Primary care advanced practice nursing test bank 6th edition Dunphy Primary
Care Midterm complete questions and correct detailed answers
1. Nausea is difficult to discern in a young child. What question might you ask
to determine if a child has nausea?
1. "Are you sick to your tummy?"
2. "Are you hungry?"
3. "Are you eating the way you normally eat?"
4. "Are you nauseous?": "Are you hungry?"
2. Zena just had a hemorrhoidectomy. You know she has not understood your
teaching when she tells you she will:
1. Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery.
2. Drink at least 2000 mL of fluids per day.
3. Decrease her dietary fiber for 1 month.
4. Take stool softeners as prescribed.: Decrease her dietary fiber for 1 month.
3. Susan, age 59, has no specific complaints when she comes in for her annual
examination. She does, however, have type 2 diabetes mellitus (DM), slight
hypertension, dyslipidemia, and central obesity. How would you diagnose her?
1. As a healthy adult with several problems.
2. As having a glycemic event.
3. As having metabolic syndrome.
4. As having multiple organ dysfunction.: As having metabolic syndrome.
4. Simon, age 72, states that he is worried because he has a bowel movement
only every third day. You respond:
1. "You should have two to three stools per day."
2. "You should defecate once a day."
3. "You should have at least three stools per week."
4. "There is no such thing as a 'normal' pattern of defecation.": "There is no such thing
as a 'normal' pattern of defecation."
5. Matt, age 26, recently returned from a camping trip and has gastroenteritis.
He says that he has been eating only canned food. Which of the following
pathogens do you suspect?
1.
Campylobacter jejuni.
2.
,Primary care advanced practice nursing test bank 6th edition Dunphy Primary
Care Midterm complete questions and correct detailed answers
Clostridium botulinum.
3.
Clostridium perfringens.
4.
Staphylococcus.: Clostridium botulinum.
6. Timothy, age 68, complains of an abrupt change in his defecation pattern.
You evaluate him for:
1.
Constipation.
2.
Colorectal cancer.
3.
Irritable bowel syndrome.
4.
Acute appendicitis.: Colorectal cancer.
7. Martina, age 34, has AIDS and currently suffers from diarrhea. You suspect
she has which protozoal infection of the bowel?
1.
Giardiasis.
2.
Amebiasis.
3.
Cryptosporidiosis.
4.
Escherichia coli.: Cryptosporidiosis
8. Anson tells you he thinks his antacids are causing his diarrhea. You respond:
1.
"Antacids contain fructose, which may not be totally absorbed, resulting in fluid
being drawn into the bowel."
2.
"Antacids contain sorbitol or mannitol, which are sugars that aren't absorbed
and can cause fluid to be drawn into the bowel."
,Primary care advanced practice nursing test bank 6th edition Dunphy Primary
Care Midterm complete questions and correct detailed answers
3.
"Antacids contain caffeine, which decreases bowel transit time."
4.
"Antacids may contain magnesium, which decreases bowel transit time and
may contain poorly absorbed salts that draw fluid into the bowel.": "Antacids may
contain magnesium, which decreases bowel transit time and may contain poorly absorbed salts that draw fluid into the
bowel."
9. Tina has a chronic hepatitis C infection. She asks you how to prevent its
transmission. You respond:
1.
"Do not donate blood until one year after diagnosis."
2.
"Abstain from sex altogether."
3.
"There is no possibility of transmission through razors or toothbrushes."
4.
"Abstain from sex during your period.": "Abstain from sex during your period."
10. Marcie just returned from Central America with traveler's diarrhea. Which is
the best treatment?
1.
Metronidazole (Flagyl).
2.
Supportive care.
3.
Quinolone antibiotics.
4.
Gastric lavage.: Supportive care.
11. Rose, a client with gastroesophageal reflux disease (GERD), has many other
concurrent conditions. In teaching Rose about medications to avoid, what do
you recommend she refrain from using?
1.
Antibiotics.
, Primary care advanced practice nursing test bank 6th edition Dunphy Primary
Care Midterm complete questions and correct detailed answers
2.
Nonsteroidal anti-inflammatory drugs (NSAIDs).
3.
Oral contraceptives.
4.
Antifungals.: Nonsteroidal anti-inflammatory drugs (NSAIDs).
12. Lucy, age 49, has pain in both the left and right lower quadrants. What might
you suspect?
1.
A gastric ulcer.
2.
Gastritis.
3.
Pelvic inflammatory disease.
4.
Pancreatitis.: Pelvic inflammatory disease.
13. Rose has gastroesophageal reflux disease (GERD). You know she misunder-
stands your teaching when she tells you she will:
1.
Avoid coffee, alcohol, chocolate, peppermint, and spicy foods.
2.
Eat smaller meals.
3.
Have a snack before retiring so that the esophagus and stomach are not empty
at bedtime.
4.
Stop smoking.: Have a snack before retiring so that the esophagus and stomach are not empty at bedtime.
14. Marty, age 52, notices a bulge in his midline every time he rises from bed in
the morning. You tell him that it is a ventral hernia, also known as an:
1.
Inguinal hernia.
2.
