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

Home>Homework Answsers>Nursing homework helpNURS 6531 FINAL EXAM (2 VERSIONS) / NURS6531 FINAL EXAM (100 CORRECT Q & A IN EACH VERSION, TOTAL: 200 Q & A)NURS 6531 Final Exam / NURS6531 Final Exam (Latest): Walden UniversityWalden NURS 6531 Final Exam / Walden NURS6531 Final Exam (Latest)·Question 1When   completing this quiz, did you comply with Walden University’s Code of Conduct   including the expectations for academic integrity?·Question 2A   patient complains of generalized joint pain and stiffness associated with   activity and relieved with rest. This patient history is consistent with   which of the following disorders?·Question 3What   diabetic complications result from hyperglycemia?1.1.1.  Retinopathy2.  Hypertension resistant to treatment3. Peripheral neuropathy4.  Accelerated atherogenesis·Question 4Which   factors are associated with high risk for foot complications in a patient   with diabetes mellitus?1. Obesity2. Abnormal nails3. Abnormal gait4. Poorly controlled lipids·Question 5Which of the following is not a   common early sign of benign prostatic hyperplasia (BPH)?A. NocturiaB. Urgency incontinenceC. Strong urinary stream flowD. Straining to void·Question 6A 63-year-old man presents to the   office with hematuria, hesitancy, and dribbling. Digital rectal exam (DRE)   reveals a moderately enlarged prostate that is smooth. The PSA is 1.2. What   is the most appropriate management strategy for you to follow at this time?A.   Prescribe an alpha adrenergic blocker.B. Recommend saw palmetto.C. Prescribe an antibioticD. Refer the client to urology.·Question 7A 30 year old female patient   presents to the clinic with heat intolerance, tremors, nervousness, and   weight loss inconsistent with increased appetite. Which test would be most   likely to confirm the suspected diagnosis?·Question 8Which   history is commonly found in a patient with glomerulonephritis?Ask about recent infections (skin or upper   respiratory);recent travel (possible exposure to viruses,   bacteria, fungi, or parasites);recent illnesses, surgery, or invasive procedures (possible   infection);any systemic diseases (Systemic Lupus   Erythematosus -SLE)·Question 9A   60 year old male patient with multiple health problems presents with a   complaint of erectile dysfunction (ED). Of the following, which medication is   most likely to be causing the problem?·Question 10Which   of the following is not a characteristic of type 2 diabetes mellitus?·Question 11A   patient has been diagnosed with hypothyroidism and thyroid hormone   replacement therapy is prescribed. How long should the nurse practitioner   wait before checking the patient’s TSH?·Question 12A   patient has been diagnosed with generalized anxiety disorder (GAD). Which of   the following medications may be used to treat generalized anxiety disorder?·Question 13What   is the most common cause of Cushing’s syndrome?·Question 14Which   of the following is the most cause of   low back pain?·Question 15Warfarin   (Coumadin) is prescribed for a frail, elderly male with new onset atrial   fibrillation. The goal INR for this patient should be:·Question 16A 72   year old patient exhibits sudden onset of fluctuating restlessness,   agitation, confusion, and impaired attention. This is accompanied by visual   hallucinations and sleep disturbance. What is the most likely cause of this   behavior?·Question 17Which   of the following is the most common causative organism of nongonococcal   urethritis?which of the following does not cause   nongonococcal urethritisa chlamydia – most commonb. mycoplasmac. neisseriad. ureaplasma·Question 18Which   appropriate test for the initial assessment of Alzheimer’s disease provides   the performance ratings on 10 complex, higher order activities?·Question 19What   conditions must be met for you to bill “incident to” the physician, receiving   100% reimbursement from Medicare?·Question 20Diagnostic   evaluation for urinary calculi includes:A.Urinalysis     and cultureB.Non     contrast CTC.Serum     calciumD.All     of the above·Question 21Reed-Sternberg   B lymphocytes are associated with which of the following disorders:·Question 22Marsha   presents with symptoms resembling both fibromyalgia and chronic fatigue   syndrome, which have many similarities. Which of the following is more   characteristic of fibromyalgia?A.   