Practice Exam 2 HA. Questions with accurate answers. 2022 update. Rated A+

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Practice Exam 2 HA. Questions with accurate answers. 2022 update. Rated A+ John is 14 years old and recently diagnosed with Type I Diabetes. He has demonstrated a good understanding of his diseas... e and how to manage it. He is concerned about how to hide his insulin pump from his friends and potential girlfriends. When formulating a nursing diagnosis based on John's concern which level of Maslow's Hierarchy of Needs is the nurse addressing. A. Physiological needs B. Safety needs C. Belongingness and love needs D. Esteem needs - ✔✔C. Belongingness and love needs Sarah, the RN has gathered information about the patient's problem and has identified a nursing diagnosis. Which of the following is correct about this phase of the nursing process? Select all that apply: A. Sarah. will refer to the North American Nursing Diagnosis Association (NANDA) to find a nursing diagnosis. B. Sarah is prioritizing the diagnosis using Maslow's Hierarchy of Needs. C. Sarah understands that only one diagnosis can be identified for a patient at a time. D. The diagnosis can be based on an actual or potential health problem E. The diagnosis must be based on a problem that will be resolved within a specific amount of time. - ✔✔A. Sarah. will refer to the North American Nursing Diagnosis Association (NANDA) to find a nursing diagnosis. B. Sarah is prioritizing the diagnosis using Maslow's Hierarchy of Needs D. The diagnosis can be based on an actual or potential health problem In the care plan of a patient with peripheral arterial disease, in what phase of the nursing care plan would the following statement belong?- "Monitor and record pedal pulses every 2 hours" . A. Assessment B. Diagnosis C. Planning D. Implementing E. Evaluating - ✔✔D. Implementing Gorge is working on a care plan for M.T. who undergoing a percutaneous coronary stent placement via a femoral artery approach. He knows that M.T. will receive IV contrast dye during this procedure which is excreted via the kidneys. Which of the following would be reflected in the planning section of his nursing care plan? A. Vital signs are currently: BP: 124/76 HR: 68 RR: 18 B. Administer IV normal saline at prescribed rate. C. Measure and record hourly urine output. D. The urine specific gravity will be less than 1.020 - ✔✔D. The urine specific gravity will be less than 1.020 All of the following are nursing diagnoses except: A. excess fluid volume B. impaired physical mobility C. risk for impaired skin integrity D. congestive heart failure - ✔✔D. congestive heart failure Which of the following are examples of the evaluation phase of the nursing process. Select all that apply: A. Patients BP is now within an acceptable range. B. The nurse will administer pain medication for a pain of 5/10 or greater. C. The fasting blood sugar is less than 120 D. The patient has expired. E. The patient states "I am having shortness of breath." - ✔✔A. Patients BP is now within an acceptable range. C. The fasting blood sugar is less than 120 D. The patient has expired. The positive predictive value of the flu swab will increase: A. during the flu season B. when the prevalence of the flu is low C. after someone receives the flu vaccine D. if tamiflu is prescribed with 48 hours of the onset of symptoms - ✔✔A. during the flu season Sensitivity is the probability that a person with disease has a ____________ test result. A. valid B. reproducible C. negative D. positive - ✔✔D. positive M.P. presents fever, body aches, sore throat, and dry cough. Which of the following would support the probability that this patient has the flu. Select all that apply: A. positive rapid flu test B. sudden onset of symptoms C. M.P received the flu vaccine at the YSN flu clinic D. M.P. reports that his wife had the flu last week E. it is the summer time - ✔✔A. positive rapid flu test B. sudden onset of symptoms D. M.P. reports that his wife had the flu last week The APRN is seeing a patient with a ten-day history of worsening sinus pressure, pharyngitis, fever, and ear pressure. Her differential diagnosis includes a cold virus versus bacterial rhinosinusitis. She is leaning toward prescribing antibiotics based on the duration of symptoms and presence of fever, though she cannot confirm that the infection is bacterial. This is an example of A. test threshold B. treatment threshold C. sensitivity D. specificity - ✔✔B. treatment threshold Clinical care excellence requires clinical expertise, patient preferences, and best available clinical evidence. What are examples of patient preferences? Select all that apply: A. Supporting M.P. who would like to try