NURS 6501 FINALS Questions and Answer AUG 2020,100% CORRECT

NURS 6501 FINALS Questions and Answer AUG 2020 • • Question 1 A woman diagnosed with trichomoniasis asks if her sexual partner should be treated as well. What is the appropriate response by the healthcare profes ...

NURS 6501 FINALS Questions and Answer AUG 2020 • • Question 1 A woman diagnosed with trichomoniasis asks if her sexual partner should be treated as well. What is the appropriate response by the healthcare professional? Selected Answer: Sexual partners should be treated even if they are asymptomatic. • Question 2 0 out of 1 points An infant is brought to the emergency department by parents who report that the baby's fontanels seem to be bulging outward. What action by the healthcare provider is most appropriate? Selected Answer: Prepare the baby for a lumbar puncture and blood cultures. • Question 3 1 out of 1 points A patient has polycythemia vera and presents to the Emergency Department with plethora and neurological changes. The student asks the healthcare professional to explain the primary cause of these symptoms. What response by the professional is best? Selected Answer: Increased blood viscosity • Question 4 When are childhood cancers most often diagnosed? 1 out of 1 points Selected Answer: At peak times of physical growth • Question 5 1 out of 1 points A severely malnourished patient is in the hospital to improve nutrition. On the second day, the patient reports palpitations and difficulty breathing. After placing the patient on a cardiac monitor, what action does the health care professional take next? Selected Answer: Have lab drawn for electrolyte levels. • Question 6 0 out of 1 points The student wants to know how the clinical manifestations and onset of juvenile idiopathic arthritis (JIA) differ from those of rheumatoid arthritis (RA) in adults. What answer by the healthcare professional is best? Selected Answer: JIA begins insidiously with systemic signs of inflammation. • Question 7 1 out of 1 points A patient has a temporary displacement of two bones in a joint causing the bone surfaces to partially lose contact with each other. What treatment does the health care professional prepare the patient for? Selected Answer: Reduction and immobilization • Question 8 0 out of 1 points A preschool teacher notices a child who has burrows on the hands that are several millimeters to 1 cm long, papules, and vesicular lesions. What other assessment finding would help the teacher determine the type of infestation the child has? Selected Answer: Check the child's hair for the presence of small mites. • Question 9 1 out of 1 points The disruption in cellular adhesion observed in bullous impetigo is caused by an exfoliative toxin related to which organism? Selected Answer: Staphylococcus aureus • Question 10 1 out of 1 points A mother reports that her young teens have voracious appetites. The healthcare professional would explain that which hormone is linked to an increase in appetite during puberty? Selected Answer: Lepti n • Question 11 1 out of 1 points What diagnosis is given to parents when their infant's hip maintains contact with the acetabulum but is not well seated within the hip joint? Selected Answer: Subluxated hip • Question 12 1 out of 1 points The healthcare professional directs a student to assess a teen who has Osgood-Schlatter disease. What assessment finding does the student anticipate for this disorder? Selected Answer: Tendinitis of the anterior patellar tendon • Question 13 What are the clinical manifestations of testicular cancer? 1 out of 1 points Selected Answer: Firm, nontender testicular mass • Question 14 1 out of 1 points A man reports to the healthcare professional that he had a sudden onset of malaise, low back pain, and perineal pain with high fever and chills, dysuria, nocturia, and urinary retention. What action by the healthcare professional is most appropriate? Selected Answer: Assist the man in obtaining a urine sample. • Question 15 1 out of 1 points An infant has been diagnosed with intussusception and the student asks the healthcare professional to explain the condition. What explanation by the professional is most accurate? Selected Answer: One part of the intestine telescopes into another section of the intestine. • Question 16 1 out of 1 points Which statement by the healthcare professional accurately describes childhood asthma? Selected Answer: An obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation • Question 17 1 out of 1 points A patient is in status epilepticus. In addition to giving medication to stop the seizures, what would the healthcare professional place highest priority on? Selected Answer: Providing oxygen • Question 18 1 out of 1 points A health care professional determines that the student needs more education when the student makes which statement about treating bone infection? Selected Answer: Bacteria are walled off by macrophages and T lymphocytes; consequently, the antibiotics cannot penetrate the infected area. • Question 19 1 out of 1 points A health care professional is teaching a group of college women about increasing calcium in the diet to prevent osteoporosis. A participant asks at what age is peak bone mass is reached in women. What response is best? Selected Answer: 30 years • Question 20 What is the link between major depression and cortisol secretion? 