NSG6440 Exam

NSG6440 Tx for epididymitis - ANS Scrotal elevation Which of the following Rx for TMJ disorder has the warning that patient's should NOT drive while taking it? - ANS ELAVIL After 6 months of Synthroid therapy, the clinician should expect which results in the report TSH studies? - ANS Normal A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transitted disease has she most probably been exposed to? - ANS Chlamydia Which of the following is a form of external otitis in which bacterial infeciton extends from the auditory cancal into the skull? - ANS Necrotizing otitis What causes the greatest precentage of mammalian bites? - ANS Dogs Which test is used to confirm a diagnosis of epididymitis? - ANS Ultrasound of the scrotum Which statement accurately describes the APRN's scope of practice? - ANS This delineates the permissible boundaries of APRN professional practice. The nurse is working with a 65-year-old patient who was recently diagnosed with hypertension. The patient is concerned about their optimal health with their new diagnosis. Which nursing action is necessary for health promotion with the patient? - ANS Discussing appropriate stress management techniques Which of the following would be a cause of neuropathic pain? - ANS Post HERPETIC pain Which theory regarding the aging process is linked to cancer and Alzheimer's disease? - ANS Oxidative damage Which heart sound is associated with decreased elasticity of the left ventricle in left ventricular hypertrophy? - ANS S4 Heart valve damage resulting in acute rheumatic fever is a long-term sequelae resulting from infection with which of the following pathogens? - ANS Group A Streptococcus A 21-year-old student presents with c/o fatigue, HA, anorexia, and a runny nose, all of which began about 2 weeks ago. She started taking vitamins and OTC cold meds but feels worse. The smell of food makes her nauseated. Her boyfriend had mono about 1 mon ago. She wonders if she might also have it. Exam reveals cervical adenopathy, and an enlarged liver and spleen. Which of the following labs would be most helpful in the differintals diagnosis at this point? - ANS Antihepatitis D virus What is the most common form of heart disease in a patient with atrial fibrillation? - ANS Coronary artery disease associated with heart failure A 15-year-old girl is seen in the clinic because she has not yet had her first period. Which of the following questions would be helpful in determining the cause? - ANS Are you sexually active? The clinician is examine the back of Christian, a 15-year-old amel. What si the correct way for the clinician to check for hamstring flexibility? - ANS Christian should stand up straight and flex 90 degrees forward at the waist. Which statement is true regarding driving and patients with w a seizure disorder? - ANS Each state has different laws governing driving for individuals with a seizure disorder. Though common as people age, what concerning disease can dysphonia be a cardinal sign for? - ANS Laryngeal cancer You are using the CURB-65 clinical prediction tool to decide whether Latisha, whom you've diagnosed with CAP, should be hospitalized or treated at home. Which of the following risk factors would increase Latisha's chance of CAP-associated mortality and complications? - ANS History of Diabetes Mellitus Which of the following patients is at risk for developing urinary-tract cancer? - ANS The 78-year-old man who smokes three packs of cigarettes a day. Which of the following statements is TRUE regarding pain? - ANS Pain is a subjective experience related to actual or potential tissue damage. Which of the following information patients with a UTI can receive Bactrim DS? - ANS Tiffany, a 16-year-old with hypersensitivitiy to penicillin Which treatment would the clinician recommend for a patient who has relative polycythemia? - ANS Rehydration Which board administers and defines advanced nursing practice in all states? - ANS The Board of Nursing An acutely presenting, erythematous, tender lump within the eyelid is called: - ANS Hordeolum Diagnostic testing for a patient with a newly detected hypertension should include all the following EXCEPT: - ANS Uric acid In the model for further APRN practice what does the "C" of LACE represent? - ANS Certification When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes. What do you suspect they are? - ANS Spores A 42-year-old woman is seen in the clnic with fever, chills, vomiting and dysuria. She is Dx with acute pyelonephritis. How should this patient be managed? - ANS Hospitalization A sunscreen with a sun-protection factor (SPF) of at least what number will block most harmful ultraviolet (UV) radiation? - ANS 15 Which of the following is the most common cause of cardiac death in athletes? - ANS Hypertrophic cardiomyopathy Which of the following is a specific test to MS? - ANS There is no specific test. A Patient comes to the office complaining of constipation. The patient list all the following medications. Which drug could be responsile for