1h |h P a g e
NU 665 FINAL EXAM|| ACTUAL FINAL EXAM ALL Q
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UESTIONS AND CORRECT ANSWERS ALREADY GR h h h h h
ADED A+|| LATEST AND COMPLETE VERSION 2024 h h h h h h h
WITH EXPERT VERIFIED SOLUTIONS|| ASSURED PA
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SS!!!
A toddler has begun hitting and biting other children at a day care center and is exhibi
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ting temper tantrums and bad language at home. The parent reports that these behavio
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rs began shortly after a sibling was born. What will the primary care pediatric nurse p
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ractitioner do? - h h
hANSWER: Engage the parent in positive parenting strategies to facilitate appropriat
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e child coping.
h h
A 14-year-
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old female comes to the clinic with amenorrhea for 3 months. A pregnancy test is neg
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ative. The adolescent's body weight is at 82% of expected for height and age. The mot
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her reports that her daughter often throws up and refuses to eat most foods. Which co
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ndition does the primary care pediatric nurse practitioner suspect? -
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ANSWER: Anorexia nervosa
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Which type of heat- h h h
related illness involves a core body temperature of at least 104.9°F, acute mental stat
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us changes, absent sweat, and tachypnea? - ANSWER: Heat stroke
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What percentage of burns is involved using the rule of nines if both front legs are bur
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ned? - ANSWER: 18% h h h
Which drug commonly prescribed for burns is active against a wide spectrum of micr
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obial pathogens and is the most frequently used agent for partial- and full-
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thickness thermal injuries? - ANSWER: Silver sulfadiazine (Silvadene)
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,2h |h P a g e
A sunscreen with a sun-
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protection factor of at least what number will block most harmful ultraviolet radiatio
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n? - ANSWER: 15
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Which clinical feature is the first to be affected in increased intracranial pressure? -
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ANSWER: Decrease in level of consciousness
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What is the normal number for the Glasgow Coma Scale? - ANSWER: 15
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Which diagnostic test is the best to diagnose a subdural hematoma? -
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ANSWER: Magnetic resonance imaging (MRI)
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Patients with a spontaneous pneumothorax should be counseled that up to what perce
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ntage may experience a reoccurrence at some point? - ANSWER: 30%
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Most adult poisonings are: - ANSWER: Intentional and self-inflicted
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Which method is used to remove heavy metals, such as lead, that are ingested as pois
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ons? - ANSWER: Chelation
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If a previously frostbitten area becomes frostbitten again after it has healed, what mig
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ht occur? -
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hANSWER: Permanent tissue damage may occur, resulting in necrosis to that body p
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art.
What percentage of all visits to the emergency department (ED) are related to wound
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s? - ANSWER: 12%
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,3h |h P a g e
Which solution should be used when irrigating lacerated tissue over a wound on the a
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rm? - ANSWER: Saline irrigation or soapy water
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Which type of burn injury results in destruction of the epidermis with most of the der
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mis, yet the epidermal cells lining hair follicles and sweat glands remain intact? -
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ANSWER: Deep partial-thickness burns
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Which carboxyhemoglobin (COHb) level correlates with the clinical symptoms of co
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nfusion, lethargy, and ST-segment depression on the electrocardiogram? -
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ANSWER: 30% COHb
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Which causes the greatest percentage of mammalian bites? - ANSWER: Dogs
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Which arthropod bite can contain cytotoxic and hemolytic toxins that may destroy tis
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sue? - ANSWER: Brown recluse spider
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Which of the following characteristics separates anaphylaxis from a vasovagal reacti
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on? - ANSWER: Severe bronchoconstriction
