NURS 6531 midterm review/ I combined many of the
decks others had created. I do not take credit for all the
work only combining
The most common cancer found on the auricle is: - Ans Basal cell carcinoma
Which of the following medica on classes should be avoided in pa ents with acute or chronic
bronchi s because it will contribute to ven la on-perfusion mismatch in the pa ent? - Ans
An his mines
A 47 year old male pa ent presents to the clinic with a single episode of a moderate amount of
bright red rectal bleeding. On examina on, external hemorrhoids are noted. How should the
nurse prac oner proceed? - Ans Refer the pa ent for a barium enema and sigmoidoscopy.
Which of the following pa ent characteris cs are associated with chronic bronchi s? - Ans
Overweight, cyanosis, and normal or slightly increased respiratory rate
A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and
polymyalgia rheuma ca presents to urgent care with new onset le) lower quadrant pain. Her
current medica ons include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily,
simvasta n 20 milligrams po daily, and prednisone 12 milligrams po daily. The nurse prac oner
suspects acute diver culi s and possibly an abscess. The most appropriate diagnos c test for
this pa ent at this me is: - Ans CT scan
A pa ent reports "something flew in my eye" about an hour ago while he was spli2ng logs. If
there were a foreign body in his eye, the nurse prac oner would expect to find all except: -
Ans Purulent drainage
A 21 year old college student presents to the student health center with copious, markedly
purulent discharge from her le) eye. The nurse prac oner student should suspect: - Ans
Gonococcal conjunc vi s
, A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles
consis ng of about 15 lesions across 3 different thoracic dermatomes. He complains of pain,
burning, and itching. The nurse prac oner should suspect: - Ans Herpes zoster and consider
that this pa ent may be immunocompromised
Which type of lung cancer has the poorest prognosis? - Ans Small cell carcinoma
An 83-year-old female presents to the office complaining of diarrhea for several days. She
explains she has even had fecal incon nence one me. She describes loose stools 3-4 mes a
day for several weeks and denies fever, chills, pain, recent an bio c use. The history suggests
that the pa ent has: - Ans Chronic diarrhea
Margaret, age 32, comes into the office with painful joints and a dis nc ve rash in a bu?erfly
distribu on on her face. The rash has red papules and plaques with a fine scale. What do you
suspect? - Ans Systemic lupus erythematosus
An bio c administra on has been demonstrated to be of li?le benefit to the treatment of
which of the following disease processes? - Ans Acute bronchi s
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-ac ng beta-2 agonist
daily. Her exacerba ons affect her ac vi es and they occur at least twice weekly and may last
for days. She is affected more than once weekly during the night with an exacerba on. Which
category of asthma severity is Lisa in? - Ans Moderate persistent
Which of the following is the most appropriate therapeu c regimen for an adult pa ent with
no known allergies diagnosed with group A B-hemoly c strep? - Ans Penicillin V 500 milligrams
PO every 8 hours for 10 days
, A cashier complains of dull ache and pressure sensa on in her lower legs. It is relieved by leg
eleva on. She occasionally has edema in her lower legs at the end of the day. What is the most
likely cause of these problems? - Ans Varicose veins
Which statement below is correct about pertussis? - Ans It is also called whooping cough
Which of the following is the most important diagnosis to rule out in the adult pa ent with
acute bronchi s? - Ans Pneumonia
A 70 year old pa ent presents with le) lower quadrant (LLQ) abdominal pain, a markedly
tender palpable abdominal wall, fever, and leukocytosis. Of the following terms, which correctly
describes the suspected condi on? - Ans Diver culi s
Sylvia, age 83, presents with a 3 day history of pain and burning in the le) forehead. This
morning she no ced a rash with erythematous papules in that site. What do you suspect? - Ans
Herpes zoster
A 33-year-old female is admi?ed with acute pancrea s. The nurse prac oner knows that the
most common cause of pancrea s is: - Ans Gallstones
When a pa ent presents with symptoms of acute gallbladder disease, what is the appropriate
nurse prac oner ac on? - Ans Order an abdominal ultrasound
A false-posi ve result with the fecal occult blood test can result from: - Ans a high dietary
intake of rare cooked beef
A 76-year-old male complains of weight loss, nausea, vomi ng, abdominal cramping and pain.
