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NSG5003 Midterm. Questions and Answers

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Exam of 6 pages for the course NSG 5003 at NSG 5003 (NSG5003 Midterm.)

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NSG5003 Midterm

In examination of the nose, the clinician observes gray, pale mucous membranes with
clear, serous discharge. This is most likely indicative of: - answer Allergic rhinitis

Your patient complains of a feeling of heaviness in the lower legs daily. You note
varicosities, edema, and dusky color of both ankles and feet. Which of the following is
the most likely cause for these symptoms? – answer Venous insufficiency

Which of the following is the most important question to ask during cardiovascular
health history? – answer Sudden death of a family member

Rheumatic heart disease is a complication that can arise from which type of infection? -
answer Group A beta hemolytic streptococcus

A cough is described as chronic if it has been present for: - answer8 weeks or more

A key symptom of ischemic heart disease is chest pain. However, angina equivalents
may include exertional dyspnea. Angina equivalents are important because: - answerA
& B only

A woman with an X-linked dominant disorder will: - answerTransmit the disorder to 50%
of her offspring (male or female)

A 55-year-old post-menopausal woman with a history of hypertension complains of jaw
pain on heavy exertion. There were no complaints of chest pain. Her ECG indicates
normal sinus rhythm without ST segment abnormalities. Your plan may include: -
answerExercise stress test

The aging process causes what normal physiological changes in the heart? - answerthe
heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis

It is important to not dilate the eye if ____ is suspected - answerAcute closed-angle
glaucoma

Your patient is a 78-year-old female with a smoking history of 120-pack years. She
complains of hoarseness that has developed over the last few months. It is important to
exclude the possibility of: - answerLaryngeal cancer

In examining the mouth of an older adult with a history of smoking, the nurse
practitioner finds a suspicious oral lesion. The patient has been referred for a biopsy to
be sent for pathology. Which is the most common oral precancerous lesion? -
answerLeukoplakia

, A 20-year-old engineering student complains of episodes of abdominal discomfort,
bloating, and episodes of diarrhea. The symptoms usually occur after eating, and pain is
frequently relieved with bowel movement. She is on a "celiac diet" and the episodic
symptoms persist. Physical examination and diagnostic tests are negative. Colonoscopy
is negative for any abnormalities. This is a history and physical consistent with: -
answerIrritable bowel syndrome

The most common cause of eye redness is: - answerConjunctivitis

In AR disorders, carriers have: - answerOne copy of a gene mutation but not the
disease

According to the Genetic Information Nondiscrimination Act (GINA): - answerAll of the
above

Aortic regurgitation requires medical treatment for early signs of CHF with: - answerACE
inhibitors

Which of the following is the most common cause of heartburn-type epigastric pain? -
answerDecreased lower esophageal sphincter tone

The best way to diagnose structural heart disease/dysfunction non-invasively is: -
answerEchocardiogram

Essential parts of a health history include all of the following except: - answerCurrent
vital signs

Men have faster and more efficient biotransformation of drugs and this is thought to be
due to: - answertestosterone (prostate enlargement)

The main focus of treatment of patients with ACD is: - answerManagement of the
underlying disorder

A 72-year-old woman and her husband are on a cross-country driving vacation. After a
long day of driving, they stop for dinner. Midway through the meal, the woman becomes
very short of breath, with chest pain and a feeling of panic. Which of the following
problems is most likely? - answerPulmonary embolism

Your patient has been using chewing tobacco for 10 years. On physical examination,
you observe a white ulceration surrounded by erythematous base on the side of his
tongue. The clinician should recognize that very often this is: - answerSquamous cell
carcinoma

The first assessment to complete related to the eyes is: - answerVisual acuity

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