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NSG6001 FINAL EXAM (3 DIFFERENT
VERSIONS ) FOR
ADVANCED NURSING PRACTICE II
QUESTIONS AND ANSWERS VERIFIED 100%
CORRECT
VERSION 2
1. In AR disorder, carriers have
- 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 low lung field. The chest xray demonstrates the shift of the
mediastinum and trachea to the left. These are classic signs of
- Lung cancer
3. The NP is discussing lifestyle changes with a patient diagnosed with gerd. What are
the non pharmacological management interventions that should be included
- It will be helpful to keep head of your bed elevated on blocks
4. In examining the mouth of an older adult with a history of smoking, the NP 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 that 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
- Menieres disease
6. Age related changes in the bladder, urethra, and ureters include all of the following in
older women except
- Increased estrogen productions influence on the bladder and ureter
7. Your patient has been using chewing tobacco for 10 year. 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
- Squamous cell carcinoma
8. When interpreting laboratory data you would expect to see the following in a patient
with anemia of chronic disease (ACD)
- Hemoglobin <12, MCV normal, MCH normal
9. What test is used to confirm diagnosis of appendicitis
- CT abd with attention to appendix
10. Functional abilities are best assessed by
- Observed assessment of function
11. Your patient is a 43 year old female, golfer who complains of arm pain. On physical
examination, there is a point of tenderness on the elbow and pain when the patient is
asked to flex the wrist against the clinicians resistance. These are typical signs of -
Epicondylitis
12. 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 - Cerumen impaction
13. Which lesions are typically located along the distribution of dermatome - Herpes
zoster
14. In differentiating a gastric ulcer from a duodenal ulcer, you know that each type of
ulcer can present with distinct signs and symptoms. Which of the following pieces of
, information from the patients history is the least useful for you to determine that the
patient has a duodenal ulcer
- Diffuse epigastric pain
15. A pneumatic otoscopic examination is used to assess
- Tympanic membrane mobility
16. Which of the following disorders can cause urinary incontinence
- All of the above (cystocele, overactive bladder, uterine prolapse)
17. What assessment would assist the nurse practitioner in making a diagnosis of GERD
- Midepigastric pain that is not reproducible with palpation
18. Which of the following medications are commonly associated with the side effects of a
cough
- ACE inhibitor
19. A 55 year old post menopausal woman with a history of htn complains of jaw pain on
heavy exertion. There were no complaints of chest pain. Her ecg indicates normal sinus
rhythm without ST segment abnormalities. Your plan may include - Exercise stress
test
20. Your 24 year old female patient complains of dysuria as well as frequency and urgency of
urination that develops the day after she uses her diaphragm. Urine culture reveals a
bacterial count of 100 CFU/ml. these signs and symptoms indicate
- Lower UTI
21. Epistaxis can be a symptom of - Over anticoagulation
- Hematologic malignancy
- Cocaine abuse
- All of the above
22. A careful history of a female client with a chief complaint of intermittent diarrhea, reveals
that she also experiences bouts of constipation. She has no known allergies and
experienced no unintentional weight loss. What is the most likely condition -
Irritable bowel syndrome
23. When assessing an elderly client who reports a tremor, which assessment fndings would
be most reliable in identifying parkinsons disease
- Resting tremor, slow unsteady gait and cogwheel resistance
24. Which of the following best describes the pain associated with osteoarthritis
- Begins upon arising and after prolonged weight bearing and or use of the joint
25. During physical examination of a patient you note resonance on percussion in the upper
lung fields. This is consistent with
- Normal finding
26. Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain, fatigue,
palpitations, lightheadedness, and shortness of breath. The pain comes and goes and is not
associated with activity or exertion. Food does not exacerbate or relieve the pain. The
pain
is usually located under the left nipple. Jeff is concerned because his father has cardiac
disease and underwent a CABG at age 65. The ANP examines JEFF and hears a
midsystolic click at the 4th ICD mid clavicular area. The ANP knows that this is a
hallmark of
- Mitral valve prolapse
, 27. During auscultation of the chest your exam reveals a loud grating sound at the lower
anterolateral lung fields, a full inspiration and early expiration. This finding is consistent
with
- Pneumonia or pleuritis (both answers)
28. Your patient c/o of a feeling of heaviness in the lower legs daily. You note varicosities,
edema, and dusky color of both ankles and feet. Which of the following is the most likely
cause for these symptoms
