OF ADULTS ACROSS LIFESPAN
MIDTERM 4 LATEST VERSIONS
COMPLETE SET VERIFIED AND WELL
ANSWERED 400 QUESTIONS |ALREADY
PASSED AGRADE PASS!!
VERSION 1
Question 1
A patient has experienced nausea and vomiting, headache, malaise, low grade fever,
abdominal cramps, and watery diarrhea for 72 hours. His white count is elevated
with a shift to the left. He is requesting medication for diarrhea. What is the most
appropriate response?
The main focus of treatment is to prevent dehydration by drinking plenty of fluids.In
severe cases, hospitalization and intravenous fluids are necessary. Over-the- counter
oral rehydration solutions (OHS), such as Pedialyte, can be helpful in mild cases
Question 2
0 out of 1 points
Which type of lung cancer has the poorest prognosis?
Small cell carcinoma
Question 3
1 out of 1 points
Stacy, age 27, states that she has painless, white, slightly raised patches in her
mouth. They are probably caused by:
Candidiasis
Question 4
1 out of 1 points
An 80-year-old male admits to difficulty swallowing during the review of systems.
The nurse practitioner recognizes the differential diagnosis for this patient’s
dysphagia is:
,GERD & Cancer
Question 5
1 out of 1 points
A 40 year old presents with a hordeolum. The nurse practitioner teaches the patient
to:
apply a topical antibiotic and warm compresses.
Question 6
1 out of 1 points
Marvin has sudden eye redness that occurred after a strenuous coughing episode.
You diagnose a subconjunctival hemorrhage. Your next step is to:
Do nothing other than provide reassurance
Isoniazid ppd
Question 7
1 out of 1 points
Which of the following is not a goal of treatment for the patient with cystic fibrosis?
Replace water-soluble vitamins
Question 8
0 out of 1 points
The most common cancer found on the auricle is:
**basal cell carcinoma**
Question 9
1 out of 1 points
Which of the following color changes in a pigmented lesion suggests malignant
transformation?
**ALL COLORS
Question 10
1 out of 1 points
Antibiotic administration has been demonstrated to be of little benefit to the
treatment of which of the following disease processes?
Acute bronchitis
Question 11
1 out of 1 points
The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes
,which of the following?
A and B only
Question 12
1 out of 1 points
When teaching a patient with hypertension about restricting sodium, you would
include which of the following instructions?
Seventy-five of sodium intake is derived from processed foods
Question 13
1 out of 1 points
Mark has just been given a diagnosis of congestive heart failure. Which of his
medications should be discontinued?
Nifedipine (Procardia XL) for long-term management of his chronic stable angina.
Question 14
1 out of 1 points
Which of the following patient characteristics are associated with chronic
bronchitis?
overweight, cyanosis & normal or slighted increased resp. rate "blue bloaters"
Question 15
1 out of 1 points
Treatment of acute vertigo includes:
-bedrest and an antihistamine
Question 16
1 out of 1 points
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:
herpes zoster and consider that this patient may be immunocompromised.
Question 17
0 out of 1 points
A 20 year old is diagnosed with mild persistent asthma. What drug combination
would be most effective in keeping him symptom-free?
**A bronchodilator PRN and an inhaled corticosteroid
Question 18
0 out of 1 points
Diagnosis of Crohn’s disease is made considering signs, symptoms and:
**Intestinal obstruction demonstrated by plain x-ray of the abdomen
Question 19
0 out of 1 points
Which of the following is a predisposing condition for furunculosis?
**Diabetes mellitus
, Question 20
1 out of 1 points
Expected spirometry readings when the patient has chronic emphysema include:
increased total lung capacity (TLC).
Question 21
1 out of 1 points
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?
Peritonsillar abscess- my answer
Question 22
0 out of 1 points
Of the following signs and symptoms of congestive heart failure (CHF), the earliest
clinical manifestation is:
**weight gain.
Question 23
1 out of 1 points
Salmeterol (Servent) is prescribed for a patient with asthma. What is the most
important teaching point about this medication?
-It is not effective during an acute asthma attack
Question 24
1 out of 1 points
An active 65-year-old man under your care has known acquired valvular aortic
stenosis and mitral regurgitation. He also has a history of infectious endocarditis. He
has recently been told he needs elective replacement of his aortic valve. When he
comes into the office you discover that he has 10 remaining teeth in poor repair.
Your recommendation would be to:
suggest that he consult with his oral surgeon about removing all the teeth at once
and receiving appropriate antibiotic prophylaxis
Question 25
1 out of 1 points
A middle-aged male presents to urgent care complaining of fever, dysphagia, and
shortness of breath. The nurse practitioner notes the patient leaning forward in a
tripod position and drooling. The clinical presentation of this patient suggests:
Epiglottitis
Question 26
0 out of 1 points
Alan, age 54, notices a bulge in his midline every time he rises from bed in the
morning. You tell him it is a ventral hernia, also known as:
**epigastric hernia