Nurs 6531 n 8 practice care of adult 2018 qtr

NURSh6531hN-8hPRACTICEhCAREhOFhADULTh2018hQtr
MidtermhExam


User
Course NURS-6531N-
8,Adv.h Practiceh Careh ofh Adults.2018h Summerh Qtrh05/29-08/19-
PT27
Test Midtermh Exam
Status Needsh Grading
Attempth 0h outh ofh 100h points
Score
TimehElapsedhh 1h hour,h 53h minutesh outh ofh 1h hourh andh 50h minutes
ResultshD Allh Answers,h Submittedh Answers,h Correcth Answers
isplayed
• Question 1 h

0 outhofh0hpoints
Whenhcompletingh thishquiz,h didhyouhcomplyhwithhWaldenhUniversity’shCodehof
hConduct h includinghthehexpectations hforhacademichintegrity?



SelectedhAnswer:
Ye
hs



Answers:
Yeh
s
No

• Question 2 h

1 outhofh1hpoints
Theh mosth commonh cancerh foundh onh theh auricleh is:


Selected
Answer: Basalhcellhcarcinoma

Answers: Actinichkeratosis


Basalh cellh carcinoma
Squamoushcellhcarcinom
a
Acral-
lentiginous hmelanoma

• Question 3 h


0houthofh1hpoints
Whichh ofh theh followingh medication h classesh shouldh beh avoidedh inh patientsh withh acuteh orhch
ronichbronchitishbecausehithwillhcontributehtohventilation-perfusionhmismatchhinhthehpatient?

,NURSh6531hN-8hPRACTICEhCAREhOFhADULTh2018hQtr
MidtermhExam

Selected
Answer:
Anticholi
nerghics

Answers: Xanthines


Antihistimine
shSteroi
ds

Anticholinergh
ics

• Question 4 h

0houthofh1hpoints
Ah47hyearholdhmalehpatienthpresentshtohthehclinichwithhahsinglehepisodehofhahmoderatehamoun
th ofh brighth redh rectalh bleeding. h Onh examination,h externalh hemorrhoidsh areh noted.hHowhsh
ouldhtheh nurseh practitionerh proceed?


Selected
Answer:
Instructh theh patienth onh measures h toh preventh hemorrhoids h suc
hh ashbowelhhabitshandhdiet.


Answers:
Instructh theh patienth onh measures h toh preventh hemorrhoids h suc
hh ashbowelhhabitshandhdiet.


Orderh ah topicalh hemorrhoidh creamh alongh withh ah stoolh softener.hRefe


rh theh patienth forh ah bariumh enemah andh sigmoidoscopy.


Referh theh patienth forh ah surgicalh hemorrhoidectomy.

• Question 5 h

0 outhofh1hpoints
Whichh ofh theh followingh patienth characteristics h areh associated h withh chronich bronchitis?


Selected
Answer: Underweight,hpinkhskin,handhincreasedhrespiratoryhrate

Answers:
Overweight,h cyanosis,h andh normalh orh slightlyh increasedhr
espiratoryhrate


Underweight, h pinkh skin,h andh increasedh respiratoryh rate

,NURSh6531hN-8hPRACTICEhCAREhOFhADULTh2018hQtr
MidtermhExam

Overweight,h pinkh skin,h andh normalh orh slightlyh increasedhr
espiratoryhrate


Normalh weight,h cyanosis,h andh greatlyh increasedhrespirat
oryh rate

• Question 6 h

1 outhofh1hpoints
Ah65-year-
oldhfemalehwithhahpasthmedicalhhistoryhofhhypertension, hhyperlipidemia, handhpolymyalgiah rheu
maticah presentsh toh urgenth careh withh newh onseth lefth lowerh quadranth pain.hHerhcurrenthmedic
ationshincludehhomeprazolehh20hhmilligramshhpohhdaily,hlisinoprilhh20hmilligramsh poh daily,h simvas
tatinh 20h milligramsh poh daily,h andh prednisoneh 12h milligramsh pohdaily.hThehnursehpractitionerh
suspectshacutehhdiverticulitis hhandhhpossiblyhhanhhabscess.hThehmosth appropriateh diagnostich testh
forh thish patienth ath thish timeh is:


Selected
Answer: CThscan

Answers: CBC/diff


Erythrocyte hsedimenta
tionh rate


Abdominalhh ultrasound



CThscan

• Question 7 h

1houthofh1hpoints
Ah patienth reportsh “somethingh flewh inh myh eye”h abouth anh hourh agoh whileh heh wash splittinghlogs
.h Ifh thereh wereh ah foreignh bodyh inh hish eye,h theh nurseh practitionerh wouldh expecth toh findhallhexc
ept:


Selected
Answer: Purulenthdrainage

Answers:
Purulenthdrainageh


TearinghPhotopho


bia


Ah positiveh fluoresceinh
stain

, NURSh6531hN-8hPRACTICEhCAREhOFhADULTh2018hQtr
MidtermhExam

• Question 8 h

1houthofh1hpoints
Ah21hyearholdhcollegehstudenthpresentshtohthehstudenthhealthhcenterhwithhcopious,hmarked
lyhpurulenthdischargehfromhherhleftheye.hThehnursehpractitionerhstudenthshouldhsuspect:


Selected
hAnswer: Gonococcal
conjunctivitis


Answers:

Viralh conjunct

ivitishCommonh pink

h eye



Gonococcalhc
onjunctivitis


Allergichconju
nctivitis

• Question 9 h

0houthofh1hpoints
Ah 35h yearh oldh manh presentsh withh radicularh painh followedh byh theh appearanceh ofh groupedhv
esicleshconsistinghofhabouth15hlesionshacrossh3hdifferenththoracic hdermatomes. hhHehcomplainsh
ofh pain,h burning, h andh itching. h Theh nurseh practitionerh shouldh suspect:


Selected
Answer:
Ahcomplicatedhcaseh ofhshingles h andh prescribeh acyclovir,h anhanalg
esic,handhahtopicalhcortisonehcream


Answers:
Ah commonh caseh ofh shinglesh andh prescribeh anh analgesich andh anh anti
viralhagent


Ah complicatedh caseh ofh shinglesh andh prescribeh acyclovir,h anh analgesic,han
dh ahtopicalh cortisoneh cream



Herpeshzosterh andh considerh thath thish patienth mayh behi
mmunocompromised


Ah recurrence h ofh chickenpoxh andh treath theh patient’sh symptoms

• Question 10 h

0 outhofh1hpoints