NSG 6020 MIDTERM EXAM – QUESTION AND ANSWERS.

NSG 6020 MIDTERM EXAM – QUESTION AND ANSWERS. The first step in the genomic assessment of a patient is obtaining information regarding: Question 1 options: a) Family history b) Environmental exposures c) Lifestyle and behaviors d) Current medications Save Question 2 (2 points) Rheumatic heart disease is a complication that can arise from which type of infection? Question 2 options: a) Epstein-Barr virus b) Diphtheria c) Group A beta hemolytic streptococcus d) Streptococcus pneumoniae Save Question 3 (2 points) A 64-year-old male presents with erythema of the sclera, tearing, and bilateral pruritus of the eyes. The symptoms occur intermittently throughout the year and he has associated clear nasal discharge. Which of the following is most likely because of the inflammation? Question 3 options: a) Bacterium b) Allergen c) Virus d) Fungi Save Question 4 (2 points) Dan G., a 65-year-old man, presents to your primary care office for the evaluation of chest pain and left- sided shoulder pain. Pain begins after strenuous activity, including walking. Pain is characteriked as dull, aching; 8/10 during activity, otherwise 0/10. Began a few months ago, intermittent, aggravated by exercise, and relieved by rest. Has occasional nausea. Pain is retrosternal, radiating to left shoulder, definitely affects quality of life by limiting activity. Pain is worse today; did not go away after he stopped walking. BP 120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2, no murmurs. Which of the following differential diagnoses would be most likely? Question 4 options: a) Musculoskeletal chest wall syndrome with radiation b) Esophageal motor disorder with radiation c) Acute cholecystitis with cholelithiasis d) Coronary artery disease with angina pectoris Save Question 5 (2 points) Which disease process typically causes episodic right upper quadrant pain, epigastric pain or chest pain that can last 4-6 hours or less, often radiates to the back (classically under the right shoulder blade) and is often accompanied by nausea or vomiting and often follows a heavy, fatty meal. Question 5 options: a) Acute pancreatitis b) Duodenal ulcer c) Biliary colic d) Cholecystitis Save Question 6 (2 points) Helicobacter pylori is implicated as a causative agent in the development of duodenal or gastric ulcers. What teaching should the nurse practitioner plan for a patient who has a positive Helicobacter pylori test? Question 6 options: a) It is highly contagious and a mask should be worn at home. b) Treatment regimen is multiple lifetime medications. c) Treatment regimen is multiple medications taken daily for a few weeks. d) Treatment regimen is complicated and is not indicated unless the patient is symptomatic. Save Question 7 (2 points) An obese middle-aged client presents with a month of nonproductive irritating cough without fever. He also reports occasional morning hoarseness. What should the differential include? Question 7 options: a) Atypical pneumonia b) Peptic ulcer disease c) Gastroesophageal reflux d) Mononucleosis (Epstein-B