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NSG 6420 FINAL EXAM WEEK UPDATE. QUESTIONS WITH CORRECT AND VERIFIED ANSWERS. GRADED A+.

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NSG 6420 FINAL EXAM WEEK UPDATE. QUESTIONS WITH CORRECT AND VERIFIED ANSWERS. GRADED A+. 1. In AR disorders, carriers have: a. Two mutated genes; two from one parent that cause disease b. A mutation on a sex chromosome that causes a disease c. A single gene mutation that causes the disease d. 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 lower lung field. The chest X-ray demonstrates shift of the mediastinum and trachea to the left. These are classic signs of: a. Lung cancer b. Tuberculosis c. Pneumonia d. COPD 3. The nurse practitioner is discussing lifestyle changes with a patient diagnosed with gastroesophageal reflux. What are the nonpharmacological management interventions that should be included? It will be helpful to keep the head of your bed elevated on blocks 4. 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? leukoplakia 5. You have a patient complaining of vertigo and want 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? a. Ménière’s disease Benign paroxysmal positional vertigo Transient ischemic attack (TIA) Migraine Definition 6. Age-related changes in the bladder, urethra, and ureters include all of the following in older women except: a. Increased estrogen production’s influence on the bladder and ureter b. Decline in bladder outlet function c. Decline in ureteral resistance pressure d. Laxity of the pelvic muscle 7. 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 a. Malignant melanoma b. Squamous cell carcinoma c. Aphthous ulceration d. Behcet’s syndrome Definition 8. When interpreting laboratory data, you would expect to see the following in a patient with Anemia of Chronic Disease (ACD) a. Hemoglobin 12 g/dl, MCV decreased, MCH decreased b. Hemoglobin 12 g/dl, MCV increased, MCH increased c. Hemoglobin 12 g/dl, MCV normal, MCH normal d. Hemoglobin 12 g/dl, MCV decreased, MCH increased 9. What test is used to confirm the diagnosis of appendicitis? a. CBC b. Flat plate of abdomen c. Rectal exam d. CT of abdomen with attention to appendix 10. Functional abilities are best assessed by: observed assessment of function

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NSG 6420

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