NSG 6420 WEEK 10 FINAL EXAM
1.
In AR disorders, carriers have:
Two mutated genes; two from
one parent that cause disease
A mutation on a sex
chromosome that causes a
disease
A single gene mutation that
causes the disease
One copy of a gene mutation
but not the disease
2.
A 76-year-old patient with a 200-pack year smoking history presents with
complaints of chronic cough, dyspnea, fatigue, hemoptysis, and weight loss over
the past 2 months. The physical exam reveals decreased breath sounds and dullness
to percussion over the left lower lung field. The chest X-ray demonstrates shift of
the mediastinum and trachea to the left. These are classic signs of:
Lung cancer
Tuberculosis
Pneumonia
COPD
3.
The nurse practitioner is discussing lifestyle changes with a patient diagnosed with
gastroesophageal reflux. What are the nonpharmacological management
interventions that should be included?
It will be helpful to keep the head of your bed elevated on blocks
4.
In examining the mouth of an older adult with a history of smoking, the nurse
practitioner finds a suspicious oral lesion. The patient has been referred for a
biopsy to be sent for pathology. Which is the most common oral precancerous
lesion?
leukoplakia
5.
You have a patient complaining of vertigo and want to know what could be the
cause. Knowing there are many causes for vertigo, you question the length of time
,the sensation lasts. She tells you several hours to days and is accompanied by
tinnitus and hearing loss. You suspect which of the following conditions?
Ménière’s disease
Benign paroxysmal positional vertigo
Transient ischemic attack (TIA)
MigraineDefinition
6.
Age-related changes in the bladder, urethra, and ureters include all of the following
in older women except:
A. Increased estrogen production’s influence on the bladder and ureter
B. Decline in bladder outlet function
C. Decline in ureteral resistance pressure
D. Laxity of the pelvic muscle
7.
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
Malignant melanoma
Squamous cell carcinoma
Aphthous ulceration
Behcet’s syndromeDefinition
8.
When interpreting laboratory data, you would expect to see the following in a
patient with Anemia of Chronic Disease (ACD)
Hemoglobin <12 g/dl, MCV decreased, MCH decreased
Hemoglobin >12 g/dl, MCV increased, MCH increased
Hemoglobin <12 g/dl, MCV normal, MCH normal
Hemoglobin >12 g/dl, MCV decreased, MCH increased
9.
What test is used to confirm the diagnosis of appendicitis?
CBC
Flat plate of abdomen
Rectal exam
CT of abdomen with attention to appendix
10.
Functional abilities are best assessed by:
, observed assessment of function
11.
Your patient is a 43-year-old female golfer who complains of arm pain. On
physical examination, there is point tenderness on the elbow and pain when the
patient is asked to flex the wrist against the clinician’s resistance. These are typical
signs of:
Carpal tunnel syndrome
Osteoarthritis of the wrist
Epicondylitis
Cervical osteoarthritis
12.
An 86-year-old patient who wears a hearing aid complains of poor hearing in the
affected ear. In addition to possible hearing aid malfunction, this condition is often
due to
Acoustic neurom Cerumen impaction
Otitis media
Ménière’s disease
13.
Which lesions are typically located along the distribution of dermatome?
Herpes Zoster
14.
n differentiating a gastric ulcer from a duodenal ulcer, you know that each type of
ulcer can present with distinct signs and symptoms. Which of the following pieces
of information from the patient’s history is the least useful for you to determine
that the patient has a duodenal ulcer?
A. Pain occurs on an empty stomach
B. Diffuse epigastric pain
C. Rarely associated with non-steroidal use
D. Occurs in patients under 40 years of age
15.
A pneumatic otoscopic examination is used to assess:
A. Inner ear conditions
B. Otitis externa
C. Cerumen impaction
D. Tympanic membrane mobility
16.
In autosomal recessive (AR) disorders, individuals need:
1.
In AR disorders, carriers have:
Two mutated genes; two from
one parent that cause disease
A mutation on a sex
chromosome that causes a
disease
A single gene mutation that
causes the disease
One copy of a gene mutation
but not the disease
2.
A 76-year-old patient with a 200-pack year smoking history presents with
complaints of chronic cough, dyspnea, fatigue, hemoptysis, and weight loss over
the past 2 months. The physical exam reveals decreased breath sounds and dullness
to percussion over the left lower lung field. The chest X-ray demonstrates shift of
the mediastinum and trachea to the left. These are classic signs of:
Lung cancer
Tuberculosis
Pneumonia
COPD
3.
The nurse practitioner is discussing lifestyle changes with a patient diagnosed with
gastroesophageal reflux. What are the nonpharmacological management
interventions that should be included?
It will be helpful to keep the head of your bed elevated on blocks
4.
In examining the mouth of an older adult with a history of smoking, the nurse
practitioner finds a suspicious oral lesion. The patient has been referred for a
biopsy to be sent for pathology. Which is the most common oral precancerous
lesion?
leukoplakia
5.
You have a patient complaining of vertigo and want to know what could be the
cause. Knowing there are many causes for vertigo, you question the length of time
,the sensation lasts. She tells you several hours to days and is accompanied by
tinnitus and hearing loss. You suspect which of the following conditions?
Ménière’s disease
Benign paroxysmal positional vertigo
Transient ischemic attack (TIA)
MigraineDefinition
6.
Age-related changes in the bladder, urethra, and ureters include all of the following
in older women except:
A. Increased estrogen production’s influence on the bladder and ureter
B. Decline in bladder outlet function
C. Decline in ureteral resistance pressure
D. Laxity of the pelvic muscle
7.
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
Malignant melanoma
Squamous cell carcinoma
Aphthous ulceration
Behcet’s syndromeDefinition
8.
When interpreting laboratory data, you would expect to see the following in a
patient with Anemia of Chronic Disease (ACD)
Hemoglobin <12 g/dl, MCV decreased, MCH decreased
Hemoglobin >12 g/dl, MCV increased, MCH increased
Hemoglobin <12 g/dl, MCV normal, MCH normal
Hemoglobin >12 g/dl, MCV decreased, MCH increased
9.
What test is used to confirm the diagnosis of appendicitis?
CBC
Flat plate of abdomen
Rectal exam
CT of abdomen with attention to appendix
10.
Functional abilities are best assessed by:
, observed assessment of function
11.
Your patient is a 43-year-old female golfer who complains of arm pain. On
physical examination, there is point tenderness on the elbow and pain when the
patient is asked to flex the wrist against the clinician’s resistance. These are typical
signs of:
Carpal tunnel syndrome
Osteoarthritis of the wrist
Epicondylitis
Cervical osteoarthritis
12.
An 86-year-old patient who wears a hearing aid complains of poor hearing in the
affected ear. In addition to possible hearing aid malfunction, this condition is often
due to
Acoustic neurom Cerumen impaction
Otitis media
Ménière’s disease
13.
Which lesions are typically located along the distribution of dermatome?
Herpes Zoster
14.
n differentiating a gastric ulcer from a duodenal ulcer, you know that each type of
ulcer can present with distinct signs and symptoms. Which of the following pieces
of information from the patient’s history is the least useful for you to determine
that the patient has a duodenal ulcer?
A. Pain occurs on an empty stomach
B. Diffuse epigastric pain
C. Rarely associated with non-steroidal use
D. Occurs in patients under 40 years of age
15.
A pneumatic otoscopic examination is used to assess:
A. Inner ear conditions
B. Otitis externa
C. Cerumen impaction
D. Tympanic membrane mobility
16.
In autosomal recessive (AR) disorders, individuals need:
