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NURS 6531 SET 2 LATEST EXAMS [BRAND NEW]
The most common cancer found on the auricle is: - ANSWER- Basal cell
carcinoma
Shirley, age 58, has been a diabetic for 7 years. Her blood pressure is normal.
Other than her diabetes medications, what would you prescribe today during her
routine office visit? - ANSWER- An ACE Inhibitor
Medicare is a federal program administered by the Centers for Medicare and
Medicaid Services (CMS). The CMS has developed guidelines for Evaluation and
Management coding, which all providers are expected to follow when coding
patient visits for reimbursement. Which of the following is an important
consideration regarding billing practices? - ANSWER- Failing to bill for billable
services will lead to unnecessarily low revenues
A 2 year old presents with a white pupillary reflex. What is the most likely cause
of this finding? - ANSWER- Retinoblastoma
,Harvey has had Meniere's disease for several years. He has some hearing loss but
now has persistent vertigo. What treatment might be instituted to relieve the
vertigo? - ANSWER- A vestibular neurectomy
An 18-year-old female presents to the urgent care center complaining of severe
pruritus in both eyes that started 2 days ago. Associated symptoms include a
headache and fatigue. On examination, the nurse practitioner notes some clear
discharge from both eyes and some erythema of the eyelids and surrounding skin.
Which of the following is the most likely cause of this patient's symptoms? -
ANSWER- Allergic conjunctivitis
A 20 year old is diagnosed with mild persistent asthma. What drug combination
would be most effective in keeping him symptom-free? - ANSWER- A
bronchodilator PRN and an inhaled corticosteroid
Acute rheumatic fever is an inflammatory disease which can follow infection with:
- ANSWER- Group A Streptococcus
A 60 year old male diabetic patient presents with redness, tenderness, and edema
of the left lateral aspect of his face. His left eyelid is grossly edematous. He reports
history of a toothache in the past week which "is better." His temperature is 100°F
and pulse is 102 bpm. The most appropriate initial action is to: - ANSWER-
Initiate a parenteral antibiotic and consider hospital admission
If a patient presents with a deep aching, red eye and there is no discharge, you
should suspect: - ANSWER- Iritis
The National Cholesterol Education Program's Adult Treatment Panel III
recommends that the goal for low density lipoproteins in high risk patients be less
than: - ANSWER- 100 mg/dL
,A patient presents with classic symptoms of gastroesophageal reflux disease
(GERD). He is instructed on life style modifications and drug therapy for 8 weeks.
Three months later he returns, reporting that he was "fine" as long as he took the
medication. The most appropriate next step is: - ANSWER- Investigation with
endoscopy, manometry, and/or pH testing
Group A β-hemolytic streptococcal (GABHS) pharyngitis is most common in
which age group? - ANSWER- 6 to 12 years of age
The most appropriate treatment for a child with mild croup is: - ANSWER- A cool
mist vaporizer
A child complains that his "throat hurts" with swallowing. His voice is very
"throaty" and he is hyperextending his neck to talk. Examination reveals
asymmetrical swelling of his tonsils. His uvula is deviated to the left. What is the
most likely diagnosis? - ANSWER- Peritonsillar abscess
Salmeterol (Servent) is prescribed for a patient with asthma. What is the most
important teaching point about this medication? - ANSWER- It is not effective
during an acute asthma attack.
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? - ANSWER- Antihistimines
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? - ANSWER-
Refer the patient for a barium enema and sigmoidoscopy.
, Which of the following patient characteristics are associated with chronic
bronchitis? - ANSWER- Overweight, cyanosis, and normal or slightly increased
respiratory rate
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: - ANSWER- CT scan
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: - ANSWER- Purulent drainage
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: - ANSWER- Gonococcal conjunctivitis
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: - ANSWER- Herpes zoster and consider that this patient may be
immunocompromised
Which type of lung cancer has the poorest prognosis? - ANSWER- Small cell
carcinoma
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