NURS 6531 midterm review EXAM 2022
1. The most common cancer found on the auricle is:
- Basal cell carcinoma
2. Which of the following medication classes should be avoided in patients with acute or chronic
bronchitis because it will contribute to ventilation-perfusion mismatch in the patient?
- Antihistimines
3. A 47 year old male patient presents to the clinic with a single episode of a moderate amount of
bright red rectal bleeding. On examination, external hemorrhoids are noted. How should the
nurse practitioner proceed?
- Refer the patient for a barium enema and sigmoidoscopy.
4. Which of the following patient characteristics are associated with chronic bronchitis?
- Overweight, cyanosis, and normal or slightly increased respiratory rate
5. A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and
polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain. Her
current medications include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily,
simvastatin 20 milligrams po daily, and prednisone 12 milligrams po daily. The nurse practitioner
suspects acute diverticulitis and possibly an abscess. The most appropriate diagnostic test for
this patient at this time is:
- CT scan
6. A patient reports "something flew in my eye" about an hour ago while he was splitting logs. If
there were a foreign body in his eye, the nurse practitioner would expect to find all except:
- Purulent drainage
7. A 21 year old college student presents to the student health center with copious, markedly
purulent discharge from her left eye. The nurse practitioner student should suspect:
- Gonococcal conjunctivitis
8. A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles
consisting of about 15 lesions across 3 different thoracic dermatomes. He complains of pain,
burning, and itching. The nurse practitioner should suspect:
- Herpes zoster and consider that this patient may be immunocompromised
, NURS 6531 midterm review EXAM 2022
9. Which type of lung cancer has the poorest prognosis?
- Small cell carcinoma
10. An 83-year-old female presents to the office complaining of diarrhea for several days. She
explains she has even had fecal incontinence one time. She describes loose stools 3-4 times a
day for several weeks and denies fever, chills, pain, recent antibiotic use. The history suggests
that the patient has:
- Chronic diarrhea
11. Margaret, age 32, comes into the office with painful joints and a distinctive rash in a butterfly
distribution on her face. The rash has red papules and plaques with a fine scale. What do you
suspect? - Systemic lupus erythematosus
12. Antibiotic administration has been demonstrated to be of little benefit to the treatment of
which of the following disease processes? - Acute bronchitis
13. Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist
daily. Her exacerbations affect her activities and they occur at least twice weekly and may last
for days. She is affected more than once weekly during the night with an exacerbation. Which
category of asthma severity is Lisa in? - Moderate persistent
14. Which of the following is the most appropriate therapeutic regimen for an adult patient with no
known allergies diagnosed with group A B-hemolytic strep? - Penicillin V 500 milligrams PO
every 8 hours for 10 days
15. A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by leg
elevation. She occasionally has edema in her lower legs at the end of the day. What is the most
likely cause of these problems? - Varicose veins
16. Which statement below is correct about pertussis? - It is also called whooping cough
17. Which of the following is the most important diagnosis to rule out in the adult patient with
acute bronchitis? - Pneumonia
1. The most common cancer found on the auricle is:
- Basal cell carcinoma
2. Which of the following medication classes should be avoided in patients with acute or chronic
bronchitis because it will contribute to ventilation-perfusion mismatch in the patient?
- Antihistimines
3. A 47 year old male patient presents to the clinic with a single episode of a moderate amount of
bright red rectal bleeding. On examination, external hemorrhoids are noted. How should the
nurse practitioner proceed?
- Refer the patient for a barium enema and sigmoidoscopy.
4. Which of the following patient characteristics are associated with chronic bronchitis?
- Overweight, cyanosis, and normal or slightly increased respiratory rate
5. A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and
polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain. Her
current medications include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily,
simvastatin 20 milligrams po daily, and prednisone 12 milligrams po daily. The nurse practitioner
suspects acute diverticulitis and possibly an abscess. The most appropriate diagnostic test for
this patient at this time is:
- CT scan
6. A patient reports "something flew in my eye" about an hour ago while he was splitting logs. If
there were a foreign body in his eye, the nurse practitioner would expect to find all except:
- Purulent drainage
7. A 21 year old college student presents to the student health center with copious, markedly
purulent discharge from her left eye. The nurse practitioner student should suspect:
- Gonococcal conjunctivitis
8. A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles
consisting of about 15 lesions across 3 different thoracic dermatomes. He complains of pain,
burning, and itching. The nurse practitioner should suspect:
- Herpes zoster and consider that this patient may be immunocompromised
, NURS 6531 midterm review EXAM 2022
9. Which type of lung cancer has the poorest prognosis?
- Small cell carcinoma
10. An 83-year-old female presents to the office complaining of diarrhea for several days. She
explains she has even had fecal incontinence one time. She describes loose stools 3-4 times a
day for several weeks and denies fever, chills, pain, recent antibiotic use. The history suggests
that the patient has:
- Chronic diarrhea
11. Margaret, age 32, comes into the office with painful joints and a distinctive rash in a butterfly
distribution on her face. The rash has red papules and plaques with a fine scale. What do you
suspect? - Systemic lupus erythematosus
12. Antibiotic administration has been demonstrated to be of little benefit to the treatment of
which of the following disease processes? - Acute bronchitis
13. Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist
daily. Her exacerbations affect her activities and they occur at least twice weekly and may last
for days. She is affected more than once weekly during the night with an exacerbation. Which
category of asthma severity is Lisa in? - Moderate persistent
14. Which of the following is the most appropriate therapeutic regimen for an adult patient with no
known allergies diagnosed with group A B-hemolytic strep? - Penicillin V 500 milligrams PO
every 8 hours for 10 days
15. A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by leg
elevation. She occasionally has edema in her lower legs at the end of the day. What is the most
likely cause of these problems? - Varicose veins
16. Which statement below is correct about pertussis? - It is also called whooping cough
17. Which of the following is the most important diagnosis to rule out in the adult patient with
acute bronchitis? - Pneumonia
