NUR 6531 SET 4 Questions With Complete Solutions
1. Which advantages are provided to the chronically ill patient
by personal electronic monitoring devices? (Select all that
apply.)
a. Helps provide more patient control their health and lifestyle
b. Eliminates need for regular medical and nursing follow-up
visits
c. Helps the early identification of patient health-related
problems
d. Helps health care providers in keeping track of the patient's
health status
e. Cost is often covered by Medicare Correct Answer ANS:
A, C, D, E
1. Which symptoms may occur with vestibular neuritis? (Select
all that apply.)
a. Disequilibrium
b. Fever
c. Hearing loss
d. Nausea and vomiting
e. Tinnitus Correct Answer ANS: A, D, E
Vestibular neuritis can cause severe vertigo, disequilibrium,
nausea, vomiting, and tinnitus, but not fever or hearing loss.
A 15 year old male presents with abdominal pain that began in
the peri-umbilical area then localized to the right lower quadrant
(RLQ). He complains of anorexia, and low grade fever. A
complete blood count (CBC) reveals moderate leukocytosis.
What is the most likely diagnosis? Correct Answer Acute
appendicitis
,A 16 year old male presents with mild sore throat, fever, fatigue,
posterior cervical adenopathy, and palatine petechiae. Without a
definitive diagnosis for this patient, what drug would be least
appropriate to prescribe? Correct Answer Amoxicillin
A 16 year old male presents with mild sore throat, fever, fatigue,
posterior cervical adenopathy, and palatine petechiae. Without a
definitive diagnosis for this patient, what drug would be least
appropriate to prescribe? Correct Answer Ibuprofen*
A 19 year old basketball player complains of itching in the
crural folds, buttocks, and upper thighs. The lesions are well
demarcated and are half-moon shaped. The area is red, irritated,
and there are small breaks in the skin from scratching. What is
this patient's diagnosis and how should it be treated? Correct
Answer Tinea cruris, treat with a topical antifungal
A 2 year old presents with a white pupillary reflex. What is the
most likely cause of this finding? Correct Answer
Retinoblastoma
A 20 year old is diagnosed with mild persistent asthma. What
drug combination would be most effective in keeping him
symptom-free? Correct Answer A bronchodilator PRN and an
inhaled corticosteroid
A 20 year old is diagnosed with mild persistent asthma. What
drug combination would be most effective in keeping him
symptom-free? Correct Answer A bronchodilator PRN and an
inhaled corticosteroid
,A 20 year old male patient complains of "scrotal swelling." He
states his scrotum feels heavy, but denies pain. On examination,
the nurse practitioner notes transillumination of the scrotum.
What is the most likely diagnosis? Correct Answer Hydrocele
A 21 year old college student presents to the student health
center with copious, markedly purulent discharge from her left
eye. The nurse practitioner student should suspect: Correct
Answer Gonococcal conjunctivitis
A 25-year-old patient has a tuberculosis (TB) skin test which
reveals an area of induration of 12 mm. The patient is a recent
immigrant from Mexico and lives in a homeless shelter. What is
the recommended treatment for this patient?
a. Administer the bacillus Calmette-Guérin (BCG) vaccine
b. Begin isoniazid (INH) preventive therapy
c. Order isoniazid (INH) and Rifampin
d. Perform regular TB skin testing every few months Correct
Answer ANS: B
Patients younger than 35 who have any risk factors for TB and
with an area of induration 10 mm should be considered for INH
preventive therapy. This patient is an immigrant from Mexico
and lives in a homeless shelter, so TB preventive therapy is
acceptable. BCG vaccine is not helpful. INH and Rifampin are
used if patients develop symptoms or if there is antibiotic
resistance.
A 26 year old female presents with elbow pain that is described
as aching and burning. There is point tenderness along the
lateral aspect of the elbow and painful passive flexion and
, extension. She reports she has been playing tennis almost daily
for the past month. The most likely diagnosis is: Correct
Answer Lateral epicondylitis
A 33-year-old female is admitted with acute pancreatitis. The
nurse practitioner knows that the most common cause of
pancreatitis is: Correct Answer Gallstones
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:
Correct Answer Herpes zoster and consider that this patient
may be immunocompromised
A 35-year old patient develops acute viral bronchitis. Which is
the focus for the management of symptoms in this patient?
a. Trimethoprim-sulfamethoxazole therapy
b. Antibiotic therapy
c. Supportive care
d. Antitussive therapy Correct Answer ANS: C
The mainstay of treatment in acute bronchitis is directed toward
symptom reduction and supportive care. Data suggest that 85%
of patients diagnosed with acute bronchitis will improve without
specific treatment. Trimethoprim-sulfamethoxazole is prescribed
for pertussis when macrolides are not an option. Antibiotic
therapy is not effective in treating
viral acute bronchitis.