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Delayed serum sickness- h h
type reactions in response to multiple bee, wasp, or fire ant stings can be managed wit
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h which of the following? -
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hANSWER: A corticosteroid such as prednisone (Deltasone), 60 to 100 mg, tapered
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over 2 weeks
h h
After a head injury, what is it called when air enters into the cerebrospinal fluid (CSF)
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-filled spaces within the head? - ANSWER: Pneumocephalus
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, 4h |h P a g e
Cerebrospinal fluid (CSF) may leak through the cribriform plate region of the skull fo
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llowing a head injury and cause which of the following? -
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hANSWER: Nasal CSF rhinorrhea h h h
Which classic feature of an epidural hematoma may distinguish it from other skull he
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matomas? - h
ANSWER: A brief loss of consciousness, then a brief "lucid" moment, followed by
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momentary unconsciousness minutes after the injury h h h h h
A patient with a basilar skull fracture may experience an impaired downward gaze or
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diplopia from which affected cranial nerve? - ANSWER: CN IV
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A history of overuse or excessive force, as opposed to a fall, hyperextension, or the t
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wisting of a joint, is more likely related to which musculoskeletal injury? -
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ANSWER: A strain
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In a healthy adult, the process of remodeling after a fracture of the humerus takes how
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hlong? - ANSWER: 2 months
h h h h
A patient who sustains blunt chest trauma and/or penetrating chest trauma must have
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which of the following imaging examinations? - ANSWER: Upright chest x-
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ray film h
Josie, age 30, has a pneumothorax. It may be treated conservatively without a chest tu
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be if it is deflated by what percentage? - ANSWER: 30%
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Hepatic necrosis with jaundice may occur after ingesting massive doses of which me
h h h h h h h h h h h h
dication? - ANSWER: Acetaminophen h h h
NU 665 FINAL EXAM|| ACTUAL FINAL EXAM ALL Q
h h h h h h h h
UESTIONS AND CORRECT ANSWERS ALREADY GR h h h h h
ADED A+|| LATEST AND COMPLETE VERSION 2024 h h h h h h h
WITH EXPERT VERIFIED SOLUTIONS|| ASSURED PA
h h h h h
SS!!!
A toddler has begun hitting and biting other children at a day care center and is exhibi
h h h h h h h h h h h h h h h h
ting temper tantrums and bad language at home. The parent reports that these behavio
h h h h h h h h h h h h h
rs began shortly after a sibling was born. What will the primary care pediatric nurse p
h h h h h h h h h h h h h h h
ractitioner do? - h h
hANSWER: Engage the parent in positive parenting strategies to facilitate appropriat
h h h h h h h h h h
e child coping.
h h
A 14-year-
h
old female comes to the clinic with amenorrhea for 3 months. A pregnancy test is neg
h h h h h h h h h h h h h h h
ative. The adolescent's body weight is at 82% of expected for height and age. The mot
h h h h h h h h h h h h h h h
her reports that her daughter often throws up and refuses to eat most foods. Which co
h h h h h h h h h h h h h h h
ndition does the primary care pediatric nurse practitioner suspect? -
h h h h h h h h h
ANSWER: Anorexia nervosa
h h h
Which type of heat- h h h
related illness involves a core body temperature of at least 104.9°F, acute mental stat
h h h h h h h h h h h h h
us changes, absent sweat, and tachypnea? - ANSWER: Heat stroke
h h h h h h h h h
What percentage of burns is involved using the rule of nines if both front legs are bur
h h h h h h h h h h h h h h h h
ned? - ANSWER: 18% h h h
Which drug commonly prescribed for burns is active against a wide spectrum of micr
h h h h h h h h h h h h h
obial pathogens and is the most frequently used agent for partial- and full-
h h h h h h h h h h h h
thickness thermal injuries? - ANSWER: Silver sulfadiazine (Silvadene)
h h h h h h h
,2h |h P a g e
A sunscreen with a sun-
h h h h
protection factor of at least what number will block most harmful ultraviolet radiatio
h h h h h h h h h h h h
n? - ANSWER: 15
h h h
Which clinical feature is the first to be affected in increased intracranial pressure? -
h h h h h h h h h h h h h
ANSWER: Decrease in level of consciousness
h h h h h h
What is the normal number for the Glasgow Coma Scale? - ANSWER: 15
h h h h h h h h h h h h
Which diagnostic test is the best to diagnose a subdural hematoma? -
h h h h h h h h h h h
ANSWER: Magnetic resonance imaging (MRI)
h h h h h
Patients with a spontaneous pneumothorax should be counseled that up to what perce
h h h h h h h h h h h h
ntage may experience a reoccurrence at some point? - ANSWER: 30%
h h h h h h h h h h
Most adult poisonings are: - ANSWER: Intentional and self-inflicted
h h h h h h h h
Which method is used to remove heavy metals, such as lead, that are ingested as pois
h h h h h h h h h h h h h h h
ons? - ANSWER: Chelation
h h h
If a previously frostbitten area becomes frostbitten again after it has healed, what mig
h h h h h h h h h h h h h
ht occur? -
h h
hANSWER: Permanent tissue damage may occur, resulting in necrosis to that body p
h h h h h h h h h h h h
art.
