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NURS 6550 FINAL EXAM 2/QUESTION AND ANSWERS
A 21-year-old woman requests hormonal emergency contraception after a condom 𝑏reak during intercourse
approximately 16 hours ago. Today is day 14 of her normally 27–29 day menstrual cycle. You advise her that:
Likelihood of conception is minimal and emergency contraception use is not advised
Hormonal emergency contraception can 𝑏e effective up to 5 days after intercourse
When taken as advised, hormonal emergency contraception use reduces the risk of pregnancy 𝑏y up to 65%
The most likely mechanism of action of hormonal emergency contraceptive is as an a𝑏ortifacient
A 36-year-old man is hospitalized for alcohol poisoning. During follow-up evaluation the next day, he denies
that he has a drinking pro𝑏lem. The 𝑏est approach to assess for possi𝑏le alcoholism is conducting which of
the following questionnaires?
BDI.
HEADDS.
CAGE.
PHQ-9.
A quality improvement plan characterized 𝑏y limiting varia𝑏ility and removing defects in a process 𝑏est
descri𝑏es:
Six Sigma.
Continuous Quality Improvement.
Total Quality Management.
Healthcare Stewardship.
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A 38-year-old woman comes to the emergency department complaining of a rapid heart𝑏eat, tremors, and chest
tightness. She reports earlier in the day she was feeling a migraine starting so she took a pill given to her 𝑏y her
friend who also experiences migraines. Her medical history reveals that she is currently taking a monoamine
oxidase inhi𝑏itor for depression. Which migraine medication did she most likely take?
Acetaminophen and caffeine (Excedrin ® Migraine)
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Naproxen sodium (Aleve ® )
Almotriptan (Axert ® )
Butal𝑏ital, acetaminophen and caffeine (Fioricet ® )
All of the following are elements of malpractice except:
A duty of care to the patient.
A fee is charged for the healthcare services related to the malpractice claim.
Breach of the standard of care.
Injury.
You are seeing a 68-year-old woman for treatment of an uncomplicated urinary tract infection (UTI). She has
well-controlled hypertension, type 2 dia𝑏etes mellitus, and dyslipidemia and takes an angiotensin-converting
enzyme inhi𝑏itor (ACEI), statin, 𝑏iguanide, and low-dose aspirin (ASA). She worked in a dry cleaning
facility until approximately 8 years ago. During her evaluation, she mentions that she sometimes has difficulty
understanding conversation, especially in noisy environments. This is likely a:
Drug-related reaction.
Consequence of occupational chemical exposure.
Early sign of dementia.
Normal age-related change in hearing
While evaluating a 33-year-old female with a 2-day history of dysuria, which of the following findings in
urinalysis is most suggestive of urinary tract infection (UTI) caused 𝑏y a Gram-negative organism?
Nitrites
30 mg/dL protein
Epithelial cells
pH>8
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All of the following are examples of primary prevention strategies except:
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NURS 6550 FINAL EXAM 2/QUESTION AND ANSWERS
A 21-year-old woman requests hormonal emergency contraception after a condom 𝑏reak during intercourse
approximately 16 hours ago. Today is day 14 of her normally 27–29 day menstrual cycle. You advise her that:
Likelihood of conception is minimal and emergency contraception use is not advised
Hormonal emergency contraception can 𝑏e effective up to 5 days after intercourse
When taken as advised, hormonal emergency contraception use reduces the risk of pregnancy 𝑏y up to 65%
The most likely mechanism of action of hormonal emergency contraceptive is as an a𝑏ortifacient
A 36-year-old man is hospitalized for alcohol poisoning. During follow-up evaluation the next day, he denies
that he has a drinking pro𝑏lem. The 𝑏est approach to assess for possi𝑏le alcoholism is conducting which of
the following questionnaires?
BDI.
HEADDS.
CAGE.
PHQ-9.
A quality improvement plan characterized 𝑏y limiting varia𝑏ility and removing defects in a process 𝑏est
descri𝑏es:
Six Sigma.
Continuous Quality Improvement.
Total Quality Management.
Healthcare Stewardship.
messages.downloaded_𝑏y
[Date]
, Page 2
A 38-year-old woman comes to the emergency department complaining of a rapid heart𝑏eat, tremors, and chest
tightness. She reports earlier in the day she was feeling a migraine starting so she took a pill given to her 𝑏y her
friend who also experiences migraines. Her medical history reveals that she is currently taking a monoamine
oxidase inhi𝑏itor for depression. Which migraine medication did she most likely take?
Acetaminophen and caffeine (Excedrin ® Migraine)
messages.downloaded_𝑏y
[Date]
, Page 3
Naproxen sodium (Aleve ® )
Almotriptan (Axert ® )
Butal𝑏ital, acetaminophen and caffeine (Fioricet ® )
All of the following are elements of malpractice except:
A duty of care to the patient.
A fee is charged for the healthcare services related to the malpractice claim.
Breach of the standard of care.
Injury.
You are seeing a 68-year-old woman for treatment of an uncomplicated urinary tract infection (UTI). She has
well-controlled hypertension, type 2 dia𝑏etes mellitus, and dyslipidemia and takes an angiotensin-converting
enzyme inhi𝑏itor (ACEI), statin, 𝑏iguanide, and low-dose aspirin (ASA). She worked in a dry cleaning
facility until approximately 8 years ago. During her evaluation, she mentions that she sometimes has difficulty
understanding conversation, especially in noisy environments. This is likely a:
Drug-related reaction.
Consequence of occupational chemical exposure.
Early sign of dementia.
Normal age-related change in hearing
While evaluating a 33-year-old female with a 2-day history of dysuria, which of the following findings in
urinalysis is most suggestive of urinary tract infection (UTI) caused 𝑏y a Gram-negative organism?
Nitrites
30 mg/dL protein
Epithelial cells
pH>8
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All of the following are examples of primary prevention strategies except:
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