NURS 6531 Spring Midterms exams

NURS 6531 Spring 2019 Midterms Question 1 0 out of 1 points A patient has experienced nausea and vomiting, headache, malaise, low grade fever, abdominal cramps, and watery diarrhea for 72 hours. His white count is elevated with a shift to the left. He is requesting medication for diarrhea. What is the most appropriate response? **The main focus of treatment is to prevent dehydration by drinking plenty of fluids. In severe cases, hospitalization and intravenous fluids are necessary. Over-the- counter oral rehydration solutions (OHS), such as Pedialyte, can be helpful in mild cases Question 2 1 out of 1 points Which type of lung cancer has the poorest prognosis? Small cell carcinoma Question 3 1 out of 1 points Stacy, age 27, states that she has painless, white, slightly raised patches in her mouth. They are probably caused by: Candidiasis Question 4 1 out of 1 points An 80-year-old male admits to difficulty swallowing during the review of systems. The nurse practitioner recognizes the differential diagnosis for this patient’s dysphagia is: GERD & Cancer Question 5 1 out of 1 points A 40 year old presents with a hordeolum. The nurse practitioner teaches the patient to: apply a topical antibiotic and warm compresses. Question 6 1 out of 1 points Marvin has sudden eye redness that occurred after a strenuous coughing episode. You diagnose a subconjunctival hemorrhage. Your next step is to: Do nothing other than provide reassurance Isoniazid ppd Question 7 1 out of 1 points Which of the following is not a goal of treatment for the patient with cystic fibrosis? Replace water-soluble vitamins Question 8 0 out of 1 points The most common cancer found on the auricle is: **basal cell carcinoma** Question 9 1 out of 1 points Which of the following color changes in a pigmented lesion suggests malignant transformation? **ALL COLORS Question 10 1 out of 1 points Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes? Acute bronchitis Question 11 1 out of 1 points The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes which of the following? A and B only Question 12 1 out of 1 points When teaching a patient with hypertension about restricting sodium, you would include which of the following instructions? Seventy-five of sodium intake is derived from processed foods Question 13 1 out of 1 points Mark has just been given a diagnosis of congestive heart failure. Which of his medications should be discontinued? Nifedipine (Procardia XL) for long-term management of his chronic stable angina. Question 14 1 out of 1 points Which of the following patient characteristics are associated with chronic bronchitis? overweight, cyanosis & normal or slighted increased resp. rate "blue bloaters" Question 15 1 out of 1 points Treatment of acute vertigo includes: -bedrest and an antihistamine Question 16 1 out of 1 points A 35 year old man presents with radicular pain followed by the appearance 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: herpes zoster and consider that this patient may be immunocompromised. Question 17 0 out of 1 points A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective in keeping him symptom-free? **A bronchodilator PRN and an inhaled corticosteroid Question 18 0 out of 1 points Diagnosis of Crohn’s disease is made considering signs, symptoms and: **Intestinal obstruction demonstrated by plain x-ray of the abdomen Question 19 0 out of 1 points Which of the following is a predisposing condition for furunculosis? **Diabetes mellitus Question 20 1 out of 1 points Expected spirometry readings when the patient has chronic emphysema include: increased total lung capacity (TLC). Question 21 1 out of 1 points A child complains that his “throat hurts” with swallowing. His voice is very “throaty” and he is hyperextending his neck to talk. Examination reveals asymmetrical swelling of his tonsils. His uvula is deviated to the left. What is the most likely diagnosis? Peritonsillar abscess- my answer Question 22 0 out of 1 points Of the following signs and symptoms of congestive heart failure (CHF), the earliest clinical manifestation is: **weight gain. Question 23 1 out of 1 points Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important teaching point about this medication? -It is not effective during an acute asthma attack Question 24 1 out of 1 points An active 65-year-old man under your care has known acquired valvular aortic stenosis and mitral regurgitation. He also has a history of infectious endocarditis. He has recently been told he needs elective replacement of his aortic valve. When he comes into the office you discover that he has 10 remaining teeth in poor repair. Your recommendation would be to: suggest that he consult with his oral surgeon about removing all the teeth at once and receiving appropriate antibiotic prophylaxis Question 25 1 out of 1 points A middle-aged male presents to urgent care complaining of fever, dysphagia, and shortness of breath. The nurse practitioner notes the patient leaning forward in a tripod position and drooling. The clinical presentation of this patient suggests: Epiglottitis Question 26 0 out of 1 points Alan, age 54, notices a bulge in his midline every time he rises from bed in the morning. You tell him it is a ventral hernia, also known as: **epigastric hernia Question 27 0 out of 1 points The differential diagnosis for a patient complaining of a sore throat includes which of the following? Thrush Question 28 1 out of 1 points Sheila, age 78, presents with a chief complaint of waking up during the night coughing. You examine her and find an S3 heart sound, pulmonary crackles that do not clear with coughing, and peripheral edema. What do you suspect? heart failure Question 29 1 out of 1 points The American Cancer Society recommends a flexible sigmoidoscopy for colorectal cancer screening in persons at average risk every: flexible sigmoidoscopy (FS) every 5 years, Question 30 1 out of 1 points Jennifer, age 49, who has a history of hyperlipidemia, has symptoms that lead you to suspect unstable angina. Your next action would be to: Hospitalize the client in a monitored setting with pharmacological control of ischemia, arrhythmias, and thrombosis as appropriate.