NSG 6420 Week 10 Final Exam
NSG 6420 Week 10 Final Exam
Week 10 Final Exam
Return to deck
1.
In AR disorders, carriers have:
• Two mutated genes; two from one parent
that cause disease
• A mutation on a sex chromosome that
causes a disease
• A single gene mutation that causes the
disease
• One copy of a gene mutation but not
the disease
2.
A 76-year-old patient with a 200-pack year smoking history presents with complaints of chronic cough,
dyspnea, fatigue, hemoptysis, and weight loss over the past 2 months. The physical exam reveals decreased
breath sounds and dullness to percussion over the left lower lung field. The chest X-ray demonstrates shift of
the mediastinum and trachea to the left. These are classic signs of:
Lung cancer
Tuberculosis
Pneumonia
COPD
3.
The nurse practitioner is discussing lifestyle changes with a patient diagnosed with gastroesophageal reflux.
What are the nonpharmacological management interventions that should be included?
It will be helpful to keep the head of your bed elevated on blocks
4.
In examining the mouth of an older adult with a history of smoking, the nurse practitioner finds a suspicious
oral lesion. The patient has been referred for a biopsy to be sent for pathology. Which is the most common oral
precancerous lesion?
leukoplakia
5.
You have a patient complaining of vertigo and want to know what could be the cause. Knowing there are many
causes for vertigo, you question the length of time the sensation lasts. She tells you several hours to days and is
accompanied by tinnitus and hearing loss. You suspect which of the following conditions?
Ménière’s disease
Benign paroxysmal positional vertigo
Transient ischemic attack (TIA)
MigraineDefinition
6.
Age-related changes in the bladder, urethra, and ureters include all of the following in older women except:
A. Increased estrogen production’s influence on the bladder and ureter
B. Decline in bladder outlet function
,NSG 6420 Week 10 Final Exam
C. Decline in ureteral resistance pressure
D. Laxity of the pelvic muscle
7.
, NSG 6420 Week 10 Final Exam
Your patient has been using chewing tobacco for 10 years. On physical examination, you observe a white
ulceration surrounded by erythematous base on the side of his tongue. The clinician should recognize that very
often this is
Malignant melanoma
Squamous cell carcinoma
Aphthous ulceration
Behcet’s syndromeDefinition
8.
When interpreting laboratory data, you would expect to see the following in a patient with Anemia of Chronic
Disease (ACD)
Hemoglobin <12 g/dl, MCV decreased, MCH decreased
Hemoglobin >12 g/dl, MCV increased, MCH increased
Hemoglobin <12 g/dl, MCV normal, MCH normal
Hemoglobin >12 g/dl, MCV decreased, MCH increased
9.
What test is used to confirm the diagnosis of appendicitis?
CBC
Flat plate of abdomen
Rectal exam
CT of abdomen with attention to appendix
10.
Functional abilities are best assessed by:
observed assessment of function
11.
Your patient is a 43-year-old female golfer who complains of arm pain. On physical examination, there is point
tenderness on the elbow and pain when the patient is asked to flex the wrist against the clinician’s resistance.
These are typical signs of:
Carpal tunnel syndrome
Osteoarthritis of the wrist
Epicondylitis
Cervical osteoarthritis
12.
An 86-year-old patient who wears a hearing aid complains of poor hearing in the affected ear. In addition to
possible hearing aid malfunction, this condition is often due to
Acoustic neurom Cerumen impaction
Otitis media
Ménière’s disease
13.
Which lesions are typically located along the distribution of dermatome?
Herpes Zoster
14.
n differentiating a gastric ulcer from a duodenal ulcer, you know that each type of ulcer can present with
distinct signs and symptoms. Which of the following pieces of information from the patient’s history is the
least useful for you to determine that the patient has a duodenal ulcer?
A. Pain occurs on an empty stomach
B. Diffuse epigastric pain
NSG 6420 Week 10 Final Exam
Week 10 Final Exam
Return to deck
1.
In AR disorders, carriers have:
• Two mutated genes; two from one parent
that cause disease
• A mutation on a sex chromosome that
causes a disease
• A single gene mutation that causes the
disease
• One copy of a gene mutation but not
the disease
2.
A 76-year-old patient with a 200-pack year smoking history presents with complaints of chronic cough,
dyspnea, fatigue, hemoptysis, and weight loss over the past 2 months. The physical exam reveals decreased
breath sounds and dullness to percussion over the left lower lung field. The chest X-ray demonstrates shift of
the mediastinum and trachea to the left. These are classic signs of:
Lung cancer
Tuberculosis
Pneumonia
COPD
3.
The nurse practitioner is discussing lifestyle changes with a patient diagnosed with gastroesophageal reflux.
What are the nonpharmacological management interventions that should be included?
It will be helpful to keep the head of your bed elevated on blocks
4.
In examining the mouth of an older adult with a history of smoking, the nurse practitioner finds a suspicious
oral lesion. The patient has been referred for a biopsy to be sent for pathology. Which is the most common oral
precancerous lesion?
leukoplakia
5.
You have a patient complaining of vertigo and want to know what could be the cause. Knowing there are many
causes for vertigo, you question the length of time the sensation lasts. She tells you several hours to days and is
accompanied by tinnitus and hearing loss. You suspect which of the following conditions?
Ménière’s disease
Benign paroxysmal positional vertigo
Transient ischemic attack (TIA)
MigraineDefinition
6.
Age-related changes in the bladder, urethra, and ureters include all of the following in older women except:
A. Increased estrogen production’s influence on the bladder and ureter
B. Decline in bladder outlet function
,NSG 6420 Week 10 Final Exam
C. Decline in ureteral resistance pressure
D. Laxity of the pelvic muscle
7.
, NSG 6420 Week 10 Final Exam
Your patient has been using chewing tobacco for 10 years. On physical examination, you observe a white
ulceration surrounded by erythematous base on the side of his tongue. The clinician should recognize that very
often this is
Malignant melanoma
Squamous cell carcinoma
Aphthous ulceration
Behcet’s syndromeDefinition
8.
When interpreting laboratory data, you would expect to see the following in a patient with Anemia of Chronic
Disease (ACD)
Hemoglobin <12 g/dl, MCV decreased, MCH decreased
Hemoglobin >12 g/dl, MCV increased, MCH increased
Hemoglobin <12 g/dl, MCV normal, MCH normal
Hemoglobin >12 g/dl, MCV decreased, MCH increased
9.
What test is used to confirm the diagnosis of appendicitis?
CBC
Flat plate of abdomen
Rectal exam
CT of abdomen with attention to appendix
10.
Functional abilities are best assessed by:
observed assessment of function
11.
Your patient is a 43-year-old female golfer who complains of arm pain. On physical examination, there is point
tenderness on the elbow and pain when the patient is asked to flex the wrist against the clinician’s resistance.
These are typical signs of:
Carpal tunnel syndrome
Osteoarthritis of the wrist
Epicondylitis
Cervical osteoarthritis
12.
An 86-year-old patient who wears a hearing aid complains of poor hearing in the affected ear. In addition to
possible hearing aid malfunction, this condition is often due to
Acoustic neurom Cerumen impaction
Otitis media
Ménière’s disease
13.
Which lesions are typically located along the distribution of dermatome?
Herpes Zoster
14.
n differentiating a gastric ulcer from a duodenal ulcer, you know that each type of ulcer can present with
distinct signs and symptoms. Which of the following pieces of information from the patient’s history is the
least useful for you to determine that the patient has a duodenal ulcer?
A. Pain occurs on an empty stomach
B. Diffuse epigastric pain
