NSG6420 MIDTERM | 100 QUESTIONS | WITH
COMPLETE SOLUTIONS.
In examination of the nose, the clinician observes gray, pale mucous
membranes with clear, serous discharge. This is most likely indicative of:
Answer - b) Allergic rhinitis
Your patient complains 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? Answer - c) Venous
insufficiency
Which of the following is the most important question to ask during
cardiovascular health history? Answer - c) The sudden death of a family
member
Rheumatic heart disease is a complication that can arise from which type of
infection? Answer - c) Group A beta hemolytic streptococcus
[p. 515 Primary Care: Art and Science]
A cough is described as chronic if it has been present for: Answer - b) 8 weeks
or more
[p. 357 Primary Care]
,A key symptom of ischemic heart disease is chest pain. However, angina
equivalents may include exertional dyspnea. Angina equivalents are important
because Answer - a) Women with ischemic heart disease many times do not
present with chest pain b) Some patients may have no symptoms or atypical
symptoms; diagnosis may only be made at the time of an actual myocardial
infarction
d) A & B only [p. 453]
A woman with an X-linked dominant disorder will: Answer - b) Transmit the
disorder to 50% of her offspring (male or female)
A 55-year-old post-menopausal woman with a history of hypertension
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: Answer - b) Exercise stress test
The aging process causes what normal physiological changes in the heart?
Answer - a) The heart valve thickens and becomes rigid, secondary to fibrosis
and sclerosis
It is important to not dilate the eye if ____ is suspected Answer - c) Acute
closed-angle glaucoma
Your patient is a 78-year-old female with a smoking history of 120-pack years.
She complains of hoarseness that has developed over the last few months. It is
important to exclude the possibility of: Answer - b) Laryngeal cancer
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? Answer - d) Leukoplakia
, A 20-year-old engineering student complains of episodes of abdominal
discomfort, bloating, and episodes of diarrhea. The symptoms usually occur
after eating, and pain is frequently relieved with bowel movement. She is on a
"celiac diet" and the episodic symptoms persist. Physical examination and
diagnostic tests are negative. Colonoscopy is negative for any abnormalities.
This is a history and physical consistent with: Answer - b) Irritable bowel
syndrome
The most common cause of eye redness is Answer - a) Conjunctivitis
In AR disorders, carriers have Answer - D. One copy of a gene mutation but not
the disease
According to the Genetic Information Nondiscrimination Act (GINA): Answer -
a) Nurse Practitioners (NPs) should keep all genetic information of patients
confidential
b) NPs must obtain informed consent prior to genetic testing of all patients
c) Employers cannot inquire about an employee's genetic information
d) All of the above ***
Aortic regurgitation requires medical treatment for early signs of CHF with:
Answer - b) ACE inhibitors
Which of the following is the most common cause of heartburn-type epigastric
pain? Answer - d) Peptic ulcer disease
The best way to diagnose structural heart disease/dysfunction non-invasively
is: Answer - c) Echocardiogram
COMPLETE SOLUTIONS.
In examination of the nose, the clinician observes gray, pale mucous
membranes with clear, serous discharge. This is most likely indicative of:
Answer - b) Allergic rhinitis
Your patient complains 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? Answer - c) Venous
insufficiency
Which of the following is the most important question to ask during
cardiovascular health history? Answer - c) The sudden death of a family
member
Rheumatic heart disease is a complication that can arise from which type of
infection? Answer - c) Group A beta hemolytic streptococcus
[p. 515 Primary Care: Art and Science]
A cough is described as chronic if it has been present for: Answer - b) 8 weeks
or more
[p. 357 Primary Care]
,A key symptom of ischemic heart disease is chest pain. However, angina
equivalents may include exertional dyspnea. Angina equivalents are important
because Answer - a) Women with ischemic heart disease many times do not
present with chest pain b) Some patients may have no symptoms or atypical
symptoms; diagnosis may only be made at the time of an actual myocardial
infarction
d) A & B only [p. 453]
A woman with an X-linked dominant disorder will: Answer - b) Transmit the
disorder to 50% of her offspring (male or female)
A 55-year-old post-menopausal woman with a history of hypertension
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: Answer - b) Exercise stress test
The aging process causes what normal physiological changes in the heart?
Answer - a) The heart valve thickens and becomes rigid, secondary to fibrosis
and sclerosis
It is important to not dilate the eye if ____ is suspected Answer - c) Acute
closed-angle glaucoma
Your patient is a 78-year-old female with a smoking history of 120-pack years.
She complains of hoarseness that has developed over the last few months. It is
important to exclude the possibility of: Answer - b) Laryngeal cancer
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? Answer - d) Leukoplakia
, A 20-year-old engineering student complains of episodes of abdominal
discomfort, bloating, and episodes of diarrhea. The symptoms usually occur
after eating, and pain is frequently relieved with bowel movement. She is on a
"celiac diet" and the episodic symptoms persist. Physical examination and
diagnostic tests are negative. Colonoscopy is negative for any abnormalities.
This is a history and physical consistent with: Answer - b) Irritable bowel
syndrome
The most common cause of eye redness is Answer - a) Conjunctivitis
In AR disorders, carriers have Answer - D. One copy of a gene mutation but not
the disease
According to the Genetic Information Nondiscrimination Act (GINA): Answer -
a) Nurse Practitioners (NPs) should keep all genetic information of patients
confidential
b) NPs must obtain informed consent prior to genetic testing of all patients
c) Employers cannot inquire about an employee's genetic information
d) All of the above ***
Aortic regurgitation requires medical treatment for early signs of CHF with:
Answer - b) ACE inhibitors
Which of the following is the most common cause of heartburn-type epigastric
pain? Answer - d) Peptic ulcer disease
The best way to diagnose structural heart disease/dysfunction non-invasively
is: Answer - c) Echocardiogram
