NSG6440 Final Exam 3 COMPLETE UPDATE .pdf

NSG6440 APEA PREDICTOR STUDY TE
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CranialoNerveoVIIIo-oCORRECToANSWER-Acoustico(Hearingoandobalance)

CranialonerveoIXo-oCORRECToANSWER-Glossopharyngeal-
oswallowingoandoriseoofotheopalate,ogagoreflex




CranialoNerveoXIo-oCORRECToANSWER-SpinaloAccessoryo(upperotrapezius)

Deepotendonoreflexo-oCORRECToANSWER-Ankle-
oS1oprimarilyoKnee-oLumbaro2,3,4

Supinator(brachioradialis)-
C5,6oBicepTriceps-C6,7

Strokeoriskoscaleo-oCORRECToANSWER-
CHADS2oC-Congestiveoheartofailure
H-
HypertensionoA-
Ageo>75oyearsoD
-oDiabetes
S-prioroStroke/TIA

Inotheomajorityoofochildren,otheofirstopermanentoteethostartotooeruptoatotheoageoofo6oyears.oWhi
choofotheofollowingoareotheofirstopermanentoteethotooeruptoinothisotimeoperiod?
A. FirstoMolars
B. SecondoMolars
C. Lowerooroupperoincisors
D. Canineso-oCORRECToANSWER-A.oFirstoMolars

Alloofotheofollowingoareoclassifiedoasoactivitiesoofodailyolivingo(ADLs)oexcept:
A. abilityotoofeedoself
B. Abilityotoomanageobladderoandoboweloelimination
C. Personalohygieneoandogrooming
D. GroceryoShoppingo-oCORRECToANSWER-D.oGroceryoshopping

,Youonoteotheofollowingoresultoonoaoroutineourinalysisoofoao37-
yearooldoprimigravidaowhooisoato30oweeksogestation.oLeukocyte=trace,onitrite=negative,opr
otein=2+,oblood=negative.oHeroweightohasoincreasedobyo5olbsoduringotheopastoweek.oWhic
hoofotheofollowingoisomostolikely?
A. HELLPosyndrome
B. Pregnancy-inducedohypertensiono(pre-eclampsia)
C. Eclampsiaoofopregnancy
D. Primaryohypertensiono-oCORRECToANSWER-B.oPregnancy-
inducedohypertensiono(pre-
eclampsia).oClassicotriadoofosymptomsoofopreeclampsiaoincludeohypertension,oedemao(
weightogain),oandoproteinuria.

Theomotheroofoao12omonthooldoinfantoreportsotootheonurseopractitionerothatoherochildohadoaohi
ghofeveroforoseveralodays,owhichospontaneouslyoresolved.oAfterotheofeveroresolved,otheochi
ldodevelopedoaomaculopapularorash.oWhichoofotheofollowingoisotheomostolikelyodiagnosis?
A. FifthoDiseaseo(erythemaoinfectiosum)
B. Roseolaoinfantumo(exanthemaosubitum)
C. Varicella
D. Infantileomaculopapularorasheso-oCORRECToANSWER-
B.oRoseolaoInfantumo(Exanthemaosubitum)

Ao70-yearooldomaleopatientocomplainsoofoaobrightored-
coloredospotoinohisoleftoeyeoforo2odays.oHeodeniesoeyeopain,ovisualochanges,ooroheadaches.
oHeohasoaonewoonsetoofocoughofromoaorecentoviraloupperorespiratoryoinfection.oTheoonlyome

dicineoheoisoonoBayeroaspirin,o1otabletoaoday.oWhichoofotheofollowingoisomostolikely?
A. Cornealoabrasion
B. Acuteobacterialoconjunctivitis
C. Acuteouveitis
D. Subconjunctivalohemorrhageo-oCORRECToANSWER-
D.oSubconjunctivalohemorrhage.oBrightoredobloodoinoaosharplyodefinedoareaosurr
oundedobyonormal-
oappearingoconjunctivaoindicatesosubconjunctivalohemorrhage.




