In examination of the nose, the clinician - ANSWER -b) Transmit the disorder to
observes gray, pale mucous membranes with 50% of her offspring (male or female)
clear, serous discharge. This is most likely
indicative of: - ANSWER -b) Allergic rhinitis
A 55-year-old post-menopausal woman with a
history of hypertension complains of jaw pain on
Your patient complains of a feeling of heaviness heavy exertion. There were no complaints of
in the lower legs daily. You note varicosities, chest pain. Her ECG indicates normal sinus
edema, and dusky color of both ankles and feet. rhythm without ST segment abnormalities. Your
Which of the following is the most likely cause for plan may include: - ANSWER -b) Exercise
these symptoms? - ANSWER -c) Venous stress test
insufficiency
The aging process causes what normal
Which of the following is the most important physiological changes in the heart? -
question to ask during cardiovascular health ANSWER -a) The heart valve thickens and
history? - ANSWER -c) The sudden death becomes rigid, secondary to fibrosis and
of a family member sclerosis
Rheumatic heart disease is a complication that It is important to not dilate the eye if ____ is
can arise from which type of infection? - suspected - ANSWER -c) Acute closed-
ANSWER -c) Group A beta hemolytic angle glaucoma
streptococcus
[p. 515 Primary Care: Art and Science]
Your patient is a 78-year-old female with a
smoking history of 120-pack years. She
A cough is described as chronic if it has been complains of hoarseness that has developed
present for: - ANSWER -b) 8 weeks or over the last few months. It is important to
more exclude the possibility of: - ANSWER -b)
[p. 357 Primary Care] Laryngeal cancer
A key symptom of ischemic heart disease is In examining the mouth of an older adult with a
chest pain. However, angina equivalents may history of smoking, the nurse practitioner finds a
include exertional dyspnea. Angina equivalents suspicious oral lesion. The patient has been
are important because - ANSWER -a) referred for a biopsy to be sent for pathology.
Women with ischemic heart disease many times Which is the most common oral precancerous
do not present with chest pain b) Some patients lesion? - ANSWER -d) Leukoplakia
may have no symptoms or atypical symptoms;
diagnosis may only be made at the time of an
actual myocardial infarction A 20-year-old engineering student complains of
d) A & B only [p. 453] episodes of abdominal discomfort, bloating, and
episodes of diarrhea. The symptoms usually
occur after eating, and pain is frequently relieved
A woman with an X-linked dominant disorder will: with bowel movement. She is on a "celiac diet"
, NSG6420 Midterm Exam Test Questions and Answers Rated A
and the episodic symptoms persist. Physical
examination and diagnostic tests are negative.
Colonoscopy is negative for any abnormalities. Men have faster and more efficient
This is a history and physical consistent with: - biotransformation of drugs and this is thought to
ANSWER -b) Irritable bowel syndrome be due to: - ANSWER -b) Testosterone
The most common cause of eye redness is - The main focus of treatment of patients with ACD
ANSWER -a) Conjunctivitis is - ANSWER -c) Management of the
underlying disorder
In AR disorders, carriers have - ANSWER -
D. One copy of a gene mutation but not the A 72-year-old woman and her husband are on a
disease cross-country driving vacation. After a long day of
driving, they stop for dinner. Midway through the
meal, the woman becomes very short of breath,
According to the Genetic Information with chest pain and a feeling of panic. Which of
Nondiscrimination Act (GINA): - ANSWER - the following problems is most likely? -
a) Nurse Practitioners (NPs) should keep all ANSWER -c) Pulmonary embolism
genetic information of patients confidential
b) NPs must obtain informed consent prior to
genetic testing of all patients Your patient has been using chewing tobacco for
c) Employers cannot inquire about an 10 years. On physical examination, you observe
employee's genetic information a white ulceration surrounded by erythematous
d) All of the above *** base on the side of his tongue. The clinician
should recognize that very often this is -
ANSWER -b) Squamous cell carcinoma
Aortic regurgitation requires medical treatment
for early signs of CHF with: - ANSWER -b)
ACE inhibitors The first assessment to complete related to the
eyes is: - ANSWER -b) Visual acuity
Which of the following is the most common
cause of heartburn-type epigastric pain? - A 66-year-old patient presents to the clinic
ANSWER -d) Peptic ulcer disease complaining of dyspnea and wheezing. The
patient reports a smoking history of 2 packs of
cigarettes per day since age 16. This would be
The best way to diagnose structural heart recorded in the chart as - ANSWER -d)
disease/dysfunction non-invasively is: - 100-pack history
ANSWER -c) Echocardiogram
Which disease process typically causes episodic
Essential parts of a health history include all of right upper quadrant pain, epigastric pain or
the following except: - ANSWER -c) chest pain that can last 4-6 hours or less, often
Current vital signs radiates to the back (classically under the right
shoulder blade) and is often accompanied by