NURS 654 Final Exam
A major teaching point for patients diagnosed with epilepsy is Correct answer- A patient
with absence seizures may never have a driver's license
Which of the following mental health disorders is the most chronic disabling and
economically catastrophic medical disorder of the severe mental illnesses Correct
answer- Schizophrenia
Inattention and a sleep-wake cycle disturbance are hallmark symptoms of Correct
answer- Delirium
Which of the following tools may be used to evaluate a person's suicide risk Correct
answer- SAD Personas
A 13-year-old adolescent is seen with attention and concentration difficulties
accompanied by a drop in school grades. During the history, you find he has multiple
electronic devices in his bedroom, including computer, gaming system, and TV. You
determine education is needed regarding bedtime behavior. This teaching is known as
Correct answer- Sleep Hygiene
A 6-year-old female patient presents with fear of riding in a car following involvement in
a motor vehicle accident 8 weeks ago. Which of the following symptoms would not be
seen in post-traumatic stress disorder Correct answer- Hypersomnolence
A 16-year-old adolescent presents with a persistent lack of energy, anhedonia,
depressed mood, and decreased appetite for the past four months. Which of the
following components is most important in the assessment of the cause of the patient's
symptoms. Correct answer- Verify if the patient has an suicidal ideation
Which cranial nerve is affected in a patient with a CVA who has difficulty chewing
Correct answer- Cranial Nerve V
What antiplatelet agent is most widely used for secondary prevention of stroke Correct
answer- Aspirin
Which of the following antidepressant medications is the least likely to manifest
discontinuation symptoms Correct answer- Fluoxetine
Which herbal preparation may cause delirium and should be avoided in the elderly
Correct answer- St Johns Wort
, Based on your understanding of pediatric attachment behavior, when is the most likely
age for separation protest and stranger wariness to occur Correct answer- 7-12 months
About 90% of headaches are Correct answer- Without pathological cause
A ratchet- like rhythmic contraction, especially in the hand, during passive stretching, is
known as Correct answer- cog wheeling
It is important for the clinician to discuss the long-term effects of sexual assault on
survivors. Which of the following is the most common long-term effect of sexual assault
Correct answer- PTSD
Which of the following persons fits the classic description of a patient with multiple
sclerosis (MS). Correct answer- 32 year old female
Polysomnography is a useful diagnostic test to evaluate for which of the following
disorders? Correct answer- Obstructive sleep apnea and restless leg syndrome
When administered at the beginning of an attack, oxygen therapy may help this kind of
a headache Correct answer- Cluster
Which of the following is a common side effect of the tricyclic class of antidepressants
often prescribed for neuropathic pain Correct answer- Dry mouth and dry eyes
A score of 20-25 on this test indicates early-stage Alzheimer's disease Correct answer-
MMSE
A 15 year old male presents to the clinic with complaints of enlarged breasts. The
patient is very self conscious about this and "would like it go away". The patient is not
overweight. Which of the following questions would the family nurse practitioner not
want to include in the history of the patient? Correct answer- Do you drink coffee
Examples of how pain medicine specialists can aid in the end of life care include?
Correct answer- All of the above, Acupuncture, nerve ablation, spinal cordotomy
Which of the following routes of administration is the most vulnerable to "first-pass"
hepatic effects of pain medications? Correct answer- Oral
Which of the following is a typical description of nociceptive pain Correct answer- Sharp,
aching, throbbing
The single most important supplemental therapy to consider when starting patients on
opiods for pain is Correct answer- Laxatives for constipation
What is the goal of treatment for precocious puberty? Correct answer- To obtain normal
adult height
A major teaching point for patients diagnosed with epilepsy is Correct answer- A patient
with absence seizures may never have a driver's license
Which of the following mental health disorders is the most chronic disabling and
economically catastrophic medical disorder of the severe mental illnesses Correct
answer- Schizophrenia
Inattention and a sleep-wake cycle disturbance are hallmark symptoms of Correct
answer- Delirium
Which of the following tools may be used to evaluate a person's suicide risk Correct
answer- SAD Personas
A 13-year-old adolescent is seen with attention and concentration difficulties
accompanied by a drop in school grades. During the history, you find he has multiple
electronic devices in his bedroom, including computer, gaming system, and TV. You
determine education is needed regarding bedtime behavior. This teaching is known as
Correct answer- Sleep Hygiene
A 6-year-old female patient presents with fear of riding in a car following involvement in
a motor vehicle accident 8 weeks ago. Which of the following symptoms would not be
seen in post-traumatic stress disorder Correct answer- Hypersomnolence
A 16-year-old adolescent presents with a persistent lack of energy, anhedonia,
depressed mood, and decreased appetite for the past four months. Which of the
following components is most important in the assessment of the cause of the patient's
symptoms. Correct answer- Verify if the patient has an suicidal ideation
Which cranial nerve is affected in a patient with a CVA who has difficulty chewing
Correct answer- Cranial Nerve V
What antiplatelet agent is most widely used for secondary prevention of stroke Correct
answer- Aspirin
Which of the following antidepressant medications is the least likely to manifest
discontinuation symptoms Correct answer- Fluoxetine
Which herbal preparation may cause delirium and should be avoided in the elderly
Correct answer- St Johns Wort
, Based on your understanding of pediatric attachment behavior, when is the most likely
age for separation protest and stranger wariness to occur Correct answer- 7-12 months
About 90% of headaches are Correct answer- Without pathological cause
A ratchet- like rhythmic contraction, especially in the hand, during passive stretching, is
known as Correct answer- cog wheeling
It is important for the clinician to discuss the long-term effects of sexual assault on
survivors. Which of the following is the most common long-term effect of sexual assault
Correct answer- PTSD
Which of the following persons fits the classic description of a patient with multiple
sclerosis (MS). Correct answer- 32 year old female
Polysomnography is a useful diagnostic test to evaluate for which of the following
disorders? Correct answer- Obstructive sleep apnea and restless leg syndrome
When administered at the beginning of an attack, oxygen therapy may help this kind of
a headache Correct answer- Cluster
Which of the following is a common side effect of the tricyclic class of antidepressants
often prescribed for neuropathic pain Correct answer- Dry mouth and dry eyes
A score of 20-25 on this test indicates early-stage Alzheimer's disease Correct answer-
MMSE
A 15 year old male presents to the clinic with complaints of enlarged breasts. The
patient is very self conscious about this and "would like it go away". The patient is not
overweight. Which of the following questions would the family nurse practitioner not
want to include in the history of the patient? Correct answer- Do you drink coffee
Examples of how pain medicine specialists can aid in the end of life care include?
Correct answer- All of the above, Acupuncture, nerve ablation, spinal cordotomy
Which of the following routes of administration is the most vulnerable to "first-pass"
hepatic effects of pain medications? Correct answer- Oral
Which of the following is a typical description of nociceptive pain Correct answer- Sharp,
aching, throbbing
The single most important supplemental therapy to consider when starting patients on
opiods for pain is Correct answer- Laxatives for constipation
What is the goal of treatment for precocious puberty? Correct answer- To obtain normal
adult height
