NURS 6531 Final – Actual Questions &
Answers 100% Guarantee Pass
Which advantages are provided to the chronically ill patient by personal electronic
monitoring devices? (Select all that apply.)
a. Helps provide more patient control their health and lifestyle
b. Eliminates need for regular medical and nursing follow-up visits
c. Helps the early identification of patient health-related problems
d. Helps health care providers in keeping track of the patient's health status
e. Cost is often covered by Medicare - ------------ANS: ANS: A, C, D, E
Which symptoms may occur with vestibular neuritis? (Select all that apply.)
a. Disequilibrium
b. Fever
c. Hearing loss
d. Nausea and vomiting
e. Tinnitus - ------------ANS: ANS: A, D, E
Vestibular neuritis can cause severe vertigo, disequilibrium, nausea, vomiting, and
tinnitus, but not fever or hearing loss.
A 25-year-old patient has a tuberculosis (TB) skin test which reveals an area of
induration of 12 mm. The patient is a recent immigrant from Mexico and lives in a
homeless shelter. What is the recommended treatment for this patient?
a. Administer the bacillus Calmette-Guérin (BCG) vaccine
b. Begin isoniazid (INH) preventive therapy
c. Order isoniazid (INH) and Rifampin
d. Perform regular TB skin testing every few months - ------------ANS: ANS: B
Patients younger than 35 who have any risk factors for TB and with an area of
induration 10 mm should be considered for INH preventive therapy. This patient is an
immigrant from Mexico and lives in a homeless shelter, so TB preventive therapy is
acceptable. BCG vaccine is not helpful. INH and Rifampin are used if patients
develop symptoms or if there is antibiotic resistance.
A 35-year old patient develops acute viral bronchitis. Which is the focus for the
management of symptoms in this patient?
a. Trimethoprim-sulfamethoxazole therapy
b. Antibiotic therapy
c. Supportive care
d. Antitussive therapy - ------------ANS: ANS: C
The mainstay of treatment in acute bronchitis is directed toward symptom reduction
and supportive care. Data suggest that 85% of patients diagnosed with acute
,bronchitis will improve without specific treatment. Trimethoprim-sulfamethoxazole is
prescribed for pertussis when macrolides are not an option. Antibiotic therapy is not
effective in treating
viral acute bronchitis.
A 50-year-old, previously healthy patient has developed gastritis. What is the most
likely cause of this condition?
a. H. pylori infection
b. NSAID use
c. Parasite infestation
d. Viral gastroenteritis - ------------ANS: ANS: A
H. pylori accounts for most cases such as gastritis, duodenal ulcers, and gastric
ulcers. NSAID use is an important cause, but not likely in a previously healthy
individual. Parasites are the leading cause worldwide, but not in the United States.
Viral gastroenteritis usually does not cause chronic gastritis and usually has lower GI
symptoms.
A 55-year-old patient has a blood pressure of 138/85 on three occasions. The patient
denies headaches, palpitations, snoring, muscle weakness, and nocturia and does
not take any medications. What will the provider do next to evaluate this patient?
a. Assess serum cortisol levels
b. Continue to monitor blood pressure at each health maintenance visit
c. Order urinalysis, CBC, BUN, and creatinine
d. Refer to a specialist for a sleep study - ------------ANS: ANS: C
This patient has prehypertension levels and should be evaluated. UA, CBC, BUN,
and creatinine help to evaluate renal function and are in the initial workup. Serum
cortisol levels are performed if pheochromocytoma is suspected, which would cause
headache. The patient does not have snoring, so a sleep study is not indicated at
this time. It is not correct to continue to monitor without assessing possible causes of
early hypertension.
A child experiences a snake bite while camping and is seen in the emergency
department. The child's parents are not able to identify the type of snake. An
inspection of the site reveals two puncture wounds on the child's arm with no
swelling or erythema at the site. The child has normal vital signs. Which treatment is
indicated?
a. Administering antivenom and observing the child for 24 to 48 hours
b. Cleaning the wound, giving tetanus prophylaxis, and observing for 12 hours
c. Performing a type and cross match of the child's blood
d. Referral to a surgeon for incision and suction of the wound - ------------ANS: ANS:
B
The child does not have immediate symptoms of envenomation, since there is no
swelling or erythema. Because symptoms may be delayed, and the type of snake is
unknown, the child should be observed in an ED or hospital for 12 hours after
,providing wound care and tetanus prophylaxis. Antivenom is not indicated unless
envenomation occurs. Type and cross match is
done if envenomation is severe. Incision and suction of the sound is not
recommended.