Musculosckeletal painB. Difficulty sleepingC. DepressionD. Fatigue·Question 23Beth,   age 49, comes in with low back pain. An x-ray of the lumbosacral spine is   within normal limits. Which of the following diagnoses do you explore   further?·Question 24Steve,   age 69, has gastroesophageal reflux disease (GERD). When teaching him how to   reduce his lower esophageal sphincter pressure, which substances do you   recommend that he avoid?·Question 25The   cornerstone of treatment for stress fracture of the femur or metatarsal stress   fracture is:Rest the affected part of the body- Once pain free, the person can gradually begin the   sporting activity again- Air splinting can reduce pain and decrease the time   until return to full participation or intensity of exercise.- NSAIDs to reduce pain and inflammation·Question 26Which   of the following is not a risk factor associated with the development of   syndrome X and type 2 diabetes mellitus?·Question 27A   thymectomy is usually recommended in the early treatment of which disease?·Question 28The   most common cause of elevated liver function tests is:·Question 29A 14   year old female cheerleader reports gradual and progressive dull anterior   knee pain, exacerbated by kneeling. The nurse practitioner notes swelling and   point tenderness at the tibial tuberosity. X-ray is negative. What is the   most likely diagnosis?·Question 30Which   of the following is a contraindication for metformin therapy?Creatinine > 1.5·Renaldysfunction.·Congestive   cardiac failureneeding   drug treatment.·Hypersensitivityto metformin.· Acute   or chronic metabolic acidosis.· Impairedhepaticfunction.·Question 31The   best test to determine microalbuminuria to assist in the diagnosis of   diabetic neuropathy:·Question 32Which   is the most common cause of end-stage renal disease in the United States?·Question 33A   middle-aged female presents complaining of recent weight loss. The physical   exam reveals an enlarged painless cervical lymph node. The differential   diagnosis for this patient’s problem includes:·Question 34Risk factors for prostate cancer include all of the   following except:·Question 35Phalen’s   test, 90°wrist flexion for 60 seconds, reproduces symptoms of:·Question 36The most effective   intervention(s) to prevent stroke is (are):·Question 37A   diabetic patient is taking low-dose enalapril for hypertension. A record of   the patient’s blood pressure over 4 weeks ranges from 130 to 142 mmHg   systolic and 75 to 85 mmHg diastolic. How should the nurse practitioner   respond?·Question 38Microalbuminuria is a measure of:·Question 39Martin,   age 24, presents with an erythematous ear canal, pain, and a recent history   of swimming. What do you suspect?·Question 40A   32 year old male patient complains of urinary frequency   and burning on urination for 3 days. Urinalysis reveals bacteriuria. He   denies any past history of urinary tract infection. The initial treatment   should be:·Question 41A   21-year-old female presents to the office complaining of urinary frequency   and urinary burning. The nurse practitioner suspects a urinary tract   infection when the urinalysis reveals·Question 42Which   of the following medications increase the risk for metabolic syndrome?·Question 43The   most accurate measure of diabetes control is:·Question 44The 4 classic features of Parkinson’s disease are:·Question 45A child   with type 1 diabetes mellitus has experienced excessive hunger, weight gain   and increasing hyperglycemia. TheSomogyieffect is suspected. What steps should be taken to diagnose and treat this   condition?·Question 46A   patient presents with dehydration, hypotension, and fever. Laboratory testing   reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are   corrected, but the patient returns 6 weeks later with the same symptoms of   hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What   action(s) should the nurse practitioner take?·Question 47Other than smoking cessation, which of the following   slows the progression of COPD in smokers?·Question 48A 75-year-old   female is diagnosed with primary hyperparathyroidism and asks the nurse   practitioner what the treatment for this disorder is. The nurse practitioner   explains:·Question 49The   hallmark of neurofibromatosis (von Recklinghausen’s disease) present in   almost 100% of patients is:·Question 50A   patient has HIV infection and is having a problem with massive diarrhea. You   suspect the cause is:.·Question 51How do   you respond when Jessica, age 42, asks you what constitutes a good minimum   cardiovascular workout?