NSG6420 midterm EXAM QUESTIONS /\ /\ /\ /\
AND ANSWERS /\
The first step in the genomic assessment of a patient is obtaining
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
information regarding - CORRECT ANSWERS ✔✔family history /\ /\ /\ /\ /\ /\
Rheumatic heart disease is a complication that can arise from which type of
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
infection - CORRECT ANSWERS ✔✔Group A beta hemolytic streptococcus
/\ /\ /\ /\ /\ /\ /\ /\
A 64-year-old male presents with erythema of the sclera, tearing, and
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
bilateral pruritus of the eyes. The symptoms occur intermittently throughout
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
the year and he has associated clear nasal discharge. Which of the following
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
is most likely because of the inflammation? - CORRECT ANSWERS
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
✔✔Allergen
4 Dan G., a 65-year-old man, presents to your primary care office for the
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
evaluation of chest pain and left-sided shoulder pain. Pain begins after
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
strenuous activity, including walking. Pain is characterized as dull, aching;
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
8/10 during activity, otherwise 0/10. Began a few months ago, intermittent,
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
aggravated by exercise, and relieved by rest. Has occasional nausea. Pain is
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
retrosternal, radiating to left shoulder, definitely affects quality of life by
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
limiting activity. Pain is worse today; did not go away after he stopped
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
walking. BP 120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2, no
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
murmurs. Which of the following differential diagnoses would be most
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
likely? - CORRECT ANSWERS ✔✔coronary artery disease with angina
/\ /\ /\ /\ /\ /\ /\ /\ /\
pectoris
,Which disease process typically causes episodic right upper quadrant pain,
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
epigastric pain or chest pain that can last 4-6 hours or less, often radiates to
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
the back (classically under the right shoulder blade) and is often
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
accompanied by nausea or vomiting and often follows a heavy, fatty meal. -/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
CORRECT ANSWERS ✔✔cholecystitis /\ /\
Helicobacter pylori is implicated as a causative agent in the development of
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
duodenal or gastric ulcers. What teaching should the nurse practitioner plan
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
for a patient who has a positive Helicobacter pylori test? - CORRECT
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
ANSWERS ✔✔Treatment regimen is multiple medications taken daily for a
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
few weeks
/\
An obese middle-aged client presents with a month of nonproductive
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
irritating cough without fever. He also reports occasional morning
/\ /\ /\ /\ /\ /\ /\ /\ /\
hoarseness. What should the differential include? - CORRECT ANSWERS
/\ /\ /\ /\ /\ /\ /\ /\ /\
✔✔Gastroesophageal reflux /\
Jenny is a 24-year-old graduate student that presents to the clinic today with
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
complaints of fever, midsternal chest pain and generalized fatigue for the
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
past two days. She denies any cough or sputum production. She states that
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
when she takes Ibuprofen and rest that the chest pain does seem to ease off.
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
Upon examination the patient presents looking very ill. She is leaning
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
forward and states that this is the most comfortable position for her. Temp is
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
102. BP= 100/70. Heart rate is 120/min and regular. Upon auscultation a
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
friction rub is audible. Her lung sounds are clear. With these presenting
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
symptoms your initial diagnosis would be: - CORRECT ANSWERS
/\ /\ /\ /\ /\ /\ /\ /\ /\
✔✔pericarditis
, The pathophysiological hallmark of ACD is: - CORRECT ANSWERS
/\ /\ /\ /\ /\ /\ /\ /\ /\
✔✔Impaired ability to use iron stores /\ /\ /\ /\ /\
A key symptom of ischemic heart disease is chest pain. However, angina
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
equivalents may include exertional dyspnea. Angina equivalents are
/\ /\ /\ /\ /\ /\ /\ /\
important because: - CORRECT ANSWERS ✔✔A & B only
/\ /\ /\ /\ /\ /\ /\ /\
A. women with ischemic heart disease many times do not present with chest
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
pain
B. some patients may have no symptoms or atypical symptoms, diagnosis
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
may only be made at the time of an actual myocardial infarction
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
The cytochrome p system involves enzymes that are generally: - CORRECT
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
ANSWERS ✔✔inhibited or induced by drugs /\ /\ /\ /\ /\
Which of the following details are NOT considered while staging asthma? -
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
CORRECT ANSWERS ✔✔Long-acting beta agonist usage /\ /\ /\ /\ /\
Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain,
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
fatigue, palpitations, lightheadedness, and shortness of breath. The pain
/\ /\ /\ /\ /\ /\ /\ /\ /\
comes and goes and is not associated with activity or exertion. Food does not
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
exacerbate or relieve the pain. The pain is usually located under the left
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
nipple. Jeff is concerned because his father has cardiac disease and
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
underwent a CABG at age 65. The ANP examines Jeff and hears a mid-
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
systolic click at the 4th ICS mid-clavicular area. The ANP knows that this is
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
a hallmark sign of: - CORRECT ANSWERS ✔✔mitral valve prolapse
