Walden NUR 6531 Care of Adults Across
Lifespan, midterm review UPDATED
ACTUAL Questions and CORRECT
Answers
The most common cancer found on the auricle is: - CORRECT ANSWER -Basal cell carcinoma
Which of the following medication classes should be avoided in patients with acute or chronic bronchitis
because it will contribute to ventilation-perfusion mismatch in the patient? - CORRECT
ANSWER -Antihistimines
A 47 year old male patient presents to the clinic with a single episode of a moderate amount of bright red
rectal bleeding. On examination, external hemorrhoids are noted. How should the nurse practitioner
proceed? - CORRECT ANSWER -Refer the patient for a barium enema and sigmoidoscopy.
Which of the following patient characteristics are associated with chronic bronchitis? - CORRECT
ANSWER -Overweight, cyanosis, and normal or slightly increased respiratory rate
A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and polymyalgia
rheumatica presents to urgent care with new onset left lower quadrant pain. Her current medications
include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily, simvastatin 20 milligrams
po daily, and prednisone 12 milligrams po daily. The nurse practitioner suspects acute diverticulitis and
possibly an abscess. The most appropriate diagnostic test for this patient at this time is: - CORRECT
ANSWER -CT scan
A patient reports "something flew in my eye" about an hour ago while he was splitting logs. If there were
a foreign body in his eye, the nurse practitioner would expect to find all except: - CORRECT
ANSWER -Purulent drainage
A 21 year old college student presents to the student health center with copious, markedly purulent
discharge from her left eye. The nurse practitioner student should suspect: - CORRECT ANSWER -
Gonococcal conjunctivitis
,A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles consisting
of about 15 lesions across 3 different thoracic dermatomes. He complains of pain, burning, and itching.
The nurse practitioner should suspect: - CORRECT ANSWER -Herpes zoster and consider that this
patient may be immunocompromised
Which type of lung cancer has the poorest prognosis? - CORRECT ANSWER -Small cell
carcinoma
An 83-year-old female presents to the office complaining of diarrhea for several days. She explains she
has even had fecal incontinence one time. She describes loose stools 3-4 times a day for several weeks
and denies fever, chills, pain, recent antibiotic use. The history suggests that the patient has: - CORRECT
ANSWER -Chronic diarrhea
Margaret, age 32, comes into the office with painful joints and a distinctive rash in a butterfly distribution
on her face. The rash has red papules and plaques with a fine scale. What do you suspect? - CORRECT
ANSWER -Systemic lupus erythematosus
Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the
following disease processes? - CORRECT ANSWER -Acute bronchitis
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily. Her
exacerbations affect her activities and they occur at least twice weekly and may last for days. She is
affected more than once weekly during the night with an exacerbation. Which category of asthma severity
is Lisa in? - CORRECT ANSWER -Moderate persistent
Which of the following is the most appropriate therapeutic regimen for an adult patient with no known
allergies diagnosed with group A B-hemolytic strep? - CORRECT ANSWER -Penicillin V 500
milligrams PO every 8 hours for 10 days
A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by leg elevation.
She occasionally has edema in her lower legs at the end of the day. What is the most likely cause of these
problems? - CORRECT ANSWER -Varicose veins
,Which statement below is correct about pertussis? - CORRECT ANSWER -It is also called
whooping cough
Which of the following is the most important diagnosis to rule out in the adult patient with acute
bronchitis? - CORRECT ANSWER -Pneumonia
A 70 year old patient presents with left lower quadrant (LLQ) abdominal pain, a markedly tender palpable
abdominal wall, fever, and leukocytosis. Of the following terms, which correctly describes the suspected
condition? - CORRECT ANSWER -Diverticulitis
Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. This morning she
noticed a rash with erythematous papules in that site. What do you suspect? - CORRECT
ANSWER -Herpes zoster
A 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knows that the most
common cause of pancreatitis is: - CORRECT ANSWER -Gallstones
When a patient presents with symptoms of acute gallbladder disease, what is the appropriate nurse
practitioner action? - CORRECT ANSWER -Order an abdominal ultrasound
A false-positive result with the fecal occult blood test can result from: - CORRECT ANSWER -a
high dietary intake of rare cooked beef
A 76-year-old male complains of weight loss, nausea, vomiting, abdominal cramping and pain. Physical
findings include an abdominal mass and stool positive for occult blood. The nurse practitioner pain
suspects a tumor in the small intestine. The best diagnostic test for this patient is: - CORRECT
ANSWER -Small bowel follow-through
A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema. The
echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that these findings are
consistent with: - CORRECT ANSWER -Systolic heart failure
, Maxine, Age 76, has just been given a diagnosis of pneumonia. Which of the following is an indication
that she should be hospitalized? - CORRECT ANSWER -Multilobar involvement on chest x-ray
with the inability to take oral medications
A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him: -
CORRECT ANSWER -"It can be cured with surgical excision or radiation therapy."
