Week 10 Final Exam
Return to deck
1.
In AR disorders, carriers have:
Two mutated genes; two from one parent
that cause disease
A mutation on a sex chromosome that
causes a disease
A single gene mutation that causes the
disease
One copy of a gene mutation but not
the disease
2.
A 76-year-old patient with a 200-pack year smoking history presents with complaints of chronic cough,
dyspnea, fatigue, hemoptysis, and weight loss over the past 2 months. The physical exam reveals decreased
breath sounds and dullness to percussion over the left lower lung field. The chest X-ray demonstrates shift
of the mediastinum and trachea to the left. These are classic signs of:
Lung cancer
Tuberculosis
Pneumonia
COPD
3.
The nurse practitioner is discussing lifestyle changes with a patient diagnosed with gastroesophageal
reflux. What are the nonpharmacological management interventions that should be included?
It will be helpful to keep the head of your bed elevated on blocks
4.
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?
leukoplakia
5.
You have a patient complaining of vertigo and want to know what could be the cause. Knowing there are
many causes for vertigo, you question the length of time the sensation lasts. She tells you several hours to days
and is accompanied by tinnitus and hearing loss. You suspect which of the following conditions?
Ménière’s disease
Benign paroxysmal positional vertigo
Transient ischemic attack (TIA)
MigraineDefinition
6.
Age-related changes in the bladder, urethra, and ureters include all of the following in older women except:
A. Increased estrogen production’s influence on the bladder and ureter
B. Decline in bladder outlet function
C. Decline in ureteral resistance pressure
D. Laxity of the pelvic muscle
7.
,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
Malignant melanoma
Squamous cell carcinoma
Aphthous ulceration
Behcet’s syndromeDefinition
8.
When interpreting laboratory data, you would expect to see the following in a patient with Anemia of Chronic
Disease (ACD)
Hemoglobin <12 g/dl, MCV decreased, MCH decreased
Hemoglobin >12 g/dl, MCV increased, MCH increased
Hemoglobin <12 g/dl, MCV normal, MCH normal
Hemoglobin >12 g/dl, MCV decreased, MCH increased
9.
What test is used to confirm the diagnosis of appendicitis?
CBC
Flat plate of abdomen
Rectal exam
CT of abdomen with attention to appendix
10.
Functional abilities are best assessed by:
observed assessment of function
11.
Your patient is a 43-year-old female golfer who complains of arm pain. On physical examination, there is
point tenderness on the elbow and pain when the patient is asked to flex the wrist against the clinician’s
resistance. These are typical signs of:
Carpal tunnel syndrome
Osteoarthritis of the wrist
Epicondylitis
Cervical osteoarthritis
12.
An 86-year-old patient who wears a hearing aid complains of poor hearing in the affected ear. In addition
to possible hearing aid malfunction, this condition is often due to
Acoustic neurom Cerumen impaction
Otitis media
Ménière’s disease
13.
Which lesions are typically located along the distribution of dermatome?
Herpes Zoster
14.
n differentiating a gastric ulcer from a duodenal ulcer, you know that each type of ulcer can present with
distinct signs and symptoms. Which of the following pieces of information from the patient’s history is
the least useful for you to determine that the patient has a duodenal ulcer?
A. Pain occurs on an empty stomach
B. Diffuse epigastric pain
, C. Rarely associated with non-steroidal use
D. Occurs in patients under 40 years of age
15.
A pneumatic otoscopic examination is used to assess:
A. Inner ear conditions
B. Otitis externa
C. Cerumen impaction
D. Tympanic membrane mobility
16.
In autosomal recessive (AR) disorders, individuals need:
Only one mutated gene on the sex
chromosomes to acquire the disease
Only one mutated gene to acquire the
disease
Two mutated genes to acquire the
disease
Two mutated genes to become carriers
17.
Which of the following disorders can cause urinary incontinence?
Cystocele
Overactive bladder
Uterine prolapse
All of the above
18.
An older patient reports burning pain after ingestion of many foods and large meals. What assessment
would assist the nurse practitioner in making a diagnosis of GERD?
A. Identification of a fluid wave
B. Positive Murphy’s sign
C. Palpable spleen
D. Midepigastric pain that is not reproducible with palpation
19.
Which of the following medications are commonly associated with the side effect of cough
Beta blocker
B. Diuretic
C. ACE inhibitor
D. Calcium antagonist
20.
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
Echocardiogram
B. Exercise stress test
C. Cardiac catheterization
D. Myocardial perfusion imaging
21.
