Adult-Gerontology Primary Care
Nurse verified questions and answers
.
2. A 26-year-old man has had abdominal pain, shaking chills, and a cough productive of rust-colored sputum
for the last two days. Findings include a temperature of 103°F (39.4°C) and radiologic confirmation of
pulmonary consolidation in the right middle lobe. His white blood cell count is 14,000/mm3 with a shift to the
left. A Gram stain of the sputum reveals many Gram-positive diplococci. The diagnosis is which type of
pneumonia?
Chlamydial.
Haemophilus.
Legionella.
Streptococcal.
3. During an annual health visit, a 15-year-old female patient is found to have grown 5 in (12.7 cm) over the
past year. She has not reached menarche. Her mother is concerned because the patient's sister reached
menarche at age 11 and the mother reached menarche at age 12. Examination reveals that the patient's
breasts are enlarged, with the areolae forming a mound above the general contour of each breast, and that the
left breast is larger than the right. Axillary hair is absent and the pubic hair is dark, coarse, curly, dense, and
similar in pattern to that of an adult female. These findings are consistent with a diagnosis of:
hypothyroidism.
normal development.
polycystic ovary syndrome.
Turner syndrome.
1. A 14-year-old male patient is concerned about eczema because his twin brother was recently diagnosed with
this condition. The three factors that put the patient at risk for eczema are a family history of eczema, a
personal history of allergic rhinitis, and a history of:
asthma.
bee allergy.
otitis media.
psoriasis
4. When treating an older adult for gastroparesis, which drug does the adult-gerontology primary care nurse
practitioner prescribe cautiously, because of possible central nervous system toxicity?
, Metoclopramide (Reglan).
Nizatidine (Axid).
Omeprazole (Prilosec).
Ranitidine (Zantac).
5. A 40-year-old patient with rheumatoid arthritis develops a new onset of nocturnal pain and swelling of the
fingers. Examination reveals asymmetrical swelling of the small joints of the fingers of the right hand. The
patient was recently prescribed hydrochlorothiazide (Microzide) 25 mg daily for hypertension. The patient's new
symptoms are caused by:
carpal tunnel syndrome.
gout.
osteoarthritis.
Reiter syndrome.
6. A patient has hyperactive reflexes of the lower extremities. The adult-gerontology primary care nurse
practitioner assesses for ankle clonus by:
firmly applying a low-pitched tuning fork to the lateral malleolus.
flexing the leg at the knee, rotating it externally, and striking the Achilles tendon with the percussion
hammer.
sharply dorsiflexing the foot and maintaining this position while supporting the knee.
stroking the lateral aspect of the sole from the heel to the ball of the foot with the sharp end of the
percussion hammer.
7. The adult-gerontology primary care nurse practitioner reminds a 16-year-old male patient who just received
his driver's license to wear a seat belt at all times when in a car. The patient replies that he does not need to
wear a seat belt, because nothing will happen to him if he is involved in an automobile collision. According to
the health belief model, what chief component does the patient lack?
Enabling factors.
Motivation.
Perceived role conflict.
Perceived severity.
8. The adult-gerontology primary care nurse practitioner treats several patients for biological exposure. In the
patients' records, the nurse practitioner documents which epidemiological factors for each exposure?
Nurse verified questions and answers
.
2. A 26-year-old man has had abdominal pain, shaking chills, and a cough productive of rust-colored sputum
for the last two days. Findings include a temperature of 103°F (39.4°C) and radiologic confirmation of
pulmonary consolidation in the right middle lobe. His white blood cell count is 14,000/mm3 with a shift to the
left. A Gram stain of the sputum reveals many Gram-positive diplococci. The diagnosis is which type of
pneumonia?
Chlamydial.
Haemophilus.
Legionella.
Streptococcal.
3. During an annual health visit, a 15-year-old female patient is found to have grown 5 in (12.7 cm) over the
past year. She has not reached menarche. Her mother is concerned because the patient's sister reached
menarche at age 11 and the mother reached menarche at age 12. Examination reveals that the patient's
breasts are enlarged, with the areolae forming a mound above the general contour of each breast, and that the
left breast is larger than the right. Axillary hair is absent and the pubic hair is dark, coarse, curly, dense, and
similar in pattern to that of an adult female. These findings are consistent with a diagnosis of:
hypothyroidism.
normal development.
polycystic ovary syndrome.
Turner syndrome.
1. A 14-year-old male patient is concerned about eczema because his twin brother was recently diagnosed with
this condition. The three factors that put the patient at risk for eczema are a family history of eczema, a
personal history of allergic rhinitis, and a history of:
asthma.
bee allergy.
otitis media.
psoriasis
4. When treating an older adult for gastroparesis, which drug does the adult-gerontology primary care nurse
practitioner prescribe cautiously, because of possible central nervous system toxicity?
, Metoclopramide (Reglan).
Nizatidine (Axid).
Omeprazole (Prilosec).
Ranitidine (Zantac).
5. A 40-year-old patient with rheumatoid arthritis develops a new onset of nocturnal pain and swelling of the
fingers. Examination reveals asymmetrical swelling of the small joints of the fingers of the right hand. The
patient was recently prescribed hydrochlorothiazide (Microzide) 25 mg daily for hypertension. The patient's new
symptoms are caused by:
carpal tunnel syndrome.
gout.
osteoarthritis.
Reiter syndrome.
6. A patient has hyperactive reflexes of the lower extremities. The adult-gerontology primary care nurse
practitioner assesses for ankle clonus by:
firmly applying a low-pitched tuning fork to the lateral malleolus.
flexing the leg at the knee, rotating it externally, and striking the Achilles tendon with the percussion
hammer.
sharply dorsiflexing the foot and maintaining this position while supporting the knee.
stroking the lateral aspect of the sole from the heel to the ball of the foot with the sharp end of the
percussion hammer.
7. The adult-gerontology primary care nurse practitioner reminds a 16-year-old male patient who just received
his driver's license to wear a seat belt at all times when in a car. The patient replies that he does not need to
wear a seat belt, because nothing will happen to him if he is involved in an automobile collision. According to
the health belief model, what chief component does the patient lack?
Enabling factors.
Motivation.
Perceived role conflict.
Perceived severity.
8. The adult-gerontology primary care nurse practitioner treats several patients for biological exposure. In the
patients' records, the nurse practitioner documents which epidemiological factors for each exposure?