A 40 year old female with history of frequent sun exposure
presents with a multicolored lesion on her back. It has irregular
1. Which advantages are provided to the chronically ill patient
by personal electronic monitoring devices? (Select all that
apply.)
a. Helps provide more patient control their health and lifestyle
b. Eliminates need for regular medical and nursing follow-up
visits
c. Helps the early identification of patient health-related
problems
d. Helps health care providers in keeping track of the patient's
health status
e. Cost is often covered by Medicare Correct Answer ANS:
A, C, D, E
1. Which symptoms may occur with vestibular neuritis? (Select
all that apply.)
a. Disequilibrium
b. Fever
c. Hearing loss
d. Nausea and vomiting
e. Tinnitus Correct Answer ANS: A, D, E
Vestibular neuritis can cause severe vertigo, disequilibrium,
nausea, vomiting, and tinnitus, but not fever or hearing loss.
A 15 year old male presents with abdominal pain that began in
the peri-umbilical area then localized to the right lower quadrant
(RLQ). He complains of anorexia, and low grade fever. A
complete blood count (CBC) reveals moderate leukocytosis.
What is the most likely diagnosis? Correct Answer Acute
appendicitis
,A 16 year old male presents with mild sore throat, fever, fatigue,
posterior cervical adenopathy, and palatine petechiae. Without a
definitive diagnosis for this patient, what drug would be least
appropriate to prescribe? Correct Answer Amoxicillin
A 16 year old male presents with mild sore throat, fever, fatigue,
posterior cervical adenopathy, and palatine petechiae. Without a
definitive diagnosis for this patient, what drug would be least
appropriate to prescribe? Correct Answer Ibuprofen*
A 19 year old basketball player complains of itching in the
crural folds, buttocks, and upper thighs. The lesions are well
demarcated and are half-moon shaped. The area is red, irritated,
and there are small breaks in the skin from scratching. What is
this patient's diagnosis and how should it be treated? Correct
Answer Tinea cruris, treat with a topical antifungal
A 2 year old presents with a white pupillary reflex. What is the
most likely cause of this finding? Correct Answer
Retinoblastoma
A 20 year old is diagnosed with mild persistent asthma. What
drug combination would be most effective in keeping him
symptom-free? Correct Answer A bronchodilator PRN and an
inhaled corticosteroid
A 20 year old is diagnosed with mild persistent asthma. What
drug combination would be most effective in keeping him
symptom-free? Correct Answer A bronchodilator PRN and an
inhaled corticosteroid
,A 20 year old male patient complains of "scrotal swelling." He
states his scrotum feels heavy, but denies pain. On examination,
the nurse practitioner notes transillumination of the scrotum.
What is the most likely diagnosis? Correct Answer Hydrocele
A 21 year old college student presents to the student health
center with copious, markedly purulent discharge from her left
eye. The nurse practitioner student should suspect: Correct
Answer Gonococcal conjunctivitis
A 25-year-old patient has a tuberculosis (TB) skin test which
reveals an area of induration of 12 mm. The patient is a recent
immigrant from Mexico and lives in a homeless shelter. What is
the recommended treatment for this patient?
a. Administer the bacillus Calmette-Guérin (BCG) vaccine
b. Begin isoniazid (INH) preventive therapy
c. Order isoniazid (INH) and Rifampin
d. Perform regular TB skin testing every few months Correct
Answer ANS: B
Patients younger than 35 who have any risk factors for TB and
with an area of induration 10 mm should be considered for INH
preventive therapy. This patient is an immigrant from Mexico
and lives in a homeless shelter, so TB preventive therapy is
acceptable. BCG vaccine is not helpful. INH and Rifampin are
used if patients develop symptoms or if there is antibiotic
resistance.
A 26 year old female presents with elbow pain that is described
as aching and burning. There is point tenderness along the
lateral aspect of the elbow and painful passive flexion and
, extension. She reports she has been playing tennis almost daily
for the past month. The most likely diagnosis is: Correct
Answer Lateral epicondylitis
A 33-year-old female is admitted with acute pancreatitis. The
nurse practitioner knows that the most common cause of
pancreatitis is: Correct Answer Gallstones
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:
Correct Answer Herpes zoster and consider that this patient
may be immunocompromised
A 35-year old patient develops acute viral bronchitis. Which is
the focus for the management of symptoms in this patient?
a. Trimethoprim-sulfamethoxazole therapy
b. Antibiotic therapy
c. Supportive care
d. Antitussive therapy Correct Answer ANS: C
The mainstay of treatment in acute bronchitis is directed toward
symptom reduction and supportive care. Data suggest that 85%
of patients diagnosed with acute bronchitis will improve without
specific treatment. Trimethoprim-sulfamethoxazole is prescribed
for pertussis when macrolides are not an option. Antibiotic
therapy is not effective in treating
viral acute bronchitis.
A 40 year old female with history of frequent sun exposure
presents with a multicolored lesion on her back. It has irregular
