Walden NUR6531 Final Exam

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Walden NUR6531 Final Exam

Question 1

A patient reports “something flew in my eye” about an hour
ago while he was splitting logs. If there were a foreign body in his eye, the
nurse practitioner would expect to find all except:

• Question
2

1 out of 1 points

A false-positive result with the
fecal occult blood test can result from:

• Question
3

1 out of 1 points

What
condition is associated with mucus production greater than 3 months per year
for at least 2 consecutive years?

• Question
4

1 out of 1 points

A patient presents with classic symptoms
of gastroesophageal reflux disease (GERD). He is instructed on life style
modifications and drug therapy for 8 weeks. Three months later he returns,
reporting that he was “fine” as long as he took the medication. The most
appropriate next step is:

• Question
5

1 out of 1 points

When
teaching a patient with hypertension about restricting sodium, you would
include which of the following instructions?

• Question
6

1 out of 1 points

A 70
year old patient presents with a slightly raised, scaly, erythematous patch on
her forehead. She admits to having been a “sun worshiper.” The nurse
practitioner suspects actinic keratosis. This lesion is a precursor to:

Choice 1

• Question
7

1 out of 1 points

An AST
that is more than twice the level of ALT is suggestive of:

• Question
10

1 out of 1 points

Margaret, age 32, comes into the office with painful joints and a
distinctive rash in a butterfly distribution on her face. The rash has red
papules and plaques with a fine scale. What do you suspect?

• Question
11

1 out of 1 points

Which
of the following is not a risk factor for coronary arterial insufficiency?

• Question
12

The
National Cholesterol Education Program’s Adult Treatment Panel III recommends
that the goal for low density lipoproteins in high risk patients be less than:

• Question
13

1 out of 1 points

A 70
year old patient presents with left lower quadrant (LLQ) abdominal pain, a
markedly tender palpable abdominal wall, fever, and leukocytosis. Of the
following terms, which correctly describes the suspected condition?

• Question
14

1 out of 1 points

Your
31-year-old patient, whose varicella rash just erupted yesterday, asks you when
she can go back to work. What do you tell her?

• Question
17

1 out of 1 points

The
most appropriate treatment for a child with mild croup is:

• Question
19

1 out of 1 points

Which
of the following is a secondary cause of hyperlipidemia?

• Question
20

1 out of 1 points

A
patient comes in complaining of 1 week of pain in the posterior neck with
difficulty turning the head to the right. What additional history is
needed?

• Question
21

1 out of 1 points

Stacy,
age 27, states that she has painless, white, slightly raised patches in her
mouth. They are probably caused by:

• Question
22

Group
A ?-hemolytic streptococcal (GABHS) pharyngitis is most common in which age
group?

• Question
23

1 out of 1 points

A
patient presents to the office with a blood pressure 142/80. This patient is
classified as having:

• Question
24

1 out of 1 points

Treatment of H.pylori includes which of the following?

• Question
25

A very
active elderly patient has a documented diagnosis of arteriosclerosis obliterans.
Common expected lower extremity physical exam findings include:

• Question
26

Which
of the following medication classes should be avoided in patients with acute or
chronic bronchitis because it will contribute to ventilation-perfusion mismatch
in the patient?

• Question
27

1 out of 1 points

Mort
is hypertensive. Which of the following factors influenced your choice of using
an alpha blocker as the antihypertensive medication?

• Question
29

1 out of 1 points

Which
statement below is correct about pertussis?

• Question
30

1 out of 1 points

A
middle-aged male presents to urgent care complaining of fever, dysphagia, and
shortness of breath. The nurse practitioner notes the patient leaning forward
in a tripod position and drooling. The clinical presentation of this patient
suggests:

• Question
31

1 out of 1 points

A
33-year-old female is admitted with acute pancreatitis. The nurse practitioner
knows that the most common cause of pancreatitis is:

• Question
32

1 out of 1 points

Which
of the following is not a symptom of irritable bowel syndrome?

• Question
33

1 out of 1 points

John,
age 33, has a total cholesterol level of 188 mg/dL. How often should he be
screened for hypercholesterolemia?

• Question
34

What
conditions must be met for you to bill “incident to” the physician, receiving
100% reimbursement from Medicare?

• Question
35

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?

• Question
37

An
employee picnic menu includes grilled hamburgers, potato salad, and homemade
ice cream sundaes. Within an hour after the meal, several children and parents
begin to have nausea, vomiting and stomach cramps. None of those affected have
fever. What is the most likely etiologic agent?

• Question
38

1 out of 1 points

A
patient presents to urgent care complaining of dyspnea, fatigue, and lower
extremity edema. The echocardiogram reveals and ejection fraction of 38%. The
nurse practitioner knows that these findings are consistent with:

• Question
39

1 out of 1 points

Maxine, Age 76, has just been given a diagnosis of pneumonia. Which of
the following is an indication that she should be hospitalized?

• Question
40

1 out of 1 points

A
57-year-old male presents to urgent care complaining of substernal chest
discomfort for the past hour. The EKG reveals ST elevations in Leads II, III,
and AVF. The nurse practitioner is aware that these changes are consistent with
which myocardial infarction territory?’

• Question
42

1 out of 1 points

Lisa,
age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2
agonist daily. Her exacerbations affect her activities and they occur at least
twice weekly and may last for days. She is affected more than once weekly
during the night with an exacerbation. Which category of asthma severity is
Lisa in?

• Question
50

1 out of 1 points

Which
of the following are classic features of ulcerative colitis?

• Question
51

A 55
year old man is diagnosed with basal cell carcinoma. The nurse practitioner
correctly tells him:

• Question
52

Martha
had a less than 7% value on her Schilling test. What medication do you
anticipate she might need?

