NURS 6531
Don't worry, you'll bounce back!
NURS 6531 FINAL EXAM
Your time: 1 min.
QUESTIONS WITH VERIFIED
Correct 0
0%C O R R E C T ANSWERS
Incorrect 256
Your answers
1 of 256
Term
A patient recovering from chronic alcohol abuse reports nausea,
vomiting, diarrhea, and abdominal discomfort. A physical
examination is negative for jaundice or ascites. What will the
provider do initially?
a. Obtain a bilirubin level and prothrombin time
b. Order a complete blood count and liver function tests
c. Reassure the patient that this is likely a viral gastroenteritis
d. Refer the patient to a specialist for evaluation and treatment
Give this one a go later!
ANS: A
This patient has symptoms of a secondary bacterial infection. The lesions should
be cultured and the results used to determine the appropriate antibiotic. Patients
with recurrent candida infections should be evaluated for underlying HIV
infection, diabetes, and other immunocompromised states. Topical nystatin
cream is used for candida infection and these
symptoms are consistent with bacterial infection. Antibiotics should be chosen
based on culture results.
, ANS: B
The primary provider may prescribe antibiotics, especially if the surrounding
tissues are infected. Patients should follow up with a dentist in 2 to 3 days. The
primary provider generally does not perform I&D; this should be done by the
dentist. Follow-up should be with a dentist in 2 to 3 days, not 1 week. Emergency
surgery is indicated if there is a question of airway compromise.
ANS: A
Intranasal steroids should be considered for symptomatic relief for patients with
sinusitis, especially those with allergic rhinitis. Oral mucolytics have little support
in efficacy. Saline solution rinses may provide some relief, but there is no
evidence to support their usefulness. Topical decongestants do decrease nasal
congestion and edema, but the potential harm of
rebound congestion requires recommendation with caution.
ANS: B
Patients with alcoholic hepatitis may present initially with signs of
gastroenteritis. Based on the history, even without jaundice and ascites, the
provider should order a CBC and LFTs. Bilirubin and PT levels are
performed when a diagnosis is made to determine prognosis and course of
the disease. Reassuring the patient without confirmation of disease is not
recommended. Referral is made if hepatitis is diagnosed.
Don't know?
2 of 256
Term
When counseling a patient with rosacea about management of this
condition, the provider may recommend (Select all that apply.)
a. applying a topical steroid.
b. avoiding makeup.
c. avoiding oil-based products.
,d. eliminating spicy foods.
e. exposing the skin to sun.
f. using topical antibiotics.
Give this one a go later!
ANS: C, D, E
Complications of chronic or recurrent sinusitis include spread of infection to
other tissues and may cause meningitis, orbital cellulitis, and osteomyelitis.
Allergic rhinitis and asthma are associated with chronic sinusitis, but not
complications of this condition.
ANS: A
This patient has symptoms consistent with erysipelas, which is commonly caused
by staphylococcal or streptococcal bacteria. These may be treated empirically
with penicillinase-resistant penicillin if not allergic. Clindamycin, doxycycline, and
sulfamethoxazole-trimethoprim are used for methicillin-resistant staphylococcus
aureus
infections.
ANS: C, D, F
Patients with rosacea should avoid oil-based products and eliminate spicy
foods, alcohol, and hot fluids. Topical antibiotics may be used if pustules
are present. Topical steroids are not recommended. Patients do not need
to avoid makeup and should avoid the sun.
ANS: A, B, D
Value-based purchasing looks at five domain areas of processes of care,
including efficiency of care (cost per case), experience of care (patient
satisfaction measures), and outcomes of care (mortality rates for certain
conditions). Evaluation of evidence to guide clinical care is part of evidence-
based practice. The requirements for IT standards and financial status are
part of Accountable Care Organization standards
Don't know?
, 3 of 256
Term
A patient reports heart palpitation but no other symptoms and has
no prior history of cardiovascular disease. The clinic provider
performs an electrocardiogram and notes atrial fibrillation and a
heart rate of 120 beats per minute. Which is the initial course of
action in treating this patient?
a. Administer atenolol intravenously.
b. Admit to the hospital for urgent cardioversion.
c. Refer the patient to a cardiologist.
d. Initiate steps to begin anticoagulant therapy.
Give this one a go later!
ANS: B
This patient has symptoms of blepharitis without conjunctivitis. Initial treatment
involves lid hygiene and antibiotic ointment may be applied after lid scrubs.
Antibiotic solution is used if conjunctivitis is present. Oral antibiotics are used for
severe cases. This disorder is generally chronic.
ANS: C
This patient has no history of serious heart disease and does not have
symptoms of chest pressure, acute MI, or congestive heart failure and may
be referred to a cardiologist for evaluation and treatment but anticoagulant
therapy to minimize the risk of clot formation should be started initially. The
2014 AHA Guidelines for Atrial Fibrillation recommend shared decision-
making in regard to anticoagulation based on relative risk of the patient for
thromboembolic event. Atenolol is given IV for patients who are unstable;
the advanced life support treatment guidelines do not recommend
treatment of tachycardia if the patient is
stable. Urgent cardioversion is rarely needed if the heart rate is less than
150 beats per minute unless there are underlying heart conditions.
Don't worry, you'll bounce back!
NURS 6531 FINAL EXAM
Your time: 1 min.
QUESTIONS WITH VERIFIED
Correct 0
0%C O R R E C T ANSWERS
Incorrect 256
Your answers
1 of 256
Term
A patient recovering from chronic alcohol abuse reports nausea,
vomiting, diarrhea, and abdominal discomfort. A physical
examination is negative for jaundice or ascites. What will the
provider do initially?
a. Obtain a bilirubin level and prothrombin time
b. Order a complete blood count and liver function tests
c. Reassure the patient that this is likely a viral gastroenteritis
d. Refer the patient to a specialist for evaluation and treatment
Give this one a go later!
ANS: A
This patient has symptoms of a secondary bacterial infection. The lesions should
be cultured and the results used to determine the appropriate antibiotic. Patients
with recurrent candida infections should be evaluated for underlying HIV
infection, diabetes, and other immunocompromised states. Topical nystatin
cream is used for candida infection and these
symptoms are consistent with bacterial infection. Antibiotics should be chosen
based on culture results.
, ANS: B
The primary provider may prescribe antibiotics, especially if the surrounding
tissues are infected. Patients should follow up with a dentist in 2 to 3 days. The
primary provider generally does not perform I&D; this should be done by the
dentist. Follow-up should be with a dentist in 2 to 3 days, not 1 week. Emergency
surgery is indicated if there is a question of airway compromise.
ANS: A
Intranasal steroids should be considered for symptomatic relief for patients with
sinusitis, especially those with allergic rhinitis. Oral mucolytics have little support
in efficacy. Saline solution rinses may provide some relief, but there is no
evidence to support their usefulness. Topical decongestants do decrease nasal
congestion and edema, but the potential harm of
rebound congestion requires recommendation with caution.
ANS: B
Patients with alcoholic hepatitis may present initially with signs of
gastroenteritis. Based on the history, even without jaundice and ascites, the
provider should order a CBC and LFTs. Bilirubin and PT levels are
performed when a diagnosis is made to determine prognosis and course of
the disease. Reassuring the patient without confirmation of disease is not
recommended. Referral is made if hepatitis is diagnosed.
Don't know?
2 of 256
Term
When counseling a patient with rosacea about management of this
condition, the provider may recommend (Select all that apply.)
a. applying a topical steroid.
b. avoiding makeup.
c. avoiding oil-based products.
,d. eliminating spicy foods.
e. exposing the skin to sun.
f. using topical antibiotics.
Give this one a go later!
ANS: C, D, E
Complications of chronic or recurrent sinusitis include spread of infection to
other tissues and may cause meningitis, orbital cellulitis, and osteomyelitis.
Allergic rhinitis and asthma are associated with chronic sinusitis, but not
complications of this condition.
ANS: A
This patient has symptoms consistent with erysipelas, which is commonly caused
by staphylococcal or streptococcal bacteria. These may be treated empirically
with penicillinase-resistant penicillin if not allergic. Clindamycin, doxycycline, and
sulfamethoxazole-trimethoprim are used for methicillin-resistant staphylococcus
aureus
infections.
ANS: C, D, F
Patients with rosacea should avoid oil-based products and eliminate spicy
foods, alcohol, and hot fluids. Topical antibiotics may be used if pustules
are present. Topical steroids are not recommended. Patients do not need
to avoid makeup and should avoid the sun.
ANS: A, B, D
Value-based purchasing looks at five domain areas of processes of care,
including efficiency of care (cost per case), experience of care (patient
satisfaction measures), and outcomes of care (mortality rates for certain
conditions). Evaluation of evidence to guide clinical care is part of evidence-
based practice. The requirements for IT standards and financial status are
part of Accountable Care Organization standards
Don't know?
, 3 of 256
Term
A patient reports heart palpitation but no other symptoms and has
no prior history of cardiovascular disease. The clinic provider
performs an electrocardiogram and notes atrial fibrillation and a
heart rate of 120 beats per minute. Which is the initial course of
action in treating this patient?
a. Administer atenolol intravenously.
b. Admit to the hospital for urgent cardioversion.
c. Refer the patient to a cardiologist.
d. Initiate steps to begin anticoagulant therapy.
Give this one a go later!
ANS: B
This patient has symptoms of blepharitis without conjunctivitis. Initial treatment
involves lid hygiene and antibiotic ointment may be applied after lid scrubs.
Antibiotic solution is used if conjunctivitis is present. Oral antibiotics are used for
severe cases. This disorder is generally chronic.
ANS: C
This patient has no history of serious heart disease and does not have
symptoms of chest pressure, acute MI, or congestive heart failure and may
be referred to a cardiologist for evaluation and treatment but anticoagulant
therapy to minimize the risk of clot formation should be started initially. The
2014 AHA Guidelines for Atrial Fibrillation recommend shared decision-
making in regard to anticoagulation based on relative risk of the patient for
thromboembolic event. Atenolol is given IV for patients who are unstable;
the advanced life support treatment guidelines do not recommend
treatment of tachycardia if the patient is
stable. Urgent cardioversion is rarely needed if the heart rate is less than
150 beats per minute unless there are underlying heart conditions.