1 out of 1 points Selected Answer: Individuals with depression show that persistently elevated plasma cortisol levels can result in inflammation that is believed to trigger depression. • Question 21 1 out of 1 points A student asks the professor to explain the jaundice that accompanies hemolytic anemia. Which statement is by the professor is most accurate? Selected Answer: Heme destruction exceeds the liver's ability to conjugate and excrete bilirubin. • Question 22 Which cells function to maintain bone matrix? 1 out of 1 points Selected Answer: Osteocytes • Question 23 1 out of 1 points A child has Duchenne muscular dystrophy and the parents want to know how this occurred. Which statement by the healthcare professional is most accurate? Selected Answer: X-linked recessive inheritance • Question 24 1 out of 1 points What is the role of thromboxane A (TXA 2) in the secretion stage of hemostasis? Selected Answer: Stimulates platelet aggregation. • Question 25 1 out of 1 points A healthcare professional is educating a community men's group on symptoms of benign prostatic hyperplasia (BPH). The professional relates that most symptoms are a result of which pathophysiologic condition? Selected Answer: Compression of the urethra • Question 26 1 out of 1 points A student studying osteomyelitis and asks for an explanation of the term sequestrum. What response by the professor is best? Selected Answer: An area of devascularized and devitalized bone • Question 27 1 out of 1 points A child with acute poststreptococcal glomerulonephritis is voiding smoky, brown-colored urine and asks the healthcare professional to explain what causes it. What explanation by the professional is best? Selected Answer: Presence of red blood cells • Question 28 1 out of 1 points A patient has been diagnosed with lithium toxicity. Which electrolyte imbalance does the healthcare professional correlate with this condition? Selected Answer: Hyponatremia • Question 29 0 out of 1 points A 7 year-old-child presents to the clinic where parents report signs and symptoms consistent with asthma. What does the healthcare professional do in order to confirm this diagnosis? Selected Answer: Draw serum levels of immunoglobulin E (IgE) and eosinophil levels • Question 30 1 out of 1 points A 9-year-old child has a blood pressure of 112/72 mmHg in the school nurse's office. What action by the school nurse is most appropriate? Selected Answer: Note the normal finding in the child's records. • Question 31 1 out of 1 points A patient has primary immune thrombocytopenic purpura (ITP) and is hospitalized after a bleeding episode. What treatment does the healthcare provider anticipate being ordered for this patient? Selected Answer: Infusion of IVIG • Question 32 What is the consequence of a splenectomy? 1 out of 1 points Selected Answer: The number of defective cells in circulation increases. • Question 33 0 out of 1 points Gait disturbances and instability are characteristic of which form of cerebral palsy? Selected Answer: Spast ic • Question 34 0 out of 1 points A person has been diagnosed with acute lymphocytic leukemia (ALL) that is positive for the Philadelphia chromosome. What statement by the healthcare professional is most appropriate? Selected Answer: 1cYou will need colony-stimulating support during your treatment. 1d • Question 35 1 out of 1 points A patient in the clinic had a femur x-ray that was read as having a moth-eaten appearance. What treatment option does the health care professional discuss with the patient? Selected Answer: Limb-salvaging surgery • Question 36 1 out of 1 points Local signs and symptoms of Hodgkin disease-related lymphadenopathy are a result of what? Selected Answer: Pressure and obstruction • Question 37 0 out of 1 points A child has scoliosis with a 40-degree curvature of the spine, and the parent is worried about pulmonary involvement. What statement by the healthcare professional is most appropriate? Selected Answer: Yes, we should obtain pulmonary function studies soon. • Question 38 1 out of 1 points Without prior exposure to an antigen, which cells are able to destroy some types of tumor cells and some virus-infected cells? Selected Answer: Natural killer (NK) cells • Question 39 1 out of 1 points Which hospitalized patient does the healthcare professional assess as a priority for the development of delirium? Selected Answer: An elderly male on the second day after hip replacement • Question 40 What does the student learn distinguishes kwashiorkor from marasmus? 