NRNP6531 Clinical Analysis Final Exam Mid Exam With Answers (721 Solved Questions)

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NRNP 6531Final ExamAllExams(BundledNRNP 6531 MIDTERMEXAMS PLUS FINAL EXAMS)

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UserCourseNURS-6531N-8,Adv. Practice Care of Adults.2018 Summer Qtr05/29-08/19-PT27TestMidterm ExamStatusNeeds GradingAttemptScore0 out of 100 pointsTime Elapsed1 hour, 53 minutes out of 1 hour and 50 minutesOVER TIMEResultsDisplayedAll Answers, Submitted Answers, Correct AnswersQuestion 10 out of 0 pointsWhen completing this quiz, did you comply with Walden University’s Codeof Conduct including the expectations for academic integrity?SelectedAnswer:YesAnswers:YesNoQuestion 21 out of 1 pointsThe most common cancer found on the auricle is:SelectedAnswer:Basal cell carcinomaAnswers:Actinic keratosisBasal cell carcinomaSquamous cellcarcinomaAcral-lentiginousmelanomaQuestion 30 out of 1 pointsWhich of the following medication classes should be avoided in patients with acute orchronic bronchitis because it will contribute to ventilation-perfusion mismatch in thepatient?

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SelectedAnswer:AnticholinergicsAnswers:XanthinesAntihistiminesSteroidsAnticholinergicsQuestion 40 out of 1 pointsA 47 year old male patient presents to the clinic with a single episode of a moderateamount of bright red rectal bleeding. On examination, external hemorrhoids are noted.How should the nurse practitioner proceed?SelectedAnswer:Instruct the patient on measures to prevent hemorrhoids such asbowel habits and diet.Answers:Instruct the patient on measures to prevent hemorrhoids such asbowel 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 50 out of 1 pointsWhich of the following patient characteristics are associated with chronic bronchitis?SelectedAnswer:Underweight, pink skin, and increased respiratory rateAnswers:Overweight, cyanosis, and normal or slightly increasedrespiratory rateUnderweight, pink skin, and increased respiratory rate

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Overweight, pink skin, and normal or slightly increasedrespiratory rateNormal weight, cyanosis, and greatly increasedrespiratory rateQuestion 61 out of 1 pointsA 65-year-old female with a past medical history of hypertension, hyperlipidemia, andpolymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain.Her current medications include omeprazole 20 milligrams po daily, lisinopril 20milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams podaily. The nurse practitioner suspects acute diverticulitis and possibly an abscess. Themost appropriate diagnostic test for this patient at this time is:SelectedAnswer:CT scanAnswers:CBC/difErythrocytesedimentation rateAbdominal ultrasoundCT scanQuestion 71 out of 1 pointsA patient reports “something flew in my eye” about an hour ago while he was splittinglogs. If there were a foreign body in his eye, the nurse practitioner would expect to findall except:SelectedAnswer:Purulent drainageAnswers:Purulent drainageTearingPhotophobiaA positive fluoresceinstain

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Question 81 out of 1 pointsA 21 year old college student presents to the student health center with copious,markedly purulent discharge from her left eye. The nurse practitioner student shouldsuspect:SelectedAnswer:GonococcalconjunctivitisAnswers:Viral conjunctivitisCommon pink eyeGonococcalconjunctivitisAllergicconjunctivitisQuestion 90 out of 1 pointsA 35 year old man presents with radicular pain followed by the appearance of groupedvesicles consisting of about 15 lesions across 3 diferent thoracic dermatomes. Hecomplains of pain, burning, and itching. The nurse practitioner should suspect:SelectedAnswer:A complicated case of shingles and prescribe acyclovir, an analgesic,and a topical cortisone creamAnswers:A common case of shingles and prescribe an analgesic and an antiviralagentA complicated case of shingles and prescribe acyclovir, an analgesic,and a topical cortisone creamHerpes zoster and consider that this patient may beimmunocompromisedA recurrence of chickenpox and treat the patient’s symptomsQuestion 100 out of 1 points