• Question 53

Which of the following dermatologic
vehicles are the most effective in absorbing moisture and decreasing friction?

• Question
54

John,
age 59, presents with recurrent, sharply circumscribed red papules and plaques
with a powdery white scale on the extensor aspect of his elbows and knees. What
do you suspect?

• Question
57

Amaurosis fugax is described as a:

• Question
58

Expected spirometry readings when the patient has chronic emphysema
include:

• Question
59

Marvin
has sudden eye redness that occurred after a strenuous coughing episode. You
diagnose a subconjunctival hemorrhage. Your next step is to:

• Question
60

A 40
year old presents with a hordeolum. The nurse practitioner teaches the patient
to:

• Question
61

In
order to decrease deaths from lung cancer:

• Question
62

A 70
year old man who walks 2 miles every day complains of pain in his left calf
when he is walking. The problem has gotten gradually worse and now he is unable
to complete his 2 mile walk. What question asked during the history, if
answered affirmatively, would suggest a diagnosis of arteriosclerosis
obliterans?

• Question
63

An 8
year old presents to the health clinic with history of acute onset severe sore
throat and respiratory distress with stridor in the last 2 hours. The child’s
history is positive for fever and pharyngitis for 2 days. What is the most likely
diagnosis?’

• Question
65

An
80-year-old male admits to difficulty swallowing during the review of systems.
The nurse practitioner recognizes the differential diagnosis for this patient’s
dysphagia is:’

• Question
66

Which
type of lung cancer has the poorest prognosis?

• Question
68

Risk
factors for acute otitis media (AOM) include all of the following except:

• Question
69

Larry,
age 66, is a smoker with hyperlipidemia and hypertension. He is 6 months
post-MI. To prevent reinfarction, the most important behavior change that he
can make is to:

• Question
70

Shirley, age 58, has been a diabetic for 7 years. Her blood pressure is
normal. Other than her diabetes medications, what would you prescribe today
during her routine office visit?

• Question
73

A
65-year-old female with a past medical history of hypertension, hyperlipidemia,
and polymyalgia rheumatica presents to urgent care with new onset left lower
quadrant pain. Her current medications include omeprazole 20 milligrams po daily,
lisinopril 20 milligrams po daily, simvastatin 20 milligrams po daily, and
prednisone 12 milligrams po daily. The nurse practitioner suspects acute
diverticulitis and possibly an abscess. The most appropriate diagnostic test
for this patient at this time is:

• Question
75

Your
well-nourished 75-year-old patient has come into the office for a physical exam
and states that she recently had two nosebleeds. She does not take any
anticoagulants, and you have ruled out any coagulopathies. The most likely
cause of these nosebleeds is:

• Question
76

Which
of the following color changes in a pigmented lesion suggests malignant
transformation?

• Question
77

The
most common cancer found on the auricle is:

• Question
78

A 20
year old is diagnosed with mild persistent asthma. What drug combination would
be most effective in keeping him symptom-free?

• Question
79

A 58-year-old man is diagnosed with
Barrett’s esophagus after an endoscopy. He has no known allergies. Which of the
following medications is MOST appropriate to treat this patient’s disorder?

• Question
80

Harriet, a 79-year-old woman, comes to your office every 3 months for
follow up on her hypertension. Her medications include one baby aspirin daily,
Lisinopril 5mg daily, and Calcium 1500 mg daily. At today’s visit. Her blood
pressure is 170/89. According to JNC VIII guidelines, what should you do next
to control Harriet’s blood pressure?

• Question
81

Sylvia, age 83, presents with a 3 day history of pain and burning in the
left forehead. This morning she noticed a rash with erythematous papules in
that site. What do you suspect?

• Question
82

A 55
year old patient has a work-up for hypertension and is noted to have elevated
BUN and creatinine. Which of the following should the nurse practitioner
suspect?

• Question
83

An active 65-year-old man under your care
has known acquired valvular aortic stenosis and mitral regurgitation. He also
has a history of infectious endocarditis. He has recently been told he needs
elective replacement of his aortic valve. When he comes into the office you
discover that he has 10 remaining teeth in poor repair. Your recommendation
would be to:

• Question
84

Of
the following signs and symptoms of congestive heart failure (CHF), the
earliest clinical manifestation is:

• Question
85

An
83-year-old female presents to the office complaining of diarrhea for several
days. She explains she has even had fecal incontinence one time. She describes
loose stools 3–4 times a day for several weeks and denies fever, chills, pain, recent
antibiotic use. The history suggests that the patient has:

• Question
87

Alan, age 54, notices a bulge in his
midline every time he rises from bed in the morning. You tell him it is a
ventral hernia, also known as:

• Question
88

Sheila, age 78, presents with a chief
complaint of waking up during the night coughing. You examine her and find an
S3 heart sound, pulmonary crackles that do not clear with coughing, and
peripheral edema. What do you suspect?

• Question
93

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:

• Question
95

Which
of the following is the most appropriate therapeutic regimen for an adult
patient with no known allergies diagnosed with group A B-hemolytic strep?

• Question 96

A
76-year-old male complains of weight loss, nausea, vomiting, abdominal cramping
and pain. Physical findings include an abdominal mass and stool positive for
occult blood. The nurse practitioner pain suspects a tumor in the small
intestine. The best diagnostic test for this patient is:

• Question
97

Dana
has ischemic arterial ulcers. What is your first priority when counseling her?

• Question
98

Risk
factors for acute arterial insufficiency include which of the following?

• Question
99

Which
of the following is the most important diagnosis to rule out in the adult
patient with acute bronchitis?

• Question
100

Which
of the following can result from chronic inflammation of a meibomian gland?

• Question
101

When
completing this quiz, did you comply with Walden University’s Code of Conduct
including the expectations for academic integrity?

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