NSG6001 FINAL EXAM 2023/2024 ADVANCED NURSING PRACTICE II (3 DIFFERENT VERSIONS) 100% CORRECT ANSWERS. LATEST 2024 UPDATE, GUARANTEED A+ GRADE

VERSION 1 1. More than half of all cardiac arrhymias involve the atria - True 2. What are the most common symptoms caused by tachyarryhthmias - Palpitations 3. For women with known cad and diabetes, which is the most appropriate to assess CAD risk - ETT with imaging 4. Of the following, which is the best answer when asked about the advantage of echocardiogram exercise testing over thallium stress testing - Results are available more quickly 5. You patient has uncomplicated pyelonephritis. In deciding your recommended treatment, you consider the most common pathogenic reason for this diagnosis. What pathogen accounts for the majority of pyelonephritis? - E coli 6. What purpose does the principle of fidelity serve - Ensures that providers honor their committement to the patient 7. In CAD after both systolic and diastolic dysfunction have occurred. The typical pattern of chest pain and related EKG changes occur. During an ekg you should expect to see ST segment and T wave changes that are central to demonstration of ischemia occurring relatively late in the ischemic cascade is this true or false - True 8. The leads on the ECG showing ischemic changes during or immediately after an ETT can correlate roughly to the culprit artery or arteries with significant CAD. Is this true or false - True 9. Skin cancer is the most common malignant neoplasms in males in the us . What is the second leading cause of cancer deaths in men greater than 50 years of age - Prostate cancer 10. What ech changes can reduce the specificity of the ETT - Paced rhythm and resting bundle branch blocks. VERSION 2 1. In AR disorder, carriers have - One copy of a gene mutation but not the disease 2. A 76 year old patient with a 200 pack year smoking history presents with complaints of chronic cough, dyspnea, fatigue, hemoptysis, and weight loss over the past 2 months. The physical exam reveals decreased breath sounds and dullness to percussion over the left low lung field. The chest xray demonstrates the shift of the mediastinum and trachea to the left. These are classic signs of - Lung cancer 3. The NP is discussing lifestyle changes with a patient diagnosed with gerd. What are the non pharmacological management interventions that should be included - It will be helpful to keep head of your bed elevated on blocks 4. In examining the mouth of an older adult with a history of smoking, the NP 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 - Leukoplakia 5. You have a patient complaining of vertigo and want to know what could be the cause. Knowing that 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 - Menieres disease 6. Age related changes in the bladder, urethra, and ureters include all of the following in older women except - Increased estrogen productions influence on the bladder and ureter 7. Your patient has been using chewing tobacco for 10 year. On physical examination. You observe a white ulceration surrounded by erythematous base on the side of his tongue. The clinician should recognize that very often this is - Squamous cell carcinoma 8. When interpreting laboratory data you would expect to see the following in a patient with anemia of chronic disease (ACD) - Hemoglobin 12, MCV normal, MCH normal 9. What test is used to confirm diagnosis of appendicitis - CT abd with attention to appendix 10. Functional abilities are best assessed by - Observed assessment of function VERSION 3 2. Dan G., a 65 y/o man presents to your primary care office for evaluation of chest pain, and left sided shoulder pain. Pain begins after strenuous activity, including walking. Pain is characterized as dull, aching; 8/10 during activity otherwise 0/10. Began a few months ago, intermittent, aggravated by exercise, and relieved by rest. Has occasional nausea. Pain is retrosternal, radiating to the left shoulder, definitely affects QOL by limiting activity. Pain is worse today, did not go away after stopped walking. BP 120/80, HR 72 and regular, normal heart sounds S1 and S2, no murmurs. Which of the following differential dx would be most likely? -coronary artery disease with angina pectoris 3. Cellulitis is a deep skin infection involving dermis and subq tissues. The NP suspects cellulitis in a 70 y/o Asian diabetic pt presenting with reddened edematous skin around his nares. Which statement below will the NP use in her decision making process for the differential dx pertaining to the reddened skin? -facial cellulitis is more common in ppl 55 4. The NP is discussing lifestyle changes with a patient dx with GERD. What are the nonpharmacological management interventions that should be included? - it will be helpful to keep the head of your bed elevated on blocks. 5. In examining the mouth of an older adult with smoking hx, the NP 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? -leukoplakia 6. When teaching a group of older adults regarding the prevention of GERD symptoms, the NP will include which of the following instructions? - Raise the HOB on blocks and take PPI medication at bedtime. 7. The most common neurological cause of seizures in older adults is -stroke 8. A 76 y/o pt with a 200 pack year smoking history presents with chronic cough, dyspnea, fatigue, hemoptysis, and weight loss over the past 2 months. The physical exam reveals decreased breath sounds, and dullness to percussion over the LLL field. The CXR demonstrates shift of the mediastinum and trachea to the left. These are classic signs of: - lung cancer 9. A 70 y/o white male comes to the clinic with slightly raised, scaly, pink and irregular lesion on his scalp. He is a farmer and works outside all day. You suspect actinic keratosis but cannot r/o other lesions. What recommendation would you give him? - perform a biopsy or refer to a dermatologist 10. Which of the following descriptions accurately documents cellulitis? -diffusely inflamed skin that is warm and tender to palpation 11. You have a pt c/o vertigo and want to know what the cause could be. 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? -Meniere’s disease 12. A 59 y/o pt with hx of ETOH abuse comes to your office b/c of throwing up blood. On physical exam you note ascites and caput medusa. A likely cause of the hematemesis is: -esophageal varices 13. Aortic regurgitation requires medical tx for early signs of CHF with: -ACE inhibitors 14. Your 77 y/o pt c/o of frequent urination, hesitation in getting stream started, and nocturnal frequency of urination that is bothersome. On DRE, there is an enlarged, firm, non-tender, smooth prostate. The clinician recognizes these as signs of: -BPH ? 14. Age related changes in the bladder, urethra, and ureters include all of the following in older women except: - increased estrogen production’s influence on the bladder and ureter 15. A 66 y/o patient presents to the clinic c/o dyspnea and wheezing. The patient reports a smoking history of 2 packs per day since age 16. This would be recorded in the chart as: -100 pack years. 16. When evaluating the expected outcome for a hypothyroid elderly patient placed on levothyroxine, the NP will: - assess the TSH in 4-6 weeks 17. Your pt has been using chewing tobacco for 10 yrs. On physical examination, you observe a white ulceration surrounded by the erythematous base on the side of his tongue. The clinician should recognize that very often this is: -squamous cell carcinoma 18. Which of the following conditions is the most common cause of the nausea, vomiting, and diarrhea -viral gastroenteritis 19. When a patient presents with a skin-related compliant, it is important to first: -obtain a full history about the development of the skin lesion prior to the physical exam 20. When interpreting lab data, you would expect to see the following in a patient with anemia of chronic disease (ACD) -Hemoglobin 12g/dl, MCV normal, MCH normal