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(answered)NSG6440 Final Exam / NSG 6440 Final Exam questions and answers_ all answered correctly 100 out of 100, Latest spring 2023.

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NSG6440 Final Exam Answered 2023 1. Treatment for epididymitis includes which of the following? 2. Which of the following medications for temporomandibular disorder has the warning that patient should NOT drive while taking it? 3. After 6 months of Synthroid therapy, the clinician should expect which result in the repeat thyroid-stimulating hormone studies? 4. A 24- year old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease has she most probable been exposed to? 5. Which of the following is the form of external otitis in which bacterial infection extends from the auditory canal into the skull? 6. Which causes the greatest percentage of mammalian bites? 7. Which test is used to confirm a diagnosis of epididymitis 8. Which statement accurately describes the APRNs scope of practice? 9. The nurse is working with a 65- year- old patient who was recently diagnosed with hypertension. The patient is concerned about their optimal health with their new diagnosis. Which nursing action is necessary for health promotion with the patient? 10. Which of the following would be a cause of neuropathic pain? 11. Which theory regarding the aging process is linked to cancer and Alzheimer's disease? 12. Which heart sound is associated with decreased elasticity of the left ventricle in left ventricular hypertrophy? 13. Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from infection with which of the following pathogens? 14. A 21-year-old student presents with complaints of fatigue, headache, anorexia and a runny nose, all of which began about 2 weeks ago. She started taking vitamins and over-the-counter cold preparations but feels worse. The smell of food makes her nauseated. Her boyfriend had mononucleosis about 1 month ago, and she wonders if she might have it also. Examination reveals cervical adenopathy and an enlarged liver and spleen. Which of the following labs would be most helpful in the differential diagnosis at this point? 15. What is the most common form of heart disease in a patient with atrial fibrillation? 16. A 15-year-old girl is seen in the clinic because she has not yet had her first period. Which of the following questions would help the clinician determine the cause? 17. The clinician is examining the back of Christian, a 15-year-old male. What is the correct way for the clinician to check for hamstring flexibility? 18. Which statement is true regarding driving and patients with a seizure disorder? 19. Though common as people age, what concerning disease can dysphonia be a cardinal sign for? 20. You are using the CURB-65 clinical prediction tool to decide whether Latisha, whom you have diagnosed with community-acquired pneumonia (CAP), should be hospitalized or treated at home. Which of the following risk factors would increase Latisha's chance of CAP- associated mortality and complications? 21. Which of the following patients is at risk for developing urinary-tract cancer? 22. Which of the following statements is TRUE regarding pain? 23. Which of the following information patients with a UTI can receive Bactrim DS? 24. Which treatment would the clinician recommend for a patient who has relative polycythemia? 25. Which board administers and defines advanced nursing practice in all states? 26. An acutely presenting, erythematous, tender lump within the eyelid is called? 27. Diagnostic testing for a patient with a newly detected hypertension should include all of the following except: 28. In the model for future Advanced Practice Registered Nurse (APRN) practice, what does the "C" of LACE represent? 29. When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes. What do you suspect they are? 30. A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe dysuria. She is diagnosed with acute pyelonephritis. How should this patient be managed? 31. A sunscreen with a sun-protection factor of at least what number will block most harmful ultraviolet radiation? 32. Which of the following is the most common cause of cardiac death in athletes? 33. Which of the following is a specific test to MS? 34. A patient comes to the office complaining of constipation. The patient lists all of the following medications. Which drug could be responsible for the constipation? 35. The barrel-chest characteristic of emphysema is a result of: 36. Which drug for Alzheimer's disease should be administered beginning at the time of diagnosis? 37. Data from the Framingham Heart Study suggest that individual who are normotensive at 55 years of age have how much lifetime risk of developing hypertension? 38. Which of the following scales is useful to assess the degree of dyspnea with a score of 6 to 20? 39. A 35-year-old woman presents with symptoms of hypoglycemia. There is no history of diabetes mellitus. Which condition should be included in the differential diagnosis? 40. What should you use to alkalinize urine to a pH of greater than 7.0? 41. Which of the following is true of pediculosis? 42. Which of these patients is a higher risk for developing deep vein thrombosis? 43. A patient has CFS. Which strategy should the clinician consider to manage this patient? 44. Which statement regarding necrotizing fasciitis is true? 45. A patient presents with CVA tenderness and a several-day history of high fever, chills and dysuria. Which of the following diagnoses is most likely given the above information? 46. Danielle presents to the clinic saying " I do not feel like I want to eat." She also notes she is experiencing lethargy, nausea, headache, and muscle cramps. She "did not go to the bathroom a lot" yesterday. Which of the following stages of acute kidney injury (AKI) is Danielle in? 47. During treatment for anaphylaxis, which site is used for the initial injection of epinephrine? 48. The clinician should question the patient with suspected gout about use of which of these medications? 