NSG 6020 MIDTERM EXAM Help 2 –
QUESTION AND ANSWERS (answered)
The first step in the genomic assessment of a patient is obtaining information
regarding:Question 1 options:
a) Family history
b) Environmental exposures
c) Lifestyle and behaviors
d) Current medications
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Question 2 (2 points)
Rheumatic heart disease is a complication that can arise from which type of
infection?Question 2 options:
a) Epstein-Barr virus
b) Diphtheria
c) Group A beta hemolytic streptococcus
d) Streptococcus pneumoniae
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Question 3 (2 points)
A 64-year-old male presents with erythema of the sclera, tearing, and bilateral pruritus of
the eyes. The symptoms occur intermittently throughout the year and he has associated
clear nasal discharge. Whichof the following is most likely because of the inflammation?
Question 3 options:
a) Bacterium
, b) Allergen
c) Virus
d) Fungi
Save
Question 4 (2 points)
Dan G., a 65-year-old man, presents to your primary care office for the evaluation of chest
pain and left- sided shoulder pain. Pain begins after strenuous activity, including walking.
Pain is characteriked as dull,aching; 8/10 during activity, otherwise 0/10. Began a few
months ago, intermittent, aggravated by exercise, and relieved by rest. Has occasional
nausea. Pain is retrosternal, radiating to left shoulder, definitely affects quality of life by
limiting activity. Pain is worse today; did not go away after he stopped walking. BP 120/80.
Pulse 72 and regular. Normal heart sounds, S1 and S2, no murmurs. Which of the following
differential diagnoses would be most likely?
Question 4 options:
a) Musculoskeletal chest wall syndrome with radiation
b) Esophageal motor disorder with radiation
c) Acute cholecystitis with cholelithiasis
d) Coronary artery disease with angina pectoris
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Question 5 (2 points)
Which disease process typically causes episodic right upper quadrant pain, epigastric pain
or chest pain that can last 4-6 hours or less, often radiates to the back (classically under
the right shoulder blade) and is often accompanied by nausea or vomiting and often
follows a heavy, fatty meal.
Question 5 options:
a) Acute pancreatitis
, b) Duodenal ulcer ry
c) Biliary colic ry
d) Cholecystitis
Save
Question 6 (2 points)ry ry ry
Helicobacter pylori is implicated as a causative agent in the development of duodenal or gastric ulcers.
ry ry ry ry ry ry ry ry ry ry ry ry ry ry ry
What teaching should the nurse practitioner plan for a patient who has a positive
ry ry ry ry ry ry ry ry ry ry ry ry ry ry
Helicobacterpylori test? ry
Question 6 options:
ry ry ry
a) It is highly contagious and a mask should be worn at home.
ry ry ry ry ry ry ry ry ry ry ry
b) Treatment regimen is multiple lifetime medications. ry ry ry ry ry
c) Treatment regimen is multiple medications taken daily for a few weeks.
ry ry ry ry ry ry ry ry ry ry
d) Treatment regimen is complicated and is not indicated unless the patient is symptomatic.
ry ry ry ry ry ry ry ry ry ry ry ry
Save
Question 7 (2 points)ry ry ry
An obese middle-aged client presents with a month of nonproductive irritating cough
ry ry ry ry ry ry ry ry ry ry ry
without fever. Healso reports occasional morning hoarseness. What should the differential
ry ry ry ry ry ry ry ry ry ry ry
include?
ry
Question 7 options: ry ry
a) Atypical pneumonia ry
b) Peptic ulcer disease ry ry
c) Gastroesophageal reflux ry
d) Mononucleosis (Epstein-Barr) ry
, Save
Question 8 (2 points) ry ry ry
Jenny is a 24 year old graduate student that presents to the clinic today with complaints of
ry ry ry ry ry ry ry ry ry ry ry ry ry ry ry ry
fever, midsternal chest pain and generaliked fatigue for the past two days. She denies
ry ry ry ry ry ry ry ry ry ry ry ry ry ry
any cough or sputum production. She states that when she takes Ibuprofen and rest
ry ry ry ry ry ry ry ry ry ry ry ry ry ry
that the chest pain does seem to ease off.Upon examination the patient presents
ry ry ry ry ry ry ry ry ry ry ry ry ry
looking very ill.
ry ry ry
She is leaning forward and states that this is the most comfortable position for her.
ry ry ry ry ry ry ry ry ry ry ry ry ry ry
Temp is 102. BP= 100/70. Heart rate is 120/min and regular. Upon auscultation a
ry ry ry ry ry ry ry ry ry ry ry ry ry ry
friction rub is audible. Her lung sounds are clear. With these presenting symptoms your
ry ry ry ry ry ry ry ry ry ry ry ry ry ry
initial diagnosis would be:
ry ry ry ry
Question 8 options: ry ry
a) Mitral Valve Prolapse ry ry
b) Referred Pain from Cholecystitis ry ry ry
c) Pericarditis
d) Pulmonary Embolus ry
Save
Question 9 (2 points) ry ry ry
The pathophysiological hallmark of
ry ry ry
ry ACD is:Question 9 options:
ry ry ry
a) Depleted iron stores ry ry
b) Impaired ability to use iron stores ry ry ry ry ry
c) Chronic uncorrectable bleeding ry ry
d) Reduced intestinal absorption of iron ry ry ry ry
Save
QUESTION AND ANSWERS (answered)
The first step in the genomic assessment of a patient is obtaining information
regarding:Question 1 options:
a) Family history
b) Environmental exposures
c) Lifestyle and behaviors
d) Current medications
Save
Question 2 (2 points)
Rheumatic heart disease is a complication that can arise from which type of
infection?Question 2 options:
a) Epstein-Barr virus
b) Diphtheria
c) Group A beta hemolytic streptococcus
d) Streptococcus pneumoniae
Save
Question 3 (2 points)
A 64-year-old male presents with erythema of the sclera, tearing, and bilateral pruritus of
the eyes. The symptoms occur intermittently throughout the year and he has associated
clear nasal discharge. Whichof the following is most likely because of the inflammation?
