NURS 6531N MIDTERM EXAM 1 .questions and Answers latest 2021

Course NURS-6531N-8,Adv. IPractice ICare Iof IAdults.
Test Midterm IExam
Time IElapsed 1 Ihour, I53 Iminutes Iout Iof I1 Ihour Iand I50 IminutesOVER ITIME
Results IDisplayed All IAnswers, ISubmitted IAnswers, ICorrect IAnswers
• Question 1 I

0 Iout Iof I0 Ipoints
When Icompleting Ithis Iquiz, Idid Iyou Icomply Iwith IWalden IUniversity’s ICode Iof IConduct
Iincluding Ithe Iexpectations Ifor Iacademic Iintegrity?



Selected IAnswer: I

Yes

Answers: I

Yes
No

• Question 2 I

1 Iout Iof I1 Ipoints
The Imost Icommon Icancer Ifound Ion Ithe Iauricle Iis:


Selected IAnswer: I

Basal Icell Icarcinoma

Answers: Actinic Ikeratosis

I

Basal Icell Icarcinoma
Squamous Icell Icarcinoma
Acral-lentiginous Imelanoma

• Question 3 I

0 Iout Iof I1 Ipoints
Which Iof Ithe Ifollowing Imedication Iclasses Ishould Ibe Iavoided Iin Ipatients Iwith Iacute Ior Ichronic Ibronchitis
Ibecause Iit Iwill Icontribute Ito Iventilation-perfusion Imismatch Iin Ithe Ipatient?




Selected IAnswer: I

Anticholinergics

Answers: Xanthines

I

Antihistimines
Steroids
Anticholinergics

• Question 4 I

0 Iout Iof I1 Ipoints
A I47 Iyear Iold Imale Ipatient Ipresents Ito Ithe Iclinic Iwith Ia Isingle Iepisode Iof Ia Imoderate Iamount Iof Ibright Ired Irectal

, I bleeding. IOn Iexamination, Iexternal Ihemorrhoids Iare Inoted. IHow Ishould Ithe Inurse Ipractitioner Iproceed?


Selected IAnswer: I

Instruct Ithe Ipatient Ion Imeasures Ito Iprevent Ihemorrhoids Isuch Ias Ibowel Ihabits Iand Idiet. I


Answers: Instruct Ithe Ipatient Ion Imeasures Ito Iprevent Ihemorrhoids Isuch Ias Ibowel Ihabits Iand Idiet. I


Order Ia Itopical Ihemorrhoid Icream Ialong Iwith Ia Istool Isoftener.

I

Refer Ithe Ipatient Ifor Ia Ibarium Ienema Iand Isigmoidoscopy.
I


Refer Ithe Ipatient Ifor Ia Isurgical Ihemorrhoidectomy.

• Question 5 I

0 Iout Iof I1 Ipoints
Which Iof Ithe Ifollowing Ipatient Icharacteristics Iare Iassociated Iwith Ichronic Ibronchitis?


Selected IAnswer: I

Underweight, Ipink Iskin, Iand Iincreased Irespiratory Irate
I


Answers: I

Overweight, Icyanosis, Iand Inormal Ior Islightly Iincreased Irespiratory Irate
I


Underweight, Ipink Iskin, Iand Iincreased Irespiratory Irate
I


Overweight, Ipink Iskin, Iand Inormal Ior Islightly Iincreased Irespiratory Irate
I


Normal Iweight, Icyanosis, Iand Igreatly Iincreased Irespiratory Irate

• Question 6 I

1 Iout Iof I1 Ipoints
IA I65-year-old Ifemale Iwith Ia Ipast Imedical Ihistory Iof Ihypertension, Ihyperlipidemia, Iand Ipolymyalgia Irheumatica
Ipresents Ito Iurgent Icare Iwith Inew Ionset Ileft Ilower Iquadrant Ipain. IHer Icurrent Imedications Iinclude Iomeprazole
I20 Imilligrams Ipo Idaily, Ilisinopril I20 Imilligrams Ipo Idaily, Isimvastatin I20 Imilligrams Ipo Idaily, Iand Iprednisone

I12 Imilligrams Ipo Idaily. IThe Inurse Ipractitioner Isuspects Iacute Idiverticulitis Iand Ipossibly Ian Iabscess. IThe Imost

Iappropriate Idiagnostic Itest Ifor Ithis Ipatient Iat Ithis Itime Iis:




