NSG 6420 EXAM AND PRACTICE EXAM NEWEST ACTUAL
EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
An elderly patient is maintained on phenytoin therapy for a
history of a seizure disorder. In addition to periodic serum
drug concentrations, which of the following are needed for
annual evaluation? - CORRECT ANSWER Complete blood
count, liver function tests, and platelet count
An elderly patient has had a CVA in the anterior cerebral
circulatory system (frontal lobe). What symptoms are most
likely expressed? - CORRECT ANSWER Disorders of behavior
and cognition
When assessing a patient who complains of a tremor, the
nurse practitioner must differentiate essential tremor from
the tremor of Parkinson's disease. Which of the following
findings are consistent with essential tremor? - CORRECT
ANSWER The tremor occurs with purposeful movements
An older adult client with a history of a seizure disorder
comes into the clinic for a routine check-up. Although
seizure free, the client continues on long-term phenytoin
treatment. The nurse practitioner would assess for which of
the following long-term effects? - CORRECT ANSWER
Gingival hyperplasia and nystagmus
The most common neurological cause of seizures in an older
adult is: - CORRECT ANSWER Stroke
,Mr. Andrews experienced a brief onset of right-sided
weakness, slurred speech, and confusion yesterday. The
symptoms have resolved. What should the nurse practitioner
do? - CORRECT ANSWER Do a thorough medication review
and a CT scan
An older male patient is experiencing acute onset of right-
sided weakness, slurred speech, and confusion. What should
the nurse practitioner do promptly? - CORRECT ANSWER
Evaluate for stroke and arrange transport to the hospital
right away
When assessing an elderly client who reports a tremor,
which assessment findings would be most reliable in
identifying Parkinson's disease? - CORRECT ANSWER
Resting tremor, slow unsteady gait, and cogwheel
resistance
A middle-aged patient has been diagnosed with Parkinson's
disease. What influences the nurse practitioner's decision to
begin pharmacological treatment for this patient? - CORRECT
ANSWER Symptoms interfering with functional ability
A female patient presents to the clinic with complaints of a
severe, throbbing, unilateral headache. She complains of
seeing flashes of light prior to the headache. She complains
of sound and light sensitivity as well as nausea. The
clinician should recognize these as symptoms of: - CORRECT
ANSWER Migraine headache
In AR disorders, carriers have - CORRECT ANSWER one copy
of a gene mutation but not the disease
,A 76 year old patient with a 200 pack a 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 lower lung field. the
chest x-ray demonstrates shift of the mediastinum and
trachea to the left. These are classic signs of - CORRECT
ANSWER lung cancer
The nurse practitioner is discussing lifestyle changes with a
patient diagnosed with gastroesophageal reflux. what are
the nonpharmacological management interventions that
should be included - CORRECT ANSWER It would be helpful
to keep the head of your bed elevated on blocks
In examining the mouth of an older adult with a history of
smoking, the nurse practitioner 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 - CORRECT ANSWER leukoplakia
You have a patient complaining of vertigo and wants to
know what could be the cause. 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 - CORRECT ANSWER
Meniere's disease
age related changes in the bladder, urethra, and ureters
include all of the following in older women except - CORRECT
, ANSWER increased estrogen production's influence on the
bladder and ureter
your patient has been using chewing tobacco for 10 years.
