NSG 6420- Final Actual Exam
Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!
1. 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? - ANSWER
treatment regimen is multiple medications taken daily for a few weeks
2. Which of the following conditions is the most common cause of nausea,
vomiting, and diarrhea - ANSWER viral gastroenteritis
3. The nurse practitioner orders bilateral wrist X-rays on a 69-year-old
gentleman complaining of pain in both wrists for the past 6 weeks not
related to any known trauma. The nurse practitioner suspects elderly onset
rheumatoid arthritis. The initial radiographic finding in a patient with elderly
onset rheumatoid arthritis would be: - ANSWER soft tissue swelling
4. Rheumatic heart disease is a complication that can arise from which type of
infection? - ANSWER group A beta hemolytic streptococcus
5. A 23-year-old patient who has had bronchiectasis since childhood is likely to
have which of the following - ANSWER clubbing
,6. Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic
anemia. This classification refers to which of the following laboratory data? -
ANSWER Mean Corpuscular Volume (MCV) and Mean Corpuscular
Hemoglobin (MCH)
7. An 82-year-old female presents to the emergency department with
epigastric pain and weakness. She admits to having dark, tarry stools for the
last few days. She reports a long history of pain due to osteoarthritis. She
self-medicates daily with ibuprofen, naprosyn, and aspirin for joint pain. On
physical examination, she has orthostatic hypotension and pallor. Fecal
occult blood test is positive. A likely etiology of the patient's problem is: -
ANSWER gastric ulcer
8. A 33-year-old female reports general malaise, fatigue, stiffness, and pain in
multiple joints of the body. There is no history of systemic disease and no
history of trauma. On physical examination, the patient has no swelling or
decreased range of motion in any of the joints. She indicates specific points
on the neck and shoulders that are particularly affected. She complains of
tenderness upon palpation of the neck, both shoulders, hips, and medial
regions of the knees. The clinician should include the following disorder in
the list of potential diagnoses: - ANSWER fibromyalgia
9. Which of the following dermatological conditions results from reactivation
of the dormant varicella virus? - ANSWER herpes zoster
10.A 68-year-old male reports painless rectal bleeding occasionally noted with
thin pencil-like stools, but no pain with defection. He has a history of colon
polyp removal 10 years ago but was lost to follow-up. The nurse
practitioner's appropriate intervention is: - ANSWER immediate referral
to gastroenterologist and colonoscopy
,11.Which of the following drugs would be useful for the nurse practitioner to
prescribe for an older adult to prevent gastric ulcers when a nonsteroidal
anti-inflammatory drug is used for chronic pain management? - ANSWER
misoprostol (Cytotec)
12.A patient has a tender, firm, nodular cystic lesion on his scalp that produces
cheesy discharge with foul odor - ANSWER epidermoid cyst
13.The appearance of a 2-10 cm. herald patch with subsequent development
of parallel oval lesions on the trunk in a christmas tree distribution involving
the upper arms and upper legs are common in - ANSWER pityriasis
rosea
14.The most common complication of an untreated urinary obstruction due to
a ureteral calculus is: - ANSWER Hydronephrosis
15.Which of the following findings would indicate a need for another
endoscopy in clients with peptic ulcer disease? - ANSWER Symptoms
persisting after 6-8 weeks of therapy
16.Your patient complains of lower abdominal pain, anorexia, extreme fatigue,
unintentional weight loss of 10 pounds in last 3 weeks, and you find a
positive hemoccult on digital rectal examination. Laboratory tests show iron
deficiency anemia. The clinician needs to consider - ANSWER Colon
cancer
, 17.A 43-year-old male patient complains of right-sided abdominal and pain in
the back in the right costovertebral angle region, fever, chills, dysuria, and
nausea. On physical examination, there is 102 degree fever, tachycardia,
and right costovertebral angle tenderness to percussion. The most likely
condition is: - ANSWER pyelonephritis
18.Which of the following males would be at greatest risk for testicular cancer?
- ANSWER Jacob, a 22-year-old, homosexual male, who works as an
accountant, resides in Cumming GA, and has a history of cryptorchidism
19.A 34-year-old female presents with fever, general malaise, fatigue,
arthralgias and rash for the last 2 weeks. On physical examination, you note
facial erythema across the nose and cheeks. Serum diagnostic tests reveal
positive antinuclear antibodies, anti-DNA antibodies, elevated C-reactive
protein and erythrocyte sedimentation rate. The clinician should include the
following disorder in the list of potential problems: - ANSWER Systemic
lupus erythematosus
20.In examination of the nose, the clinician observes gray, pale mucous
membranes with clear, serous discharge. This is most likely indicative of -
ANSWER allergic rhinitis
21.A 72-year-old female patient has been diagnosed with gout. She also has a
long history of chronic congestive heart failure. The most likely contributing
factor to the development of gout in this older female is: - ANSWER
thiazide diuretics
22.A woman complains of malaise and arthralgias. You note a butterfly-shaped,
macular, erythematous rash across her cheeks and nose. These conditions
are common in: - ANSWER systemic lupus erythematosus
Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!