Selected IAnswer: I

CT Iscan

Answers: CBC/diff
I


Erythrocyte Isedimentation Irate
I


Abdominal Iultrasound
I


I

CT Iscan

• Question 7 I

, 1 Iout Iof I1 Ipoints
A Ipatient Ireports I“something Iflew Iin Imy Ieye” Iabout Ian Ihour Iago Iwhile Ihe Iwas Isplitting Ilogs. IIf Ithere Iwere Ia
Iforeign Ibody Iin Ihis Ieye, Ithe Inurse Ipractitioner Iwould Iexpect Ito Ifind Iall Iexcept:




Selected IAnswer: I

Purulent Idrainage
I


Answers: I

Purulent Idrainage
I


Tearing
I


Photophobia
I


A Ipositive Ifluorescein Istain

• Question 8 I

1 Iout Iof I1 Ipoints
A I21 Iyear Iold Icollege Istudent Ipresents Ito Ithe Istudent Ihealth Icenter Iwith Icopious, Imarkedly Ipurulent Idischarge
Ifrom Iher Ileft Ieye. IThe Inurse Ipractitioner Istudent Ishould Isuspect:




Selected IAnswer: I

Gonococcal Iconjunctivitis
I


Answers: Viral Iconjunctivitis
I


Common Ipink Ieye
I


I

Gonococcal Iconjunctivitis
I


Allergic Iconjunctivitis

• Question 9 I

0 Iout Iof I1 Ipoints
IA I35 Iyear Iold Iman Ipresents Iwith Iradicular Ipain Ifollowed Iby Ithe Iappearance Iof Igrouped Ivesicles Iconsisting Iof
Iabout I15 Ilesions Iacross I3 Idifferent Ithoracic Idermatomes. IHe Icomplains Iof Ipain, Iburning, Iand Iitching. IThe Inurse
Ipractitioner Ishould Isuspect:




Selected I

IAnswer:
A Icomplicated Icase Iof Ishingles Iand Iprescribe Iacyclovir, Ian Ianalgesic, Iand Ia Itopical
Icortisone Icream
I


Answers: A Icommon Icase Iof Ishingles Iand Iprescribe Ian Ianalgesic Iand Ian Iantiviral Iagent
I


A Icomplicated Icase Iof Ishingles Iand Iprescribe Iacyclovir, Ian Ianalgesic, Iand Ia Itopical
Icortisone Icream
I


I

Herpes Izoster Iand Iconsider Ithat Ithis Ipatient Imay Ibe Iimmunocompromised
I

, A Irecurrence Iof Ichickenpox Iand Itreat Ithe Ipatient’s Isymptoms

• Question 10 I

0 Iout Iof I1 Ipoints
Which Itype Iof Ilung Icancer Ihas Ithe Ipoorest Iprognosis?


Selected IAnswer: I

Adenocarcinoma
I


Answers: Adenocarcinoma
I


Epidermoid Icarcinoma
I


I

Small Icell Icarcinoma
I


Large Icell Icarcinoma

• Question 11 I

1 Iout Iof I1 Ipoints
IAn I83-year-old Ifemale Ipresents Ito Ithe Ioffice Icomplaining Iof Idiarrhea Ifor Iseveral Idays. IShe Iexplains Ishe Ihas
Ieven Ihad Ifecal Iincontinence Ione Itime. IShe Idescribes Iloose Istools I3–4 Itimes Ia Iday Ifor Iseveral Iweeks Iand Idenies
Ifever, Ichills, Ipain, Irecent Iantibiotic Iuse. IThe Ihistory Isuggests Ithat Ithe Ipatient Ihas:




Selected IAnswer: I

Chronic Idiarrhea
I


Answers: Acute Idiarrhea
I


I

Chronic Idiarrhea
I


Irritable Ibowel
I


Functional Ibowel Idisease

• Question 12 I

1 Iout Iof I1 Ipoints
Margaret, Iage I32, Icomes Iinto Ithe Ioffice Iwith Ipainful Ijoints Iand Ia Idistinctive Irash Iin Ia Ibutterfly Idistribution Ion
Iher Iface. IThe Irash Ihas Ired Ipapules Iand Iplaques Iwith Ia Ifine Iscale. IWhat Ido Iyou Isuspect?




Selected IAnswer: I

Systemic Ilupus Ierythematosus

Answers: An Iallergic Ireaction
I


Relapsing Ipolychondritis
I


Lymphocytoma Icutis
I