1 out of 1 points Selected Answer: Subcutaneous fat, hepatomegaly, and fatty liver are present in kwashiorkor. • Question 41 1 out of 1 points The healthcare professor states that a patient has reached pain tolerance. What further information from the professor is most accurate? Selected Answer: The patient cannot endure a higher level of pain intensity at this point. • Question 42 1 out of 1 points A healthcare professional is caring for a patient who was rewarmed after suffering from hypothermia. What possible long-term complication will the professional continue to assess the patient for? Selected Answer: Renal failure • Question 43 0 out of 1 points A patient reports joint stiffness with movement and joint pain in weightbearing joints that is usually relieved by rest. What treatment option does the health care professional discuss with the patient? Selected Answer: Administration of oral methotrexate • Question 44 0 out of 1 points A child has osteosarcoma and the healthcare team is assessing for metastases. What diagnostic study would be the priority? Selected Answer: Liver biopsy • Question 45 1 out of 1 points A patient has defective secretion of the intrinsic factor leading to anemia. What treatment option does the healthcare professional discuss with the patient? Selected Answer: Vitamin B 12 injections initially given once a week. • Question 46 0 out of 1 points An infant has a continuous machine-type murmur best heard at the left upper sternal border throughout systole and diastole. The healthcare professional suspects a congenital heart disorder. What other assessment finding is inconsistent with the professional's knowledge about this disorder? Selected Answer: Signs of heart failure • Question 47 1 out of 1 points A student asks the health care professional why obese people are at higher risk for hypertension than non-obese individuals. What response by the professional is best? Selected Answer: They produce more angiotensinogen. • Question 48 1 out of 1 points A healthcare professional is caring for a patient who has a spinal cord injury at T5. The patient exhibits severe hypertension, a heart rate of 32 beats/min, and sweating above the spinal cord lesion. How does the professional chart this event? Selected Answer: Autonomic hyperreflexia • Question 49 What is the most abundant class of plasma protein? 1 out of 1 points Selected Answer: Albumin • Question 50 0 out of 1 points A healthcare professional is reviewing a patient's laboratory results and sees that the patient has a low reticulocyte count and a high iron level. Which type of anemia does the professional associate these findings with? Selected Answer: Iron deficiency anemia • Question 51 0 out of 1 points A healthcare professional in an urban clinic is seeing a patient who has iron deficiency anemia (IDA). What question by the professional is most appropriate to assess for the cause of IDA? Selected Answer: 1cHow many times a week do you have iron-rich foods? 1d • Question 52 0 out of 1 points A child has iron deficiency anemia. In addition to iron supplements, what else does the healthcare professional educate the parents on giving the child? Selected Answer: Zinc • Question 53 A healthcare professional is planning a community event to reduce risk of 1 out of 1 points cerebrovascular accident (CVA) in high risk groups. Which group would the professional target as the priority? Selected Answer: Hypertension • Question 54 1 out of 1 points A healthcare professional has educated a student on folic acid. Which statement by the student indicates that more teaching is needed? Selected Answer: Folic acid absorption is dependent on the enzyme folacin. • Question 55 0 out of 1 points In acute hypothermia, what physiologic change shunts blood away from the colder skin to the body core in an effort to decrease heat loss? Selected Answer: Shiveri ng • Question 56 1 out of 1 points A woman who is positive for hepatitis B is in labor. What action by the healthcare professional is most appropriate? Selected Answer: Immunize the newborn within 12 hours. • Question 57 What is the first indication of nephrotic syndrome in children? 1 out of 1 points Selected Answer: Periorbital edema • Question 58 Which condition is considered a clinical cause of amenorrhea? 1 out of 1 points Selected Answer: Failure to ovulate • Question 59 1 out of 1 points A patient is admitted to the hospital with multiple myeloma (MM). Which diagnostic test should the healthcare professional assess as the priority? Selected Answer: Serum calcium level • Question 60 1 out of 1 points What is the primary pathologic alteration resulting from ankylosing spondylitis (AS)? Selected Answer: Inflammation of fibrocartilaginous joints of the vertebrae • Question 61 1 out of 1 points A woman has been diagnosed with polycystic ovary syndrome but is confused because her pelvic ultrasound (US) was read as normal and did not show cysts. What response by the health care professional is most appropriate? Selected Answer: You do not need to have cysts on your ovaries to have this condition. • Question 62 Why is nasal congestion a serious threat to young infants? 