Expected spirometry readings when the patient has chronic emphysema include: - CORRECT
ANSWER -Increased total lung capacity (TLC)
An 80-year-old male admits to difficulty swallowing during the review of systems. The nurse practitioner
recognizes the differential diagnosis for this patient's dysphagia is: - CORRECT ANSWER -A and
C (Esophageal cancer, GERD)
A 40 year old female with history of frequent sun exposure presents with a multicolored lesion on her
back. It has irregular borders and is about 11mm in diameter. What should the nurse practitioner suspect?
- CORRECT ANSWER -Malignant melanoma
Which of the following is not a goal of treatment for the patient with cystic fibrosis? - CORRECT
ANSWER -Replace water-soluble vitamins
The nurse practitioner is performing a physical exam on a middle-aged African-American man. Which of
the following areas is a common site for melanomas in African-Americans and other dark-skinned
individuals? - CORRECT ANSWER -B and C (Nails and feet)
An adult presents with tinea corporis. Which item below is a risk factor for its development? - CORRECT
ANSWER -Topical steroid use
A patient has experienced nausea and vomiting, headache, malaise, low grade fever, abdominal cramps,
and watery diarrhea for 72 hours. His white count is elevated with a shift to the left. He is requesting
medication for diarrhea. What is the most appropriate response? - CORRECT ANSWER -Prescribe
a broad-spectrum antibiotic such as ciprofloxacin (Cipro), and symptom management.
Lifespan, midterm review UPDATED
ACTUAL Questions and CORRECT
Answers
The most common cancer found on the auricle is: - CORRECT ANSWER -Basal cell carcinoma
Which of the following medication classes should be avoided in patients with acute or chronic bronchitis
because it will contribute to ventilation-perfusion mismatch in the patient? - CORRECT
ANSWER -Antihistimines
A 47 year old male patient presents to the clinic with a single episode of a moderate amount of bright red
rectal bleeding. On examination, external hemorrhoids are noted. How should the nurse practitioner
proceed? - CORRECT ANSWER -Refer the patient for a barium enema and sigmoidoscopy.
Which of the following patient characteristics are associated with chronic bronchitis? - CORRECT
ANSWER -Overweight, cyanosis, and normal or slightly increased respiratory rate
A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and polymyalgia
rheumatica presents to urgent care with new onset left lower quadrant pain. Her current medications
include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily, simvastatin 20 milligrams
po daily, and prednisone 12 milligrams po daily. The nurse practitioner suspects acute diverticulitis and
possibly an abscess. The most appropriate diagnostic test for this patient at this time is: - CORRECT
ANSWER -CT scan
A patient reports "something flew in my eye" about an hour ago while he was splitting logs. If there were
a foreign body in his eye, the nurse practitioner would expect to find all except: - CORRECT
ANSWER -Purulent drainage
A 21 year old college student presents to the student health center with copious, markedly purulent
discharge from her left eye. The nurse practitioner student should suspect: - CORRECT ANSWER -
Gonococcal conjunctivitis
,A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles consisting
of about 15 lesions across 3 different thoracic dermatomes. He complains of pain, burning, and itching.