a low salt, low fat diet prior to initiating antihypertensive medications. B. Allowing Rabbi M. to have a male from his congregation keep vigil at his bedside during his hospitalization (in accordance with his religion), despite a strict visiting hours policy. C. Having interpreter services available for a Vietnamese speaking individual. D. Bringing a mobile van into an underserved neighborhood to deliver primary care services. - ✔✔All apply The U.S. Preventive Services Task Force works to improve the health of all Americans by making evidence-based recommendation about clinical preventive services such as screenings, counseling services, and preventive medications. When making recommendations, the USPSTF considers all of the following except: A. the strength of the clinical evidence using a grading system B. clinician and patient preferences C. cost of providing a service D. benefits and harms of a service - ✔✔C. cost of providing a service Evidence based guidelines are recommendations based on the quality of evidence. Which of the following is considered the strongest type of evidence? A. randomized controlled trials B. longitudinal cohort studies C. case series D. expert opinion - ✔✔A. randomized controlled trials Bernadette, age 52, is scheduled for a colonoscopy based on her primary care provider's recommendation, even though she is not having symptoms. This is an example of A. primary prevention B. secondary prevention C. tertiary prevention D. unnecessary medical testing - ✔✔B. secondary prevention When evaluating a diagnostic test, sensitivity and specificity is used to determine the ____________ of a screening test. A. appropriateness B. precision C. prevalence D. validity - ✔✔D. validity Which of the following are considered social determinants of health? Select all that apply. A. Neighborhood living conditions B. Availability of employment opportunities C. Individual's smoking history D. Opportunities for health promotion and disease prevention E. Strong family history of a heritable disease - ✔✔A. Neighborhood living conditions B. Availability of employment opportunities D. Opportunities for health promotion and disease prevention A patient presents with pain and swelling of the distal fourth digit. Pus is noted at the lateral nail fold. Which of the following is the most likely diagnosis? A. Paronychia B. Onychomycosis C. Beau's Lines D. Mees Lines - ✔✔A. Paronychia One to two millimeter, dome-shaped, umbilicated, waxy papules seen on the patient's trunk, best describe: A. Varicella B. Molluscum contagiosum C. Basal Cell carcinoma D. Impetigo - ✔✔B. Molluscum contagiosum A middle-aged man comes in because he has noticed multiple small, blood-red, papular lesions over his anterior chest, extremities and abdomen for the past several months. They are not painful and he has not noted any bleeding or bruising. You examine these lesions and note they are less than 5 mm in size. Your most likely diagnosis would be: A. Petechiae B. Ecchymosis C. Cherry angioma D. Keloid - ✔✔C. Cherry angioma A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper chest. The lesion appears to be "stuck on" and is oval, brown, and slightly elevated with a flat surface. It has a rough, wart-like texture on palpation. Based on this description, what is your most likely diagnosis? A. Actinic keratosis B. Seborrheic keratosis C. Basal cell carcinoma D. Squamous cell carcinoma - ✔✔B. Seborrheic keratosis A 22-year-old construction worker comes into your office located in San Antonio, Texas for an annual skin check-up. He just returned from a vacation in the Caribbean Islands. He has fair skin and reddish-blonde hair. He has a family history of melanoma and basal cell carcinoma. He has many freckles scattered across his skin and reddish-yellowish plaques on his face and scalp. From this description, which of the following is not a risk factor for melanoma in this patient? A. Age B. Hair color C. Actinic keratosis D. Heavy sun exposure - ✔✔A. Age A 50-year-old construction worker presents with a slow-growing eroded area on his lower lip. He is a heavy smoker. He has a small and tender supraclavicular node. What is his most likely diagnosis? A. Basal cell carcinoma B. Malignant melanoma C. Squamous cell carcinoma D. Actinic keratoses - ✔✔C. Squamous cell carcinoma Five days after going on a nature walk, a 13-year-old boy develops well-demarcated, erythematous plaques and vesicles over his arms and face. The plaques are arranged in a linear fashion and are crusting. The boy has some facial edema. He has no history of fevers or chills but complains of pruritus. Which of the following is the most likely diagnosis? [Show More]

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