Exam (elaborations) NUR 6531 final exam review

Exam Review 1. When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Yes 2. Central obesity, “moon” face, and dorsocervical fat pad are associated with: Cushing’s syndrome 3. An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender left great toe. The likely precipitant of this patient’s pain is: Hydrochlorothiazide 4. The most effective treatment of non-infectious bursitis includes: 5. What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare? You must initiate the plan of care for the patient. the physician must be on-site and engaged in patient care You must be employed as an independent contractor You must be the main health care provider who sees the patient 6. Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus? 7. Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)? A. Nocturia B. Urgency incontinence C. Strong urinary stream flow D. Straining to void 8. Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid?  Food that is very hot or very cold  Fatty or fried foods  Peppermint or spearmint, including flavoring  Coffee, tea, and soft drinks that contain caffeine  Spicy, highly seasoned foods  Fried food DT caffeine, chocolate and anticholinergics 9. Which drug category contains the drugs that are the first line Gold standard therapy for COPD? 10. The most commonly recommended pharmacological treatment regimen for low back pain (LBP) is: acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), topical analgesics, muscle relaxants, opioids, corticosteroids, antidepressants, and anticonvulsants. Acetaminophen remains one of the best first-line treatments of acute LBP. It is generally well tolerated, has few adverse effects or drug reactions with other medications, and is inexpensive 11. Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis? 12. A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks later with the same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What action(s) should the nurse practitioner take? .A Obtain a thorough history and physical, and check serum cortisol and ACTH levels. B. Perform a diet history and check CBC and FBS. C. Provide nutritional guidance and have the patient return in one month. D. Consult home health for intravenous administration 1. 13. The nurse practitioner diagnoses epididymitis in a 24 years old sexually active male patient. The drug of choice for treatment of this patient is: Ceftriaxone 250mg 14. How do you respond when Jessica, age 42, asks you what constitutes a good minimum cardiovascular workout? 15. The intervention known to be most effective in the treatment of severe depression, with or without psychosis, is: 16. You are assessing a patient after a sports injury to his right knee. You elicit a positive anterior/posterior drawer sign. This test indicates an injury to the: he A. lateral meniscus B. cruciate ligament C. medial meniscus D. collateral ligament. 17. A 32 year old female patient presents with fever, chills, right flank pain, right costovertebral angle tenderness, and hematuria. Her urinalysis is positive for leukocytes and red blood cells. The nurse practitioner diagnoses pyelonephritis. The most appropriate management is: 18. A 21-year-old female presents to the office complaining of urinary frequency and urinary burning. The nurse practitioner suspects a urinary tract infection when the urinalysis reveals • 19. A middle-aged man presents to urgent care complaining of pain of the medial condyle of the lower humerus. The man works as a carpenter and describes a gradual onset of pain. On exam, the medial epicondyle is tender and pain is increased with flexion and pronation. Range of motion is full The most likely cause of this patient’s pain is: 20. The initial clinical sign of Dupuytren’s contracture is: 21. The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy 22. What is the first symptom seen in the majority of patients with Parkinson’s disease? 23. The most commonly recommended method for prostate cancer screening in a 55 year old male is: