Test Bank Primary Care The Art and
Science of Advanced Practice
Nursing An Interprofessional
Approach 6th Edition Dunphy Exam
Questions Answers Study
Resource|100% correct and highly
graded A+
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?" - CORRECT ANSWERS-"Are you hungry?"
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. - CORRECT ANSWERS-Decrease her dietary
fiber for 1 month.
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. - CORRECT ANSWERS-As having metabolic
syndrome.
,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." - CORRECT ANSWERS-
"There is no such thing as a 'normal' pattern of defecation."
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.
Clostridium botulinum.
3.
Clostridium perfringens.
4.
Staphylococcus. - CORRECT ANSWERS-Clostridium botulinum.
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. - CORRECT ANSWERS-Colorectal cancer.
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. - CORRECT ANSWERS-Cryptosporidiosis
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."
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." - CORRECT ANSWERS-"Antacids
may contain magnesium, which decreases bowel transit time and may contain poorly
absorbed salts that draw fluid into the bowel."
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." - CORRECT ANSWERS-"Abstain from sex
during your period."
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. - CORRECT ANSWERS-Supportive care.
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.
2.
Nonsteroidal anti-inflammatory drugs (NSAIDs).
3.
Oral contraceptives.
4.
Antifungals. - CORRECT ANSWERS-Nonsteroidal anti-inflammatory drugs (NSAIDs).
, 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. - CORRECT ANSWERS-Pelvic inflammatory disease.
Rose has gastroesophageal reflux disease (GERD). You know she misunderstands
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. - CORRECT ANSWERS-Have a snack before retiring so that the
esophagus and stomach are not empty at bedtime.
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.
Epigastric hernia.
3.
Umbilical hernia.
4.
Incisional hernia. - CORRECT ANSWERS-Epigastric hernia.
You elicit costovertebral angle tenderness in Gordon, age 29. Which condition do you
suspect?
1.
Cirrhosis.
2.
Inflammation of the kidney.
3.
Inflammation of the spleen.
4.
Peritonitis. - CORRECT ANSWERS-Inflammation of the kidney.
Science of Advanced Practice
Nursing An Interprofessional
Approach 6th Edition Dunphy Exam
Questions Answers Study
Resource|100% correct and highly
graded A+
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?" - CORRECT ANSWERS-"Are you hungry?"
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. - CORRECT ANSWERS-Decrease her dietary
fiber for 1 month.
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. - CORRECT ANSWERS-As having metabolic
syndrome.
,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." - CORRECT ANSWERS-
"There is no such thing as a 'normal' pattern of defecation."
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.
Clostridium botulinum.
3.
Clostridium perfringens.
4.
Staphylococcus. - CORRECT ANSWERS-Clostridium botulinum.
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. - CORRECT ANSWERS-Colorectal cancer.
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. - CORRECT ANSWERS-Cryptosporidiosis
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."
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." - CORRECT ANSWERS-"Antacids
may contain magnesium, which decreases bowel transit time and may contain poorly
absorbed salts that draw fluid into the bowel."
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." - CORRECT ANSWERS-"Abstain from sex
during your period."
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. - CORRECT ANSWERS-Supportive care.
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.
2.
Nonsteroidal anti-inflammatory drugs (NSAIDs).
3.
Oral contraceptives.
4.
Antifungals. - CORRECT ANSWERS-Nonsteroidal anti-inflammatory drugs (NSAIDs).
, 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. - CORRECT ANSWERS-Pelvic inflammatory disease.
Rose has gastroesophageal reflux disease (GERD). You know she misunderstands
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. - CORRECT ANSWERS-Have a snack before retiring so that the
esophagus and stomach are not empty at bedtime.
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.
Epigastric hernia.
3.
Umbilical hernia.
4.
Incisional hernia. - CORRECT ANSWERS-Epigastric hernia.
You elicit costovertebral angle tenderness in Gordon, age 29. Which condition do you
suspect?
1.
Cirrhosis.
2.
Inflammation of the kidney.
3.
Inflammation of the spleen.
4.
Peritonitis. - CORRECT ANSWERS-Inflammation of the kidney.