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Which type of lung cancer has the poorest prognosis?SelectedAnswer:AdenocarcinomaAnswers:AdenocarcinomaEpidermoidcarcinomaSmall cellcarcinomaLarge cellcarcinomaQuestion 111 out of 1 pointsAn 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. Thehistory suggests that the patient has:SelectedAnswer:Chronic diarrheaAnswers:Acute diarrheaChronic diarrheaIrritable bowelFunctional boweldiseaseQuestion 121 out of 1 pointsMargaret, age 32, comes into the office with painful joints and a distinctive rash in abutterfly distribution on her face. The rash has red papules and plaques with a fine scale.What do you suspect?SelectedAnswer:Systemic lupuserythematosus

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Answers:An allergic reactionRelapsingpolychondritisLymphocytoma cutisSystemic lupuserythematosusQuestion 131 out of 1 pointsAntibiotic administration has been demonstrated to be of little benefit to the treatment ofwhich of the following disease processes?SelectedAnswer:Acute bronchitisAnswers:Chronic sinusitisAcute bronchitisBacterial pneumoniaAcute exacerbation of chronicbronchitisQuestion 140 out of 1 pointsLisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2agonist daily. Her exacerbations afect her activities and they occur at least twice weeklyand may last for days. She is afected more than once weekly during the night with anexacerbation. Which category of asthma severity is Lisa in?SelectedAnswer:Mild persistentAnswers:MildintermittentMild persistent

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ModeratepersistentQuestion 150 out of 1 pointsWhich of the following is the most appropriate therapeutic regimen for an adult patientwith no known allergies diagnosed with group A B-hemolytic strep?SelectedAnswer:None of the aboveAnswers:Penicillin V 500 milligrams PO every 8 hoursfor 10 daysAmpicillin 250 milligrams PO twice a day for10 daysClarithromycin 500 milligrams po daily for 7daysNone of the aboveQuestion 160 out of 1 pointsA cashier complains of dull ache and pressure sensation in her lower legs. It is relieved byleg elevation. She occasionally has edema in her lower legs at the end of the day. What isthe most likely cause of these problems?SelectedAnswer:ArterialinsufficiencyAnswers:Congestive heartfailureVaricose veinsDeep veinthrombosisArterialinsufficiencyQuestion 171 out of 1 pointsWhich statement below is correct about pertussis?Selected

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Answer:It is also called whooping coughAnswers:It is also called whooping coughIt begins with symptoms like strep throatIt lasts about 3 weeksIt occurs most commonly in toddlers andyoung childrenQuestion 180 out of 1 pointsWhich of the following is the most important diagnosis to rule out in the adult patientwith acute bronchitis?SelectedAnswer:AsthmaAnswers:PneumoniaAsthmaSinusitisPertussisQuestion 191 out of 1 pointsA 70 year old patient presents with left lower quadrant (LLQ) abdominal pain, a markedlytender palpable abdominal wall, fever, and leukocytosis. Of the following terms, whichcorrectly describes the suspected condition?SelectedAnswer:DiverticulitisAnswers:DiverticulosisDiverticula

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DiverticulitisDiverticulumQuestion 201 out of 1 pointsSylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. Thismorning she noticed a rash with erythematous papules in that site. What do you suspect?SelectedAnswer:HerpeszosterAnswers:VaricellaHerpeszosterSyphilisRubellaQuestion 210 out of 1 pointsA 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knowsthat the most common cause of pancreatitis is:SelectedAnswer:MedicationsAnswers:AlcoholGallstonesMedicationsPregnancyQuestion 221 out of 1 points

