WALDEN UNIVERSITY 2026 NURS 6531 FINAL
EXAM 2 LATEST SPRING SUMMER ACTUAL
EXAM SOLVED Test Bank with 200+ Practice
Questions and Correct Verified Answers
A patient sustains chemical burns on both arms after a spill at work. What is the
initial action by the health care providers in the emergency department (ED)? p.
269
a. Begin aggressive irrigation of the site.
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b. Contact the poison control center.
c. Remove the offending chemical and garments.
d. Request the Material Safety Data information. –
Correct Answer :ANS: C
The initial response to a chemical burn is to remove the patient's clothing and
the offending chemical. Aggressive irrigation is usually recommended next, but
providers should first determine the source to make sure that it is safe to use
water. Contacting Poison Control and getting MSDS information are useful
measures after the clothing and chemical is removed.
A 17-year-old male is brought to the clinic by a parent who is concerned that the
patient has become more isolated and withdrawn. The patient has expressed
suspicions that his teachers
hate him and want him to fail. What will the provider tell this parent?
a. The adolescent should be evaluated by a psychiatrist.
b. The adolescent should be given a trial of antipsychotic medications.
c. These are common adolescent behaviors and will eventually go away.
d. These signs are diagnostic for schizophrenia. –
Correct Answer :ANS: A
These signs, along with a family history of psychosis, can be predictive of
schizophrenia, so referral for psychiatric evaluation should be made. Unless
symptoms are present longer than a month and the patient is diagnosed,
antipsychotic medications are not indicated. Without evaluation, these
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behaviors should not be dismissed as normal. While these signs may raise
concerns for schizophrenia, they are not diagnostic.
A young male patient is reported to be more withdrawn from his peers than
usual and has dropped out of college and quit his job within the last 5 months.
The parent is concerned that the patient may have schizophrenia because a
maternal uncle has the disease. What will the provider do next?
a. Ask about the patient's speech and thinking patterns
b. Consider treatment with antipsychotic medications
c. Reassure that classic symptoms of schizophrenia are not present
d. Refer the patient for inpatient psychiatric treatment –
Correct Answer :ANS: A
In order to diagnose schizophrenia, one or more of the positive signs of
delusions, hallucinations, or disorganized speech must be present. Unless there
is a definitive diagnosis, hospitalization and treatment are not indicated. The
patient has some signs of schizophrenia, so further evaluation is necessary
before reassurance can be made.
Which are considered "negative" symptoms of schizophrenia? (Select all that
apply.)
a. Auditory hallucinations
b. Delusions of persecution
c. Impaired self-care
d. Poor school performance
e. Withdrawing from peers –
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Correct Answer :ANS: C, D, E
Negative symptoms are those related to decrease or loss of normal functions
and may include social withdrawal, impaired self-care, and poor school
performance. Hallucinations and delusional beliefs are things added to normal
behaviors and are considered positive symptoms of schizophrenia.
A patient has acne and the provider notes lesions on half of the face, some
nodules, and two scarred areas. Which treatment will be prescribed?
a. Oral clindamycin for 6 to 8 weeks
b. Oral isotretinoin
c. Topical benzoyl peroxide and clindamycin
d. Topical erythromycin –
Correct Answer :ANS: C
This patient has moderate acne, based on symptoms of lesions on half of the
face with nodules and a few scars. A combination of topical benzoyl peroxide
and clindamycin is recommended. Oral antibiotics are reserved for severe cases.
Oral isotretinoin is used only for recalcitrant cases which are severe and have not
responded to other treatments. Topical antibiotics should be used as
monotherapy.
A provider is considering an oral contraceptive medication to treat acne in an
adolescent female. Which is an important consideration when prescribing this
drug? p. 246
a. A progesterone-only contraceptive is most beneficial for treating acne.
b. Combined oral contraceptives are effective for non-inflammatory acne only.
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