NURS 6531N MIDTERM EXAM 1 – QUESTION AND
ANSWERS
Course NURS-6531N-8,Adv. Practice Care of Adults.2018 Summer Qtr
05/29-08/19-PT27
Test Midterm Exam
• Question 1
0 out of 0 points
When completing this quiz, did you comply with Walden University’s Code
of Conduct including the expectations for academic integrity?
Selected Answer:
Ye
s
Answers:
Ye
s
No
• Question 2
1 out of 1 points
The most common cancer found on the auricle is:
Selected
Answer: Basal cell carcinoma
Answers: Actinic keratosis
Basal cell carcinoma
Squamous cell
carcinoma
Acral-lentiginous
melanoma
• Question 3
0 out of 1 points
Which of the following medication classes should be avoided in patients with acute or
chronic bronchitis becaus e it will contribute to ventilation-perfusion mismatch in the
, patient?
Selected
Answer: Anticholinerg
ics
Answers: Xanthines
Antihistimine
s
Steroids
Anticholinerg
ics
• Question 4
0 out of 1 points
A 47 year old male patient presents to the clinic with a single episode of a moderate
amount of bright red rectal bleeding. On examination, external hemorrhoi ds are noted.
How should the nurse practitioner proceed?
Selected
Answer: Instruct the patien t on meas ures to prev ent hemorrhoids such as
bowe l habits and diet.
Answers: Instruct the patien t on meas ures to prev ent hemorrhoids such as
bowe l habits and diet.
Order a topical hemorrhoid cream along with a stool softener.
Refer the patient for a barium enema and sigmoidos copy.
Refer the patient for a surgical hemorrhoi dectomy.
• Question 5
0 out of 1 points
Which of the following patient characteris tics are associated with chronic bronchitis?
Selected
Answer: Underw eig ht, pink skin, and increas ed respiratory rate
Answers:
, Overweig ht, cyanosis, and normal or slightly increas ed
respiratory rate
Underw eig ht, pink skin, and increas ed respiratory rate
Overweig ht, pink skin, and normal or slightly increas ed
respiratory rate
Normal weight, cyanosis, and greatly increas ed
respiratory rate
• Question 6
1 out of 1 points
A 65-year-old female with a past medical history of hypertens ion, hyperlipidemia, and
polymyalg ia rheumatica presents to urgent care with new onset left lower quadrant pain.
Her current medications include omeprazole 20 milligrams po daily, lisinopril 20
milligrams po daily, simvastatin 20 milligrams po daily, and prednis one 12 milligrams po
daily. The nurse practitioner suspects acute diverticu litis and possibly an abscess. The
most appropriate diagnostic test for this patient at this time is:
Selected
Answer: CT scan
Answers: CBC/diff
Erythrocyte
sedimentation rate
Abdominal ultrasound
CT scan
• Question 7
1 out of 1 points
A patient reports “something flew in my eye” about an hour ago while he was splitting
logs. If there were a foreign body in his eye, the nurse practitioner would expect to find
all except:
Selected
Answer: Purulent drainag e
Answers:
Purulent drainag e
, Tearing
Photophobia
A positive fluores c ein
stain
• Question 8
1 out of 1 points
A 21 year old colleg e student presents to the student health center with copious ,
markedly purulent discharg e from her left eye. The nurse practitioner student should
suspect:
Selected
Answer:
Gonococcal
conjunctivitis
Answers: Viral conjunctivitis
Common pink eye
Gonococcal
conjunctivitis
Allergic
conjunctivitis
• Question 9
0 out of 1 points
A 35 year old man presents with radicular pain followed by the appearanc e of grouped
vesicles consisting of about 15 lesions across 3 different thoracic dermatomes. He
complains of pain, burning, and itching. The nurse practitioner should suspect:
Selected
Answer: A complicated case of shingles and prescrib e acyclov ir, an analgesic,
and a topical cortisone cream
Answers: A common case of shingles and pres crib e an analg es ic and an antiviral
agent
A complicated case of shingles and prescrib e acyclov ir, an analgesic,
and a topical cortisone cream
ANSWERS
Course NURS-6531N-8,Adv. Practice Care of Adults.2018 Summer Qtr
05/29-08/19-PT27
Test Midterm Exam
• Question 1
0 out of 0 points
When completing this quiz, did you comply with Walden University’s Code
of Conduct including the expectations for academic integrity?