Care Midterm complete questions and correct detailed answers
1. Nausea is difficult to discern in a young child. What question might you ask
to determine if a child has nausea?
1. "Are you sick to your tummy?"
2. "Are you hungry?"
3. "Are you eating the way you normally eat?"
4. "Are you nauseous?": "Are you hungry?"
2. Zena just had a hemorrhoidectomy. You know she has not understood your
teaching when she tells you she will:
1. Take a sitz bath after each bowel movement for 1 to 2 weeks after surgery.
2. Drink at least 2000 mL of fluids per day.
3. Decrease her dietary fiber for 1 month.
4. Take stool softeners as prescribed.: Decrease her dietary fiber for 1 month.
3. Susan, age 59, has no specific complaints when she comes in for her annual
examination. She does, however, have type 2 diabetes mellitus (DM), slight
hypertension, dyslipidemia, and central obesity. How would you diagnose her?
1. As a healthy adult with several problems.
2. As having a glycemic event.
3. As having metabolic syndrome.
4. As having multiple organ dysfunction.: As having metabolic syndrome.
4. Simon, age 72, states that he is worried because he has a bowel movement
only every third day. You respond:
1. "You should have two to three stools per day."
2. "You should defecate once a day."
3. "You should have at least three stools per week."
4. "There is no such thing as a 'normal' pattern of defecation.": "There is no such thing
as a 'normal' pattern of defecation."
5. Matt, age 26, recently returned from a camping trip and has gastroenteritis.
He says that he has been eating only canned food. Which of the following
pathogens do you suspect?
1.
Campylobacter jejuni.
2.
,Primary care advanced practice nursing test bank 6th edition Dunphy Primary
Care Midterm complete questions and correct detailed answers
Clostridium botulinum.
3.
Clostridium perfringens.
4.
Staphylococcus.: Clostridium botulinum.
6. Timothy, age 68, complains of an abrupt change in his defecation pattern.
You evaluate him for:
1.
Constipation.
2.
Colorectal cancer.
3.
Irritable bowel syndrome.
4.
Acute appendicitis.: Colorectal cancer.
7. Martina, age 34, has AIDS and currently suffers from diarrhea. You suspect
she has which protozoal infection of the bowel?
1.
Giardiasis.
2.
Amebiasis.
3.
Cryptosporidiosis.
4.
Escherichia coli.: Cryptosporidiosis
8. Anson tells you he thinks his antacids are causing his diarrhea. You respond:
1.
"Antacids contain fructose, which may not be totally absorbed, resulting in fluid
being drawn into the bowel."
2.
"Antacids contain sorbitol or mannitol, which are sugars that aren't absorbed
and can cause fluid to be drawn into the bowel."
,Primary care advanced practice nursing test bank 6th edition Dunphy Primary
Care Midterm complete questions and correct detailed answers
3.
"Antacids contain caffeine, which decreases bowel transit time."
4.
"Antacids may contain magnesium, which decreases bowel transit time and
may contain poorly absorbed salts that draw fluid into the bowel.": "Antacids may
contain magnesium, which decreases bowel transit time and may contain poorly absorbed salts that draw fluid into the
bowel."
9. Tina has a chronic hepatitis C infection. She asks you how to prevent its
transmission. You respond:
1.
"Do not donate blood until one year after diagnosis."
2.
"Abstain from sex altogether."
3.
"There is no possibility of transmission through razors or toothbrushes."
4.
"Abstain from sex during your period.": "Abstain from sex during your period."
10. Marcie just returned from Central America with traveler's diarrhea. Which is
the best treatment?
1.
Metronidazole (Flagyl).
2.
Supportive care.
3.
Quinolone antibiotics.
4.
Gastric lavage.: Supportive care.
11. Rose, a client with gastroesophageal reflux disease (GERD), has many other
concurrent conditions. In teaching Rose about medications to avoid, what do
you recommend she refrain from using?
1.
Antibiotics.
, Primary care advanced practice nursing test bank 6th edition Dunphy Primary
Care Midterm complete questions and correct detailed answers
2.
Nonsteroidal anti-inflammatory drugs (NSAIDs).
3.
Oral contraceptives.
4.
Antifungals.: Nonsteroidal anti-inflammatory drugs (NSAIDs).
12. Lucy, age 49, has pain in both the left and right lower quadrants. What might
you suspect?
1.
A gastric ulcer.
2.
Gastritis.
3.
Pelvic inflammatory disease.
4.
Pancreatitis.: Pelvic inflammatory disease.
13. Rose has gastroesophageal reflux disease (GERD). You know she misunder-
stands your teaching when she tells you she will:
1.
Avoid coffee, alcohol, chocolate, peppermint, and spicy foods.
2.
Eat smaller meals.
3.
Have a snack before retiring so that the esophagus and stomach are not empty
at bedtime.
4.
Stop smoking.: Have a snack before retiring so that the esophagus and stomach are not empty at bedtime.
14. Marty, age 52, notices a bulge in his midline every time he rises from bed in
the morning. You tell him that it is a ventral hernia, also known as an:
1.
Inguinal hernia.
2.