·Question 52The   treatment of choice for chronic bacterial prostatitis (CBP) is:·Question 53Sally, a computer programmer, has just been given a new   diagnosis of carpal tunnel syndrome. Your next step is to:·Question 54Urine cultures should be obtained for which of the   following patients?·Question 55Which   of the following is the best response to a woman who has just admitted she is   a victim of spousal abuse?·Question 56The   diagnosis which must be considered in a patient who presents with a severe   headache of sudden onset, with neck stiffness and fever, is:·Question 57An 81-year-old   female is diagnosed with type 2 diabetes. When considering drug therapy for   this patient, the nurse practitioner is most concerned with which of the   following side effects?·Question 58Which patient would benefit most from screening for   type 2 diabetes?·Question 59The intervention known to be most effective in the   treatment of severe depression, with or without psychosis, is:·Question 60Jennifer   says that she has heard that caffeine can cause osteoporosis and asks you   why. How do you respond?·Question 61Which   of the following patients most warrants screening for hypothyroidism?·Question 62Successful   management of a patient with attention deficit hyperactivity disorder (ADHD)   may be achieved with:·Question 63Diabetes   screening recommendations for asymptomatic adults age 45 and over include   which of the following:A.HbA1CB.2-hour 75 gram oral glucose tolerance testC.C-peptide levelD.A and BE.All of the above·Question 64Prolonged PT suggests:·Question 65Diagnostic confirmation of acute leukemia is based on:·Question 66Which   of the following is not appropriate suppression therapy for chronic bacterial   prostatitis?·Question 67The most effective treatment of non-infectious bursitis   includes:·Question 68Differential   diagnosis of proteinuria includes which of the following?A.Orthostatic     proteinuriaB.Nephrotic     syndromeC.InfectionD.TraumaE.A     and B·Question 69You are   assessing a patient after a sports injury to his right knee. You elicit a positive   anterior/posterior drawer sign. This test indicates an injury to the:·Question 70A   positive drawer sign supports a diagnosis of:·Question 71A   patient presenting for an annual physical exam has a BMI of 25 kg/m2 This   patient would be classified as:·Question 72A   patient has been taking fluoxetine (Prozac) since being diagnosed with major   depression, first episode, 2 months ago. She reports considerable improvement   in her symptoms and her intention to discontinue the medication. What should   be the nurse practitioner’s recommendation?·Question 73Diagnostic   radiological studies are indicated for low back pain:·Question 74A 32   year old female patient presents with fever, chills, right flank pain, right   costovertebral angle tenderness, and hematuria. Her urinalysis is positive   for leukocytes and red blood cells. The nurse practitioner diagnoses   pyelonephritis. The most appropriate management is:·Question 75Which   of the following symptoms suggests a more serious cause of back pain?·Question 76What is the first step in the treatment of uric acid   kidney stones?·Question 77A 20 year old male patient complains of “scrotal   swelling.” He states his scrotum feels heavy, but denies pain. On   examination, the nurse practitioner notes transillumination of the scrotum.   What is the most likely diagnosis?·Question 78What is the first symptom seen in the majority of   patients with Parkinson’s disease?·Question 79A 60   year old female patient complains of sudden onset unilateral, stabbing,   surface pain in the lower part of her face lasting a few minutes, subsiding,   and then returning. The pain is triggered by touch or temperature extremes.   Physical examination is normal. Which of the following is the most likely   diagnosis?·Question 80Which of the following set of symptoms should raise   suspicion of a brain tumor?·Question 81The most reliable indicator(s) of neurological deficit   when assessing a patient with acute low back pain is(are):·Question 82A   25 year old overweight patient presents with a complaint of dull achiness in   his groin and history of a palpable lump in his scrotum that “comes and   goes”. On physical examination, the nurse practitioner does not detect a   scrotal mass. There is no tenderness, edema, or erythema of the scrotum, the   scrotum does not transilluminate. What is the most likely diagnosis?