- Venous insufficiency
29. Which of the following details are not considered while staging asthma
- Long acting beta agonist usage
30. Mr A presents to your office c/o chest pain,midsternal and radiating to his back. He was
mowing his lawn. He reports the pain lasted for about 8 minutes and went away after
sitting down. What is most likely the diagnosis based on his presenting symptoms
- Angina
31. A 22 year old female patient c/o of excessive thirst, feeling shaky when she misses meals,
and increased frequency of urination. Family history is positive for cardiovascular
disease, cerebrovascular disease, and diabetes. The patient denies use of tobacco, alcohol,
or other drugs. She takes no medications. Daily diet is fast food and the patient does not
exercise regularly. On physical examination there are no significant findings except
obesity, demonstrated by BMI of 35 and BP of 145/90. The signs and symptoms are
characteristic of
- Type II DM
32. Your 66 year old male patient has recently started treatment for metabolic syndrome and
is currently taking the following medications: An ACE and BB for tx of htn, he is also
taking a statin medication, simvastatin for hyperlipidemia and biguanide, metformin for
type 2 dm. the patient c/o myalgias of the legs bilaterally and blood work shows elevated
serum creatinine kinase. Which of the following medications can cause such a side effect
- Statin
33. Helicobacter pylori is implicated as a causative agent in the development of duodenal or
gastric ulcers. What teaching should the NP plan for a patient who has a positive H pylori
- Treatment regimen is multiple medication taken daily for a few weeks
34. Which of the following is the most important questions to ask during cardiovascular
health history
- Sudden death of a family member
35. Dan G., a 65-year-old man, presents to your primary care office for the evaluation of
chest pain and left-sided shoulder pain. Pain begins after strenuous activity, including
walking. Pain is characterized as dull, aching; 8/10 during activity, otherwise 0/10. Began
a few months ago, intermittent, aggravated by exercise, and relieved by rest. Has
occasional
nausea. Pain is retrosternal, radiating to left shoulder, definitely affects quality of life by
limiting activity. Pain is worse today; did not go away after he stopped walking. BP
120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2, no murmurs. Which of the
following differential diagnoses would be most likely
- Coronary artery disease with angina pectoris
36. The most common neurological cause of seizures in an older adult is
- Stroke
NSG6001 FINAL EXAM (3 DIFFERENT
VERSIONS ) FOR
ADVANCED NURSING PRACTICE II
QUESTIONS AND ANSWERS VERIFIED 100%
CORRECT
VERSION 2
1. In AR disorder, carriers have
- 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 low lung field. The chest xray demonstrates the shift of the
mediastinum and trachea to the left. These are classic signs of
- Lung cancer
3. The NP is discussing lifestyle changes with a patient diagnosed with gerd. What are
the non pharmacological management interventions that should be included
- It will be helpful to keep head of your bed elevated on blocks
4. In examining the mouth of an older adult with a history of smoking, the NP 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 that 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
- Menieres disease
6. Age related changes in the bladder, urethra, and ureters include all of the following in
older women except
- Increased estrogen productions influence on the bladder and ureter
7. Your patient has been using chewing tobacco for 10 year. 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
- Squamous cell carcinoma
8. When interpreting laboratory data you would expect to see the following in a patient
with anemia of chronic disease (ACD)
- Hemoglobin <12, MCV normal, MCH normal
9. What test is used to confirm diagnosis of appendicitis
- CT abd with attention to appendix
10. Functional abilities are best assessed by
- Observed assessment of function
11. Your patient is a 43 year old female, golfer who complains of arm pain. On physical
examination, there is a point of tenderness on the elbow and pain when the patient is
asked to flex the wrist against the clinicians resistance. These are typical signs of -
Epicondylitis
12. 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 - Cerumen impaction
13. Which lesions are typically located along the distribution of dermatome - Herpes
zoster
14. In differentiating a gastric ulcer from a duodenal ulcer, you know that each type of
ulcer can present with distinct signs and symptoms. Which of the following pieces of
, information from the patients history is the least useful for you to determine that the
patient has a duodenal ulcer
- Diffuse epigastric pain
15. A pneumatic otoscopic examination is used to assess
- Tympanic membrane mobility
16. Which of the following disorders can cause urinary incontinence
- All of the above (cystocele, overactive bladder, uterine prolapse)
17. What assessment would assist the nurse practitioner in making a diagnosis of GERD