1 out of 1 points Selected Answer: Infants are obligatory nose breathers. • Question 63 0 out of 1 points What causes the vasomotor flushes (hot flashes) that are associated with declining ovarian function with age? Selected Answer: Decreased estrogen levels • Question 64 1 out of 1 points A patient has chronic anemia associated with chronic renal failure. What substance does the healthcare professional tell the patient is needed to treat this anemia? Selected Answer: Erythropoietin • Question 65 1 out of 1 points A patient has been hospitalized for a large deep vein thrombosis and states he is the third person in his family to have this condition in the last 2 years. What response by the healthcare professional is most appropriate? Selected Answer: We can test your blood for factor V Leiden. • Question 66 1 out of 1 points A patient reports frequent nightmares. For which of these should the healthcare professional assess the patient? Selected Answer: History of traumatic event • Question 67 Cystic fibrosis is characterized by which symptom? Selected Excessive mucus 1 out of 1 points Answer: production • Question 68 0 out of 1 points To quickly assess a patient's nervous system for dysfunction, what assessment should the healthcare professional perform as the priority? Selected Answer: Motor response • Question 69 1 out of 1 points A healthcare professional wants to volunteer for a community education project to help prevent spinal cord injury. What activity would the professional most likely volunteer for? Selected Answer: Teaching older adults how to prevent trip-and- fall events • Question 70 1 out of 1 points A healthcare professional advises a pregnant woman to add supplements of which nutrient to her diet to prevent birth defects? Selected Answer: Folat e • Question 71 1 out of 1 points In which stage of syphilis would the following clinical manifestations be found: destructive skin, bone and soft tissue lesions, aneurysms, heart failure, and neurosyphilis? Selected Answer: Tertiar y • Question 72 1 out of 1 points A person has been diagnosed with primary dysmenorrhea and wants to know why ibuprofen is a good choice for pain control. What response by the health care professional is best? Selected Answer: It reduces the production of prostaglandins in your body. • Question 73 1 out of 1 points A healthcare professional has taught a parent group about the causes of enuresis. What statement by a parent indicates the professional needs to give more information? Selected Answer: Elevated nocturnal levels of vasopressin may cause enuresis. • Question 74 1 out of 1 points An infant has gluten-sensitive enteropathy and the parents ask the healthcare professional to explain why the baby bruises so easily. The professional explains that the baby has which deficit? Selected Answer: Vitamin K deficiency from fat malabsorption • Question 75 1 out of 1 points A child has phenylketonuria (PKU). The healthcare professional educates the parents on the special diet needed, telling them that children with PKU are unable to synthesize what? Selected Answer: Essential amino acid, phenylalanine, to tyrosine • Question 76 1 out of 1 points A healthcare professional had taught a pregnant woman about the risk of transmitting herpes simplex virus (HSV) from her to her fetus. What statement by the woman indicates the professional needs to provide more information? Selected Answer: Neonatal infection with HSV rarely occurs in the intrapartum or postpartum period. • Question 77 1 out of 1 points Prenatal exposure to diethylstilbestrol (DES) can result in which type of cancer? Selected Answer: Vaginal cancer • Question 78 0 out of 1 points A student asks the professor what the most common pathophysiologic process is that triggers aplastic anemia (AA). What response by the professor is most accurate? Selected Answer: Autoimmune disease against hematopoiesis by activated immunoglobulins • Question 79 1 out of 1 points What congenital malformation is commonly linked to acute leukemia in children? Selected Answer: Down syndrome • Question 80 1 out of 1 points Which pain theory proposes that a balance of impulses conducted from the spinal cord to the higher centers in the central nervous system (CNS) modulates the transmission of pain? Selected Answer: Gate control theory (GCT) • Question 81 1 out of 1 points The student asks the professor for a definition of orexigenic neurons. What description by the professor is most accurate? Selected Answer: Promote appetite and stimulate eating • Question 82 0 out of 1 points A patient has been exposed to prolonged high environmental temperatures and now shows signs of dehydration, decreased plasma volumes, hypotension, decreased cardiac output, and tachycardia. What treatment does the healthcare professional prepare to administer to this patient? Selected Answer: Aggressive cooling methods to rapidly lower temperature • Question 83 0 out of 1 points Hypothalamic-pituitary-adrenal (HPA) system abnormalities exist in a large percentage of individuals with what? Selected Answer: Panic disorder • Question 84 What initiates inflammation in acute poststreptococcal glomerulonephritis? 