NSG 6420 / NSG6420 Final Exam |Questions and Answers | LATEST
1.
Your patient is a 43-year-old female golfer who complains of arm pain. On physical
... [Show More] examination, there is point tenderness on the elbow and pain when the patient is asked to flex the wrist against the clinician’s resistance. These are typical signs of:
Carpal tunnel syndrome
Osteoarthritis of the wrist
Epicondylitis
Cervical osteoarthritis
2.
An 86-year-old patient who wears a hearing aid complains of poor hearing in the affected ear. In addition to possible hearing aid malfunction, this condition is often due to
Acoustic neurom Cerumen impaction
Otitis media
Ménière’s disease
3.
Which lesions are typically located along the distribution of dermatome?
Herpes Zoster
4.
n differentiating a gastric ulcer from a duodenal ulcer, you know that each type of ulcer can present with distinct signs and symptoms. Which of the following pieces of information from the patient’s history is the least useful for you to determine that the patient has a duodenal ulcer?
A. Pain occurs on an empty stomach
B. Diffuse epigastric pain
C. Rarely associated with non-steroidal use
D. Occurs in patients under 40 years of age
5.
A pneumatic otoscopic examination is used to assess:
A. Inner ear conditions
B. Otitis externa
C. Cerumen impaction
D. Tympanic membrane mobility
6.
In autosomal recessive (AR) disorders, individuals need:
Only one mutated gene on the sex chromosomes to acquire the disease
Only one mutated gene to acquire the disease
Two mutated genes to acquire the disease
Two mutated genes to become carriers
7.
Which of the following disorders can cause urinary incontinence?
Cystocele
Overactive bladder
Uterine prolapse
All of the above
8.
An older patient reports burning pain after ingestion of many foods and large meals. What assessment would assist the nurse practitioner in making a diagnosis of GERD?
A. Identification of a fluid wave
B. Positive Murphy’s sign
C. Palpable spleen
D. Midepigastric pain that is not reproducible with palpation
9.
Which of the following medications are commonly associated with the side effect of cough
Beta blocker
B. Diuretic
C. ACE inhibitor
D. Calcium antagonist
10.
A 55-year-old post-menopausal woman with a history of hypertension complains of jaw pain on heavy exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm without ST segment abnormalities. Your plan may include
Echocardiogram
B. Exercise stress test
C. Cardiac catheterization
D. Myocardial perfusion imaging
11.
In AR disorders, carriers have:
Two mutated genes; two from one parent that cause disease
A mutation on a sex chromosome that causes a disease
A single gene mutation that causes the disease
One copy of a gene mutation but not the disease
12.
A 76-year-old patient with a 200-pack year smoking history presents with complaints of chronic cough, dyspnea, fatigue, hemoptysis, and weight loss over the past 2 months. The physical exam reveals decreased breath sounds and dullness to percussion over the left lower lung field. The chest X-ray demonstrates shift of the mediastinum and trachea to the left. These are classic signs of:
Lung cancer
Tuberculosis
Pneumonia
COPD
13.
The nurse practitioner is discussing lifestyle changes with a patient diagnosed with gastroesophageal reflux. What are the nonpharmacological management interventions that should be included?
It will be helpful to keep the head of your bed elevated on blocks
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