A child has a localized nodule on one eyelid which is warm, tender, and
erythematous. On examination, the provider notes clear conjunctivae and no
discharge. What is the recommended treatment?
a. Referral to an ophthalmologist
b. Surgical incision and drainage
c. Systemic antibiotics
d. Warm compresses and massage of the lesion - ------------ANS: ANS: D
This child has a hordeolum, which is generally self-limited and usually spontaneously
improves with conservative treatment. Warm compresses and massage of the lesion
are recommended. Referral is not necessary unless a secondary infection occurs.
Surgical intervention is not indicated. Systemic antibiotics are used to treat
secondary cellulitis.
A child has plaques on the extensor surfaces of both elbows and on the face with
minimal scaling and pruritis. What is the likely cause of these lesions?
a. Atopic dermatitis
b. Guttate psoriasis
c. Psoriasis
d. Seborrhea - ------------ANS: ANS: C
Children with psoriasis often have lesions on the face and have less scaling than
adults. Psoriasis tends to present on extensor surfaces, while atopic dermatitis
occurs on flexor surfaces. Guttate psoriasis appears as teardrop-shaped lesions that
appear on the trunk and spread to the extremities and are occasionally seen after
streptococcal infections in adolescents. Seborrhea usually occurs on the scalp.
A child has recurrent impaction of cerumen in both ears and the parent asks what
can be done to help prevent this. What suggestion will the provider provide?
a. Cleaning the outer ear and canal with a soft cloth
b. Removing cerumen with a cotton-tipped swab
c. Trying thermal-auricular therapy when needed
d. Using an oral irrigation tool to remove cerumen - ------------ANS: ANS: A
Parents should be instructed to use a soft cloth to clean the outer ear and canal only.
Use of a
cotton-tipped swab or any other implement may push cerumen deeper into the canal
and risk
damaging the tympanic membrane. Thermal-auricular therapy is not recommended.
Oral
irrigation tools have high pressure and a risk of damage to the tympanic membrane.
, A child is diagnosed as having a congenital cholesteatoma. What is included in
management of this condition? (Select all that apply.)
a. Antibacterial treatment
b. Insertion of pressure equalizing tubes (PETs)
c. Irrigation of the ear canal
d. Removal of debris from the ear canal
e. Surgery to remove the lesion - ------------ANS: ANS: A, D, E
Cholesteatoma is treated with antibiotics, removal of debris from the ear canal, and
possibly surgery. PETs and irrigation of the ear canal are not part of treatment for
cholesteatoma.
A child is hit with a baseball bat during a game and sustains an injury to the nose,
along with a transient loss of consciousness. A health care provider at the game
notes bleeding from the child's nose and displacement of the septum. What is the
most important intervention initially?
a. Applying ice to the injured site to prevent airway occlusion
b. Immobilizing the child's head and neck and call 911
c. Placing nasal packing in both nares to stop the bleeding
d. Turning the child's head to the side to prevent aspiration of blood - ------------ANS:
ANS: B
Nasal trauma resulting in loss of consciousness and possible neck injury are
emergencies. The provider should take cervical spine precautions and call 911 for
transport to an emergency room. The other interventions may be performed once the
child's head and neck are stable.
A child sustains an ocular injury in which a shard of glass from a bottle penetrated
the eye wall. The emergency department provider notes that the shard has remained
in the eye. Which
term best describes this type of injury?
a. Intraocular foreign body
b. Penetrating eye injury
c. Perforating eye injury
d. Ruptured globe injury - ------------ANS: ANS: A
When a portion of the insulting object enters and remains in the eye, the injury is
correctly referred to as an intraocular foreign body. A penetrating injury occurs when
something penetrates through the eye wall without an exit wound. A perforating
injury occurs when the object has both an entry and an exit wound. A ruptured globe
injury occurs when blunt force causes the eye wall to rupture.
