NURS 6531 FINAL EXAM PRACTICE

NURS 6531 FINAL EXAM PRACTICE • Question 1 1 out of 1 points Which of the following symptoms suggests a more serious cause of back pain? Pain associated with lying down at night • Question 2 1 out of 1 points The Institute of Medicine’s recommended daily allowance (RDA) for Vitamin D in adults over age 70 years of age is: 800 IU daily • Question 3 1 out of 1 points Potential causes of septic arthritis include which of the following? A and B (Lyme disease and prosthetic joint infection) • Question 4 1 out of 1 points The cardinal sign of infectious arthritis is: Affected joint is painful at rest, with movement and weight bearing • Question 5 1 out of 1 points Which of the following characteristics are associated with prepatellar bursitis? Repetitive bone trauma • Question 6 1 out of 1 points A middle-aged man presents to urgent care complaining of pain of the medial condyle of the lower humerus. The man works as a carpenter and describes a gradual onset of pain. On exam, the medial epicondyle is tender and pain is increased with flexion and pronation. Range of motion is full The most likely cause of this patient’s pain is: epicondylitis • Question 7 1 out of 1 points A 77-year-old female presents to the office complaining a sudden swelling on her right elbow. She denies fever, chills, trauma, or pain. The physical exam reveals a non-tender area of swelling over the extensor surface over the right elbow with evidence of trauma or irritation. The nurse practitioner suspects: Olcreanon bursitis • Question 8 1 out of 1 points The initial clinical sign of Dupuytren’s contracture is: Painless nodule on palmar fascia • Question 9 1 out of 1 points A patient complains of generalized joint pain and stiffness associated with activity and relieved with rest. This patient history is consistent with which of the following disorders? Osteoarthritis • Question 10 1 out of 1 points Risk factors for osteoporosis include: Rheumatoid arthritis 1. An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender left great toe. The likely precipitant of this patient’s pain is: A. Trauma B. Tight shoes C. Arthritis flare D. Hydrochlorothiazide 2. Which of the following characteristics are associated with prepatellar bursitis? A. Pain with weight bearing B. Pain with range of motion of the knee C. Repetitive knee trauma D. All of the above 3. The cardinal sign of infectious arthritis is: A. Affected joint is painful at rest, with movement and weight bearing B. Rapid onset that wakes the patient during the night C. Long history of severe pain with associated joint swelling D. None of the above 4. Risk factors for osteoporosis include: A. Rheumatoid arthritis B. Caffeine ingestion C. African American race D. All of the above 5.A 60-year-old gentleman complains that he is tired of having “gout attacks” and asks what he can do to stop the attacks. Which of the following medications can be used to lower uric acid and treat chronic gout? A. Prednisone B. Indocin C. Zyloprim D. Febuxostat E. C and D 6.A 77-year-old female presents to the office complaining a sudden swelling on her right elbow. She denies fever, chills, trauma, or pain. The physical exam reveals a non-tender area of swelling over the extensor surface over the right elbow with evidence of trauma or irritation. The nurse practitioner suspects: A. Arthritis B. Ulnar neuritis C. Septic arthritis D. Olecranon bursitis 7.Which of the following symptoms suggests a more serious cause of back pain? A. Pain associated with coughing or sneezing B. Pain associated with muscle spasm C. Pain associated with lying down at night D. Pain associated with negative straight leg raise 8.A middle-aged man presents to urgent care complaining of pain of the medial condyle of the lower humerus. The man works as a carpenter and describes a gradual onset of pain. On exam, the medial epicondyle is tender and pain is increased with flexion and pronation. Range of motion is full The most likely cause of this patient’s pain is: A. Gout B. Epicondylitis C. Osteoarthriti s D. Lyme disease 9. Potential causes of septic arthritis include which of the following? A. Lyme disease B. Prosthetic joint infection C. Reiter’s syndrome D. A and B E. All of the above 10. The initial clinical sign of Dupuytren’s contracture is: A. Pain with ulnar deviation B. Painless nodule on palmer fascia C. Pain and numbness in the ring finger D. Inability to passively extend finger fferential diagnosis of proteinuria includes which of the following? A . Orthostatic proteinuria B . Nephrotic syndrome C . Infection D . Trauma E. A and B A spermatocele is described as: A . Mass at the proximal aspect of the spermatic cord B . Tender scrotal swelling that transilluminates C . Non tender mass that transilluminates D . None of the above Risk factors for prostate cancer include all of the following except: A . Family history B . Benign prostatic hypertrophy C . African American race D . Age Clinical variables indicative of a urinary tract infection include which of the following? A . Cloudy urine B . Malodorous urine C . Urine sediment D . A and B E. A, B, and C The organism most often associated with prostatitis is: A Klebsiella This preview has intentionally blurred parts. Unlock to view the full content. Unlock Document . B . Neiserria gonorrhoaes C . Chlamydia trachomatis D . Escherichia coli Which of the following is the most common causative organism of nongonococcal urethritis? A . Chlamydia trachomatis B . Ureaplasma urealyticum C . Final Exam Nurs 6531 1. When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Answer YES 2. Your patient has an elevated mean cell volume (MCV). What should you be considering in terms of diagnosis? Answer macrocytic anemia 3. A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified as: answer Overweight 4. The most effective intervention(s) to prevent stroke is (are): answer smoking cessation and treatment of hypertension 5. Which of the following physical modalities recommended for treatment of rheumatoid arthritis provides the most effective long term pain relief? Answer Physiotherapy modalities 6. An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for this patient, the nurse practitioner is most concerned with which of the following side effects? Answer Hypoglycemia 7. Martin is complaining of erectile dysfunction. He also has a condition that has reduced arterial blood flow to his penis. The most common cause of this condition is: answer diabetes mellitus 8. Prolonged PT suggests answer Liver disease,DIC (early)Warfarin, Factor VII deficiency 9. Diagnostic radiological studies are indicated for low back pain: answer Xray 10. An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender left great toe. The likely precipitant of this patient’s pain is : Hydrochlorothiazide 11. Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus? Answer Post-prandial hypoglycaemia 12. Maria, age 17, was raped when she was 13 year old. She is now experiencing sleeping problems, flashbacks, and depression. What is your initial diagnosis? Answer Post-traumatic stress disorder 13. A patient exhibits extrapyramidal side effects of antipsychotic medications. Which of the following symptoms would lead you to look for another diagnosis? Answer Hallucinations 14. Which of the following statements about multiple sclerosis (MS) is correct? Answer 15. Which patient would benefit most from screening for type 2 diabetes? 16. Differential diagnosis of proteinuria includes which of the following answer Orthostatic proteinuriaB.Nephrotic syndrome A and B 17. A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse practitioner what the treatment for this disorder is. The nurse practitioner explains: Answer Primary hyperparathyroidism is treated with parathyroidectomy 18. A middle-aged man presents to urgent care complaining of pain of the medial condyle of the lower humerus. The man works as a carpenter and describes a gradual onset of pain. On exam, the medial This study source weaspdiocwonnlodadyeldebyis10t0e0n00d8e2r28a24n4d83pfraoimnCiosurisneHdonw11it-0h8-f2l0e2x2 i0o0:n12a:3n9 dGMpTro-0n6a:0t0ion. Range of motion is full The most likely cause of this patient’s pain is: Epicondylitis 19. What intervention does the American College of Rheumatology recommend as first line therapy for osteoarthritis? Exercise and weight loss 20. The cardinal sign of infectious arthritis is: answer Affected joint is painful at rest, with movement and weight bearing 21. Legal authority for advanced practice nursing rests with: answer The state laws and regulations 22. The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is: doxycline 23. A patient has been taking fluoxetine (Prozac) since being diagnosed with major depression, first episode, 2 months ago. She reports considerable improvement in her symptoms and her intention to discontinue the medication. What should be the nurse practitioner’s recommendation answer Recommend that the patient continue the antidepressant medication for at least 4 more months. 24. Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid ? Answer peppermint 25. Risk factors for prostate cancer include all of the following except: answer History of genital trauma 26. An obese hyperlipidemic patient, newly diagnosed with type 2 diabetes mellitus, has fasting glucose values 180 to 250 mg/Dl. What is the most appropriate initial treatment to consider? Answer A sulfonylurea and/or metformin (Glucophage® -XR) 27. The primary goals of treatment for patients with alcohol abuse disorder are answer Reducing substance abuse or achieving a substance-free life Maximizing multiple aspects of life functioning, Preventing or reducing the frequency and severity of relapse 28. What is the most commonly abused substance? Alcohol? Marijuana? Tobacco/nicotine? 29. Central obesity, “moon” face, and dorsocervical fat pad are associated with cushing symdrome 30. Reed-Sternberg B lymphocytes are associated with which of the following disorders: Hodgkin’s lymphoma Diagnostic confirmation of acute leukemia is based on:A.Bone marrow aspiration andbiopsyB.PancytopeniaC.HyperuricemiaD.All of the aboveWhich of the following is the most common complication of the myelodysplastic syndromes? A.FatigueB.CardiomyopathyC.FallsD.BleedingA 50-year-old male presents to the office complaining of abnormal bleeding. He denies taking medications and personal or family history of bleeding. The initial laboratory testing reveals a normal CBC/differential with a prolonged PT/INR, differential diagnosis of this patient’s problem includes:A.Vitamin K deficiencyB.Vitamin B12 deficiencyC.Mild liver diseaseD.A and CE.All of the aboveComplications associated with acute myelogenous leukemia therapy include:A.tumor lysis syndromeB.LeukocytosisC.LeukostasisD.A and CE.All of the above Warfarin (Coumadin) is prescribed for a frail, elderly male with new onset atrial fibrillation. The goal INR for this patient should be:A.INR 1.8-2.5B.INR 1.8-3.2C.INR 2.0-3.0D.INT 2.5 -3.5A 28- year-old female presents to the office requesting testing for diagnosis of hereditary thrombophilia. Her father recently had a deep vein thrombosis and she is concerned about her risk factors. The nurse practitioner explains that:A.The patient should start anticoagulant therapy immediately.B.Hereditary thrombophilia does not always require anticoagulation therapy.C.Women of childbearing age cannot take anticoagulant therapy.D.Genetic and risk management counseling are recommended.E.B and DA middle-aged female presents complaining of recent weight loss. The physical exam reveals an enlarged painless cervical lymph node. The differential diagnosis for this patient’s problem includes:A.InfectionB.ToxoplasmosisC.MononucleosisD.All of the aboveE.None of the aboveWhich of the following patient symptoms is consistent with an acute myocardial infarction?A.Chest heavinessB.Dyspnea C.IndigestionD.All of the aboveImportant education for patients with moderate or severe aortic stenosis includes:A.Avoiding competitive sportsB.