Walden NUR6531 Final Exam 2018 (limited questions)

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Question 1

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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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