the constipation? - ANS Pepto=Bismol The barrel-chest characteristics of emphysema is a result of: - ANS Hyperinflation Which drug for Alzheimer's disease should be administered beginning at the time of diagnosis? - ANS Cholinesterase inhibitors Data from the Framingham Heart Study suggest that individuals who are normotensive at 55 years of age have a how much lifetime risk of developing hypertension? - ANS 90% WHich of the following scales is useful to assess the degree of dyspnea with a score of 6 to 20? - ANS Borg scale A 35-year-old woman presents with symptoms of hypoglycemia. There is no history of DM. Which condition should be included in the differential diagnosis? - ANS Pheochronocytoma What should you use to alkalinize urine to a pH of greater than 7.0? - ANS Sodium bicarbonate Which of the following is true of pediculosis? - ANS Patients can be asymptomatic or cause few symptoms in the first 2 weeks following exposure. Which of these patients is at a higher risk for developing deep vein thrombosis? - ANS Samantha, a 45-year-old female undergoing a hysterectomy. A patient has CFS. Which strategy should the clinician consider to manage this patient? - ANS Cognitive-behavioral therapy Which statement regarding necrotizing fascitis is true? - ANS This is a medical emergency and gangrene can develop. A patient presents with CVA tenderness and a several-day history of high fever, chills, and dysuria. Which of the following diangosis is most likely given the information? - ANS Pyelonephritis Danielle presents to the clinic, saying "I do not feel like I want to eat." She also notes she is expereincing lethargy, nausea, headache, and muscle cramps. She "did not go to the bathroom a lot" yesterday. Which of the following stages of acute kidney injury (AKI) is Danielle in? - ANS Initiating stage During treatment for anaphylaxis, which site is used for the intital injection of epinephrine? - ANS Upper lateral thigh The clinician should question the patient with suspected gout about use of which of these medications? - ANS Thiazide diuretics In which stage of heart failure are patients hospitalized or treated with specialized interventions or hospice care for refactroy symptoms of heart failure despite medical therapy? - ANS Stage D What condition is sometimes confused with anaphylaxis from an insect sting? - ANS Vasovagal reaction Which of the following persons fits the classic description of a patient with Multiple sclerosis (MS)? - ANS a 25-year-old female Josh, aged 22, has tinea versicolor. Which description is the most likely for this condition? - ANS There are round, hypopigmented macules on his back Which of the following produces a slow and painless visual field loss that usually begins peripherally? - ANS open-angle glaucoma Which of the following patients is a candidate for statins? - ANS Christa is a 65-year-old female with a hx of myocardial infarction Which statement about HIV post exposure prophylaxis (PEP) for health-care workers is the most accurate? - ANS PEP should be started within 72 hrs of exposure Which element is a primary focus of health-care reform? - ANS Disease prevention Tinea unguium (onychomycosis) - ANS Name of disease involving fungal infection of the nails Which symptoms is the cardinal subjective symptom of sickle cell crisis? - ANS Pain How much nicotine is in a cigarette? - ANS 10-15 mg Which type of stomatitis results in necrotic ulceration of the oral mucous membranes? - ANS Vincent's stomatitis A male patient with type 1 diabetes comes to the clinic complaining of feeling nervous and clammy. He states that he took his insulin this morning but was late for work and did not eat breakfast. Whcih action should the clinician take first? - ANS Give him 4 ounces of juice WHich of the following medications is safe to use when an adult patient has a perforated tympanic membrane? - ANS Floxin otic 10 drops in affected ear for 7 days. What is the most common cause of microcytic anemia? - ANS Iron-deficiency anemia Donna is a 36-year-old African American woman with chronic pancreatitis. Which of the following are necessary to manage her condition? - ANS a low-fat diet of less than 50 g of fat per day Which drug category of ARV therapy is generally effective in crossing the blood-brain barrier and may be useful in managing HIV-associated dementia? - ANS Nucleoside reverse transcriptase inhibitors A ratchet-like rhythmic contraction, especially in the hand, during passive stretching is known as: - ANS Cogwheeling Which statement by the patient would indicate teaching has been successful regarding managmeent of Cushing's syndrome at home? - ANS I will stay away from large crowds. Gerald presents with a very dark color on his right pinkie finger. What is the healthcare provider's next care step? - ANS Referral to a dermatologist for a nail biopsy Marie has diabetes mellitus with proliferative retinopathy. How often should she see her ophthalmologist? - ANS Every 3-4 months Forced vital capacity is decreased in: - ANS restrictive disease