poor candidate for surgery?Question 73Which of the following best describes hypertrophic cardiomyopathy?Question 74Amaurosisfugax is described as a:Question 75The nurse practitioner observes a tympanic membrane that is opaque, has decreased mobility, and is without bulging or inflammation. The least likely diagnosis for this patient is:Question 76Which of the following heart murmurs warrants the greatest concern?Question 77A patient with elevated lipids has been started on lovastatin. After 3 weeks of therapy, he calls to report generalized muscle aches. The nurse practitioner should suspect:Question 78Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her hypertension. Her medications include one baby aspirin daily, Lisinopril5mg daily, and Calcium 1500 mg daily. At today’s visit. Her blood pressure is 170/89. According to JNC VIII guidelines, what should you do next to control Harriet’s blood pressure?Question 79Of the following, the patient who should be referred for periodic colonoscopy is the patient with:Question 80Dana has ischemic arterial ulcers. What is your first priority when counseling her?Question 81After thorough history, physical examination, and laboratory tests, a patient is diagnosed with irritable bowel syndrome (IBS). Which of the following initial treatment plans is currently considered most effective?Question 82Margaret, age 32, comes into the office with painful joints and a distinctive rash in a butterfly distribution on her face. The rash has red papules and plaques with a fine scale. What do you suspect?Question 83What is the Gold standard for the diagnosis of asthma?Question 84An 8 year old presents to the health clinic with history of acute onset severe sore throat and respiratory distress with stridor in the last 2 hours. The child’s history is positive for fever and pharyngitis for 2 days. What is the most likely diagnosis?Question 85The National Cholesterol Education Program’s Adult Treatment Panel III recommends that the goal for low density lipoproteins in high risk patients be less than:Question 86Which intervention listed below is safe for long term use by an adult with constipation?Question 87The nurse practitioner is reviewing a patient’s lab report who completed the hepatitis B series 3 months ago. Which of the following lab results would you expect to see in this patient?Question 88Sarah has allergic rhinitis and is currently being bothered by nasal congestion. Which of the following meds ordered for allergic rhinitis would be most appropriate?Question 89A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by leg elevation. She occasionally has edema in her lower legs at the end of the day. What is the most likely cause of these problems?Question 90A 46-year-old female with a past medical history of diabetes presents with a swollen, erythematous right auricle and is diagnosed with malignant otitis externa. The nurse practitioner knows that the most likely causative organism for this patient’s problem is:Question 91A 60 year old male diabetic patient presents with redness, tenderness, and edema of the left lateral aspect of his face. His left eyelid is grossly edematous. He reports history of a toothache in the past week which “is better.” His temperature is 100°F and pulse is 102 bpm. The most appropriate initial action is to:Question 92A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the past hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that these changes are consistent with which myocardial infarction territory?Question 93Which of the following can result from chronic inflammation of a meibomian gland?Question 94A 15 year old male presents with abdominal pain that began in the peri-umbilical area then localized to the right lower quadrant (RLQ). He complains of anorexia, and low grade fever. A complete blood count (CBC) reveals moderate leukocytosis. What is the most likely diagnosis?Question 95Which of the following medication classes should be avoided in patients with acute or chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the patient?Question 96A false-positive result with the fecal occult blood test can result from:Question 97A patient presents with classic symptoms of gastroesophageal reflux disease (GERD). He is instructed on life style modifications and drug therapy for 8 weeks. Three months later he returns, reporting that he was “fine” as long as he took the medication. The most appropriate next step is:Question 98Risk factors for acute arterial insufficiency include which of the following?Question 99A patient presents to the primary care provider complaining of a rash on his right forehead that started yesterday and is burning and painful. The physical exam reveals an erythematous, maculopapular rash that extends over the patient’s right eye to his upper right forehead. Based on the history and examination, the most likely cause of this patient’s symptoms is:Question 100Which of the following are classic features of ulcerative colitis?5 years agoReport issueNURS 6531 MIDTERM EXAM / NURS6531 MIDTERM EXAM (2 VERSIONS) (100 CORRECT Q & A IN EACH VERSION, TOTAL: 200 Q & A)NOT RATEDPurchase the answer to view itNURS-6531NMidtermset1.pdfplagiarism checkPurchase $30

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