Exam (elaborations) NSG 6420 QUIZZES STUDY GUIDE 1

NSG 6420 QUIZZES STUDY GUIDE 1 50 It is important to not dilate the eye if ____ is suspected. Question 50 options: a) Cataract b) Macular degeneration c) Acute closed-angle glaucoma d) Chronic open-angle glaucoma Save Question 51 (1 point) 51 Your patient has been treated for glaucoma for 5 years. Which of the following will provide indication of the level of progression during the funduscopic examination for this patient? Question 51 options: Checking the macula Estimating cup-to-disk ratio Verifying a red reflex Extraocular movements Save Question 52 (1 point) NSG 6420 QUIZZES STUDY GUIDE 1 63 PAGES (GRADED A) 52 The most common cause of eye redness is: Question 52 options: a) Conjunctivitis b) Acute glaucoma c) Head trauma d) Corneal abrasion Save Question 53 (1 point) 53 A patient presents with eye redness, scant discharge, and a gritty sensation. Your examination reveals the palpable preauricular nodes, which are most likely with: Question 53 options: a) Bacterial conjunctivitis b) Allergic conjunctivitis c) Chemical conjunctivitis d) Viral conjunctivitis Save Question 54 (1 point) 54 In assessing the eyes, which of the following is considered a “red flag” finding when associated with eye redness? Question 54 options: a) History of prior red-eye episodes b) Grossly visible corneal defect c) Exophthalmos d) Photophobia Save Question 55 (1 point) 55 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? Question 55 options: a) Bacterium b) Allergen c) Virus d) Fungi Save Question 56 (1 point) 56 Patients that have atopic disorders are mediated by the production of Immunoglobulin E (IgE) will have histamine stimulated as an immediate phase response. This release of histamine results in which of the following? Question 56 options: a) Sinus pain, increased vascular permeability, and bronchodilation b) Bronchospasm, vascular permeability, and vasodilatation c) Contraction of smooth muscle, decreased vascular permeability, and vasoconstriction d) Vasodilatation, bronchodilation, and increased vascular permeability Save Question 57 (1 point) 57 You have a patient complaining of vertigo and want to know what could be the cause. Knowing there are many causes for vertigo, you question the length of time the sensation lasts. She tells you several hours to days and is accompanied by tinnitus and hearing loss. You suspect which of the following conditions? Question 57 options: a) Ménière’s disease b) Benign paroxysmal positional vertigo c) Transient ischemic attack (TIA) d) Migraine Save Question 58 (1 point) 58 In examining the mouth of an older adult with a history of smoking, the nurse practitioner finds a suspicious oral lesion. The patient has been referred for a biopsy to be sent for pathology. Which is the most common oral precancerous lesion? Question 58 options: a) Fictional keratosis b) Keratoacanthoma c) Lichen planus d) Leukoplakia Save Question 59 (1 point) 59 Rheumatic heart disease is a complication that can arise from which type of infection? Question 59 options: a) Epstein-Barr virus b) Diphtheria c) Group A beta hemolytic streptococcus d) Streptococcus pneumoniae Save Question 60 (1 point) 60 A patient complains of fever, fatigue, and pharyngitis. On physical examination there is pronounced cervical lymphadenopathy. Which of the following diagnostic tests should be considered? Question 60 options: a) Mono spot b) Strep test c) Throat culture d) All of the above Save Question 61 (1 point) 61 Susan P., a 60-year-old woman with a 30 pack year history, presents to your primary care practice for evaluation of a persistent, daily cough with increased sputum production, worse in the morning, occurring over the past three months. She tells you, “I have the same thing, year after year.” Which of the following choices would you consider strongly in your critical thinking process? Question 61 options: a) Seasonal allergies b) Acute bronchitis c) Bronchial asthma d) Chronic bronchitis Save Question 62 (1 point) 62 A 66-year-old patient presents to the clinic complaining of dyspnea and wheezing. The patient reports a smoking history of 2 packs of cigarettes per day since age 16. This would be recorded in the chart as: Question 62 options: a) 50 x 2-pack years b) 100-pack years c) 50-year, 2-pack history d) 100-pack history Save Question 63 (1 point) 63 Emphysematous changes in the lungs produce the following characteristic in COPD patients? Question 63 options: a) Asymmetric chest expansion b) Increased lateral diameter c) Increased anterior-posterior diameter d) Pectus excavatum Save Question 64 (1 point) 64 When palpating the posterior chest, the clinician notes increased tactile fremitus over the left lower lobe. This can be indicative of pneumonia. Areas of increased fremitus should raise the suspicion of conditions resulting in increased solidity or consolidation in the underlying lung tissue, such as in pneumonia, tumor, or pulmonary fibrosis. In the instance of an extensive bronchial obstruction: Question 64 options: a) No palpable vibration is felt b) Decreased fremitus is felt c) Increased fremitus is felt d) Vibration is referred to the non-obstructed lobe Save Question 65 (1 point) 65 During physical examination of a patient, you note resonance on percussion in the upper lung fields. This is consistent with: Question 65 options: a) COPD b