NUR 6531 final exam 1_LATEST,100% CORRECT

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NUR 6531 final exam 1_LATEST • Question 1 1 out of 1 points A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals hyponatremia, hyperkalemia, and h ... ypoglycemia. 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 2 1 out of 1 points Which of the following is a potential acquired cause of thrombophilia? Question3 1 out of 1 points Differential diagnosis of proteinuria includes which of the following? 1. • Question 4 1 out of 1 points The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is: • Question 5 1 out of 1 points How do you respond when Jessica, age 42, asks you what constitutes a good minimum cardiovascular workout? • Question 6 1 out of 1 points The intervention known to be most effective in the treatment of severe depression, with or without psychosis, is: • Question 7 1 out of 1 points Which of the following accounts for half of the bladder tumors among men and one-third in women? • Question 8 1 out of 1 points A 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 9 1 out of 1 points The initial clinical sign of Dupuytren’s contracture is: • Question 10 1 out of 1 points A nurse practitioner diagnoses a 60 year old male with balanitis. Which disease is commonly associated with balanitis? ( • Question 11 Josh, 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 12 1 out of 1 points A 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 13 1 out of 1 points Jennifer says that she has heard that caffeine can cause osteoporosis and asks you why. How do you respond? • Question 14 1 out of 1 points Which of the following set of symptoms should raise suspicion of a brain tumor? • Question 15 1 out of 1 points Diagnostic confirmation of acute leukemia is based on: • Question 16 1 out of 1 points Which of the following antibiotics should not be prescribed for a pregnant woman in the 3rd trimester? • Question 17 1 out of 1 points Who is at a higher risk for developing nephrolithiasis? • Question 18 1 out of 1 points A 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 19 1 out of 1 points Martin, 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? • Question 20 1 out of 1 points Potential causes of septic arthritis include which of the following? • Question 21 1 out of 1 points Which of the following is the best response to a woman who has just admitted she is a victim of spousal abuse? • Question 22 1 out of 1 points A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the following medications may be used to treat generalized anxiety disorder? • Question 23 1 out of 1 points Sam, 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 24 1 out of 1 points A 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? 1. • Question 25 1 out of 1 points A patient has just been diagnosed with Bell’s palsy. He is understandably upset and has questions about the prognosis. You response should be: • Question 26 1 out of 1 points What is the first step in the treatment of uric acid kidney stones? • Question 27 1 out of 1 points Urine cultures should be obtained for which of the following patients? • Question 28 1 out of 1 points A 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 29 1 out of 1 points Which of the following patients most warrants screening for hypothyroidism? • Question 30 1 out of 1 points The hallmark of neurofibromatosis (von Recklinghausen’s disease) present in almost 100% of patients is: • Question 31 1 out of 1 points A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified as: • Question 32 1 out of 1 points Diagnostic evaluation of hypothyroidism reveals: • Question33 1 out of 1 points Diagnostic radiological studies are indicated for low back pain: • Question 34 1 out of 1 points The correct treatment for ankle sprain during the first 48 hours after injury includes: • Question 35 1 out of 1 points The most reliable indicator(s) of neurological deficit when assessing a patient with acute low back pain is(are): • Question 36 1 out of 1 points Risk factors for Addison’s disease include which of the following? • Question 37 1 out of 1 points Major depression occurs most often in which of the following conditions? • Question38 1 out of 1 points Which of the following medications increase the risk for metabolic syndrome? • Question 39 1 out of 1 points A 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 40 1 out of 1 points Risk factors for prostate cancer include all of the following except: • Question 41 1 out of 1 points Maria, age 17, was raped when she was 13 year old. She is now experiencing sleeping problems, flashbacks, and depression. What is your initial diagnosis? • Question 42 1 out of 1 points Diabetes screening recommendations for asymptomatic adults age 45 and over include which of the following: • Question43 1 out of 1 points A child with type 1 diabetes mellitus has experienced excessive hunger, weight gain and increasing hyperglycemia. The Somogyi effect is suspected. What steps should be taken to diagnose and treat this condition? -------------------------------------------- • Question 44 1 out of 1 points Potential side effects of levofloxacin include which of the following? • Question 45 1 out of 1 points Which of the following is the most common complication of the myelodysplastic syndromes? • Question 46 0 out of 1 points Which of the following is characteristic of a manic episode? • Question 47 1 out of 1 points Which of the following characteristics are associated with prepatellar bursitis? • Question 48 1 out of 1 points A 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 49 1 out of 1 points What is the most common cause of Cushing’s syndrome? 1 out of 1 points • Question 50 1 out of 1 points A 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 51 1 out of 1 points Your patient has an elevated mean cell volume (MCV). What should you be considering in terms of diagnosis? • Question 52 1 out of 1 points What information should patients with diabetes and their families receive about hypoglycemia?…………………. • Question 53 0 out of 1 points At what age is screening most likely to detect scoliosis? • Question 54 1 out of 1 points A 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 55 1 out of 1 points A typical description of a tension headache is: • Question 56 0 out of 1 points Which of the following is not a characteristic of type 2 diabetes mellitus? ----------------------------------- Which of the following is not a characteristic of type 1 diabetes mellitus? • Question 57 1 out of 1 points The most accurate measure of diabetes control is: • Question 58 0 out of 1 points Microalbuminuria is a measure of: • Question 59 1 out of 1 points A patient has HIV infection and is having a problem with massive diarrhea. You suspect the cause is: • Question 60 1 out of 1 points The nurse practitioner is following a child with juvenile rheumatoid arthritis (JRA) who has been previously diagnosed and is being managed for the disease by a pediatric rheumatologist. The mother asks for information about the child’s long term prognosis. What is the most appropriate reply? • Question 61 0 out of 1 points Which factors are associated with high risk for foot complications in a patient with diabetes mellitus? 1. Obesity 2. Abnormal nails 3. Abnormal gait Poorly controlled lipids 4. 5. • Question 62 1 out of 1 points Which of the following is the most common causative organism of nongonococcal urethritis? • Question 63 0 out of 1 points A 65 year old patient complains of recurrent bilateral temporal headaches, malaise, muscle aches, and low grade fever. The headache is described as superficial tenderness rather than deep pain. Giant cell arteritis is suspected. Appropriate treatment is: • Question 64 1 out of 1 points The most reliable diagnostic indicator of gout is: • Question 65 0 out of 1 points A patient with HIV infection has a fever of unknown origin (FUO).Which of the following is a possible cause of FUO in a patient with HIV? • Question 66 1 out of 1 points After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been cured? • Question 67 1 out of 1 points Which of the following physical modalities recommended for treatment of rheumatoid arthritis provides the most effective long term pain relief? • Question 68 1 out of 1 points Other than smoking cessation, which of the following slows the progression of COPD in smokers? • Question 69 1 out of 1 points What intervention does the American College of Rheumatology recommend as first line therapy for osteoarthritis? • Question 70 1 out of 1 points The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy: • Question 71 0 out of 1 points A 26 year old female presents with elbow pain that is described as aching and burning. There is point tenderness along the lateral aspect of the elbow and painful passive flexion and extension. She reports she has been playing tennis almost daily for the past month. The most likely diagnosis is: [Show More]

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