South University NRSG 6420 mid term

Question 1. 1. 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: (Points : 2) Malignant melanoma X Squamous cell carcinoma Aphthous ulceration Behcet’s syndrome Question 2. 2. Which of the following would be considered a “red flag” that requires more investigation in a patient assessment? (Points : 2) Colon cancer in family member at age 70 Breast cancer in family member at age 75 X Myocardial infarction in family member at age 35 All of the above Question 3. 3. The pathophysiological hallmark of ACD is: (Points : 2) Depleted iron stores X Impaired ability to use iron stores Chronic uncorrectable bleeding Reduced intestinal absorption of iron Question 4. 4. It is important to not dilate the eye if ____ is suspected. (Points : 2) Cataract Macular degeneration X Acute closed-angle glaucoma Chronic open-angle glaucoma Question 5. 5. A 66-year-old patient presents to the clinic complaining of dyspnea and wheezing. The patient reports a smoking history of 2 packs of cigarettes per day since age 16. This would be recorded in the chart as: (Points : 2) 50 x 2-pack years X 100-pack years 50-year, 2-pack history 100-pack history Question 6. 6. When teaching a group of older adults regarding prevention of gastroesophageal reflux disease symptoms, the nurse practitioner will include which of the following instructions? (Points : 2) Raise the head of the bed with pillows at night and chew peppermints when symptoms of heartburn begins. Raise the head of the bed on blocks and take the proton pump inhibitor medication at bedtime. Sit up for an hour after taking any medication and restrict fluid intake. X Avoid food intolerances, raise head of bed on blocks, and take a proton pump inhibitor before a meal. Question 7. 7. A 56-year-old male complains of anorexia, changes in bowel habits, extreme fatigue, and unintentional weight loss. At times he is constipated and other times he has episodes of diarrhea. His physical examination is unremarkable. It is important for the clinician to recognize the importance of: (Points : 2) CBC with differential Stool culture and sensitivity This study source was downloaded by from CourseH on :58:52 GMT -06:00 Abdominal X-ray X Colonoscopy Question 8. 8. Dan G., a 65-year-old man, presents to your primary care office for the evaluation of chest pain and left-sided shoulder pain. Pain begins after strenuous activity, including walking. Pain is characterized as dull, aching; 8/10 during activity, otherwise 0/10. Began a few months ago, intermittent, aggravated by exercise, and relieved by rest. Has occasional nausea. Pain is retrosternal, radiating to left shoulder, definitely affects quality of life by limiting activity. Pain is worse today; did not go away after he stopped walking. BP 120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2, no murmurs. Which of the following differential diagnoses would be most likely? (Points : 2) Musculoskeletal chest wall syndrome with radiation Esophageal motor disorder with radiation Acute cholecystitis with cholelithiasis X Coronary artery disease with angina pectoris Question 9. 9. A common auscultatory finding in advanced CHF is: (Points : 2) Systolic ejection murmur X S3 gallop rhythm Friction rub Bradycardia Question 10. 10. Which of the following symptoms is common with acute otitis media? (Points : 2) X Bulging tympanic membrane Bright light reflex of tympanic membrane Increased tympanic membrane mobility All of the above