Answers
NSG 6420 Final Exam Week 10 – Question and Answers
1.
In AR disorders, carriers have:
Two mutated genes; two from one parent that cause disease
A mutation on a sex chromosome that causes a disease
A single gene mutation that causes the disease
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 lower lung field. The
chest X-ray demonstrates shift of the mediastinum and trachea to the left. These are classic signs
of:
Lung cancer
Tuberculosis
Pneumonia
COPD
3.
The nurse practitioner is discussing lifestyle changes with a patient diagnosed with
gastroesophageal reflux. What are the nonpharmacological management interventions that
should be included?
It will be helpful to keep the head of your bed elevated on blocks
4.
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?
leukoplakia
5.
You have a patient complaining of vertigo and want to know what could be the cause. Knowing
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?
Ménière’s disease
Benign paroxysmal positional vertigo
Transient ischemic attack (TIA)
MigraineDefinition
6.
Age-related changes in the bladder, urethra, and ureters include all of the following in older
women except:
,A. Increased estrogen production’s influence on the bladder and ureter
B. Decline in bladder outlet function
C. Decline in ureteral resistance pressure
D. Laxity of the pelvic muscle
7.
Your patient has been using chewing tobacco for 10 years. 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
Malignant melanoma
Squamous cell carcinoma
Aphthous ulceration
Behcet’s syndromeDefinition
8.
When interpreting laboratory data, you would expect to see the following in a patient with
Anemia of Chronic Disease (ACD)
Hemoglobin <12 g/dl, MCV decreased, MCH decreased
Hemoglobin >12 g/dl, MCV increased, MCH increased
Hemoglobin <12 g/dl, MCV normal, MCH normal
Hemoglobin >12 g/dl, MCV decreased, MCH increased
9.
What test is used to confirm the diagnosis of appendicitis?
CBC
Flat plate of abdomen
Rectal exam
CT of abdomen 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 point tenderness on the elbow and pain when the patient is asked to flex the
wrist against the clinician’s resistance. These are typical signs of:
Carpal tunnel syndrome
Osteoarthritis of the wrist
Epicondylitis
Cervical osteoarthritis
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
Acoustic neurom Cerumen impaction
Otitis media
Ménière’s disease
, 13.
Which lesions are typically located along the distribution of dermatome?
Herpes Zoster
14.
n 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
patient’s history is the least useful for you to determine that the patient has a duodenal ulcer?
A. Pain occurs on an empty stomach
B. Diffuse epigastric pain
C. Rarely associated with non-steroidal use
D. Occurs in patients under 40 years of age
15.
A pneumatic otoscopic examination is used to assess:
A. Inner ear conditions
B. Otitis externa
C. Cerumen impaction
D. Tympanic membrane mobility
16.
In autosomal recessive (AR) disorders, individuals need:
Only one mutated gene on the sex
chromosomes to acquire the disease
Only one mutated gene to acquire
the disease
Two mutated genes to acquire the
disease
Two mutated genes to become
carriers
17.
Which of the following disorders can cause urinary incontinence?
Cystocele
Overactive bladder
Uterine prolapse
All of the above
18.
An older patient reports burning pain after ingestion of many foods and large meals. What
assessment would assist the nurse practitioner in making a diagnosis of GERD?
A. Identification of a fluid wave
B. Positive Murphy’s sign
C. Palpable spleen
D. Midepigastric pain that is not reproducible with palpation
19.
Which of the following medications are commonly associated with the side effect of cough
NSG 6420 Final Exam Week 10 – Question and Answers
1.
In AR disorders, carriers have:
Two mutated genes; two from one parent that cause disease
A mutation on a sex chromosome that causes a disease
A single gene mutation that causes the disease
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 lower lung field. The
chest X-ray demonstrates shift of the mediastinum and trachea to the left. These are classic signs
of:
Lung cancer
Tuberculosis
Pneumonia
COPD
3.
The nurse practitioner is discussing lifestyle changes with a patient diagnosed with
gastroesophageal reflux. What are the nonpharmacological management interventions that
should be included?
It will be helpful to keep the head of your bed elevated on blocks
4.
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?
leukoplakia
5.
You have a patient complaining of vertigo and want to know what could be the cause. Knowing
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?
Ménière’s disease
Benign paroxysmal positional vertigo
Transient ischemic attack (TIA)
MigraineDefinition
6.
Age-related changes in the bladder, urethra, and ureters include all of the following in older
women except:
,A. Increased estrogen production’s influence on the bladder and ureter
B. Decline in bladder outlet function
C. Decline in ureteral resistance pressure
D. Laxity of the pelvic muscle
7.
Your patient has been using chewing tobacco for 10 years. 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
Malignant melanoma
Squamous cell carcinoma
Aphthous ulceration
Behcet’s syndromeDefinition
8.
When interpreting laboratory data, you would expect to see the following in a patient with
Anemia of Chronic Disease (ACD)
Hemoglobin <12 g/dl, MCV decreased, MCH decreased
Hemoglobin >12 g/dl, MCV increased, MCH increased
Hemoglobin <12 g/dl, MCV normal, MCH normal
Hemoglobin >12 g/dl, MCV decreased, MCH increased
9.
What test is used to confirm the diagnosis of appendicitis?
CBC
Flat plate of abdomen
Rectal exam
CT of abdomen 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 point tenderness on the elbow and pain when the patient is asked to flex the
wrist against the clinician’s resistance. These are typical signs of:
Carpal tunnel syndrome
Osteoarthritis of the wrist
Epicondylitis
Cervical osteoarthritis
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
Acoustic neurom Cerumen impaction
Otitis media
Ménière’s disease
, 13.
Which lesions are typically located along the distribution of dermatome?
Herpes Zoster
14.
n 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
patient’s history is the least useful for you to determine that the patient has a duodenal ulcer?
A. Pain occurs on an empty stomach
B. Diffuse epigastric pain
C. Rarely associated with non-steroidal use
D. Occurs in patients under 40 years of age
15.
A pneumatic otoscopic examination is used to assess:
A. Inner ear conditions
B. Otitis externa
C. Cerumen impaction
D. Tympanic membrane mobility
16.
In autosomal recessive (AR) disorders, individuals need:
Only one mutated gene on the sex
chromosomes to acquire the disease
Only one mutated gene to acquire
the disease
Two mutated genes to acquire the
disease
Two mutated genes to become
carriers
17.
Which of the following disorders can cause urinary incontinence?
Cystocele
Overactive bladder
Uterine prolapse
All of the above
18.
An older patient reports burning pain after ingestion of many foods and large meals. What
assessment would assist the nurse practitioner in making a diagnosis of GERD?
A. Identification of a fluid wave
B. Positive Murphy’s sign
C. Palpable spleen
D. Midepigastric pain that is not reproducible with palpation
19.
Which of the following medications are commonly associated with the side effect of cough