Question 3 options:
a) Bacterium
, b) Allergen
c) Virus
d) Fungi
Save
Question 4 (2 points)
Dan G., a 65-year-old man, presents to your primary care office for the evaluation of chest
pain and left- sided shoulder pain. Pain begins after strenuous activity, including walking.
Pain is characteriked as dull,aching; 8/10 during activity, otherwise 0/10. Began a few
months ago, intermittent, aggravated by exercise, and relieved by rest. Has occasional
nausea. Pain is retrosternal, radiating to left shoulder, definitely affects quality of life by
limiting activity. Pain is worse today; did not go away after he stopped walking. BP 120/80.
Pulse 72 and regular. Normal heart sounds, S1 and S2, no murmurs. Which of the following
differential diagnoses would be most likely?
Question 4 options:
a) Musculoskeletal chest wall syndrome with radiation
b) Esophageal motor disorder with radiation
c) Acute cholecystitis with cholelithiasis
d) Coronary artery disease with angina pectoris
Save
Question 5 (2 points)
Which disease process typically causes episodic right upper quadrant pain, epigastric pain
or chest pain that can last 4-6 hours or less, often radiates to the back (classically under
the right shoulder blade) and is often accompanied by nausea or vomiting and often
follows a heavy, fatty meal.
Question 5 options:
a) Acute pancreatitis
, b) Duodenal ulcer ry
c) Biliary colic ry
d) Cholecystitis
Save
Question 6 (2 points)ry ry ry
Helicobacter pylori is implicated as a causative agent in the development of duodenal or gastric ulcers.
ry ry ry ry ry ry ry ry ry ry ry ry ry ry ry
What teaching should the nurse practitioner plan for a patient who has a positive
ry ry ry ry ry ry ry ry ry ry ry ry ry ry
Helicobacterpylori test? ry
Question 6 options:
ry ry ry
a) It is highly contagious and a mask should be worn at home.
ry ry ry ry ry ry ry ry ry ry ry
b) Treatment regimen is multiple lifetime medications. ry ry ry ry ry
c) Treatment regimen is multiple medications taken daily for a few weeks.
ry ry ry ry ry ry ry ry ry ry
d) Treatment regimen is complicated and is not indicated unless the patient is symptomatic.
ry ry ry ry ry ry ry ry ry ry ry ry
Save
Question 7 (2 points)ry ry ry
An obese middle-aged client presents with a month of nonproductive irritating cough
ry ry ry ry ry ry ry ry ry ry ry
without fever. Healso reports occasional morning hoarseness. What should the differential
ry ry ry ry ry ry ry ry ry ry ry
include?
ry
Question 7 options: ry ry
a) Atypical pneumonia ry
b) Peptic ulcer disease ry ry
c) Gastroesophageal reflux ry
d) Mononucleosis (Epstein-Barr) ry
, Save
Question 8 (2 points) ry ry ry
Jenny is a 24 year old graduate student that presents to the clinic today with complaints of
ry ry ry ry ry ry ry ry ry ry ry ry ry ry ry ry
fever, midsternal chest pain and generaliked fatigue for the past two days. She denies
ry ry ry ry ry ry ry ry ry ry ry ry ry ry
any cough or sputum production. She states that when she takes Ibuprofen and rest
ry ry ry ry ry ry ry ry ry ry ry ry ry ry
that the chest pain does seem to ease off.Upon examination the patient presents
ry ry ry ry ry ry ry ry ry ry ry ry ry
looking very ill.
ry ry ry
She is leaning forward and states that this is the most comfortable position for her.
ry ry ry ry ry ry ry ry ry ry ry ry ry ry
Temp is 102. BP= 100/70. Heart rate is 120/min and regular. Upon auscultation a
ry ry ry ry ry ry ry ry ry ry ry ry ry ry
friction rub is audible. Her lung sounds are clear. With these presenting symptoms your
ry ry ry ry ry ry ry ry ry ry ry ry ry ry
initial diagnosis would be:
ry ry ry ry
Question 8 options: ry ry
a) Mitral Valve Prolapse ry ry
b) Referred Pain from Cholecystitis ry ry ry
c) Pericarditis
d) Pulmonary Embolus ry
Save
Question 9 (2 points) ry ry ry
The pathophysiological hallmark of
ry ry ry
ry ACD is:Question 9 options:
ry ry ry
a) Depleted iron stores ry ry
b) Impaired ability to use iron stores ry ry ry ry ry
c) Chronic uncorrectable bleeding ry ry
d) Reduced intestinal absorption of iron ry ry ry ry
Save
