NSG 6420 Week 10 Final Exam (Adult Gero)
1.
In AR disorders, carriers have:
• Two mutated genes; two from one parent that cause disease
• A mutation on a sex chromosome that causes a disease
• A single gene mutation that causes the disease
• One copy of a gene mutation but not the disease
2.
A 76-year-old patient with a 200-pack year smoking history presents with complaints of
chronic cough, dyspnea, fatigue, hemoptysis, and weight loss over the past 2 months. The
physical exam reveals decreased breath sounds and dullness to percussion over the left lower
lung field. The chest X-ray demonstrates shift of the mediastinum and trachea to the left. These
are classic signs of:
Lung cancer
Tuberculosis
Pneumonia
COPD
3.
The nurse practitioner is discussing lifestyle changes with a patient diagnosed with
gastroesophageal reflux. What are the nonpharmacological management interventions that
should be included?
It will be helpful to keep the head of your bed elevated on blocks
4.
In examining the mouth of an older adult with a history of smoking, the nurse practitioner
finds a suspicious oral lesion. The patient has been referred for a biopsy to be sent for
pathology. Which is the most common oral precancerous lesion?
Leukoplakia
5.
You have a patient complaining of vertigo and want to know what could be the cause.
Knowing there are many causes for vertigo, you question the length of time the sensation lasts.
She tells you several hours to days and is accompanied by tinnitus and hearing loss. You
suspect which of the following conditions?
Ménière’s disease
Benign paroxysmal positional vertigo
Transient ischemic attack (TIA)
MigraineDefinition
,6.
Age-related changes in the bladder, urethra, and ureters include all of the following in older
women except:
A. Increased estrogen production’s influence on the bladder and ureter
B. Decline in bladder outlet function
C. Decline in ureteral resistance pressure
D. Laxity of the pelvic muscle
7.
Your patient has been using chewing tobacco for 10 years. On physical examination, you
observe a white ulceration surrounded by erythematous base on the side of his tongue. The
clinician should recognize that very often this is
Malignant melanoma
Squamous cell carcinoma
Aphthous ulceration
Behcet’s syndrome Definition
8.
When interpreting laboratory data, you would expect to see the following in a patient with
Anemia of Chronic Disease (ACD)
Hemoglobin <12 g/dl, MCV decreased, MCH decreased
Hemoglobin >12 g/dl, MCV increased, MCH increased
Hemoglobin <12 g/dl, MCV normal, MCH normal
Hemoglobin >12 g/dl, MCV decreased, MCH increased
9.
What test is used to confirm the diagnosis of appendicitis?
CBC
Flat plate of abdomen
Rectal exam
CT of abdomen with attention to appendix
10.
Functional abilities are best assessed by:
Observed assessment of function
11.
Your patient is a 43-year-old female golfer who complains of arm pain. On physical
examination, there is point tenderness on the elbow and pain when the patient is asked to flex
the wrist against the clinician’s resistance. These are typical signs of:
, Carpal tunnel syndrome
Osteoarthritis of the wrist
Epicondylitis
Cervical osteoarthritis
12.
An 86-year-old patient who wears a hearing aid complains of poor hearing in the affected ear.
In addition to possible hearing aid malfunction, this condition is often due to
Acoustic neurom
Cerumen impaction
Otitis media
Ménière’s disease
13.
Which lesions are typically located along the distribution of dermatome?
Herpes Zoster
14.
when differentiating a gastric ulcer from a duodenal ulcer, you know that each type of ulcer
can present with distinct signs and symptoms. Which of the following pieces of information
from the patient’s history is the least useful for you to determine that the patient has a
duodenal ulcer?
A. Pain occurs on an empty stomach
B. Diffuse epigastric pain
C. Rarely associated with non-steroidal use
D. Occurs in patients under 40 years of age
15.
A pneumatic otoscopic examination is used to assess:
A. Inner ear conditions
B. Otitis externa
C. Cerumen impaction
D. Tympanic membrane mobility
16.
In autosomal recessive (AR) disorders, individuals need:
• Only one mutated gene on the sex chromosomes to acquire the disease
• Only one mutated gene to acquire the disease
• Two mutated genes to acquire the disease
• Two mutated genes to become carriers
1.