- Midepigastric pain that is not reproducible with palpation
18. Which of the following medications are commonly associated with the side effects of a
cough
- ACE inhibitor
19. A 55 year old post menopausal woman with a history of htn complains of jaw pain on
heavy exertion. There were no complaints of chest pain. Her ecg indicates normal sinus
rhythm without ST segment abnormalities. Your plan may include - Exercise stress
test
20. Your 24 year old female patient complains of dysuria as well as frequency and urgency of
urination that develops the day after she uses her diaphragm. Urine culture reveals a
bacterial count of 100 CFU/ml. these signs and symptoms indicate
- Lower UTI
21. Epistaxis can be a symptom of - Over anticoagulation
- Hematologic malignancy
- Cocaine abuse
- All of the above
22. A careful history of a female client with a chief complaint of intermittent diarrhea, reveals
that she also experiences bouts of constipation. She has no known allergies and
experienced no unintentional weight loss. What is the most likely condition -
Irritable bowel syndrome
23. When assessing an elderly client who reports a tremor, which assessment fndings would
be most reliable in identifying parkinsons disease
- Resting tremor, slow unsteady gait and cogwheel resistance
24. Which of the following best describes the pain associated with osteoarthritis
- Begins upon arising and after prolonged weight bearing and or use of the joint
25. During physical examination of a patient you note resonance on percussion in the upper
lung fields. This is consistent with
- Normal finding
26. Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain, fatigue,
palpitations, lightheadedness, and shortness of breath. The pain comes and goes and is not
associated with activity or exertion. Food does not exacerbate or relieve the pain. The
pain
is usually located under the left nipple. Jeff is concerned because his father has cardiac
disease and underwent a CABG at age 65. The ANP examines JEFF and hears a
midsystolic click at the 4th ICD mid clavicular area. The ANP knows that this is a
hallmark of
- Mitral valve prolapse
, 27. During auscultation of the chest your exam reveals a loud grating sound at the lower
anterolateral lung fields, a full inspiration and early expiration. This finding is consistent
with
- Pneumonia or pleuritis (both answers)
28. Your patient c/o of a feeling of heaviness in the lower legs daily. You note varicosities,
edema, and dusky color of both ankles and feet. Which of the following is the most likely
cause for these symptoms
- Venous insufficiency
29. Which of the following details are not considered while staging asthma
- Long acting beta agonist usage
30. Mr A presents to your office c/o chest pain,midsternal and radiating to his back. He was
mowing his lawn. He reports the pain lasted for about 8 minutes and went away after
sitting down. What is most likely the diagnosis based on his presenting symptoms
- Angina
31. A 22 year old female patient c/o of excessive thirst, feeling shaky when she misses meals,
and increased frequency of urination. Family history is positive for cardiovascular
disease, cerebrovascular disease, and diabetes. The patient denies use of tobacco, alcohol,
or other drugs. She takes no medications. Daily diet is fast food and the patient does not
exercise regularly. On physical examination there are no significant findings except
obesity, demonstrated by BMI of 35 and BP of 145/90. The signs and symptoms are
characteristic of
- Type II DM
32. Your 66 year old male patient has recently started treatment for metabolic syndrome and
is currently taking the following medications: An ACE and BB for tx of htn, he is also
taking a statin medication, simvastatin for hyperlipidemia and biguanide, metformin for
type 2 dm. the patient c/o myalgias of the legs bilaterally and blood work shows elevated
serum creatinine kinase. Which of the following medications can cause such a side effect
- Statin
33. Helicobacter pylori is implicated as a causative agent in the development of duodenal or
gastric ulcers. What teaching should the NP plan for a patient who has a positive H pylori
- Treatment regimen is multiple medication taken daily for a few weeks
34. Which of the following is the most important questions to ask during cardiovascular
health history
- Sudden death of a family member
35. Dan G., a 65-year-old man, presents to your primary care office for the evaluation of
chest pain and left-sided shoulder pain. Pain begins after strenuous activity, including
walking. Pain is characterized as dull, aching; 8/10 during activity, otherwise 0/10. Began
a few months ago, intermittent, aggravated by exercise, and relieved by rest. Has
occasional
nausea. Pain is retrosternal, radiating to left shoulder, definitely affects quality of life by
limiting activity. Pain is worse today; did not go away after he stopped walking. BP
120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2, no murmurs. Which of the
following differential diagnoses would be most likely
- Coronary artery disease with angina pectoris
36. The most common neurological cause of seizures in an older adult is
- Stroke