Return to deck
1.
In AR disorders, carriers have:
Two mutated genes; two from one parent
that cause disease
A mutation on a sex chromosome that
causes a disease
A single gene mutation that causes the
disease
One copy of a gene mutation but not
the disease
2.
A 76-year-old patient with a 200-pack year smoking history presents with complaints of chronic cough,
dyspnea, fatigue, hemoptysis, and weight loss over the past 2 months. The physical exam reveals decreased
breath sounds and dullness to percussion over the left lower lung field. The chest X-ray demonstrates shift
of the mediastinum and trachea to the left. These are classic signs of:
Lung cancer
Tuberculosis
Pneumonia
COPD
3.
The nurse practitioner is discussing lifestyle changes with a patient diagnosed with gastroesophageal
reflux. What are the nonpharmacological management interventions that should be included?
It will be helpful to keep the head of your bed elevated on blocks
4.
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?
leukoplakia
5.
You have a patient complaining of vertigo and want to know what could be the cause. Knowing there are
many causes for vertigo, you question the length of time the sensation lasts. She tells you several hours to days
and is accompanied by tinnitus and hearing loss. You suspect which of the following conditions?
Ménière’s disease
Benign paroxysmal positional vertigo
Transient ischemic attack (TIA)
MigraineDefinition
6.
Age-related changes in the bladder, urethra, and ureters include all of the following in older women except:
A. Increased estrogen production’s influence on the bladder and ureter
B. Decline in bladder outlet function
C. Decline in ureteral resistance pressure
D. Laxity of the pelvic muscle
7.
,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
Malignant melanoma
Squamous cell carcinoma
Aphthous ulceration
Behcet’s syndromeDefinition
8.
When interpreting laboratory data, you would expect to see the following in a patient with Anemia of Chronic
Disease (ACD)
Hemoglobin <12 g/dl, MCV decreased, MCH decreased
Hemoglobin >12 g/dl, MCV increased, MCH increased
Hemoglobin <12 g/dl, MCV normal, MCH normal
Hemoglobin >12 g/dl, MCV decreased, MCH increased
9.
What test is used to confirm the diagnosis of appendicitis?
CBC
Flat plate of abdomen
Rectal exam
CT of abdomen with attention to appendix
10.
Functional abilities are best assessed by:
observed assessment of function
11.
Your patient is a 43-year-old female golfer who complains of arm pain. On physical examination, there is
point tenderness on the elbow and pain when the patient is asked to flex the wrist against the clinician’s
resistance. These are typical signs of:
Carpal tunnel syndrome
Osteoarthritis of the wrist
Epicondylitis
Cervical osteoarthritis
12.
An 86-year-old patient who wears a hearing aid complains of poor hearing in the affected ear. In addition
to possible hearing aid malfunction, this condition is often due to
Acoustic neurom Cerumen impaction
Otitis media
Ménière’s disease
13.
Which lesions are typically located along the distribution of dermatome?
Herpes Zoster
14.
n differentiating a gastric ulcer from a duodenal ulcer, you know that each type of ulcer can present with
distinct signs and symptoms. Which of the following pieces of information from the patient’s history is
the least useful for you to determine that the patient has a duodenal ulcer?
A. Pain occurs on an empty stomach
B. Diffuse epigastric pain
, C. Rarely associated with non-steroidal use
D. Occurs in patients under 40 years of age
15.
A pneumatic otoscopic examination is used to assess:
A. Inner ear conditions
B. Otitis externa
C. Cerumen impaction
D. Tympanic membrane mobility
16.
In autosomal recessive (AR) disorders, individuals need:
Only one mutated gene on the sex
chromosomes to acquire the disease
Only one mutated gene to acquire the
disease
Two mutated genes to acquire the
disease
Two mutated genes to become carriers
17.
Which of the following disorders can cause urinary incontinence?
Cystocele
Overactive bladder
Uterine prolapse
All of the above
18.
An older patient reports burning pain after ingestion of many foods and large meals. What assessment
would assist the nurse practitioner in making a diagnosis of GERD?
A. Identification of a fluid wave
B. Positive Murphy’s sign
C. Palpable spleen
D. Midepigastric pain that is not reproducible with palpation
19.
Which of the following medications are commonly associated with the side effect of cough
Beta blocker
B. Diuretic
C. ACE inhibitor
D. Calcium antagonist
20.
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
Echocardiogram
B. Exercise stress test
C. Cardiac catheterization
D. Myocardial perfusion imaging
21.
