8,Adv. Practice Care of Adults
g g g g
Final Exam Decoded
g g
,•
1goutgofg1gpoints
• Questiong 2
Theg mostg commong cancerg foundg ong theg auricleg is:
Selected
Answer: Basalg cellg carcinoma
Answers: Actinicg keratosis
Basalg cellg carcinoma
Squamousg cellgcarcinom
a
Acral-
lentiginousgmelanoma
0goutgofg1gpoints
• Questiong 3
Whichg ofg theg followingg medication g classesg shouldg beg avoidedg ing patientsg withg acuteg org
chronicgbronchitisgbecausegitgwillgcontributegtogventilation-
perfusiongmismatchgingtheg patient?
, Selected
Answer:
Anticholin
erggics
Answers: Xanthines
Antihistimine
gs
Steroids
Anticholinergg
ics
• Questiong 4
0goutgofg1gpoints
Ag 47g yeargoldg maleg patientg presentsg tog theg clinicg withg ag singleg episodeg ofg ag moderate
gamountgofgbrightgredgrectalgbleeding. g Ong examination, gexternalghemorrhoids gare gnoted.g
Howgshouldgthegnursegpractitionergproceed?
Selected
Answer:
Instructgthegpatientgongmeasures gtogpreventghemorrhoids gsuc
hgasgbowelghabitsgandgdiet.
Answers:
Instructgthegpatientgongmeasures gtogpreventghemorrhoids gsuc
hgasgbowelghabitsgandgdiet.
Ordergagtopicalghemorrhoidgcreamgalonggwithgagstoolgsoftener.gR
efergthegpatientgforgagbariumgenemagandgsigmoidoscopy.
Referg theg patientg forg ag surgicalg hemorrhoidectomy.
• Questiong 5
0goutgofg1gpoints
Whichg ofg theg followingg patientg characteristicsg areg associated g withg chronicg bronchitis?
Selected
Answer: Underweight, g pinkg skin,g andg increasedg respiratoryg rate
Answers:
Overweight,gcyanosis,gandgnormalgorgslightlygincreasedg
respiratorygrate
Underweight, g pinkg skin,g andg increasedg respiratoryg rate
, Overweight,gpinkgskin,gandgnormalgorgslightlygincreasedgrespir
atorygrate
Normalgweight,gcyanosis,gandggreatlygincreasedgr
espiratorygrate
• Questiong 6
1goutgofg1gpoints
Ag 65-year-
oldg femaleg withgag pastg medicalghistoryg ofghypertension,g hyperlipidemia,g andgpolymyalgia
g rheumatica g presentsg tog urgent g careg withg new g onsetgleftglowerg quadrant g pain. gHerg curre
ntg medicationsg includeg omeprazoleg 20g milligramsg pog daily,g lisinoprilg 20gmilligramsg pog d
aily,g simvastating 20g milligramsg pog daily,g andg prednisone g 12g milligramsg pogdaily.g Theg nur
seg practitionerg suspectsg acuteg diverticulitis g andg possiblyg ang abscess.g Thegmostg appropria
tegdiagnosticgtestg forgthisg patientg atgthisg timegis:
Selected
Answer: CTgscan
Answers: CBC/dif
Erythrocytegsedimenta
tiongrate
Abdominal gultrasound
CTgscan
• Questiong 7
1goutgofg1gpoints
Ag patientg reportsg “somethingg flewg ing myg eye”g aboutg ang hourg agog whileg heg wasg splitti
ngglogs.gIfgtheregweregagforeigngbodyginghisgeye,gthegnursegpractitionergwouldg expectgtog fi
ndgallgexcept:
Selected
Answer: Purulentg drainage
Answers:
Purulentgdrainage
gTearinggPhotopho
bia
Agpositivegfluoresceings
tain