What percentage of all visits to the emergency department (ED) are related to wound
h h h h h h h h h h h h h
s? - ANSWER: 12%
h h h
,3h |h P a g e
Which solution should be used when irrigating lacerated tissue over a wound on the a
h h h h h h h h h h h h h h
rm? - ANSWER: Saline irrigation or soapy water
h h h h h h h
Which type of burn injury results in destruction of the epidermis with most of the der
h h h h h h h h h h h h h h h
mis, yet the epidermal cells lining hair follicles and sweat glands remain intact? -
h h h h h h h h h h h h h
ANSWER: Deep partial-thickness burns
h h h h
Which carboxyhemoglobin (COHb) level correlates with the clinical symptoms of co
h h h h h h h h h h
nfusion, lethargy, and ST-segment depression on the electrocardiogram? -
h h h h h h h h
ANSWER: 30% COHb
h h h
Which causes the greatest percentage of mammalian bites? - ANSWER: Dogs
h h h h h h h h h h
Which arthropod bite can contain cytotoxic and hemolytic toxins that may destroy tis
h h h h h h h h h h h h
sue? - ANSWER: Brown recluse spider
h h h h h
Which of the following characteristics separates anaphylaxis from a vasovagal reacti
h h h h h h h h h h
on? - ANSWER: Severe bronchoconstriction
h h h h
Delayed serum sickness- h h
type reactions in response to multiple bee, wasp, or fire ant stings can be managed wit
h h h h h h h h h h h h h h h
h which of the following? -
h h h h h
hANSWER: A corticosteroid such as prednisone (Deltasone), 60 to 100 mg, tapered
h h h h h h h h h h h h
over 2 weeks
h h
After a head injury, what is it called when air enters into the cerebrospinal fluid (CSF)
h h h h h h h h h h h h h h h
-filled spaces within the head? - ANSWER: Pneumocephalus
h h h h h h h
, 4h |h P a g e
Cerebrospinal fluid (CSF) may leak through the cribriform plate region of the skull fo
h h h h h h h h h h h h h
llowing a head injury and cause which of the following? -
h h h h h h h h h h
hANSWER: Nasal CSF rhinorrhea h h h
Which classic feature of an epidural hematoma may distinguish it from other skull he
h h h h h h h h h h h h h
matomas? - h
ANSWER: A brief loss of consciousness, then a brief "lucid" moment, followed by
h h h h h h h h h h h h h h
momentary unconsciousness minutes after the injury h h h h h
A patient with a basilar skull fracture may experience an impaired downward gaze or
h h h h h h h h h h h h h h
diplopia from which affected cranial nerve? - ANSWER: CN IV
h h h h h h h h h
A history of overuse or excessive force, as opposed to a fall, hyperextension, or the t
h h h h h h h h h h h h h h h
wisting of a joint, is more likely related to which musculoskeletal injury? -
h h h h h h h h h h h h
ANSWER: A strain
h h h
In a healthy adult, the process of remodeling after a fracture of the humerus takes how
h h h h h h h h h h h h h h h
hlong? - ANSWER: 2 months
h h h h
A patient who sustains blunt chest trauma and/or penetrating chest trauma must have
h h h h h h h h h h h h h
which of the following imaging examinations? - ANSWER: Upright chest x-
h h h h h h h h h h
ray film h
Josie, age 30, has a pneumothorax. It may be treated conservatively without a chest tu
h h h h h h h h h h h h h h
be if it is deflated by what percentage? - ANSWER: 30%
h h h h h h h h h h
Hepatic necrosis with jaundice may occur after ingesting massive doses of which me
h h h h h h h h h h h h
dication? - ANSWER: Acetaminophen h h h
