NSG6440 Final Exam questions and answers(verified for accuracy)

Treatment for epididymitis includes which of the following? scrotal elevation Which of the following medications for temporomandibular disorder has the warning that patient should NOT drive while taking it? Elavil After 6 months of Synthroid therapy, the clinician should expect which result in the repeat thyroid-stimulating hormone studies? Normal A 24- year old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease has she most probable been exposed to? Chlamydia Which of the following is the form of external otitis in which bacterial infection extends from the auditory canal into the skull? Necrotizing otitis Which causes the greatest percentage of mammalian bites? human Which test is used to confirm a diagnosis of epididymitis ultrasound of the scrotum Which statement accurately describes the APRNs scope of practice? This delineates the permissible boundaries of APRN professional practice The nurse is working with a 65- year- old patient who was recently diagnosed with hypertension. The patient is concerned about their optimal health with their new diagnosis. Which nursing action is necessary for health promotion with the patient? Discussing appropriate stress management techniques Which of the following would be a cause of neuropathic pain? post herpetic pain Which theory regarding the aging process is linked to cancer and Alzheimer's disease? oxidative damage Which heart sound is associated with decreased elasticity of the left ventricle in left ventricular hypertrophy? S4 Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from infection with which of the following pathogens? Group A streptococcus A 21-year-old student presents with complaints of fatigue, headache, anorexia and a runny nose, all of which began about 2 weeks ago. She started taking vitamins and over-the-counter cold preparations but feels worse. The smell of food makes her nauseated. Her boyfriend had mononucleosis about 1 month ago, and she wonders if she might have it also. Examination reveals cervical adenopathy and an enlarged liver and spleen. Which of the following labs would be most helpful in the differential diagnosis at this point? Antihepatitis D virus What is the most common form of heart disease in a patient with atrial fibrillation? Coronary artery disease associated with heart failure A 15-year-old girl is seen in the clinic because she has not yet had her first period. Which of the following questions would help the clinician determine the cause? How long have you been underweight The clinician is examining the back of Christian, a 15-year-old male. What is the correct way for the clinician to check for hamstring flexibility? Christian should stand straight and flex90 degrees forward at the waist Which statement is true regarding driving and patients with a seizure disorder? After being seizure free for 6 months, patients may drive Though common as people age, what concerning disease can dysphonia be a cardinal sign for? Laryngeal cancer You are using the CURB-65 clinical prediction tool to decide whether Latisha, whom you have diagnosed with community-acquired pneumonia (CAP), should be hospitalized or treated at home. Which of the following risk factors would increase Latisha's chance of CAP- associated mortality and complications? History of diabetes mellitus Which of the following patients is at risk for developing urinary-tract cancer? The 78-year- old man who smokes three packs of cigarettes a day Which of the following statements is TRUE regarding pain? Nociceptive pain represents a normal response to injury of tissue Which of the following information patients with a UTI can receive Bactrim DS? Tiffany, a 16-year-old with a hypersensitivity to penicillin Which treatment would the clinician recommend for a patient who has relative polycythemia? Rehydration Which board administers and defines advanced nursing practice in all states? The board of Nursing An acutely presenting, erythematous, tender lump within the eyelid is called? Hordeolum Diagnostic testing for a patient with a newly detected hypertension should include all of the following except: uric acid In the model for future Advanced Practice Registered Nurse (APRN) practice, what does the "C" of LACE represent? Certification When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes. What do you suspect they are? spores A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe dysuria. She is diagnosed with acute pyelonephritis. How should this patient be managed? hospitalization A sunscreen with a sun-protection factor of at least what number will block most harmful ultraviolet radiation? 15 Which of the following is the most common cause of cardiac death in athletes? Hypertrophic cardiomyopathy Which of the following is a specific test to MS? there is no specific test A patient comes to the office complaining of constipation. The patient lists all of the following medications. Which drug could be responsible for the constipation? Pepto-Bismol The barrel-chest characteristic of emphysema is a result of: Hyperinflation Which drug for Alzheimer's disease should be administered beginning at the time of diagnosis? Cholinesterase Inhibitors Data from the Framingham Heart Study suggest that individual who are normotensive at 55 years of age have how much lifetime risk of developing hypertension? 90% Which of the following scales is useful to assess the degree of dyspnea with a score of 6 to 20? Borg scale A 35-year-old woman presents with symptoms of hypoglycemia. There is no history of diabetes mellitus. Which condition should be included in the differential diagnosis? pheochromocytoma What should you use to alkalinize urine to a pH of greater than 7.0? sodium bicarbonate Which of the following is true of pediculosis? Patients can be asymptomatic or cause few symptoms in the first 2 weeks Which of these patients is a higher risk for developing deep vein thrombosis? Samantha, a 45-year-old female undergoing a hysterectomy A patient has CFS. Which strategy should the clinician consider to manage this patient? Cognitive-behavioral therapy Which statement regarding necrotizing fasciitis is true? This is a medical emergency and gangrene can develop A patient presents with CVA tenderness and a several-day history of high fever, chills and dysuria. Which of the following diagnoses is most likely given the above information? pyelonephritis Danielle presents to the clinic saying " I do not feel like I want to eat." She also notes she is experiencing lethargy, nausea, headache, and muscle cramps. She "did not go to the bathroom a lot" yesterday. Which of the following stages of acute kidney injury (AKI) is Danielle in? Initiating stage During treatment for anaphylaxis, which site is used for the initial injection of epinephrine? upper lateral thigh The clinician should question the patient with suspected gout about use of which of these medications? thiazide diuretics There are four stages of heart failure, classified as A to D, that describe the evolution and progression of disease. In which stage are patients hospitalized or treated with specialized interventions or hospice care for refractory symptoms of heart failure despite medical therapy? Stage D What condition is sometimes confused with anaphylaxis from an insect sting? vasovagal reaction When using the microscope for an intravaginal infection, you see something translucent and colorless. What do you suspect? leukocytes Which of the following persons fits the classic description of a patient with multiple sclerosis (MS)? a 25-year-old female The clinician should examine which are for gynecomastia? male's breast Josh, aged 22, has tinea versicolor. Which description is the most likely for this condition? There are round, hypopigmented macules on his back Which of the following produces a slow and painless visual field loss that usually begins peripherally? macular degeneration What of the following patients is a candidate for statins? Christa is a 65-year-old female with a history of myocardial infarction (MI) Which statement about HIV post exposure prophylaxis (PEP) for health-care-workers is the most accurate? PEP should be started within the 72 hours of exposure Which element is a primary focus of health- care reform? disease prevention Tinea unguium is also known as: onychomycosis which symptom is the cardinal subjective symptom of sickle cell crisis? pain How much nicotine does an average cigarette contain? 10 to 15 mg Which of the following is part of the treatment plan for the patient with IBS? High fiber diet an 8-year-old patient is admitted to the hospital due to Reye's syndrome. Which medication was most likely the cause? aspirin Which type of stomatitis results in necrotic ulceration of the oral mucous membranes? Vincent's stomatitis A male patient with type 1 diabetes comes to the clinic complaining of feeling nervous and clammy. He states that he took his insulin this morning but was late for work and did not eat breakfast. Which action should the clinician take first? have him drink 4 ounce of juice