A child who has recurrent otitis media fails a hearing screen at school. The provider
suspects which type of hearing loss in this child?
a. Central
b. Conductive
c. Mixed type
Answers 100% Guarantee Pass
Which advantages are provided to the chronically ill patient by personal electronic
monitoring devices? (Select all that apply.)
a. Helps provide more patient control their health and lifestyle
b. Eliminates need for regular medical and nursing follow-up visits
c. Helps the early identification of patient health-related problems
d. Helps health care providers in keeping track of the patient's health status
e. Cost is often covered by Medicare - ------------ANS: ANS: A, C, D, E
Which symptoms may occur with vestibular neuritis? (Select all that apply.)
a. Disequilibrium
b. Fever
c. Hearing loss
d. Nausea and vomiting
e. Tinnitus - ------------ANS: ANS: A, D, E
Vestibular neuritis can cause severe vertigo, disequilibrium, nausea, vomiting, and
tinnitus, but not fever or hearing loss.
A 25-year-old patient has a tuberculosis (TB) skin test which reveals an area of
induration of 12 mm. The patient is a recent immigrant from Mexico and lives in a
homeless shelter. What is the recommended treatment for this patient?
a. Administer the bacillus Calmette-Guérin (BCG) vaccine
b. Begin isoniazid (INH) preventive therapy
c. Order isoniazid (INH) and Rifampin
d. Perform regular TB skin testing every few months - ------------ANS: ANS: B
Patients younger than 35 who have any risk factors for TB and with an area of
induration 10 mm should be considered for INH preventive therapy. This patient is an
immigrant from Mexico and lives in a homeless shelter, so TB preventive therapy is
acceptable. BCG vaccine is not helpful. INH and Rifampin are used if patients
develop symptoms or if there is antibiotic resistance.
A 35-year old patient develops acute viral bronchitis. Which is the focus for the
management of symptoms in this patient?
a. Trimethoprim-sulfamethoxazole therapy
b. Antibiotic therapy
c. Supportive care
d. Antitussive therapy - ------------ANS: ANS: C
The mainstay of treatment in acute bronchitis is directed toward symptom reduction
and supportive care. Data suggest that 85% of patients diagnosed with acute
,bronchitis will improve without specific treatment. Trimethoprim-sulfamethoxazole is
prescribed for pertussis when macrolides are not an option. Antibiotic therapy is not
effective in treating
viral acute bronchitis.
A 50-year-old, previously healthy patient has developed gastritis. What is the most
likely cause of this condition?
a. H. pylori infection
b. NSAID use
c. Parasite infestation
d. Viral gastroenteritis - ------------ANS: ANS: A
H. pylori accounts for most cases such as gastritis, duodenal ulcers, and gastric
ulcers. NSAID use is an important cause, but not likely in a previously healthy
individual. Parasites are the leading cause worldwide, but not in the United States.
Viral gastroenteritis usually does not cause chronic gastritis and usually has lower GI
symptoms.
A 55-year-old patient has a blood pressure of 138/85 on three occasions. The patient
denies headaches, palpitations, snoring, muscle weakness, and nocturia and does
not take any medications. What will the provider do next to evaluate this patient?
a. Assess serum cortisol levels
b. Continue to monitor blood pressure at each health maintenance visit
c. Order urinalysis, CBC, BUN, and creatinine
d. Refer to a specialist for a sleep study - ------------ANS: ANS: C
This patient has prehypertension levels and should be evaluated. UA, CBC, BUN,
and creatinine help to evaluate renal function and are in the initial workup. Serum
cortisol levels are performed if pheochromocytoma is suspected, which would cause
headache. The patient does not have snoring, so a sleep study is not indicated at
this time. It is not correct to continue to monitor without assessing possible causes of
early hypertension.
A child experiences a snake bite while camping and is seen in the emergency
department. The child's parents are not able to identify the type of snake. An
inspection of the site reveals two puncture wounds on the child's arm with no
swelling or erythema at the site. The child has normal vital signs. Which treatment is
indicated?
a. Administering antivenom and observing the child for 24 to 48 hours
b. Cleaning the wound, giving tetanus prophylaxis, and observing for 12 hours
c. Performing a type and cross match of the child's blood
d. Referral to a surgeon for incision and suction of the wound - ------------ANS: ANS:
B
The child does not have immediate symptoms of envenomation, since there is no
swelling or erythema. Because symptoms may be delayed, and the type of snake is
unknown, the child should be observed in an ED or hospital for 12 hours after
,providing wound care and tetanus prophylaxis. Antivenom is not indicated unless
envenomation occurs. Type and cross match is
done if envenomation is severe. Incision and suction of the sound is not
recommended.
