NSG 6440 PREDICTOR EXAM NEWEST 2024 ACTUAL EXAM TEST BANK 300 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||NEWEST VERSION!

You are doing a cerumen extraction and touch the external meatus of your patient's ear. He winces and starts coughing. What is the name of this reflex? a. Baker phenomenon b. Arnold reflex c. Cough reflex d. Tragus reflex - ....ANSWER...b. Arnold reflex Julie has a postnasal drip along with her cough. You assess her for: a. Asthma. . b. Sinusitis. c. Allergic or vasomotor rhinitis. d. Influenza. - ....ANSWER...c. Allergic or vasomotor rhinitis. Your patient with hypertension comes in and insists that one of his new medications is causing him to cough. When looking at his list of medications, you think the cough must be from: a. Metoprolol (Toprol XL). b. Tadalafil (Cialis). c. Clopidogrel (Plavix). d. Captopril (Capoten). - ....ANSWER...d. Captopril (Capoten). African American patients seem to have a negative reaction to which of the following asthma medications? a. Inhaled corticosteroids b. Long-term beta-agonist bronchodilators c. Leukotriene receptor agonist d. Oral corticosteroid - ....ANSWER...b. Long-term betaagonist bronchodilators Sam, age 78, presents to the clinic with respiratory symptoms. His pulmonary function tests (PFTs) are as follows: a normal total lung capacity, a decreased PaO2, and an increased PaCO2. On assessment, you auscultate coarse crackles and forced expiratory wheezes. What is your diagnosis? a. Asthma b. Emphysema c. Chronic bronchitis d. Influenza - ....ANSWER...c. Chronic bronchitis You are using the CURB-65 clinical prediction tool to decide whether Mabel whom you have diagnosed with community-acquired pneumonia (CAP) should be hospitalized or could be treated at home. Her score is 3. What should you do? a. Consider home treatment. b. Plan for a short inpatient hospitalization. c. Closely supervise her outpatient treatment. d. Hospitalize and consider admitting her to the intensive care unit (ICU). - ....ANSWER...d. Hospitalize and consider admitting her to the intensive care unit (ICU). Why do you suspect that your patient may have a decreased response to the tuberculin skin test (TST)? a. She is on a high-protein diet. b. She is an adolescent. c. She has been on long-term corticosteroid therapy. d. She just got over a cold. - ....ANSWER...c. She has been on long-term corticosteroid therapy. Marci has been started on a tuberculosis (TB) regimen. Because isoniazid (INH) may cause peripheral neuropathy, you consider ordering which of the following drugs prophylactically? a. Pyridoxine b. Thiamine c. Probiotic d. Phytonadione - ....ANSWER...a. Pyridoxine Jolene has breast cancer that has been staged as T1, N0, M0. What might this mean? a. The tumor size cannot be evaluated, the cancer has not spread to the lymph nodes, and the distant spread cannot be evaluated. b. The cancer is in situ, it is spreading into the lymph nodes, but the spread otherwise cannot be evaluated. c. The cancer is less than 2 cm in size and has not spread to the lymph nodes or other parts of the body. d. The cancer is about 5 cm in size, nearby lymph nodes cannot be ev - ....ANSWER...c. The cancer is less than 2 cm in size and has not spread to the lymph nodes or other parts of the body Nathan, a 32-year-old policeman, has a 15-pack year history of smoking and continues to smoke heavily. He gets irate during every visit when you try to talk to him about quitting. What should you do? a. Just hand him literature about smoking cessation at every visit. b. Wait until he is ready to talk to you about quitting. c. Just document in the record that he is not ready yet. d. Continue to ask him at every visit if he is ready yet. - ....ANSWER...d. Continue to ask him at every visit if he is ready yet. Your patient has decided to give Chantix a try to quit smoking. You are discussing his quit date, and he will begin taking the medicine tomorrow. When should he plan to quit smoking? a. He should stop smoking today. b. He should stop smoking tomorrow. c. His quit date should be in 1 week. d. He will be ready to quit after the first 30 days. - ....ANSWER...c. His quit date should be in 1 week. Which information should be included when you are teaching your patient about the use of nicotine gum? a. The gum must be correctly chewed to a softened state and then placed in the buccal mucosa. b. Patients should not eat for 30 minutes prior to or during the use of the gum. c. Initially, one piece is chewed every 30 minutes while awake. d. Acidic foods and beverages should be encouraged during the nicotine therapy. - ....ANSWER...a. The gum must be correctly chewed to a softened state and then placed in the buccal mucosa. Your patient states he has a strep throat infection. Which of the following symptoms makes you consider a viral etiology instead? a. Fever b. Headache c. Exudative pharyngitis d. Rhinorrhea - ....ANSWER...d. Rhinorrhea What is the first-line recommended treatment against Group A B -hemolytic streptococci (GABHS), the most common cause of bacterial pharyngitis? a. Penicillin b. Quinolone c. Cephalosporin d. Macrolide - ....ANSWER...a. Penicillin Cydney presents with a history of asthma. She has not been treated for a while. She complains of daily symptoms but not continual, greater than 1 week and at nighttime. She has been using her rescue inhaler. Her FEV1 is 60% to 80% predicted. How would you classify her asthma severity? a. Mild intermittent b. Mild persistent c. Moderate persistent d. Severe persistent - ....ANSWER...c. Moderate persistent Joyce is taking a long-acting beta agonist for her asthma. What additional medication should she be taking? a. Inhaled corticosteroid b. Leukotriene receptor antagonist c. Systemic corticosteroid d. Methyl xanthenes - ....ANSWER...a. Inhaled corticosteroid