WALDEN UNIVERSITY NURS 6531N MIDTERM EXAM 2 2024 WINTER QUARTER. ACTUAL EXAM WITH CORRECT QUESTION AND ANSWERS VERIFIED A+ GRADE EXAM

WALDEN UNIVERSITY NURS 6531N MIDTERM EXAM 2 2024 WINTER QUARTER. ACTUAL EXAM WITH CORRECT QUESTION AND ANSWERS VERIFIED A+ GRADE EXAM 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 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 8 The most common cancer found on the auricle is: Basal cell carcinoma 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 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 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 17 A 20-year-old is diagnosed with mild persistent asthma. What drug combination would be most effective in keeping him symptom-free? A bronchodilator PRN and an inhaled corticosteroid Question 18 Diagnosis of Crohn’s disease is made considering signs, symptoms and: **Intestinal obstruction demonstrated by plain x-ray of the abdomen Question 19 Which of the following is a predisposing condition for furunculosis? **Diabetes mellitus 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 22 Of the following signs and symptoms of congestive heart failure (CHF), the earliest clinical manifestation is: **weight gain. 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