NRNP 6531 Final Exam Compilation- Walden University

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Course NURS-6531N-8,Adv. Practice Care of Adults.2018 Summer Qtr
05/29-08/19-PT27
Test Midterm Exam
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Time Elapsed 1 hour, 53 minutes out of 1 hour and 50 minutesOVER TIME
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 Question 1
0 out of 0 points
When completing this quiz, did you comply with Walden University’s Code
of Conduct including the expectations for academic integrity?
Selected
Answer: Ye
s

Answers:
Ye
s
No

 Question 2
1 out of 1 points
The most common cancer found on the auricle is:


Selected
Answer: Basal cell carcinoma

Answers: Actinic keratosis


Basal cell carcinoma
Squamous cell
carcinoma
Acral-lentiginous
melanoma

 Question 3
0 out of 1 points
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?

, Selected
Answer: Anticholinerg
ics

Answers: Xanthines


Antihistimine
s
Steroids

Anticholinerg
ics

 Question 4
0 out of 1 points
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?


Selected
Answer: Instruct the patient on measures to prevent hemorrhoids such as
bowel habits and diet.


Answers: Instruct the patient on measures to prevent hemorrhoids such as
bowel habits and diet.


Order a topical hemorrhoid cream along with a stool softener.


Refer the patient for a barium enema and sigmoidoscopy.


Refer the patient for a surgical hemorrhoidectomy.

 Question 5
0 out of 1 points
Which of the following patient characteristics are associated with chronic bronchitis?


Selected
Answer: Underweight, pink skin, and increased respiratory rate


Answers:
Overweight, cyanosis, and normal or slightly increased
respiratory rate


Underweight, pink skin, and increased respiratory rate

, Overweight, pink skin, and normal or slightly increased
respiratory rate


Normal weight, cyanosis, and greatly increased
respiratory rate

 Question 6
1 out of 1 points
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:


Selected
Answer: CT scan

Answers: CBC/dif


Erythrocyte
sedimentation rate


Abdominal ultrasound



CT scan

 Question 7
1 out of 1 points
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:


Selected
Answer: Purulent drainage


Answers:
Purulent drainage


Tearing


Photophobia


A positive fluorescein
stain

,  Question 8
1 out of 1 points
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:


Selected
Answer: Gonococcal
conjunctivitis


Answers: Viral conjunctivitis


Common pink eye



Gonococcal
conjunctivitis


Allergic
conjunctivitis

 Question 9
0 out of 1 points
A 35 year old man presents with radicular pain followed by the appearance of grouped
vesicles consisting of about 15 lesions across 3 diferent thoracic dermatomes. He
complains of pain, burning, and itching. The nurse practitioner should suspect:


Selected
Answer: A complicated case of shingles and prescribe acyclovir, an analgesic,
and a topical cortisone cream


Answers: A common case of shingles and prescribe an analgesic and an antiviral
agent


A complicated case of shingles and prescribe acyclovir, an analgesic,
and a topical cortisone cream



Herpes zoster and consider that this patient may be
immunocompromised


A recurrence of chickenpox and treat the patient’s symptoms

 Question 10
0 out of 1 points