NURS 6531 MIDTERM EXAM TEST BANK
Question 1
A patient has experienced nausea and vomiting, headache, malaise, low grade fever, abdominal
cramps, and watery diarrhea for 72 hours. His white count is elevated with a shift to the left. He is
requesting medication for diarrhea. What is the most appropriate response?
**The main focus of treatment is to prevent dehydration by drinking plenty of fluids. In severe
cases, hospitalization and intravenous fluids are necessary. Over-the-counter oral rehydration
solutions (OHS), such as Pedialyte, can be helpful in mild cases
Question 2
Which type of lung cancer has the poorest prognosis?
Small cell carcinoma
Question 3
Stacy, age 27, states that she has painless, white, slightly raised patches in her mouth. They are
probably caused by:
Candidiasis
Question 4
An 80-year-old male admits to difficulty swallowing during the review of systems. The nurse
practitioner recognizes the differential diagnosis for this patient’s dysphagia is:
GERD & Cancer
NURS 6531 MIDTERM
EXAM TEST BANK
,Question 5
A 40 year old presents with a hordeolum. The nurse practitioner teaches the patient to:
Apply a topical antibiotic and warm compresses.
Question 6
Marvin has sudden eye redness that occurred after a strenuous coughing episode. You diagnose a
subconjunctival hemorrhage. Your next step is to:
Do nothing other than provide reassurance
Question 7
Which of the following is not a goal of treatment for the patient with cystic fibrosis?
Replace water-soluble vitamins
Question 9
Which of the following color changes in a pigmented lesion suggests malignant
transformation?
ALL COLORS
Question 10
Antibiotic administration has been demonstrated to be of little benefit to the treatment of which
of the following disease processes?
Acute bronchitis
NURS 6531 MIDTERM
EXAM TEST BANK
,Question 11
The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes which of the
following?
A and B only
Question 12
When teaching a patient with hypertension about restricting sodium, you would include which
of the following instructions?
Seventy-five of sodium intake is derived from processed foods
Question 13
Mark has just been given a diagnosis of congestive heart failure. Which of his medications should
be discontinued?
Nifedipine (Procardia XL) for long-term management of his chronic stable angina.
Question 14
Which of the following patient characteristics are associated with chronic bronchitis?
Overweight, cyanosis & normal or slighted increased resp. rate "blue bloaters"
Question 15
Treatment of acute vertigo includes:
-bedrest and an antihistamine
NURS 6531 MIDTERM
EXAM TEST BANK
, Question 16
A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles
consisting of about 15 lesions across 3 different thoracic dermatomes. He complains of pain, burning,
and itching. The nurse practitioner should suspect:
Herpes zoster and consider that this patient may be immunocompromised.
Question 20
Expected spirometry readings when the patient has chronic emphysema include:
increased total lung capacity (TLC).
Question 21
A child complains that his “throat hurts” with swallowing. His voice is very “throaty” and he is
hyperextending his neck to talk. Examination reveals asymmetrical swelling of his tonsils. His uvula
is deviated to the left. What is the most likely diagnosis?
Peritonsillar abscess
Question 23
Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important teaching point
about this medication?
-It is not effective during an acute asthma attack
Question 24
An active 65-year-old man under your care has known acquired valvular aortic stenosis and mitral
regurgitation. He also has a history of infectious endocarditis. He has recently been told he needs
elective replacement of his aortic valve. When he comes into the office you discover that he has 10
remaining teeth in poor repair. Your recommendation would be to:
NURS 6531 MIDTERM
EXAM TEST BANK
Question 1
A patient has experienced nausea and vomiting, headache, malaise, low grade fever, abdominal
cramps, and watery diarrhea for 72 hours. His white count is elevated with a shift to the left. He is
requesting medication for diarrhea. What is the most appropriate response?
**The main focus of treatment is to prevent dehydration by drinking plenty of fluids. In severe
cases, hospitalization and intravenous fluids are necessary. Over-the-counter oral rehydration
solutions (OHS), such as Pedialyte, can be helpful in mild cases
Question 2
Which type of lung cancer has the poorest prognosis?
Small cell carcinoma
Question 3
Stacy, age 27, states that she has painless, white, slightly raised patches in her mouth. They are
probably caused by:
Candidiasis
Question 4
An 80-year-old male admits to difficulty swallowing during the review of systems. The nurse
practitioner recognizes the differential diagnosis for this patient’s dysphagia is:
GERD & Cancer
NURS 6531 MIDTERM
EXAM TEST BANK
,Question 5
A 40 year old presents with a hordeolum. The nurse practitioner teaches the patient to:
Apply a topical antibiotic and warm compresses.
Question 6
Marvin has sudden eye redness that occurred after a strenuous coughing episode. You diagnose a
subconjunctival hemorrhage. Your next step is to:
Do nothing other than provide reassurance
Question 7
Which of the following is not a goal of treatment for the patient with cystic fibrosis?
Replace water-soluble vitamins
Question 9
Which of the following color changes in a pigmented lesion suggests malignant
transformation?
ALL COLORS
Question 10
Antibiotic administration has been demonstrated to be of little benefit to the treatment of which
of the following disease processes?
Acute bronchitis
NURS 6531 MIDTERM
EXAM TEST BANK
,Question 11
The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes which of the
following?
A and B only
Question 12
When teaching a patient with hypertension about restricting sodium, you would include which
of the following instructions?
Seventy-five of sodium intake is derived from processed foods
Question 13
Mark has just been given a diagnosis of congestive heart failure. Which of his medications should
be discontinued?
Nifedipine (Procardia XL) for long-term management of his chronic stable angina.
Question 14
Which of the following patient characteristics are associated with chronic bronchitis?
Overweight, cyanosis & normal or slighted increased resp. rate "blue bloaters"
Question 15
Treatment of acute vertigo includes:
-bedrest and an antihistamine
NURS 6531 MIDTERM
EXAM TEST BANK
, Question 16
A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles
consisting of about 15 lesions across 3 different thoracic dermatomes. He complains of pain, burning,
and itching. The nurse practitioner should suspect:
Herpes zoster and consider that this patient may be immunocompromised.
Question 20
Expected spirometry readings when the patient has chronic emphysema include:
increased total lung capacity (TLC).
Question 21
A child complains that his “throat hurts” with swallowing. His voice is very “throaty” and he is
hyperextending his neck to talk. Examination reveals asymmetrical swelling of his tonsils. His uvula
is deviated to the left. What is the most likely diagnosis?
Peritonsillar abscess
Question 23
Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important teaching point
about this medication?
-It is not effective during an acute asthma attack
Question 24
An active 65-year-old man under your care has known acquired valvular aortic stenosis and mitral
regurgitation. He also has a history of infectious endocarditis. He has recently been told he needs
elective replacement of his aortic valve. When he comes into the office you discover that he has 10
remaining teeth in poor repair. Your recommendation would be to:
NURS 6531 MIDTERM
EXAM TEST BANK