49. There are four stages of heart failure, classified as A to D, that describe the evolution and progression of disease. In which stage are patients hospitalized or treated with specialized interventions or hospice care for refractory symptoms of heart failure despite medical therapy? 50. What condition is sometimes confused with anaphylaxis from an insect sting? 51. When using the microscope for an intravaginal infection, you see something translucent and colorless. What do you suspect? 52. Which of the following persons fits the classic description of a patient with multiple sclerosis (MS)? 53. The clinician should examine which are for gynecomastia? 54. Josh, aged 22, has tinea versicolor. Which description is the most likely for this condition? 55. Which of the following produces a slow and painless visual field loss that usually begins peripherally? 56. What of the following patients is a candidate for statins? 57. Which statement about HIV post exposure prophylaxis (PEP) for health-care-workers is the most accurate? 58. Which element is a primary focus of health- care reform? 59. Tinea unguium is also known as: 60. which symptom is the cardinal subjective symptom of sickle cell crisis? 61. How much nicotine does an average cigarette contain? 62. Which of the following is part of the treatment plan for the patient with IBS? 63. an 8-year-old patient is admitted to the hospital due to Reye's syndrome. Which medication was most likely the cause? 64. Which type of stomatitis results in necrotic ulceration of the oral mucous membranes? 65. A male patient with type 1 diabetes comes to the clinic complaining of feeling nervous and clammy. He states that he took his insulin this morning but was late for work and did not eat breakfast. Which action should the clinician take first? 66. Which of the following medications is safe to use when an adult patient has a perforated tympanic membrane? 67. What is the most common cause of microcytic anemia? 68. Donna is a 36-year-old African American woman with chronic pancreatitis. Which of the following are necessary to manage her condition? 69. Which of the following is the proper way to take a blood pressure measurement? 70. Which drug category of antiretroviral (ARV) therapy is generally effective in crossing the blood-brain barrier and may be useful in managing HIV associated dementia? 71. Maria had impetigo and is seeing her health-care provider for a follow-up visit. Which of the following teaching points should the provider discuss? 72. A ratchet-like rhythmic contraction, especially in the hand, during passive stretching is known as: 73. Which statement by the patient would indicate teaching has been successful regarding management of Cushing's syndrome at home? 74. Gerald presents with a very dark color on his right pinkie finger. What is the the health-care provider's next care step? 75. Your patient is in her second trimester of pregnancy and has a yeast infection. Which of the following is the most appropriate treatment? 76. Which condition is characterized by the impaired ability to learn new information along with a cognitive disturbance in either language, function, or perception? 77. You are doing a cerumen extraction and touch the external meatus of your patient's ear. He winces and starts coughing. What is the name of this reflex? 78. A 22-year-old woman is diagnosed with premenstrual syndrome. Which of the following lifestyle changes should the clinician suggest to help minimize the patient's symptoms? 79. Eddie, age 4, presents to the emergency department with a live insect trapped in his ear canal causing a lot of distress. What should be your first step? 80. After typical groin hernia surgery, the patient should be instructed to: 81. Robin presents with tearing in her right eye that started this morning. What is the most likely cause in the provider's differential diagnosis? 82. Which of the following must be completed prior to administering TPA (tissue plasminogen activator)? 83. When giving discharge instructions to a patient with a laceration injury to his lower leg. Which is the most important one? 84. jean has acute otitis externa with fluid that is black and malodorous. Which of the following is responsible for the infection? 85. A patient is diagnosed with GERD, and his endoscopic report reveals the presence of Barrett's epithelium. Which of the following should the PCP include in the explanation of the pathology report? 86. Billy presents with edematous and erythematous lid margins and closer visual inspection with a Wood's lamp reveals scaling. Which of the following conditions could be the diagnosis? 87. Marie has diabetes mellitus with proliferative retinopathy. how often should she see her ophthalmologist? 88. A score of 12 to 24 on this test indicates intermediate Alzheimer's disease: 89. Clinicians should ask older adults about their end-of-life plans when older patients are: 90. The forced vital capacity is decreased in: 91. The clinician is speaking with Bernadette, who has recently been diagnosed with urinary incontinence. She has had this condition for a number of years, she is 5 feet 5 inches, and she weighs 140 pounds. Which of the following should the health-care provider be aware of? 92. Which blood test would confirm a diagnosis of diabetes mellitus? 93. Which method is used to remove heavy metals, such as lead? 94. The clinician is examining the skin of Mary, who would like to be cleared to play beach volleyball. What is the clinician's most important focus point when looking at her skin? 95. Julie has relapsing-remitting muscular sclerosis. She has not had a good response to interferon. Which medication might help given IV once a month? 96. What is the bulls-eye rash of Lyme disease called? Correct ANS- erythema migraines 97. Which of the following is an aerobic gram-negative bacteria involved in prostatitis? 98. Which of the following statements is correct regarding the leading cause of blindness in the US known as macular degeneration? 99. What describes a pandemic? 100. A 78-year-old man says he has been diagnosed with stage 0 bladder cancer and asks the provider what that means. Which is the best response?