Physical findings include an abdominal mass and stool posi ve for occult blood. The nurse
prac oner pain suspects a tumor in the small intes ne. The best diagnos c test for this pa ent
is: - Ans Small bowel follow-through
, A pa ent presents to urgent care complaining of dyspnea, fa gue, and lower extremity edema.
The echocardiogram reveals and ejec on frac on of 38%. The nurse prac oner knows that
these findings are consistent with: - Ans Systolic heart failure
Maxine, Age 76, has just been given a diagnosis of pneumonia. Which of the following is an
indica on that she should be hospitalized? - Ans Mul lobar involvement on chest x-ray with the
inability to take oral medica ons
A 55 year old man is diagnosed with basal cell carcinoma. The nurse prac oner correctly tells
him: - Ans "It can be cured with surgical excision or radia on therapy."
Expected spirometry readings when the pa ent has chronic emphysema include: - Ans
Increased total lung capacity (TLC)
An 80-year-old male admits to difficulty swallowing during the review of systems. The nurse
prac oner recognizes the differen al diagnosis for this pa ent's dysphagia is: - Ans A and C
(Esophageal cancer, GERD)
A 40 year old female with history of frequent sun exposure presents with a mul colored lesion
on her back. It has irregular borders and is about 11mm in diameter. What should the nurse
prac oner suspect? - Ans Malignant melanoma
Which of the following is not a goal of treatment for the pa ent with cys c fibrosis? - Ans
Replace water-soluble vitamins
The nurse prac oner is performing a physical exam on a middle-aged African-American man.
Which of the following areas is a common site for melanomas in African-Americans and other
dark-skinned individuals? - Ans B and C (Nails and feet)
decks others had created. I do not take credit for all the
work only combining
The most common cancer found on the auricle is: - Ans Basal cell carcinoma
Which of the following medica on classes should be avoided in pa ents with acute or chronic
bronchi s because it will contribute to ven la on-perfusion mismatch in the pa ent? - Ans
An his mines
A 47 year old male pa ent presents to the clinic with a single episode of a moderate amount of
bright red rectal bleeding. On examina on, external hemorrhoids are noted. How should the
nurse prac oner proceed? - Ans Refer the pa ent for a barium enema and sigmoidoscopy.
Which of the following pa ent characteris cs are associated with chronic bronchi s? - Ans
Overweight, cyanosis, and normal or slightly increased respiratory rate
A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and
polymyalgia rheuma ca presents to urgent care with new onset le) lower quadrant pain. Her
current medica ons include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily,
simvasta n 20 milligrams po daily, and prednisone 12 milligrams po daily. The nurse prac oner
suspects acute diver culi s and possibly an abscess. The most appropriate diagnos c test for
this pa ent at this me is: - Ans CT scan
A pa ent reports "something flew in my eye" about an hour ago while he was spli2ng logs. If
there were a foreign body in his eye, the nurse prac oner would expect to find all except: -
Ans Purulent drainage
A 21 year old college student presents to the student health center with copious, markedly
purulent discharge from her le) eye. The nurse prac oner student should suspect: - Ans
Gonococcal conjunc vi s
, A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles
consis ng of about 15 lesions across 3 different thoracic dermatomes. He complains of pain,
burning, and itching. The nurse prac oner should suspect: - Ans Herpes zoster and consider
that this pa ent may be immunocompromised
Which type of lung cancer has the poorest prognosis? - Ans Small cell carcinoma
An 83-year-old female presents to the office complaining of diarrhea for several days. She
explains she has even had fecal incon nence one me. She describes loose stools 3-4 mes a
day for several weeks and denies fever, chills, pain, recent an bio c use. The history suggests
that the pa ent has: - Ans Chronic diarrhea