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When a patient presents with symptoms of acute gallbladder disease, what is theappropriate nurse practitioner action?SelectedAnswer:Order an abdominal ultrasoundAnswers:Order abdominal x-raysOrder an abdominal ultrasoundRefer the patient to a surgeon forevaluationPrescribe pain medicationQuestion 230 out of 1 pointsA false-positive result with the fecal occult blood test can result from:SelectedAnswer:stool that has been storedbefore testingAnswers:ingestion of large amounts ofvitamin Ca high dietary intake of rarecooked beefa colonic neoplasm that is notbleedingstool that has been storedbefore testingQuestion 240 out of 1 pointsA 76-year-old male complains of weight loss, nausea, vomiting, abdominal cramping andpain. Physical findings include an abdominal mass and stool positive for occult blood. Thenurse practitioner pain suspects a tumor in the small intestine. The best diagnostic testfor this patient is:SelectedAnswer:Colonoscopy

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Answers:ColonoscopySmall bowel follow-throughBarium enemaCT abdomenQuestion 251 out of 1 pointsA patient presents to urgent care complaining of dyspnea, fatigue, and lower extremityedema. The echocardiogram reveals and ejection fraction of 38%. The nurse practitionerknows that these findings are consistent with:SelectedAnswer:Systolic heartfailureAnswers:MitralregurgitationSystolic heartfailureCardiac myxomaDiastolic heartfailureQuestion 261 out of 1 pointsMaxine, Age 76, has just been given a diagnosis of pneumonia. Which of the following isan indication that she should be hospitalized?SelectedAnswer:Multilobar involvement on chest x-ray with the inability to take oralmedicationsAnswers:Multilobar involvement on chest x-ray with the inability to take oralmedications

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Alert and oriented, slightly high but stable vital signs, and no one totake care of her at homeSputum and gram positive organismsA complete blood count showing leukocytosisQuestion 270 out of 1 pointsA 55 year old man is diagnosed with basal cell carcinoma. The nurse practitionercorrectly tells him:SelectedAnswer:“It is the most common cause of death in patients with skincancer.”Answers:“It is the most common cause of death in patients with skincancer.”“It can be cured with surgical excision or radiation therapy.”“It is a slow growing skin cancer that rarely undergoesmalignant changes.”“It can be cured using 5-flurouracil cream twice daily for 2to 4 weeks.”Question 281 out of 1 pointsExpected spirometry readings when the patient has chronic emphysema include:SelectedAnswer:Increased total lung capacity (TLC)Answers:Decreased residual volume (RV)Increased vital capacity (VC)Increased forced expiratory volume(FEV-1)Increased total lung capacity (TLC)Question 29

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1 out of 1 pointsAn 80-year-old male admits to difficulty swallowing during the review of systems. Thenurse practitioner recognizes the diferential diagnosis for this patient’s dysphagia is:SelectedAnswer:A and CAnswers:EsophagealcancerChest painGERDA and CAll of theaboveQuestion 300 out of 1 pointsA 40 year old female with history of frequent sun exposure presents with a multicoloredlesion on her back. It has irregular borders and is about 11mm in diameter. What shouldthe nurse practitioner suspect?SelectedAnswer:Basal cellcarcinomaAnswers:Squamous cellcarcinomaMalignantmelanomaA common nevusBasal cellcarcinomaQuestion 311 out of 1 pointsWhich of the following is not a goal of treatment for the patient with cystic fibrosis?

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SelectedAnswer:Replace water-solublevitaminsAnswers:Prevent intestinalobstructionProvide adequatenutritionPromote clearance ofsecretionsReplace water-solublevitaminsQuestion 321 out of 1 pointsThe nurse practitioner is performing a physical exam on a middle-aged African-Americanman. Which of the following areas is a common site for melanomas in African-Americansand other dark-skinned individuals?SelectedAnswer:B and CAnswers:ScalpNailsFeetB and CAll of theaboveQuestion 331 out of 1 pointsAn adult presents with tinea corporis. Which item below is a risk factor for itsdevelopment?SelectedAnswer:Topical steroiduse

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