NSG 6006 END OF COURSE QUESTIONS AND SOLUTIONS
GRADED A+
✔✔Pre-invasive epithelial tumors of glandular or squamous cell origin describes which
of the following? - ✔✔Cancer in situ
✔✔A 12-year-old female is newly diagnosed with type 1 DM. When the parents ask
what causes this, what is the nurse practitioner's best response? - ✔✔Immune
destruction of the pancreas
✔✔The nurse practitioner is caring for a 21 year old female who presents with a pruritic,
erythematous rash matching pattern of her sandal straps. The nurse practitioner
advises the patient to avoid scratching the area due to the risk of the developing a
secondary infection. The nurse practitioner understands that the most likely etiology of
secondary skin infections are caused by which organism? - ✔✔Staph aureus
✔✔A 43-year old woman has a 12-hour history of sudden onset of right upper quadrant
abdominal pain with radiation to the shoulder, fever, and chills. She has had similar,
milder episodes in the past. Examination reveals marked tenderness to right upper
quadrant abdominal palpation. Her most likely diagnosis is: - ✔✔Acute cholecystitis
✔✔The nurse practitioner is caring for a client who has undergone a recent gastrectomy
who complains of fatigue, palpitations, shortness of breath, and numbness and tingling
to their fingers on both hands. The nurse suspects pernicious anemia related to: -
✔✔@Rationale: Pernicious anemia is the body's inability to absorb vitamin B-12 due to
deficiency in intrinsic factor which is secreted by parietal cells of the gastric mucosa.
deficiency of intrinsic factor production
✔✔The nurse practitioner is conducting annual physical exam on a 62 year old male.
Which of the following risk factors will prompt the nurse practitioner to screen the patient
for development of benign prostatic hypertrophy (BPH)? - ✔✔The greatest risk factor for
BPH is increased age.
✔✔A 60-year-old female with a history of emphysema presents to the primary care
office with complaints of cough and shortness of breath at rest. During the physical
exam, the nurse practitioner recognizes clubbing, barrel chest, and prolonged
expiration. The nurse practitioner understands that the patient is exhibiting symptoms
resulting from which type of pulmonary disease process? - ✔✔Obstructive
✔✔A 24 year old female presents to the primary care office with complaints of dysuria.
Urinalysis lab results indicated positive nitrites. The nurse practitioner plans to initiate
antibiotic coverage for the most likely causative organism which is: - ✔✔E.coli
, ✔✔When caring for a client who presents with pain and swelling to location of the
metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints. Which
diagnostic test is most specific to diagnosis of rheumatoid arthritis? - ✔✔elevated
rheumatoid factor level
✔✔A public health nurse is teaching the community about health promotion. When
explaining immunity, the APN discusses that innate immunity is: - ✔✔Present at birth
✔✔A 12-year-old male is diagnosed with Klinefelter syndrome. His karyotype would
reveal which of the following? - ✔✔XXY
✔✔The advanced practice nurse is examining a client with new onset hypertension. The
nurse practitioner recognizes that hypertension may result in significant complications
associated with which of following three organs: - ✔✔@Hypertension can affect multiple
organ systems in the body with significant complications related to the brain, kidneys,
and eyes.
*a. kidneys
b. liver
*c. eyes
d. skin
*e. brain
✔✔For nursing to be considered a discipline which statement is true? - ✔✔Context has
considerable influence on the development of the knowledge base.
✔✔A metaparadigm must include which of the following 3 characteristics? - ✔✔The
domain should be distinctive, encompass all phenomena and be global in scope and
perspective
Encompass all phenomena of interest.
Be perspective -neutral.
Be global in scope.
✔✔Which of the following philosophies of work view would characterize human beings
as holistic; parts are viewed only in the context of the whole? - ✔✔Reciprocal
Interaction
Reaction sees human beings as bio-psycho-social -spiritual beings; Simultaneous
action sees human beings as unitary and unified by pattern; Holistic interaction is not a
world view
✔✔What set of components is essential in a scientific theory? - ✔✔Interrelated
concepts, definitions and propositions.
