NURS 6531N Final Exam Part One

NURS 6531N Final Exam Part One 1. Your patient has an elevated mean cell volume (MCV). What should you be considering in terms of diagnosis? Answer macrocytic anemia 2. A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified as: Answer Overweight 3. The most effective intervention(s) to prevent stroke is (are): answer smoking cessation and treatment of hypertension 4. Which of the following physical modalities recommended for treatment of rheumatoid arthritis provides the most effective long term pain relief? Answer Physiotherapy modalities 5. 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? Answer: Hypoglycemia 6. Martin is complaining of erectile dysfunction. He also has a condition that has reduced arterial blood flow to his penis. The most common cause of this condition is: Answer: diabetes mellitus 7. Prolonged PT suggests answer Liver disease, DIC (early)Warfarin, Factor VII deficiency 8. Diagnostic radiological studies are indicated for low back pain: Answer: Xray 9. 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: Hydrochlorothiazide 10. Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus? Answer Post-prandial hypoglycaemia 11. Maria, age 17, was raped when she was 13 year old. She is now experiencing sleeping problems, flashbacks, and depression. What is your initial diagnosis? Post-traumatic stress disorder 12. A patient exhibits extrapyramidal side effects of antipsychotic medications. Which of the following symptoms would lead you to look for another diagnosis? Hallucinations