Margaret, age 32, comes into the office with painful joints and a dis nc ve rash in a bu?erfly
distribu on on her face. The rash has red papules and plaques with a fine scale. What do you
suspect? - Ans Systemic lupus erythematosus
An bio c administra on has been demonstrated to be of li?le benefit to the treatment of
which of the following disease processes? - Ans Acute bronchi s
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-ac ng beta-2 agonist
daily. Her exacerba ons affect her ac vi es and they occur at least twice weekly and may last
for days. She is affected more than once weekly during the night with an exacerba on. Which
category of asthma severity is Lisa in? - Ans Moderate persistent
Which of the following is the most appropriate therapeu c regimen for an adult pa ent with
no known allergies diagnosed with group A B-hemoly c strep? - Ans Penicillin V 500 milligrams
PO every 8 hours for 10 days
, A cashier complains of dull ache and pressure sensa on in her lower legs. It is relieved by leg
eleva on. She occasionally has edema in her lower legs at the end of the day. What is the most
likely cause of these problems? - Ans Varicose veins
Which statement below is correct about pertussis? - Ans It is also called whooping cough
Which of the following is the most important diagnosis to rule out in the adult pa ent with
acute bronchi s? - Ans Pneumonia
A 70 year old pa ent presents with le) lower quadrant (LLQ) abdominal pain, a markedly
tender palpable abdominal wall, fever, and leukocytosis. Of the following terms, which correctly
describes the suspected condi on? - Ans Diver culi s
Sylvia, age 83, presents with a 3 day history of pain and burning in the le) forehead. This
morning she no ced a rash with erythematous papules in that site. What do you suspect? - Ans
Herpes zoster
A 33-year-old female is admi?ed with acute pancrea s. The nurse prac oner knows that the
most common cause of pancrea s is: - Ans Gallstones
When a pa ent presents with symptoms of acute gallbladder disease, what is the appropriate
nurse prac oner ac on? - Ans Order an abdominal ultrasound
A false-posi ve result with the fecal occult blood test can result from: - Ans a high dietary
intake of rare cooked beef
A 76-year-old male complains of weight loss, nausea, vomi ng, abdominal cramping and pain.
Physical findings include an abdominal mass and stool posi ve for occult blood. The nurse
prac oner pain suspects a tumor in the small intes ne. The best diagnos c test for this pa ent
is: - Ans Small bowel follow-through
, A pa ent presents to urgent care complaining of dyspnea, fa gue, and lower extremity edema.
The echocardiogram reveals and ejec on frac on of 38%. The nurse prac oner knows that
these findings are consistent with: - Ans Systolic heart failure
Maxine, Age 76, has just been given a diagnosis of pneumonia. Which of the following is an
indica on that she should be hospitalized? - Ans Mul lobar involvement on chest x-ray with the
inability to take oral medica ons
A 55 year old man is diagnosed with basal cell carcinoma. The nurse prac oner correctly tells
him: - Ans "It can be cured with surgical excision or radia on therapy."
Expected spirometry readings when the pa ent has chronic emphysema include: - Ans
Increased total lung capacity (TLC)
An 80-year-old male admits to difficulty swallowing during the review of systems. The nurse
prac oner recognizes the differen al diagnosis for this pa ent's dysphagia is: - Ans A and C
(Esophageal cancer, GERD)
A 40 year old female with history of frequent sun exposure presents with a mul colored lesion
on her back. It has irregular borders and is about 11mm in diameter. What should the nurse
prac oner suspect? - Ans Malignant melanoma
Which of the following is not a goal of treatment for the pa ent with cys c fibrosis? - Ans
Replace water-soluble vitamins
The nurse prac oner is performing a physical exam on a middle-aged African-American man.
Which of the following areas is a common site for melanomas in African-Americans and other
dark-skinned individuals? - Ans B and C (Nails and feet)