·Question 83Which   of the following characteristics are associated with prepatellar bursitis?·Question 84Which   drug category contains the drugs that are the first line Gold standard   therapy for COPD?·Question 85Which of the following physical modalities recommended   for treatment of rheumatoid arthritis provides the most effective long term pain   relief?·Question 86Which   of the following accounts for half of the bladder tumors among men and   one-third in women?·Question 87A 35 year old male presents with a complaint of   low pelvic pain, dysuria, hesitancy, urgency, and reduced force of stream.   The nurse practitioner suspects acute bacterial prostatitis. Which of the   following specimens would be least helpful for diagnosis?·Question 88In which of the following presentations is further   diagnostic testing not warranted?·Question 89Martin   is complaining of erectile dysfunction. He also has a condition that has   reduced arterial blood flow to his penis. The most common cause of this   condition is:·Question 90Which of the following is the   most common complication of the myelodysplastic syndromes?·Question 91. You   know that this is indicative of:A. InfectionB. MalignancyC. InflammationD. DrugE. EndocrineB. A. Infection- Viral: infectious mononucleosis (CMV, EBP),   HIV- Bacterial: skin infection, TB- Fungal: cryptococcalB. Malignancy- Hematological: lymphoma, leukemia- Solid tumour LN metC. Inflammatory- Castleman ds- Kimura ds- Kikuchi ds- SLE, RA- Amyloidosis, sarcoidosisD. Drug- Phenytoin (anti-seizure)- Hydralazine (HF)E. Endocrine [rare]- Addison’s disease- Hypothyroidism·Question 92A 15   year-old female patient is 5 feet tall and weighs 85 pounds. You suspect   anorexia and know that the best initial approach is to:·Question 93A   patient taking levothyroxine is being over-replaced. What condition is he at   risk for?·Question 94A nurse   practitioner diagnoses a 60 year old male with balanitis. Which disease is   commonly associated with balanitis?·Question 95The   diagnosis of human papilloma virus (HPV) infection in males is usually made   by:·Question 96Martin,   a 58 year old male with diabetes, is at your office for his PRO follow up. On   examining his feet with monofilament, you discover that he has developed   decreased sensation in both feet. There are no open areas or signs of   infection on his feet. What health teaching should Martin receive today regarding   the care if his feet?·Question 97Which   of the following is a potential acquired cause of thrombophilia?·Question 98Deficiency   of which nutritional source usually presents with an insidious onset of   paresthesias of the hands and feet that are usually painful?·Question 99What information should patients with diabetes and   their families receive about hypoglycemia?·Question 100Josh,   age 22, is a stock boy and has an acute episode of low back pain. You order   and NSAID and tell him which of the following?·Question 101A 28-year-old female presents to the office requesting testing for diagnosis of hereditary thrombophilia. Her father recently had a deep vein thrombosis and she is concerned about her risk factors. The nurse practitioner explains that:A.The patient should start   anticoagulant therapy immediately.B.Hereditary thrombophilia does not   always require anticoagulation therapy.C.Women of childbearing age cannot   take anticoagulant therapy.D.Genetic and risk management   counseling are recommended.E.B and DNURS 6531 Final Exam / NURS6531 Final Exam (Latest): Walden UniversityWalden NURS 6531 Final Exam / Walden NURS6531 Final Exam (Latest)·Question 1When   completing this quiz, did you comply with Walden University’s Code of Conduct   including the expectations for academic integrity?·Question 2Central obesity, “moon” face, and dorsocervical fat pad   are associated with:A.Metabolic     syndromeB.Unilateral     pheochromocytomaC.Cushing’s     syndromeD.None     of the above·Question 3An elderly man is started on lisinopril and   hydrochlorhiazide for hypertension. Three days later, he returns to the   office complaining of left great toe pain. On exam, the nurse practitioner   notes an edematous, erythematous tender left great toe. The likely   precipitant of this patient’s pain is:A.TraumaB.Tight     shoesC.Arthritis     flareD.Hydrochlorothiazide·Question 4The most effective treatment of non-infectious bursitis   includes:·Question 5What conditions must be met for you to bill “incident to”   the physician, receiving 100% reimbursement from Medicare?Answers: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 6Which of the following is not a risk factor associated   with the development of syndrome X and type 2 diabetes mellitus?