1. 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? - ANSWER
treatment regimen is multiple medications taken daily for a few weeks
2. Which of the following conditions is the most common cause of nausea,
vomiting, and diarrhea - ANSWER viral gastroenteritis
3. The nurse practitioner orders bilateral wrist X-rays on a 69-year-old
gentleman complaining of pain in both wrists for the past 6 weeks not
related to any known trauma. The nurse practitioner suspects elderly onset
rheumatoid arthritis. The initial radiographic finding in a patient with elderly
onset rheumatoid arthritis would be: - ANSWER soft tissue swelling
4. Rheumatic heart disease is a complication that can arise from which type of
infection? - ANSWER group A beta hemolytic streptococcus
5. A 23-year-old patient who has had bronchiectasis since childhood is likely to
have which of the following - ANSWER clubbing
,6. Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic
anemia. This classification refers to which of the following laboratory data? -
ANSWER Mean Corpuscular Volume (MCV) and Mean Corpuscular
Hemoglobin (MCH)
7. An 82-year-old female presents to the emergency department with
epigastric pain and weakness. She admits to having dark, tarry stools for the
last few days. She reports a long history of pain due to osteoarthritis. She
self-medicates daily with ibuprofen, naprosyn, and aspirin for joint pain. On
physical examination, she has orthostatic hypotension and pallor. Fecal
occult blood test is positive. A likely etiology of the patient's problem is: -
ANSWER gastric ulcer
8. A 33-year-old female reports general malaise, fatigue, stiffness, and pain in
multiple joints of the body. There is no history of systemic disease and no
history of trauma. On physical examination, the patient has no swelling or
decreased range of motion in any of the joints. She indicates specific points
on the neck and shoulders that are particularly affected. She complains of
tenderness upon palpation of the neck, both shoulders, hips, and medial
regions of the knees. The clinician should include the following disorder in
the list of potential diagnoses: - ANSWER fibromyalgia
9. Which of the following dermatological conditions results from reactivation
of the dormant varicella virus? - ANSWER herpes zoster
10.A 68-year-old male reports painless rectal bleeding occasionally noted with
thin pencil-like stools, but no pain with defection. He has a history of colon
polyp removal 10 years ago but was lost to follow-up. The nurse
practitioner's appropriate intervention is: - ANSWER immediate referral
to gastroenterologist and colonoscopy
,11.Which of the following drugs would be useful for the nurse practitioner to
prescribe for an older adult to prevent gastric ulcers when a nonsteroidal
anti-inflammatory drug is used for chronic pain management? - ANSWER
misoprostol (Cytotec)
12.A patient has a tender, firm, nodular cystic lesion on his scalp that produces
cheesy discharge with foul odor - ANSWER epidermoid cyst
13.The appearance of a 2-10 cm. herald patch with subsequent development
of parallel oval lesions on the trunk in a christmas tree distribution involving
the upper arms and upper legs are common in - ANSWER pityriasis
rosea
14.The most common complication of an untreated urinary obstruction due to
a ureteral calculus is: - ANSWER Hydronephrosis
15.Which of the following findings would indicate a need for another
endoscopy in clients with peptic ulcer disease? - ANSWER Symptoms
persisting after 6-8 weeks of therapy
16.Your patient complains of lower abdominal pain, anorexia, extreme fatigue,
unintentional weight loss of 10 pounds in last 3 weeks, and you find a
positive hemoccult on digital rectal examination. Laboratory tests show iron
deficiency anemia. The clinician needs to consider - ANSWER Colon
cancer
, 17.A 43-year-old male patient complains of right-sided abdominal and pain in
the back in the right costovertebral angle region, fever, chills, dysuria, and
nausea. On physical examination, there is 102 degree fever, tachycardia,
and right costovertebral angle tenderness to percussion. The most likely
condition is: - ANSWER pyelonephritis
18.Which of the following males would be at greatest risk for testicular cancer?
- ANSWER Jacob, a 22-year-old, homosexual male, who works as an
accountant, resides in Cumming GA, and has a history of cryptorchidism
19.A 34-year-old female presents with fever, general malaise, fatigue,
arthralgias and rash for the last 2 weeks. On physical examination, you note
facial erythema across the nose and cheeks. Serum diagnostic tests reveal
positive antinuclear antibodies, anti-DNA antibodies, elevated C-reactive
protein and erythrocyte sedimentation rate. The clinician should include the
following disorder in the list of potential problems: - ANSWER Systemic
lupus erythematosus
20.In examination of the nose, the clinician observes gray, pale mucous
membranes with clear, serous discharge. This is most likely indicative of -
ANSWER allergic rhinitis
21.A 72-year-old female patient has been diagnosed with gout. She also has a
long history of chronic congestive heart failure. The most likely contributing
factor to the development of gout in this older female is: - ANSWER
thiazide diuretics
22.A woman complains of malaise and arthralgias. You note a butterfly-shaped,
macular, erythematous rash across her cheeks and nose. These conditions
are common in: - ANSWER systemic lupus erythematosus