The nurse practitioner should suspect: - CORRECT ANSWER -Herpes zoster and consider that this
patient may be immunocompromised
Which type of lung cancer has the poorest prognosis? - CORRECT ANSWER -Small cell
carcinoma
An 83-year-old female presents to the office complaining of diarrhea for several days. She explains she
has even had fecal incontinence one time. She describes loose stools 3-4 times a day for several weeks
and denies fever, chills, pain, recent antibiotic use. The history suggests that the patient has: - CORRECT
ANSWER -Chronic diarrhea
Margaret, age 32, comes into the office with painful joints and a distinctive rash in a butterfly distribution
on her face. The rash has red papules and plaques with a fine scale. What do you suspect? - CORRECT
ANSWER -Systemic lupus erythematosus
Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the
following disease processes? - CORRECT ANSWER -Acute bronchitis
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily. Her
exacerbations affect her activities and they occur at least twice weekly and may last for days. She is
affected more than once weekly during the night with an exacerbation. Which category of asthma severity
is Lisa in? - CORRECT ANSWER -Moderate persistent
Which of the following is the most appropriate therapeutic regimen for an adult patient with no known
allergies diagnosed with group A B-hemolytic strep? - CORRECT ANSWER -Penicillin V 500
milligrams PO every 8 hours for 10 days
A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by leg elevation.
She occasionally has edema in her lower legs at the end of the day. What is the most likely cause of these
problems? - CORRECT ANSWER -Varicose veins
,Which statement below is correct about pertussis? - CORRECT ANSWER -It is also called
whooping cough
Which of the following is the most important diagnosis to rule out in the adult patient with acute
bronchitis? - CORRECT ANSWER -Pneumonia
A 70 year old patient presents with left lower quadrant (LLQ) abdominal pain, a markedly tender palpable
abdominal wall, fever, and leukocytosis. Of the following terms, which correctly describes the suspected
condition? - CORRECT ANSWER -Diverticulitis
Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. This morning she
noticed a rash with erythematous papules in that site. What do you suspect? - CORRECT
ANSWER -Herpes zoster
A 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knows that the most
common cause of pancreatitis is: - CORRECT ANSWER -Gallstones
When a patient presents with symptoms of acute gallbladder disease, what is the appropriate nurse
practitioner action? - CORRECT ANSWER -Order an abdominal ultrasound
A false-positive result with the fecal occult blood test can result from: - CORRECT ANSWER -a
high dietary intake of rare cooked beef
A 76-year-old male complains of weight loss, nausea, vomiting, abdominal cramping and pain. Physical
findings include an abdominal mass and stool positive for occult blood. The nurse practitioner pain
suspects a tumor in the small intestine. The best diagnostic test for this patient is: - CORRECT
ANSWER -Small bowel follow-through
A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema. The
echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that these findings are
consistent with: - CORRECT ANSWER -Systolic heart failure
, Maxine, Age 76, has just been given a diagnosis of pneumonia. Which of the following is an indication
that she should be hospitalized? - CORRECT ANSWER -Multilobar involvement on chest x-ray
with the inability to take oral medications
A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him: -
CORRECT ANSWER -"It can be cured with surgical excision or radiation therapy."
Expected spirometry readings when the patient has chronic emphysema include: - CORRECT
ANSWER -Increased total lung capacity (TLC)
An 80-year-old male admits to difficulty swallowing during the review of systems. The nurse practitioner
recognizes the differential diagnosis for this patient's dysphagia is: - CORRECT ANSWER -A and
C (Esophageal cancer, GERD)
A 40 year old female with history of frequent sun exposure presents with a multicolored lesion on her
back. It has irregular borders and is about 11mm in diameter. What should the nurse practitioner suspect?
- CORRECT ANSWER -Malignant melanoma
Which of the following is not a goal of treatment for the patient with cystic fibrosis? - CORRECT
ANSWER -Replace water-soluble vitamins
The nurse practitioner is performing a physical exam on a middle-aged African-American man. Which of
the following areas is a common site for melanomas in African-Americans and other dark-skinned
individuals? - CORRECT ANSWER -B and C (Nails and feet)
An adult presents with tinea corporis. Which item below is a risk factor for its development? - CORRECT
ANSWER -Topical steroid use
A patient has experienced nausea and vomiting, headache, malaise, low grade fever, abdominal cramps,
and watery diarrhea for 72 hours. His white count is elevated with a shift to the left. He is requesting
medication for diarrhea. What is the most appropriate response? - CORRECT ANSWER -Prescribe
a broad-spectrum antibiotic such as ciprofloxacin (Cipro), and symptom management.