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NSG6440 Final Exam Answered 2022
1. Treatment for epididymitis includes which of the following?
Correct ANS- scrotal elevation

2. Which of the following medications for temporomandibular disorder has
the warning that patient should NOT drive while taking it?
Correct ANS- Elavil

3. After 6 months of Synthroid therapy, the clinician should expect which
result in the repeat thyroid-stimulating hormone studies?
Correct ANS- Normal

4. A 24- year old woman presents to the clinic with dysuria, dyspareunia, and
a mucopurulent vaginal discharge. Her boyfriend was recently treated for
nongonococcal urethritis. What sexually transmitted disease has she most
probable been exposed to?
Correct ANS- Chlamydia

5. Which of the following is the form of external otitis in which bacterial
infection extends from the auditory canal into the skull?
Correct ANS- Necrotizing otitis

6. Which causes the greatest percentage of mammalian bites?
Correct ANS- human

7. Which test is used to confirm a diagnosis of epididymitis
Correct ANS- ultrasound of the scrotum

8. Which statement accurately describes the APRNs scope of practice?
Correct ANS- This delineates the permissible boundaries of APRN
professional practice

,9. The nurse is working with a 65- year- old patient who was recently
diagnosed with hypertension. The patient is concerned about their optimal
health with their new diagnosis. Which nursing action is necessary for
health promotion with the patient?
Correct ANS- Discussing appropriate stress management techniques

10.Which of the following would be a cause of neuropathic pain?
Correct ANS- post herpetic pain

11.Which theory regarding the aging process is linked to cancer and
Alzheimer's disease?

Correct ANS- oxidative damage

12.Which heart sound is associated with decreased elasticity of the left
ventricle in left ventricular hypertrophy?
Correct ANS- S4

13.Heart valve damage resulting from acute rheumatic fever is a long-term
sequelae resulting from infection with which of the following pathogens?
Correct ANS- Group A streptococcus

14.A 21-year-old student presents with complaints of fatigue, headache,
anorexia and a runny nose, all of which began about 2 weeks ago. She
started taking vitamins and over-the-counter cold preparations but feels
worse. The smell of food makes her nauseated. Her boyfriend had
mononucleosis about 1 month ago, and she wonders if she might have it
also. Examination reveals cervical adenopathy and an enlarged liver and
spleen. Which of the following labs would be most helpful in the differential
diagnosis at this point?

Correct ANS- Antihepatitis D virus

,15.What is the most common form of heart disease in a patient with atrial
fibrillation?
Correct ANS- Coronary artery disease associated with heart failure

16.A 15-year-old girl is seen in the clinic because she has not yet had her first
period. Which of the following questions would help the clinician
determine the cause?
Correct ANS- How long have you been underweight

17.The clinician is examining the back of Christian, a 15-year-old male. What is
the correct way for the clinician to check for hamstring flexibility?
Correct ANS- Christian should stand straight and flex90 degrees forward at
the waist

18.Which statement is true regarding driving and patients with a seizure
disorder?
Correct ANS- After being seizure free for 6 months, patients may drive

19.Though common as people age, what concerning disease can dysphonia be
a cardinal sign for?
Correct ANS- Laryngeal cancer

20.You are using the CURB-65 clinical prediction tool to decide whether
Latisha, whom you have diagnosed with community-acquired pneumonia
(CAP), should be hospitalized or treated at home. Which of the following
risk factors would increase Latisha's chance of CAP- associated mortality
and complications?
Correct ANS- History of diabetes mellitus

21.Which of the following patients is at risk for developing urinary-tract
cancer?
Correct ANS- The 78-year- old man who smokes three packs of cigarettes a
day

, 22.Which of the following statements is TRUE regarding pain?
Correct ANS- Nociceptive pain represents a normal response to injury of
tissue

23.Which of the following information patients with a UTI can receive Bactrim
DS?

Correct ANS- Tiffany, a 16-year-old with a hypersensitivity to penicillin

24.Which treatment would the clinician recommend for a patient who has
relative polycythemia?
Correct ANS- Rehydration

25.Which board administers and defines advanced nursing practice in all
states? Correct ANS- The board of Nursing

26.An acutely presenting, erythematous, tender lump within the eyelid is
called?

Correct ANS- Hordeolum

27.Diagnostic testing for a patient with a newly detected hypertension should
include all of the following except:
Correct ANS- uric acid

28.In the model for future Advanced Practice Registered Nurse (APRN)
practice, what does the "C" of LACE represent?
Correct ANS- Certification

29.When looking under the microscope to diagnose an intravaginal infection,
you see a cluster of small and oval to round shapes. What do you suspect
they are?

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