0 out of 1 points Selected Answer: Endotoxins from Streptococcus • Question 85 0 out of 1 points Which statement is likely true regarding children being treated for cancer with radiation therapy? Selected Answer: They are prone to experience severe developmental delays. • Question 86 1 out of 1 points In order to help prevent a preadolescent girl from developing later cervical cancer, which virus does the healthcare professional recommend vaccination against to the parent? Selected Answer: Human papillomavirus (HPV) • Question 87 1 out of 1 points What is the primary cause of respiratory distress syndrome (RDS) of the newborn? Selected Answer: Surfactant deficiency • Question 88 0 out of 1 points In immunoglobulin G (IgG) nephropathies such as glomerulonephritis, IgG is deposited in which location? Selected Answer: Mesangium of the glomerular capillaries • Question 89 How is gonorrhea transmitted from a pregnant woman to her fetus? 1 out of 1 points Selected Answer: Predominately through infected cervical and secretions during the birth process • Question 90 Which immunoglobulin (Ig) is present in childhood asthma? 1 out of 1 points Selected Answer: IgE • Question 91 0 out of 1 points Which patient finding would lead the health care professional to assess the patient for inflammatory joint disease? Selected Answer: Unilateral joint involvement • Question 92 1 out of 1 points A parent brings a 10-year-old child to the clinic and reports a mottled appearance to the skin and legs cramps when the child is in physical education class. Physical assessment positive for upper extremity hypertension. What diagnostic testing or treatment does the healthcare professional prepare the family for? Selected Answer: An echocardiogram • Question 93 1 out of 1 points A patient has been diagnosed with acute lymphocytic leukemia (ALL) and asks the healthcare professional to describe it. What description by the professional is most accurate? Selected Answer: ALL is a progressive neoplasm defined by the presence of greater than 30% lymphoblasts in the bone marrow or blood. • Question 94 0 out of 1 points A patient has damage to the lower pons and medulla. What finding does the healthcare professional associate with this injury? Selected Answer: Flexion with or without extensor response of the lower extremities • Question 95 1 out of 1 points How should the healthcare professional reply when parents question why a computed tomographic (CT) scan of the head was not ordered for their 5-year-old child after a minor fall? Selected Answer: Research suggests that repeated CT scans can increase the risk of developing brain cancer. • Question 96 0 out of 1 points A patient is in the intensive care unit and has intercranial pressure (ICP) monitoring. The patient's ICP is 17 mmHg. The healthcare professional notes that the chart indicates the patient is now in stage 1 intracranial hypertension. What assessment finding does the professional associate with this condition? Selected Answer: A widened pulse pressure and bradycardia • Question 97 1 out of 1 points A baby is born with a myelomeningocele and needs urgent surgery to repair the defect. The parents want to take the baby home instead. What does the healthcare professional tell the parents about the purpose of this surgery? Selected Answer: 1cAdditional nervous system damage will occur the longer we wait. 1d • Question 98 0 out of 1 points A healthcare professional is teaching a community group about inherited disorders. What pattern of inheritance does the professional describe for sickle cell disease? Selected Answer: Disorder that is diagnosed equally in men and women • Question 99 1 out of 1 points Which statement by the professor best describes acute respiratory distress syndrome (ARDS)? Selected Answer: A pulmonary disease characterized by severe hypoxemia, decreased pulmonary compliance, and the presence of bilateral infiltrates on chest x-ray imaging • Question 100 0 out of 1 points A professor explains to a class that the reason lymph nodes enlarge and become tender during infection is because of what reason? Selected Answer: The nodes are inflamed. • Question 101 0 out of 0 points When completing this exam, did you comply with Walden University's Code of Conduct including the expectations for academic integrity? Selected Ye Answer: s Sunday, August 16, 2020 10:17:56 PM EDT