·Question 7Which of the following is not a common early sign of   benign prostatic hyperplasia (BPH)?A.   NocturiaB. Urgency incontinenceC. Strong urinary stream flowD. Straining to void·Question 8Steve, age 69, has gastroesophageal reflux disease (GERD).   When teaching him how to reduce his lower esophageal sphincter pressure,   which substances do you recommend that he avoid?§ Food that is very hot or very cold§ Fatty or fried foods§ Peppermint or spearmint, including flavoring§ Coffee, tea, and soft drinks that contain caffeine§ Spicy, highly seasoned foods§ Fried foodDT caffeine, chocolate and anticholinergics·Question 9Which drug category contains the drugs that are the first   line Gold standard therapy for COPD?·Question 10The most commonly recommended pharmacological treatment   regimen for low back pain (LBP) is:·Question 11Which of the following is not appropriate suppression   therapy for chronic bacterial prostatitis?·Question 12A patient presents with dehydration, hypotension, and   fever. Laboratory testing reveals hyponatremia, hyperkalemia, and   hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks   later with the same symptoms of hyperpigmentation, weakness, anorexia,   fatigue, and weight loss. What action(s) should the nurse practitioner take?.A Obtain a   thorough history and physical, and check serum cortisol and ACTH levels.B. Perform a diet history and check CBC and FBS.C. Provide nutritional guidance and have the patient return in one month.D. Consult home health for intravenous administration·Question 13The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is:·Question 14How do you respond when Jessica, age 42, asks you what constitutes a good minimum cardiovascular workout?·Question 15The intervention known to be most effective in the   treatment of severe depression, with or without psychosis, is:·Question 16You are assessing a patient after a sports injury to his   right knee. You elicit a positive anterior/posterior drawer sign. This test   indicates an injury to the: heA. lateral meniscusB. cruciate ligamentC. medial meniscusD. collateral ligament.·Question 17A 32 year old female patient presents with fever, chills,   right flank pain, right costovertebral angle tenderness, and hematuria. Her   urinalysis is positive for leukocytes and red blood cells. The nurse   practitioner diagnoses pyelonephritis. The most appropriate management is:·Question 18A 21-year-old female presents to the office   complaining of urinary frequency and urinary burning. The nurse practitioner   suspects a urinary tract infection when the urinalysis reveals·Question 19A middle-aged man presents to urgent care complaining of   pain of the medial condyle of the lower humerus. The man works as a carpenter   and describes a gradual onset of pain. On exam, the medial epicondyle is   tender and pain is increased with flexion and pronation. Range of motion is   full The most likely cause of this patient’s pain is:·Question 20The initial clinical sign of Dupuytren’s contracture is:··Question 21The best test to determine microalbuminuria to assist in   the diagnosis of diabetic neuropathy·Question 22What is the first symptom seen in the majority of patients   with Parkinson’s disease?·Question 23The most commonly recommended method for prostate cancer   screening in a 55 year old male is:·Question 24Martin, age 24, presents with an erythematous ear canal,   pain, and a recent history of swimming. What do you suspect?·Question 25Which of   the following symptoms suggests a more serious cause of back pain?·Question 26Josh, age 22, is a stock boy and has an acute episode of   low back pain. You order and NSAID and tell him which of the following?·Question 27A 72 year old female patient reports a 6 month   history of gradually progressive swollen and painful distal interphalangeal   (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte   sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor   (RF) are all minimally elevated. What is the most likely diagnosis?·Question 28A patient taking levothyroxine is being   over-replaced. What condition is he at risk for?