/\ /\ /\ /\ /\ /\ /\ /\ /\
AND ANSWERS /\
The first step in the genomic assessment of a patient is obtaining
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
information regarding - CORRECT ANSWERS ✔✔family history /\ /\ /\ /\ /\ /\
Rheumatic heart disease is a complication that can arise from which type of
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
infection - CORRECT ANSWERS ✔✔Group A beta hemolytic streptococcus
/\ /\ /\ /\ /\ /\ /\ /\
A 64-year-old male presents with erythema of the sclera, tearing, and
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
bilateral pruritus of the eyes. The symptoms occur intermittently throughout
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
the year and he has associated clear nasal discharge. Which of the following
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
is most likely because of the inflammation? - CORRECT ANSWERS
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
✔✔Allergen
4 Dan G., a 65-year-old man, presents to your primary care office for the
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
evaluation of chest pain and left-sided shoulder pain. Pain begins after
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
strenuous activity, including walking. Pain is characterized as dull, aching;
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
8/10 during activity, otherwise 0/10. Began a few months ago, intermittent,
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
aggravated by exercise, and relieved by rest. Has occasional nausea. Pain is
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
retrosternal, radiating to left shoulder, definitely affects quality of life by
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
limiting activity. Pain is worse today; did not go away after he stopped
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
walking. BP 120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2, no
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
murmurs. Which of the following differential diagnoses would be most
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
likely? - CORRECT ANSWERS ✔✔coronary artery disease with angina
/\ /\ /\ /\ /\ /\ /\ /\ /\
pectoris
,Which disease process typically causes episodic right upper quadrant pain,
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
epigastric pain or chest pain that can last 4-6 hours or less, often radiates to
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
the back (classically under the right shoulder blade) and is often
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
accompanied by nausea or vomiting and often follows a heavy, fatty meal. -/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
CORRECT ANSWERS ✔✔cholecystitis /\ /\
Helicobacter pylori is implicated as a causative agent in the development of
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
duodenal or gastric ulcers. What teaching should the nurse practitioner plan
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
for a patient who has a positive Helicobacter pylori test? - CORRECT
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
ANSWERS ✔✔Treatment regimen is multiple medications taken daily for a
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
few weeks
/\
An obese middle-aged client presents with a month of nonproductive
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\
irritating cough without fever. He also reports occasional morning
/\ /\ /\ /\ /\ /\ /\ /\ /\
hoarseness. What should the differential include? - CORRECT ANSWERS
/\ /\ /\ /\ /\ /\ /\ /\ /\
✔✔Gastroesophageal reflux /\
Jenny is a 24-year-old graduate student that presents to the clinic today with
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
complaints of fever, midsternal chest pain and generalized fatigue for the
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
past two days. She denies any cough or sputum production. She states that
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
when she takes Ibuprofen and rest that the chest pain does seem to ease off.
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
Upon examination the patient presents looking very ill. She is leaning
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
forward and states that this is the most comfortable position for her. Temp is
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
102. BP= 100/70. Heart rate is 120/min and regular. Upon auscultation a
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
friction rub is audible. Her lung sounds are clear. With these presenting
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
symptoms your initial diagnosis would be: - CORRECT ANSWERS
/\ /\ /\ /\ /\ /\ /\ /\ /\
✔✔pericarditis
, The pathophysiological hallmark of ACD is: - CORRECT ANSWERS
/\ /\ /\ /\ /\ /\ /\ /\ /\
✔✔Impaired ability to use iron stores /\ /\ /\ /\ /\
A key symptom of ischemic heart disease is chest pain. However, angina
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
equivalents may include exertional dyspnea. Angina equivalents are
/\ /\ /\ /\ /\ /\ /\ /\
important because: - CORRECT ANSWERS ✔✔A & B only
/\ /\ /\ /\ /\ /\ /\ /\
A. women with ischemic heart disease many times do not present with chest
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
pain
B. some patients may have no symptoms or atypical symptoms, diagnosis
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
may only be made at the time of an actual myocardial infarction
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
The cytochrome p system involves enzymes that are generally: - CORRECT
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
ANSWERS ✔✔inhibited or induced by drugs /\ /\ /\ /\ /\
Which of the following details are NOT considered while staging asthma? -
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
CORRECT ANSWERS ✔✔Long-acting beta agonist usage /\ /\ /\ /\ /\
Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain,
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
fatigue, palpitations, lightheadedness, and shortness of breath. The pain
/\ /\ /\ /\ /\ /\ /\ /\ /\
comes and goes and is not associated with activity or exertion. Food does not
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
exacerbate or relieve the pain. The pain is usually located under the left
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
nipple. Jeff is concerned because his father has cardiac disease and
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
underwent a CABG at age 65. The ANP examines Jeff and hears a mid-
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
systolic click at the 4th ICS mid-clavicular area. The ANP knows that this is
/\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\ /\
a hallmark sign of: - CORRECT ANSWERS ✔✔mitral valve prolapse
/\ /\ /\ /\ /\ /\ /\ /\ /\
