NSG 6440 Week 9 Practice Exam

Question 1 (1 point) Which of the following is a primary prevention measure for a 76-year-old man newly diagnosed with a testosterone deficiency? Question 1 options: 1) Calcium supplementation 2) Testicular self-examination 3) Bone density test 4) Digital rectal examination Question 2 (1 point) Which of the following is an example of secondary prevention in a 50-year-old woman? Question 2 options: 1) Yearly mammogram 2) Low animal-fat diet 3) Use of seat belt 4) Daily application of sunscreen Question 3 (1 point) Which of the following is an example of tertiary prevention in a patient with chronic renal failure? Question 3 options: 1) Fluid restriction 2) Hemodialysis 4 days a week 3) High-protein diet 4) Maintenance of blood pressure at 120/80 Question 4 (1 point) Nursing research should be utilized by: Question 4 options: 1) Nurses at the bedside 2) Advanced practice nurses 3) Nurse researchers 4) Nurses at all levels of practice Question 5 (1 point) A clinical guideline may be found useful if the guideline was: Question 5 options: 1) Published 2 years ago 2) Created using one group 3) Authored by a relatively unknown source 4) Funded by an anonymous source Question 6 (1 point) Practice guidelines are designed to: Question 6 options: 1) Be inflexible 2) Be utilized in every circumstance 3) Provide a reference point for decision making 4) Be created by a professional organization to guide the practice of a profession Question 7 (1 point) Tatiana is receiving a sports physical to participate in cross- country running. She receives her exam from a single provider, who is examining all of the athletes one after the other in the nurse’s office at school. Which of the following is a problem with this exam format for sports physicals? Question 7 options: 1) It is expensive, and her school will have to use a large amount of its budget to fulfill the sports physical requirement. 2) It lacks individual attention that could increase the risk of insufficient medical history. 3) It is disorganized, and the athletes may have the potential for inadequate integration of findings. 4) It lacks privacy and the students may feel that their medical information is not being kept confidential. Question 8 (1 point) Tyler is a 16-year-old football player who has an appointment for his sports physical. He had a head hit yesterday while playing with friends, and went to the emergency room. He was discharged with a diagnosis of a concussion. Today he feels dizzy, has noise sensitivity, and had trouble sleeping last night. Which of the following options is best for the clinician to pursue? Question 8 options: 1) Complete a formal Balance Error Scoring System (BESS) and neuropsychologic testing before clearing him to play. 2) Clear him to play, because the emergency room discharged him and these symptoms are normal after a head hit. 3) Clear him to play in a week when his symptoms will subside. 4) Refuse to clear him because he had a concussion and should not be playing football at all anymore. Question 9 (1 point) The clinician is seeing Dahlia, a 15-year-old swimmer, for a sports physical. During examination, she notes she has had difficulty breathing while swimming over the last 3 days. Which of the following options is best for the clinician to pursue? Question 9 options: 1) Clear her to participate in swimming, as it is common to have some days of difficulty on exertion, especially if she has not been as active the week before. 2) Refer Dahlia to the sports trainer prior to clearing her so she can work on her form and have less difficulty on exertion. 3) Complete a workup for pulmonary hypertension, anemia, asthma, and cardiovascular issues prior to clearing her for participation. 4) Send her to the emergency room immediately, as this is very concerning and needs to be urgently addressed. Question 10 (1 point) Which theory regarding the aging process is linked to cancer and Alzheimer’s disease? Question 10 options: 1) Replicating senescence 2) Weakening of the immune system 3) Oxidative damage 4) Telomere shortening Question 11 (1 point) What is the key to increase physical activity in older adults? Question 11 options: 1) Motivation 2) Having a partner to exercise with 3) Belonging to a fitness center 4) Owning home fitness equipment Question 12 (1 point) Which of the following is especially important for ensuring the safety of older adults? Question 12 options: 1) Removing firearms from the home due to the high rate of depression in older adults 2) Making sure the hot water heater is set below 130oF 3) Encouraging yearly tests to assess ability to drive safely 4) Assessing fall risk and history of falls Question 13 (1 point) Which of the following would be a cause of neuropathic pain? Question 13 options: 1) Bone metastases 2) Post HERPETIC pain 3) Musculoskeletal inflammation 4) Postsurgical incisional pain Question 14 (1 point) Which drug is considered the MOST effective medication for pain in terminally ill patients? Question 14 options: 1) Codeine 2) Hydrocodone 3) Morphine 4) Hydromorphone Question 15 (1 point) Unlike palliative care, hospice provides: Question 15 options: 1) Emotional support 2) Care to patients at end of life only 3) Spiritual services 4) Relies on combined knowledge and skill Question 16 (1 point) How often should clinicians reassess a patient that is on chronic opioids? Question 16 options: 1) 2 weeks 2) 1 week 3) 4 weeks 4) 3 weeks Question 17 (1 point) You are providing end-of-life care to an elderly patient with a history of heart failure. The patient complains of dyspnea. What is often the first line treatment for this condition? Question 17 options: 1) Oxygen 2) Benzodiazepines 3) Opioids 4) Nonpharmacological solution Question 18 (1 point) The cost of care provided by an APRN is approximately: Question 18 options: 1) One-quarter that of a physician 2) One-third that of a physician 3) One-half that of a physician 4) One and one-half that of a physician Question 19 (1 point) How do bundled payments differ from fee-for-service or global capitation? Question 19 options: 1) Bundled payments are designed to reduce the number of payments to providers. 2) Bundled payments align payment to care outcomes delivered by the team. 3) Bundled payments reduce the amount of paperwork required for payment. 4) Bundled payments allow for streamlined and coordinated billing for providers. Question 20 (1 point) Patients require education prior to accessing health-care services for the following reason: Question 20 options: 1) Many patients do not understand policy benefits and payment responsibility. 2) Services may change across the beneficiary year. 3) Copayments and deductibles may have already been met by the patient. 4) Coding may need to be adjusted to meet the terms of the patient’s benefits. Question 21 (1 point) Accounting keeps track of the financial state of a business. The accounting report that demonstrates the net-growth in assets is: Question 21 options: Net income statement Balance sheet Cash flow statement Operating statement ......