·Question 29Which of the following is the most common cause of low   back pain?A.Lumbar     disc diseaseB.Spinal     stenosisC.Traumatic     fractureD.Osteoporosis·Question 30Which is the most common cause of end-stage renal disease   in the United States?·Question 31A 77-year-old female presents to the office complaining a   sudden swelling on her right elbow. She denies fever, chills, trauma, or   pain. The physical exam reveals a non-tender area of swelling over the   extensor surface over the right elbow with evidence of trauma or irritation.   The nurse practitioner suspects:A.ArthritisB.Ulnar     neuritisC.Septic     arthritisD.Olecranon     bursitis·Question 32A 60 year old female patient complains of sudden onset   unilateral, stabbing, surface pain in the lower part of her face lasting a   few minutes, subsiding, and then returning. The pain is triggered by touch or   temperature extremes. Physical examination is normal. Which of the following   is the most likely diagnosis?·Question 33Beth, age 49, comes in with low back pain. An x-ray of the   lumbosacral spine is within normal limits. Which of the following diagnoses   do you explore further?·Question 34A patient exhibits extrapyramidal side effects of   antipsychotic medications. Which of the following symptoms would lead you to   look for another diagnosis?·Question 35Phalen’s test, 90°wrist flexion for 60 seconds, reproduces   symptoms of:·Question 36Jennifer says that she has heard that caffeine can cause   osteoporosis and asks you why. How do you respond?·Question 37The most common cause of elevated liver function tests is:·Question 38Reed-Sternberg B lymphocytes are associated with which of   the following disorders:A.Aplastic anemiaB.Hodgkin’s lymphomaC.Non Hodgkin’s lymphomaD.Myelodysplastic syndromes·Question 39Which of the following is a potential acquired cause of   thrombophilia?A.HomocysteinuriaB.Protein C deficiencyC.Factor V LeidenD.Antiphospholipid antibodies·Question 41A 75-year-old female is diagnosed with primary   hyperparathyroidism and asks the nurse practitioner what the treatment for   this disorder is. The nurse practitioner explains:Primary     hyperparathyroidism is treated with Vitamin D restrictionPrimary     hyperparathyroidism is treated with parathyroidectomyPrimary     hyperparathyroidism is treated with daily magnesiumPrimary     hyperparathyroidism is treated with parenteral parathyroid hormone (PTH)·Question 42Diagnostic confirmation of acute leukemia is based on:··Question 43A 25 year old overweight patient presents with a   complaint of dull achiness in his groin and history of a palpable lump in his   scrotum that “comes and goes”. On physical examination, the nurse   practitioner does not detect a scrotal mass. There is no tenderness, edema,   or erythema of the scrotum, the scrotum does not transilluminate. What is the   most likely diagnosis?A. Testicular   torsionB. EpididymitisC. Inguinal herniaD. Varicocele·Question 44Dave, age 38, states that he thinks he has an ear   infection because he just flew back from a business trip and feels unusual   pressure in his ear. You diagnose barotrauma. What is your next action?A. Prescribe nasal steroids and oral decongestantsB. Prescribe antibiotic eardropsC. Prescribe systemic eardropsD. Refer David to an ear, nose, and throat specialist·Question 45Which of the following antibiotics should not be   prescribed for a pregnant woman in the 3rd trimester?·Question 46The physiological explanation of syncope is:·Question 47A 20 year old male patient complains of “scrotal   swelling.” He states his scrotum feels heavy, but denies pain. On   examination, the nurse practitioner notes transillumination of the scrotum.   What is the most likely diagnosis?·Question 48A 32 year old male patient complains of urinary   frequency and burning on urination for 3 days. Urinalysis reveals   bacteriuria. He denies any past history of urinary tract infection. The   initial treatment should be: nclude nitrofurantoin monohydrate/macrocrystals,   trimethoprim-sulfamethoxazole (TMP-SMX), or fosfomycin.·Question 49Diagnostic radiological studies are indicated for low back   pain:·Question 50Who is at a higher risk for developing nephrolithiasis?··Question 51An 81-year-old female is diagnosed with type 2 diabetes.   