NSG 6420 Final Exam
, NSG 6420 Final Exam
1.
Age-related changes in the bladder, urethra, and ureters include all of the following in older
women except:
A. Increased estrogen production’s influence on the bladder and ureter
B. Decline in bladder outlet function
C. Decline in ureteral resistance pressure
D. Laxity of the pelvic muscle
2.
Your patient has been using chewing tobacco for 10 years. On physical examination, you
observe a white ulceration surrounded by erythematous base on the side of his tongue. The
clinician should recognize that very often this is
Malignant melanoma
Squamous cell carcinoma
Aphthous ulceration
Behcet’s syndromeDefinition
3.
When interpreting laboratory data, you would expect to see the following in a patient with
Anemia of Chronic Disease (ACD)
Hemoglobin <12 g/dl, MCV decreased, MCH decreased
Hemoglobin >12 g/dl, MCV increased, MCH increased
,Hemoglobin <12 g/dl, MCV normal, MCH normal
Hemoglobin >12 g/dl, MCV decreased, MCH increased
4.
What test is used to confirm the diagnosis of appendicitis?
CBC
Flat plate of abdomen
Rectal exam
CT of abdomen with attention to appendix
5.
In AR disorders, carriers have:
Two mutated genes; two from one parent that cause disease
A mutation on a sex chromosome that causes a disease
A single gene mutation that causes the disease
One copy of a gene mutation but not the disease
6.
A 76-year-old patient with a 200-pack year smoking history presents with complaints of chronic
cough, dyspnea, fatigue, hemoptysis, and weight loss over the past 2 months. The physical exam
reveals decreased breath sounds and dullness to percussion over the left lower lung field. The
chest X-ray demonstrates shift of the mediastinum and trachea to the left. These are classic signs
of:
Lung cancer
Tuberculosis
, Pneumonia
COPD
7.
The nurse practitioner is discussing lifestyle changes with a patient diagnosed with
gastroesophageal reflux. What are the nonpharmacological management interventions that
should be included?
It will be helpful to keep the head of your bed elevated on blocks
8.
In examining the mouth of an older adult with a history of smoking, the nurse practitioner finds a
suspicious oral lesion. The patient has been referred for a biopsy to be sent for pathology. Which
is the most common oral precancerous lesion?
leukoplakia
9.
You have a patient complaining of vertigo and want to know what could be the cause. Knowing
there are many causes for vertigo, you question the length of time the sensation lasts. She tells
you several hours to days and is accompanied by tinnitus and hearing loss. You suspect which of
the following conditions?
Ménière’s disease
Benign paroxysmal positional vertigo
Transient ischemic attack (TIA)
MigraineDefinition
, NSG 6420 Final Exam
1.
Age-related changes in the bladder, urethra, and ureters include all of the following in older
women except:
A. Increased estrogen production’s influence on the bladder and ureter
B. Decline in bladder outlet function
C. Decline in ureteral resistance pressure
D. Laxity of the pelvic muscle
2.
Your patient has been using chewing tobacco for 10 years. On physical examination, you
observe a white ulceration surrounded by erythematous base on the side of his tongue. The
clinician should recognize that very often this is
Malignant melanoma
Squamous cell carcinoma
Aphthous ulceration
Behcet’s syndromeDefinition
3.
When interpreting laboratory data, you would expect to see the following in a patient with
Anemia of Chronic Disease (ACD)
Hemoglobin <12 g/dl, MCV decreased, MCH decreased
Hemoglobin >12 g/dl, MCV increased, MCH increased
,Hemoglobin <12 g/dl, MCV normal, MCH normal
Hemoglobin >12 g/dl, MCV decreased, MCH increased
4.
What test is used to confirm the diagnosis of appendicitis?
CBC
Flat plate of abdomen
Rectal exam
CT of abdomen with attention to appendix
5.
In AR disorders, carriers have:
Two mutated genes; two from one parent that cause disease
A mutation on a sex chromosome that causes a disease
A single gene mutation that causes the disease
One copy of a gene mutation but not the disease
6.
A 76-year-old patient with a 200-pack year smoking history presents with complaints of chronic
cough, dyspnea, fatigue, hemoptysis, and weight loss over the past 2 months. The physical exam
reveals decreased breath sounds and dullness to percussion over the left lower lung field. The
chest X-ray demonstrates shift of the mediastinum and trachea to the left. These are classic signs
of:
Lung cancer
Tuberculosis
, Pneumonia
COPD
7.
The nurse practitioner is discussing lifestyle changes with a patient diagnosed with
gastroesophageal reflux. What are the nonpharmacological management interventions that
should be included?
It will be helpful to keep the head of your bed elevated on blocks
8.
In examining the mouth of an older adult with a history of smoking, the nurse practitioner finds a
suspicious oral lesion. The patient has been referred for a biopsy to be sent for pathology. Which
is the most common oral precancerous lesion?
leukoplakia
9.
You have a patient complaining of vertigo and want to know what could be the cause. Knowing
there are many causes for vertigo, you question the length of time the sensation lasts. She tells
you several hours to days and is accompanied by tinnitus and hearing loss. You suspect which of
the following conditions?
Ménière’s disease
Benign paroxysmal positional vertigo
Transient ischemic attack (TIA)
MigraineDefinition