Selected Answer:
Ye
s
Answers:
Ye
s
No
• Question 2
1 out of 1 points
The most common cancer found on the auricle is:
Selected
Answer: Basal cell carcinoma
Answers: Actinic keratosis
Basal cell carcinoma
Squamous cell
carcinoma
Acral-lentiginous
melanoma
• Question 3
0 out of 1 points
Which of the following medication classes should be avoided in patients with acute or
chronic bronchitis becaus e it will contribute to ventilation-perfusion mismatch in the
, patient?
Selected
Answer: Anticholinerg
ics
Answers: Xanthines
Antihistimine
s
Steroids
Anticholinerg
ics
• Question 4
0 out of 1 points
A 47 year old male patient presents to the clinic with a single episode of a moderate
amount of bright red rectal bleeding. On examination, external hemorrhoi ds are noted.
How should the nurse practitioner proceed?
Selected
Answer: Instruct the patien t on meas ures to prev ent hemorrhoids such as
bowe l habits and diet.
Answers: Instruct the patien t on meas ures to prev ent hemorrhoids such as
bowe l habits and diet.
Order a topical hemorrhoid cream along with a stool softener.
Refer the patient for a barium enema and sigmoidos copy.
Refer the patient for a surgical hemorrhoi dectomy.
• Question 5
0 out of 1 points
Which of the following patient characteris tics are associated with chronic bronchitis?
Selected
Answer: Underw eig ht, pink skin, and increas ed respiratory rate
Answers:
, Overweig ht, cyanosis, and normal or slightly increas ed
respiratory rate
Underw eig ht, pink skin, and increas ed respiratory rate
Overweig ht, pink skin, and normal or slightly increas ed
respiratory rate
Normal weight, cyanosis, and greatly increas ed
respiratory rate
• Question 6
1 out of 1 points
A 65-year-old female with a past medical history of hypertens ion, hyperlipidemia, and
polymyalg ia rheumatica presents to urgent care with new onset left lower quadrant pain.
Her current medications include omeprazole 20 milligrams po daily, lisinopril 20
milligrams po daily, simvastatin 20 milligrams po daily, and prednis one 12 milligrams po
daily. The nurse practitioner suspects acute diverticu litis and possibly an abscess. The
most appropriate diagnostic test for this patient at this time is:
Selected
Answer: CT scan
Answers: CBC/diff
Erythrocyte
sedimentation rate
Abdominal ultrasound
CT scan
• Question 7
1 out of 1 points
A patient reports “something flew in my eye” about an hour ago while he was splitting
logs. If there were a foreign body in his eye, the nurse practitioner would expect to find
all except:
Selected
Answer: Purulent drainag e
Answers:
Purulent drainag e
, Tearing
Photophobia
A positive fluores c ein
stain
• Question 8
1 out of 1 points
A 21 year old colleg e student presents to the student health center with copious ,
markedly purulent discharg e from her left eye. The nurse practitioner student should
suspect:
Selected
Answer:
Gonococcal
conjunctivitis
Answers: Viral conjunctivitis
Common pink eye
Gonococcal
conjunctivitis
Allergic
conjunctivitis
• Question 9
0 out of 1 points
A 35 year old man presents with radicular pain followed by the appearanc e of grouped
vesicles consisting of about 15 lesions across 3 different thoracic dermatomes. He
complains of pain, burning, and itching. The nurse practitioner should suspect:
Selected
Answer: A complicated case of shingles and prescrib e acyclov ir, an analgesic,
and a topical cortisone cream
Answers: A common case of shingles and pres crib e an analg es ic and an antiviral
agent
A complicated case of shingles and prescrib e acyclov ir, an analgesic,
and a topical cortisone cream