When considering drug therapy for this patient, the nurse practitioner is   most concerned with which of the following side effects?A.Weight     gainB.Fracture     riskC.HypoglycemiaD.Weight     loss·Question 52A 28-year-old female presents to the office requesting   testing for diagnosis of hereditary thrombophilia. Her father recently had a   deep vein thrombosis and she is concerned about her risk factors. The nurse   practitioner explains that:·Question 53The diagnosis of human papilloma virus (HPV) infection in   males is usually made by:·Question 54Which history is commonly found in a patient with   glomerulonephritis?·Question 55A   patient complains of generalized joint pain and stiffness associated with   activity and relieved with rest. This patient history is consistent with   which of the following disorders?·Question 56The most common presentation of thyroid cancer is:·Question 57The obligatory criteria for diagnosis of muscular   dystrophy (MD) are:·Question 58The diagnosis which must be considered in a patient who   presents with a severe headache of sudden onset, with neck stiffness and   fever, is:·Question 59A 60 year old male patient with multiple health   problems presents with a complaint of erectile dysfunction (ED). Of the   following, which medication is most likely to be causing the problem?·Question 60A 72 year old patient exhibits sudden onset of fluctuating   restlessness, agitation, confusion, and impaired attention. This is   accompanied by visual hallucinations and sleep disturbance. What is the most   likely cause of this behavior?A. DementiaC. Parkinson’s diseaseD. Depression·Question 61Which of the following set of symptoms should raise   suspicion of a brain tumor?·Question 62The cornerstone of treatment for   stress fracture of the femur or metatarsal stress fracture is:·Question 63Sally, a computer programmer, has just been given a new diagnosis   of carpal tunnel syndrome. Your next step is to:·Question 64Marsha presents with symptoms resembling both fibromyalgia   and chronic fatigue syndrome, which have many similarities. Which of the   following is more characteristic of fibromyalgia?A.   Musculosckeletal painB. Difficulty sleepingC. DepressionD. Fatigue·Question 65The cardinal sign of infectious arthritis is:·Question 66Diagnostic evaluation for urinary calculi includes:·Question 67Martin, a 58 year old male with diabetes, is at your   office for his diabetes follow up. On examining his feet with monofilament,   you discover that he has developed decreased sensation in both feet. There are   no open areas or signs of infection on his feet. What health teaching should   Martin receive today regarding the care if his feet?See a   podiatrist yearly; wash your feet daily withwarm, soapy water and towel dry between thetoes; inspect your feet daily for any lesions; andapply lotion to any dry areas.·Question 68Potential causes of septic   arthritis include which of the following?·Question 69Which of the following is the best response to a woman who   has just admitted she is a victim of spousal abuse?·Question 70A 15 year-old female patient is 5 feet tall and weighs 85   pounds. You suspect anorexia and know that the best initial approach is to:Having   the client in view of staff for 90 minutes after each meal·Question 71A 63-year-old man presents to the office with hematuria,   hesitancy, and dribbling. Digital rectal exam (DRE) reveals a moderately   enlarged prostate that is smooth. The PSA is 1.2. What is the most   appropriate management strategy for you to follow at this time?A. Prescribe   an alpha adrenergic blocker.B. Recommend saw palmetto.C. Prescribe an antibioticD. Refer the client to urology.·Question 72A patient has been diagnosed with generalized anxiety disorder   (GAD). Which of the following medications may be used to treat generalized   anxiety disorder?·Question 73A positive drawer sign supports a diagnosis of:·Question 74Sam, age 67, is a diabetic with worsening renal function.   He has frequent hypoglycemic episodes, which he believes means that his   diabetes is getting “better.” How do you respond?··Question 75A 14 year old female cheerleader reports gradual and   progressive dull anterior knee pain, exacerbated by kneeling. The nurse   practitioner notes swelling and point tenderness at the tibial tuberosity.   X-ray is negative. What is the most likely diagnosis?·Question 76A 35 year old male presents with a complaint of low   pelvic pain, dysuria, hesitancy, urgency, and reduced force of stream. The   nurse practitioner suspects acute bacterial prostatitis. Which of the   following specimens would be least helpful for diagnosis?