GRADED A+
✔✔Pre-invasive epithelial tumors of glandular or squamous cell origin describes which
of the following? - ✔✔Cancer in situ
✔✔A 12-year-old female is newly diagnosed with type 1 DM. When the parents ask
what causes this, what is the nurse practitioner's best response? - ✔✔Immune
destruction of the pancreas
✔✔The nurse practitioner is caring for a 21 year old female who presents with a pruritic,
erythematous rash matching pattern of her sandal straps. The nurse practitioner
advises the patient to avoid scratching the area due to the risk of the developing a
secondary infection. The nurse practitioner understands that the most likely etiology of
secondary skin infections are caused by which organism? - ✔✔Staph aureus
✔✔A 43-year old woman has a 12-hour history of sudden onset of right upper quadrant
abdominal pain with radiation to the shoulder, fever, and chills. She has had similar,
milder episodes in the past. Examination reveals marked tenderness to right upper
quadrant abdominal palpation. Her most likely diagnosis is: - ✔✔Acute cholecystitis
✔✔The nurse practitioner is caring for a client who has undergone a recent gastrectomy
who complains of fatigue, palpitations, shortness of breath, and numbness and tingling
to their fingers on both hands. The nurse suspects pernicious anemia related to: -
✔✔@Rationale: Pernicious anemia is the body's inability to absorb vitamin B-12 due to
deficiency in intrinsic factor which is secreted by parietal cells of the gastric mucosa.
deficiency of intrinsic factor production
✔✔The nurse practitioner is conducting annual physical exam on a 62 year old male.
Which of the following risk factors will prompt the nurse practitioner to screen the patient
for development of benign prostatic hypertrophy (BPH)? - ✔✔The greatest risk factor for
BPH is increased age.
✔✔A 60-year-old female with a history of emphysema presents to the primary care
office with complaints of cough and shortness of breath at rest. During the physical
exam, the nurse practitioner recognizes clubbing, barrel chest, and prolonged
expiration. The nurse practitioner understands that the patient is exhibiting symptoms
resulting from which type of pulmonary disease process? - ✔✔Obstructive
✔✔A 24 year old female presents to the primary care office with complaints of dysuria.
Urinalysis lab results indicated positive nitrites. The nurse practitioner plans to initiate
antibiotic coverage for the most likely causative organism which is: - ✔✔E.coli
, ✔✔When caring for a client who presents with pain and swelling to location of the
metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints. Which
diagnostic test is most specific to diagnosis of rheumatoid arthritis? - ✔✔elevated
rheumatoid factor level
✔✔A public health nurse is teaching the community about health promotion. When
explaining immunity, the APN discusses that innate immunity is: - ✔✔Present at birth
✔✔A 12-year-old male is diagnosed with Klinefelter syndrome. His karyotype would
reveal which of the following? - ✔✔XXY
✔✔The advanced practice nurse is examining a client with new onset hypertension. The
nurse practitioner recognizes that hypertension may result in significant complications
associated with which of following three organs: - ✔✔@Hypertension can affect multiple
organ systems in the body with significant complications related to the brain, kidneys,
and eyes.
*a. kidneys
b. liver
*c. eyes
d. skin
*e. brain
✔✔For nursing to be considered a discipline which statement is true? - ✔✔Context has
considerable influence on the development of the knowledge base.
✔✔A metaparadigm must include which of the following 3 characteristics? - ✔✔The
domain should be distinctive, encompass all phenomena and be global in scope and
perspective
Encompass all phenomena of interest.
Be perspective -neutral.
Be global in scope.
✔✔Which of the following philosophies of work view would characterize human beings
as holistic; parts are viewed only in the context of the whole? - ✔✔Reciprocal
Interaction
Reaction sees human beings as bio-psycho-social -spiritual beings; Simultaneous
action sees human beings as unitary and unified by pattern; Holistic interaction is not a
world view
✔✔What set of components is essential in a scientific theory? - ✔✔Interrelated
concepts, definitions and propositions.