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 -
CORRECT ANSWER squamous cell carcinoma
when interpreting laboratory data, you would expect to see
the following in a patient with Anemia of chronic disease
(ACD) - CORRECT ANSWER hemoglobin <12 g/dl, MCV normal,
MCH normal
what test is used to confirm the diagnosis of appendicitis -
CORRECT ANSWER CT of abdomen with attention to
appendix
Functional abilities are best assessed by - CORRECT ANSWER
Observed assessment of function
Your patient is a 43 year old female golfer who complains of
arm pain. On physical examination, there is point tenderness
on the elbow and pain when the patient is asked to flex the
wrist against the clinician's resistance. These are typical
signs of - CORRECT ANSWER epicondylitis
an 86 year old patient who wears a hearing aid complains of
poor hearing in the affected ear. In addition to possible
hearing aid malfunction, this condition is often due to -
CORRECT ANSWER cerumen impaction
EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
An elderly patient is maintained on phenytoin therapy for a
history of a seizure disorder. In addition to periodic serum
drug concentrations, which of the following are needed for
annual evaluation? - CORRECT ANSWER Complete blood
count, liver function tests, and platelet count
An elderly patient has had a CVA in the anterior cerebral
circulatory system (frontal lobe). What symptoms are most
likely expressed? - CORRECT ANSWER Disorders of behavior
and cognition
When assessing a patient who complains of a tremor, the
nurse practitioner must differentiate essential tremor from
the tremor of Parkinson's disease. Which of the following
findings are consistent with essential tremor? - CORRECT
ANSWER The tremor occurs with purposeful movements
An older adult client with a history of a seizure disorder
comes into the clinic for a routine check-up. Although
seizure free, the client continues on long-term phenytoin
treatment. The nurse practitioner would assess for which of
the following long-term effects? - CORRECT ANSWER
Gingival hyperplasia and nystagmus
The most common neurological cause of seizures in an older
adult is: - CORRECT ANSWER Stroke
,Mr. Andrews experienced a brief onset of right-sided
weakness, slurred speech, and confusion yesterday. The
symptoms have resolved. What should the nurse practitioner
do? - CORRECT ANSWER Do a thorough medication review
and a CT scan
An older male patient is experiencing acute onset of right-
sided weakness, slurred speech, and confusion. What should
the nurse practitioner do promptly? - CORRECT ANSWER
Evaluate for stroke and arrange transport to the hospital
right away
When assessing an elderly client who reports a tremor,
which assessment findings would be most reliable in
identifying Parkinson's disease? - CORRECT ANSWER
Resting tremor, slow unsteady gait, and cogwheel
resistance
A middle-aged patient has been diagnosed with Parkinson's
disease. What influences the nurse practitioner's decision to
begin pharmacological treatment for this patient? - CORRECT
ANSWER Symptoms interfering with functional ability
A female patient presents to the clinic with complaints of a
severe, throbbing, unilateral headache. She complains of
seeing flashes of light prior to the headache. She complains
of sound and light sensitivity as well as nausea. The
clinician should recognize these as symptoms of: - CORRECT
ANSWER Migraine headache
In AR disorders, carriers have - CORRECT ANSWER one copy
of a gene mutation but not the disease
,A 76 year old patient with a 200 pack a 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 lower lung field. the
chest x-ray demonstrates shift of the mediastinum and
trachea to the left. These are classic signs of - CORRECT
ANSWER lung cancer
The nurse practitioner is discussing lifestyle changes with a
patient diagnosed with gastroesophageal reflux. what are
the nonpharmacological management interventions that
should be included - CORRECT ANSWER It would be helpful
to keep the head of your bed elevated on blocks
In examining the mouth of an older adult with a history of
smoking, the nurse practitioner 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 - CORRECT ANSWER leukoplakia
You have a patient complaining of vertigo and wants to
know what could be the cause. 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 - CORRECT ANSWER
Meniere's disease
age related changes in the bladder, urethra, and ureters
include all of the following in older women except - CORRECT
, ANSWER increased estrogen production's influence on the
bladder and ureter
your patient has been using chewing tobacco for 10 years.
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 -
CORRECT ANSWER squamous cell carcinoma
when interpreting laboratory data, you would expect to see
the following in a patient with Anemia of chronic disease
(ACD) - CORRECT ANSWER hemoglobin <12 g/dl, MCV normal,
MCH normal
what test is used to confirm the diagnosis of appendicitis -
CORRECT ANSWER CT of abdomen with attention to
appendix
Functional abilities are best assessed by - CORRECT ANSWER
Observed assessment of function
Your patient is a 43 year old female golfer who complains of
arm pain. On physical examination, there is point tenderness
on the elbow and pain when the patient is asked to flex the
wrist against the clinician's resistance. These are typical
signs of - CORRECT ANSWER epicondylitis
an 86 year old patient who wears a hearing aid complains of
poor hearing in the affected ear. In addition to possible
hearing aid malfunction, this condition is often due to -
CORRECT ANSWER cerumen impaction