Aowomanoisobeingoevaluatedobyotheonurseopractitioneroforocomplaintsoofodyspareunia.oAomi
croscopyoslideorevealsoaolargeonumberoofoatrophicosquamousoepithelialocells.oTheovaginalo
pHoiso4.0.oThereoareoveryofewoleukocytesoandonooRBCsoareoseenoonotheowetosmear.oWhich
oofotheofollowingoisomostolikely?

A. Atrophicovaginitis
B. BacterialoVaginosis
C. Trichomoniasis
D. Thisoisoaonormalofinding.o-oCORRECToANSWER-
A.oAtrophicovaginitis.oSymptomsoofoatrophicovaginitisoincludeopainfulointercourse,oatrophi
cosquamousoepithelialocells,oandoaodecreaseoinopH.oVaginaloatrophyoisocausedobyolackoofo
oroimbalanceoofoestrogen.oNormalopHoofotheovaginaoiso4.0-5.0o(acidic)

Theomostocommonotypeoofoskinomalignancyois:

,A. Squamousocellocancer
B. Basaloskinocancer
C. Melanoma
D. Dysplasticonevio-oCORRECToANSWER-
B.oBasaloskinocancer.oItoisoseveralotimesomoreocommonothatosquamousocelloskinocanceroac
cordingotootheoNIH.

Koplik'sospotsoareoassociatedowith:
A. Poxviriusoinfections
B. Measles
C. Kawasaki'sodisease
D. Reye'sosyndromeo-oCORRECToANSWER-
B.oMeasles.oS/Soincludeofeveroovero101,ocoryza,ocough,oconjunctivitis,orash,oandokoplik'
sospotsoonobuccalomucosa

Atowhatoleveloofopreventionowouldoyouoclassifyoforolungocancer?
A. Primaryoprevention
B. Secondaryoprevention
C. Tertiaryoprevention
D. Primordialopreventiono-oCORRECToANSWER-
D.oprimordialoprevention.oScreeningoforolungocanceroisonotocurrentlyorecommendedoinotheo
generalopopulation,obutoitoisosecondaryoprevention.

Aotestocalledotheovisualofieldsobyoconfrontationoisousedotooevaluateofor:
A. Peripheralovision
B. Centralovision
C. Visualoacuity
D. Accomodationo-oCORRECToANSWER-A.oPeripheralovision

WhatoisotheomostocommonocauseoofoCushing'sosyndrome?o-oCORRECToANSWER-
oAdministrationoofoaoglucocorticoidooroACTH.

IatrogenicoCushing'sosyndromeoisotheomostocommonotype.oExogenousoglucocorticoidoad
ministrationoproducesoaoCushing'soSyndromeothatoisoreversibleobyodiscontinuationoofotheo
medication.

Aopatientowithonoosignificantomedicalohistoryohasovericoseoveins.oSheocomplainsoofo'"aching
olegs".oTheointerventionothatowilloprovideotheogreatestoreliefoforoherocomplaintoisoto:

-oCORRECToANSWER-Elevateoherolegsoperiodically.
Theointerventionothatowilloprovideotheogreatestoreliefoforothisopatientoisoelevatingoherolegsope
riodically.oThisowillofacilitateovenousoreturn.oUseoofosupportostockingsowilloprolongotheolengt
hoofotimeosheoisoableotoostandoinoplace,obutowillonotoprovideoreliefoafteroherolegsobeginoaching
.oSupportostockingsoshouldobeoappliedopriorotoogettingooutoofobed.

Ao25-yoofemaleopatientopresentsoforoaoroutineowell-
womenoexam.oOnophysicaloexam,otheoNPonotesoaoscantonippleodischarge,oabsenceoofopal
pableomass,oandoabsenceoofolymphonodeoenlargement.oWhatoisotheomostolikelyodiagnosis?
o-oCORRECToANSWER-Itraductalopapilloma.