In AR disorders, carriers have:
• Two mutated genes; two from one parent that cause disease
• A mutation on a sex chromosome that causes a disease
• A single gene mutation that causes the disease
• One copy of a gene mutation but not the disease
2.
A 76-year-old patient with a 200-pack year smoking history presents with complaints of
chronic cough, dyspnea, fatigue, hemoptysis, and weight loss over the past 2 months. The
physical exam reveals decreased breath sounds and dullness to percussion over the left lower
lung field. The chest X-ray demonstrates shift of the mediastinum and trachea to the left. These
are classic signs of:
Lung cancer
Tuberculosis
Pneumonia
COPD
3.
The nurse practitioner is discussing lifestyle changes with a patient diagnosed with
gastroesophageal reflux. What are the nonpharmacological management interventions that
should be included?
It will be helpful to keep the head of your bed elevated on blocks
4.
In examining the mouth of an older adult with a history of smoking, the nurse practitioner
finds a suspicious oral lesion. The patient has been referred for a biopsy to be sent for
pathology. Which is the most common oral precancerous lesion?
Leukoplakia
5.
You have a patient complaining of vertigo and want to know what could be the cause.
Knowing there are many causes for vertigo, you question the length of time the sensation lasts.
She tells you several hours to days and is accompanied by tinnitus and hearing loss. You
suspect which of the following conditions?
Ménière’s disease
Benign paroxysmal positional vertigo
Transient ischemic attack (TIA)
MigraineDefinition
,6.
Age-related changes in the bladder, urethra, and ureters include all of the following in older
women except:
A. Increased estrogen production’s influence on the bladder and ureter
B. Decline in bladder outlet function
C. Decline in ureteral resistance pressure
D. Laxity of the pelvic muscle
7.
Your patient has been using chewing tobacco for 10 years. On physical examination, you
observe a white ulceration surrounded by erythematous base on the side of his tongue. The
clinician should recognize that very often this is
Malignant melanoma
Squamous cell carcinoma
Aphthous ulceration
Behcet’s syndrome Definition
8.
When interpreting laboratory data, you would expect to see the following in a patient with
Anemia of Chronic Disease (ACD)
Hemoglobin <12 g/dl, MCV decreased, MCH decreased
Hemoglobin >12 g/dl, MCV increased, MCH increased
Hemoglobin <12 g/dl, MCV normal, MCH normal
Hemoglobin >12 g/dl, MCV decreased, MCH increased
9.
What test is used to confirm the diagnosis of appendicitis?
CBC
Flat plate of abdomen
Rectal exam
CT of abdomen with attention to appendix
10.
Functional abilities are best assessed by:
Observed assessment of function
11.
Your patient is a 43-year-old female golfer who complains of arm pain. On physical
examination, there is point tenderness on the elbow and pain when the patient is asked to flex
the wrist against the clinician’s resistance. These are typical signs of:
, Carpal tunnel syndrome
Osteoarthritis of the wrist
Epicondylitis
Cervical osteoarthritis
12.
An 86-year-old patient who wears a hearing aid complains of poor hearing in the affected ear.
In addition to possible hearing aid malfunction, this condition is often due to
Acoustic neurom
Cerumen impaction
Otitis media
Ménière’s disease
13.
Which lesions are typically located along the distribution of dermatome?
Herpes Zoster
14.
when differentiating a gastric ulcer from a duodenal ulcer, you know that each type of ulcer
can present with distinct signs and symptoms. Which of the following pieces of information
from the patient’s history is the least useful for you to determine that the patient has a
duodenal ulcer?
A. Pain occurs on an empty stomach
B. Diffuse epigastric pain
C. Rarely associated with non-steroidal use
D. Occurs in patients under 40 years of age
15.
A pneumatic otoscopic examination is used to assess:
A. Inner ear conditions
B. Otitis externa
C. Cerumen impaction
D. Tympanic membrane mobility
16.
In autosomal recessive (AR) disorders, individuals need:
• Only one mutated gene on the sex chromosomes to acquire the disease
• Only one mutated gene to acquire the disease
• Two mutated genes to acquire the disease
• Two mutated genes to become carriers