·Question 77Jack, age 55, comes to the office with a blood pressure of   144/98 mm Hg. He states that he did not know if it was ever elevated before.   When you retake his blood pressure at the end of the exam, it remains at   144/98. What should your next action be?·Question 78A patient has just been diagnosed with Bell’s palsy. He is   understandably upset and has questions about the prognosis. You response   should be:··Question 79Martin is complaining of erectile dysfunction. He also has   a condition that has reduced arterial blood flow to his penis. The most   common cause of this condition is:·Question 80Successful management of a patient with attention deficit hyperactivity   disorder (ADHD) may be achieved with:·Question 81What diabetic complications result from hyperglycemia?1.1.1.  Retinopathy2.  Hypertension   resistant to treatment3. Peripheral   neuropathy4.  Accelerated   atherogenesis·Question 82·Question 83The most common symptoms of transient ischemic attack   (TIA) include:·Question 84What is the first step in the treatment of uric acid   kidney stones?·Question 85Establishment of a definitive diagnosis of osteomyelitis   requires:·Question 86Which of the following is the most common causative   organism of nongonococcal urethritis?A.Chlamydia     trachomatisB.Ureaplasma     urealyticumC.Mycoplasma     hominisD.Trichonomas     vaginalis·Question 87Urine cultures should be obtained for which of the   following patients?··Question 88A 30 year old female patient presents to the clinic with   heat intolerance, tremors, nervousness, and weight loss inconsistent with   increased appetite. Which test would be most likely to confirm the suspected   diagnosis?·Question 89A patient has been diagnosed with   hypothyroidism and thyroid hormone replacement therapy is prescribed. How   long should the nurse practitioner wait before checking the patient’s TSH?·Question 90Potential causes of hypocalcemia include which of the   following?·Question 91Which of the following patients most warrants screening   for hypothyroidism?·Question 92Which of the following is a contraindication for metformin   therapy?·Question 93The organism most often associated with prostatitis is:A.KlebsiellaB.Neiserria     gonorrhoaesC.Chlamydia     trachomatisD.Escherichia     coli·Question 94The most effective intervention(s)   to prevent stroke is (are):·Question 95What is the most commonly abused substance?·Question 96The hallmark of neurofibromatosis (von Recklinghausen’s   disease) present in almost 100% of patients is:·Question 97Diagnostic evaluation of   hypothyroidism reveals:·Question 98An obese hyperlipidemic patient, newly diagnosed with type   2 diabetes mellitus, has fasting glucose values 180 to 250 mg/Dl. What is the   most appropriate initial treatment to consider?A. A   low-calorie diet and exerciseB. Sliding-scale NPH insulin every 12 hoursC. A sulfonylurea and/or metformin (Glucophage® -XR)D. Sliding-scale regular insulin every 6 hours·Question 99The correct treatment for ankle sprain during the first 48   hours after injury includes:·Question 100Prolonged PT suggests:A.Platelet abnormalityB.Abnormality in intrinsic     coagulation pathwayC.Abnormality in extrinsic     coagulation pathwayD.None of the aboveQuestion 101·A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified as:·Question 102The most reliable indicator(s) of neurological deficit   when assessing a patient with acute low back pain is(are):·Question 103Risk factors for Addison’s disease   include which of the following?·Question 104Major depression occurs most often   in which of the following conditions?·Question 105Which of the following medications increase the risk for   metabolic syndrome?·Question 106A 27 year old female patient with epilepsy is well   controlled with phenytoin (Dilantin). She requests information about   contraception. The nurse practitioner should instruct her that while taking   phenytoin:·Question 107Risk factors for prostate cancer include all of the   following except:·Question 108Maria, age 17, was raped when she was 13 year old. She is   now experiencing sleeping problems, flashbacks, and depression. What is your   initial diagnosis?Post-traumatic stress disorder5 years agoReport issueNURS 6531 FINAL EXAM (2 VERSIONS) / NURS6531 FINAL EXAM (100 CORRECT Q & A IN EACH VERSION, TOTAL: 200 Q & A)NOT RATEDPurchase the answer to view itNURS6531FinalExamv1.pdfplagiarism checkPurchase $30

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