, Intraductalopapillomaooftenopresentsoasoaonon-
tenderomassowithoserousoorobloodyonippleodischargeolocatedoinotheoductalosystemonearoth
eoareola.oBreastocancer,oalthoughousuallyonon-
tender,omayopresentowithopain.oChestowallosyndromeomayopresentoinosomeowomenoasobre
astopain.oFibrocysticobreastodiseaseooftenopresentsowithobilateralobreastopain.

AccordingotootheoANA,otheoroleoofotheoNPowhooprovidesoprimaryohealthocareoisothe:o-
oCORRECToANSWER-Directonursingocareorole.

TheoNPowithoaotraditionalonursingocareoroleoisoaoprimaryohealthocareoprovider.oIncreasingonu
mbersoofonurseopractitionersoareoassumingoindirectorolesosuchoasoeducator,oadministrator,or
esearcher,oandoconsultant.

Ano8-
moomaleopresentsowithohemarthrosisoofobothokneesoandohematuria.oTheoparentsogiveonoohi
storyoofotrauma,obutosayo"oheohasoalwaysobruisedoeasily"oTheomostolikelyodiagnosisois:o-
oCORRECToANSWER-Aotypeoofohemophilia.

Hemophiliaoisousuallyodiagnosedowithinotheofirstoyearoofolife.oItocommonlyopresentsowithohem
arthrosis,obleedingointoosoftotissue,ohematuria,oandoprolongedobleedingotimes.

Theonurseopractitioneroisofollowingoaochildowithojuvemileorheumatoidoarthritiso(JRA)owhooha
sobeenopreviouslyodiagnosedoandoisobeingomanagedoforotheodiseaseobyoaopediatricorheum
atologist.oTheomotheroasksoforoinformationoaboutotheochild'solong-
termoprognosis.oTheoappropriateoreplyoisothat:o-oCORRECToANSWER-
mostochildrenowithoJRAoachieveocompleteoremissionobyoadulthood,obutoitsoeffectsomightoca
useolifelongolimitations.
Althoughotheoactiveodiseaseodoesonotocontinueointooadulthood,otheocontractures,ogrowthore
tardation,oboneodeformities,oandovisualoimpairmentoassociatedowithoJRAomayoleadotoolifelo
ngofunctionaloimpairments.oAocomprehensiveotreatmentoprogramoinvolvingophysicalothera
py,ooccupationalotherapy,onutrition,oeducation,oandoregularoopthalmologicocareocanolimitore
sidualofunctionalolimitations.

Approximatelyo70%oofotheoorganismsofoundoinocanineooraloandonasalofluids,oandoconsequ
entlyoinofreshodogobiteowounds,oare:o-oCORRECToANSWER-
StaphylococcusoandoPasteurellaomultocida.
oAlloofotheseoorganismsoareofoundoinocanineooraloandonasalofluids,oandoculturedofromofreshodo

gobiteowounds,obutotheomostocommono(70%)oareoStaphoandoPasteurellaomultocida.

Educationoofowomenowithofibrocysticobreastodiseaseoshouldoincludeowhichoofotheofollowingo
statements?o-oCORRECToANSWER-
Caffeineomayotriggerobreastopain.oAvoidanceoofoallomethylxanthineso(egocoffee,otea,ochoco
late)ohasobeenoshownotooreduceobreastopainoinowomenowithofibrocysticobreastodisease.oItoiso
usuallyoaobenignocondition,onotoaoprecursoroofomalignancy.oMammographyoisorecommend
edoonceoatoageo35oyears,oatoleastoeveryo1-
2oyearsoafteroageo40,oandothenoannuallyobeginningoatoageo50oyears.oOralocontraceptivesom
ayohelporeduceocyclicalopainoandoswelling.

Congenitaloheartodisordersopresentowithosymptomsoat:o-oCORRECToANSWER-
birth,oinfancy,ooroinochildhood.
Aocommonomisconceptionoisothatocongenitalodisordersoalwaysopresentosymptomaticallyoat
obirth.oTheyocanopresentoatovariousotimesothroughoutochildhoodoandoareoclassifiedoas