NUR 6531 ADVANCED PRACTICE CARE OF ADULTS - Final Exam 2020 Walden University

NUR 6531 ADVANCED PRACTICE CARE OF ADULTS - Final Exam 2020 Walden University Central obesity, “moon” face, and dorsocervical fat pad are associated with: 2. An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender left great toe. The likely precipitant of this patient’s pain is: 3. The most effective treatment of non-infectious bursitis includes: 4. What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare? 5. Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus? 6. Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)? 7. Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid? 8. Which drug category contains the drugs that are the first line Gold standard therapy for COPD? 9. The most commonly recommended pharmacological treatment regimen for low back pain (LBP) is: 10. Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis? 11. A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals hyponatremia, hyperkalemia, and hypoglycemia. 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? 12. You are assessing a patient after a sports injury to his right knee. You elicit a positive anterior/posterior drawer sign. This test indicates an injury to the: he 13. A 32 year old female patient presents with fever, chills, right flank pain, right costovertebral angle tenderness, and hematuria. Her urinalysis is positive for leukocytes and red blood cells. The nurse practitioner diagnoses pyelonephritis. The most appropriate management is: 14. A middle-aged man presents to urgent care complaining of pain of the medial condyle of the lower humerus. The man works as a carpenter and describes a gradual onset of pain. On exam, the medial epicondyle is tender and pain is increased with flexion and pronation. Range of motion is full The most likely cause of this patient’s pain is: 15. The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy 16. What is the first symptom seen in the majority of patients with Parkinson’s disease? 16. The most commonly recommended method for prostate cancer screening in a 55 year old male is: 17. Martin, age 24, presents with an erythematous ear canal, pain, and a recent history of swimming. What do you suspect? 18. Which of the following symptoms suggests a more serious cause of back pain? 19. A patient taking levothyroxine is being over-replaced. What condition is he at risk for? 20. Which of the following is the most common cause of low back pain? 21. Which is the most common cause of end-stage renal disease in the United States? 22. A 77-year-old female presents to the office complaining a sudden swelling on her right elbow. She denies fever, chills, trauma, or pain. The physical exam reveals a non-tender area of swelling over the extensor surface over the right elbow with evidence of trauma or irritation. The nurse practitioner suspects: 23. A 60 year old female patient complains of sudden onset unilateral, stabbing, surface pain in the lower part of her face lasting a few minutes, subsiding, and then returning. The pain is triggered by touch or temperature extremes. Physical examination is normal. Which of the following is the most likely diagnosis? 24. Beth, age 49, comes in with low back pain. An x-ray of the lumbosacral spine is within normal limits. Which of the following diagnoses do you explore further? 25. A patient exhibits extrapyramidal side effects of antipsychotic medications. Which of the following symptoms would lead you to look for another diagnosis? 26. Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of: 27. The most common cause of elevated liver function tests is: 28. Reed-Sternberg B lymphocytes are associated with which of the following disorders: 29. Which of the following is a potential acquired cause of thrombophilia? 30. A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse practitioner what the treatment for this disorder is. The nurse practitioner explains: 31. A 25 year old overweight patient presents with a complaint of dull achiness in his groin and history of a palpable lump in his scrotum that “comes and goes”. On physical examination, the nurse practitioner does not detect a scrotal mass. There is no tenderness, edema, or erythema of the scrotum, the scrotum does not transilluminate. What is the most likely diagnosis? 32. Dave, age 38, states that he thinks he has an ear infection because he just flew back from a business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next action? 33. The physiological explanation of syncope is: Syncope is a transient loss of consciousness (TLOC) due to global cerebral hypoperfusion characterized by rapid onset, short duration and spontaneous complete recovery. 34. A 20 year old male patient complains of “scrotal swelling.” He states his scrotum feels heavy, but denies pain. On examination, the nurse practitioner notes transillumination of the scrotum. What is the most likely diagnosis? 35. A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be: nclude nitrofurantoin monohydrate/macrocrystals, trimethoprim-sulfamethoxazole (TMP-SMX), or fosfomycin. 36. Diagnostic radiological studies are indicated for low back pain: Diagnostic imaging is indicated for patients with low back pain only if they have severe progressive neurologic deficits or signs or symptoms that suggest a serious or specific underlying condition. In other patients, evidence indicates that routine imaging is not associated with clinically meaningful benefits but can lead to harms. 37. An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for this patient, the nurse practitioner is most concerned with which of the following side effects? 38. The diagnosis of human papilloma virus (HPV) infection in males is usually made by: The diagnosis of HPV in men is made when external genital warts are seen. The diagnosis of genital warts is made by examination of the lesions 39. Which history is commonly found in a patient with glomerulonephritis? 40. A patient complains of generalized joint pain and stiffness associated with activity and relieved with rest. This patient history is consistent with which of the following disorders?NUR 6531 ADVANCED PRACTICE CARE OF ADULTS - Final Exam 2020