1
Course NURS-6531N-8,Adv. Practice Care of Adults. I I I I
Test Midterm Exam I
Time Elapsed 1 hour, 53 minutes out of 1 hour and 50 minutesOVER TIME
I I I I I I I I I I I I
Results Displayed All Answers, Submitted Answers, Correct Answers
I I I I I I
• Question 1 I
0 out of 0 points I I I I
When completing this quiz, did you comply with Walden University’s Code of Conduct
I I I I I I I I I I I I
Iincluding the expectations for academic integrity?
I I I I I
Selected Answer:
I I
Yes
Answers: I
Yes
No
• Question 2 I
1 out of 1 points
I I I I
The Imost Icommon Icancer Ifound Ion Ithe Iauricle Iis:
Selected Answer: I I
Basal Icell Icarcinoma
Answers: Actinic Ikeratosis
I
Basal Icell Icarcinoma
Squamous Icell Icarcinoma
Acral-lentiginous Imelanoma
• Question 3 I
0 out of 1 points
I I I I
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 Answer: I I
Anticholinergics
Answers: Xanthines
I
Antihistimines
Steroids
Anticholinergics
P a g e 1 | 40
,• 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 Answer:
I 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 out of 1 points
I I I I
Which Iof Ithe Ifollowing Ipatient Icharacteristics Iare Iassociated Iwith Ichronic Ibronchitis? Selected Answer:
I
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 out of 1 points
I I I I
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 Answer:
I I
CT Iscan
, 1
Answers: CBC/diff
I
Erythrocyte Isedimentation Irate
I
Abdominal Iultrasound
I
I CT
Iscan
• Question 7 I
1 out of 1 points
I I I I
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 Answer:
I I
Purulent Idrainage
I
Answers: I
Purulent Idrainage
I
Tearing
I
Photophobia
I
A Ipositive Ifluorescein Istain
• Question 8 I
1 out of 1 points
I I I I
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 Answer:
I I
Gonococcal Iconjunctivitis
I
Answers: Viral Iconjunctivitis
I
Common Ipink Ieye
I
I
Gonococcal Iconjunctivitis
I
Allergic Iconjunctivitis
• Question 9 I
P a g e 3 | 40
, 0 out of 1 points
I I I I
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 out Iof 1 Ipoints
I I
Which Itype Iof Ilung Icancer Ihas Ithe Ipoorest Iprognosis?
Selected Answer:
I I
Adenocarcinoma
I
Answers: Adenocarcinoma I
Epidermoid Icarcinoma
I
I
Small Icell Icarcinoma
I
Large Icell Icarcinoma
• Question 11 I
1 out of 1 points
I I I I
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 Answer:
I I
Chronic Idiarrhea
I
Answers: Acute I diarrhea
I
I
Course NURS-6531N-8,Adv. Practice Care of Adults. I I I I
Test Midterm Exam I
Time Elapsed 1 hour, 53 minutes out of 1 hour and 50 minutesOVER TIME
I I I I I I I I I I I I
Results Displayed All Answers, Submitted Answers, Correct Answers
I I I I I I
• Question 1 I
0 out of 0 points I I I I
When completing this quiz, did you comply with Walden University’s Code of Conduct
I I I I I I I I I I I I
Iincluding the expectations for academic integrity?
I I I I I
Selected Answer:
I I
Yes
Answers: I
Yes
No
• Question 2 I
1 out of 1 points
I I I I
The Imost Icommon Icancer Ifound Ion Ithe Iauricle Iis:
Selected Answer: I I
Basal Icell Icarcinoma
Answers: Actinic Ikeratosis
I
Basal Icell Icarcinoma
Squamous Icell Icarcinoma
Acral-lentiginous Imelanoma
• Question 3 I
0 out of 1 points
I I I I
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 Answer: I I
Anticholinergics
Answers: Xanthines
I
Antihistimines
Steroids
Anticholinergics
P a g e 1 | 40
,• 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 Answer:
I 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 out of 1 points
I I I I
Which Iof Ithe Ifollowing Ipatient Icharacteristics Iare Iassociated Iwith Ichronic Ibronchitis? Selected Answer:
I
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 out of 1 points
I I I I
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 Answer:
I I
CT Iscan
, 1
Answers: CBC/diff
I
Erythrocyte Isedimentation Irate
I
Abdominal Iultrasound
I
I CT
Iscan
• Question 7 I
1 out of 1 points
I I I I
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 Answer:
I I
Purulent Idrainage
I
Answers: I
Purulent Idrainage
I
Tearing
I
Photophobia
I
A Ipositive Ifluorescein Istain
• Question 8 I
1 out of 1 points
I I I I
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 Answer:
I I
Gonococcal Iconjunctivitis
I
Answers: Viral Iconjunctivitis
I
Common Ipink Ieye
I
I
Gonococcal Iconjunctivitis
I
Allergic Iconjunctivitis
• Question 9 I
P a g e 3 | 40
, 0 out of 1 points
I I I I
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 out Iof 1 Ipoints
I I
Which Itype Iof Ilung Icancer Ihas Ithe Ipoorest Iprognosis?
Selected Answer:
I I
Adenocarcinoma
I
Answers: Adenocarcinoma I
Epidermoid Icarcinoma
I
I
Small Icell Icarcinoma
I
Large Icell Icarcinoma
• Question 11 I
1 out of 1 points
I I I I
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 Answer:
I I
Chronic Idiarrhea
I
Answers: Acute I diarrhea
I
I