A child has a localized nodule on one eyelid which is warm, tender, and
erythematous. On examination, the provider notes clear conjunctivae and no
discharge. What is the recommended treatment?
a. Referral to an ophthalmologist
b. Surgical incision and drainage
c. Systemic antibiotics
d. Warm compresses and massage of the lesion - ------------ANS: ANS: D
This child has a hordeolum, which is generally self-limited and usually spontaneously
improves with conservative treatment. Warm compresses and massage of the lesion
are recommended. Referral is not necessary unless a secondary infection occurs.
Surgical intervention is not indicated. Systemic antibiotics are used to treat
secondary cellulitis.
A child has plaques on the extensor surfaces of both elbows and on the face with
minimal scaling and pruritis. What is the likely cause of these lesions?
a. Atopic dermatitis
b. Guttate psoriasis
c. Psoriasis
d. Seborrhea - ------------ANS: ANS: C
Children with psoriasis often have lesions on the face and have less scaling than
adults. Psoriasis tends to present on extensor surfaces, while atopic dermatitis
occurs on flexor surfaces. Guttate psoriasis appears as teardrop-shaped lesions that
appear on the trunk and spread to the extremities and are occasionally seen after
streptococcal infections in adolescents. Seborrhea usually occurs on the scalp.
A child has recurrent impaction of cerumen in both ears and the parent asks what
can be done to help prevent this. What suggestion will the provider provide?
a. Cleaning the outer ear and canal with a soft cloth
b. Removing cerumen with a cotton-tipped swab
c. Trying thermal-auricular therapy when needed
d. Using an oral irrigation tool to remove cerumen - ------------ANS: ANS: A
Parents should be instructed to use a soft cloth to clean the outer ear and canal only.
Use of a
cotton-tipped swab or any other implement may push cerumen deeper into the canal
and risk
damaging the tympanic membrane. Thermal-auricular therapy is not recommended.
Oral
irrigation tools have high pressure and a risk of damage to the tympanic membrane.
, A child is diagnosed as having a congenital cholesteatoma. What is included in
management of this condition? (Select all that apply.)
a. Antibacterial treatment
b. Insertion of pressure equalizing tubes (PETs)
c. Irrigation of the ear canal
d. Removal of debris from the ear canal
e. Surgery to remove the lesion - ------------ANS: ANS: A, D, E
Cholesteatoma is treated with antibiotics, removal of debris from the ear canal, and
possibly surgery. PETs and irrigation of the ear canal are not part of treatment for
cholesteatoma.
A child is hit with a baseball bat during a game and sustains an injury to the nose,
along with a transient loss of consciousness. A health care provider at the game
notes bleeding from the child's nose and displacement of the septum. What is the
most important intervention initially?
a. Applying ice to the injured site to prevent airway occlusion
b. Immobilizing the child's head and neck and call 911
c. Placing nasal packing in both nares to stop the bleeding
d. Turning the child's head to the side to prevent aspiration of blood - ------------ANS:
ANS: B
Nasal trauma resulting in loss of consciousness and possible neck injury are
emergencies. The provider should take cervical spine precautions and call 911 for
transport to an emergency room. The other interventions may be performed once the
child's head and neck are stable.
A child sustains an ocular injury in which a shard of glass from a bottle penetrated
the eye wall. The emergency department provider notes that the shard has remained
in the eye. Which
term best describes this type of injury?
a. Intraocular foreign body
b. Penetrating eye injury
c. Perforating eye injury
d. Ruptured globe injury - ------------ANS: ANS: A
When a portion of the insulting object enters and remains in the eye, the injury is
correctly referred to as an intraocular foreign body. A penetrating injury occurs when
something penetrates through the eye wall without an exit wound. A perforating
injury occurs when the object has both an entry and an exit wound. A ruptured globe
injury occurs when blunt force causes the eye wall to rupture.
A child who has recurrent otitis media fails a hearing screen at school. The provider
suspects which type of hearing loss in this child?
a. Central
b. Conductive
c. Mixed type
