Nurs 6531 Final Exam Questions and Answers Latest updated 2022/2023
Question 2
In the outpatient office setting, the most common reason for a
... [Show More] malpractice suit is failure to: Properly refer
Diagnose correctly in a timely fashion
Obtain informed consent
Manage fractures and trauma correctly
Question 3
Reed-Sternberg B lymphocytes are associated with which of the following disorders: Aplastic anemia
Hodgkin’s lymphoma
Non Hodgkin’s lymphoma
Myelodysplastic syndromes
Question 4
The initial clinical sign of Dupuytren’s contracture is: Pain with ulnar deviation
Painless nodule on palmer fascia
Pain and numbness in the ring finger
Inability to passively extend
finger
Question 5
Musculoskeletal pain
Difficulty sleeping
Depression
Fatigue
Question 6
Decrease the evening insulin dose and check capillary blood glucose (CBG) at 2:00 am.
Instruct the child’s parents on physical activities to help weight loss.
Increase the evening insulin dose and check CBG at 2:00 am.
Refer the child for instruction on a strict diabetic diet.
Question 7
The 4 classic features of Parkinson’s disease are: Mask-like facies, dysarthria, excessive salivation, and dementia.
Tremor at rest, rigidity, bradykinesia, and postural disturbances.
Depression, cognitive impairment, constipation and shuffling gait.
Tremor with movement, cogwheeling, repetitive movement, and multi-
system atrophy.
Question 8
You must initiate the plan of care for the patient
The physician must be on-site and engaged in patient care
You must be employed as an independent contractor
You must be the main health care provider who sees the patient
Question 9
The cornerstone of treatment for stress fracture of the femur or metatarsal stress fracture is:
Rest from activities which may further stress the bone.
Daily passive range of motion exercises.
Continuation of the patient’s routine physical activities.
Application of ice after activity.
Question 10
Trimethoprim- sulfamethoxazole
Erythromycin
Cefuroxime
Levofloxacin
Question 11
Which is the most common cause of end-stage renal disease in the United States?
Diabetic nephropathy
Chronic renal failure secondary to vascular disorders
Acute tubular necrosis
Kidney trauma
Question 12
A typical description of a tension headache is:
Periorbital pain, sudden onset, often explosive in quality, and associated with nasal stuffiness, lacrimation, red eye, and nausea.
Bilateral, occipital, or frontal tightness or fullness, with waves of aching pain.
Hemicranial pain that is accompanied by vomiting and photophobia.
Steadily worsening pain that interrupts sleep, is exacerbated by orthostatic changes, and may be preceded by nausea and vomiting.
Question 13
A patient taking levothyroxine is being over-replaced. What condition is he at risk for?
Osteoporo sis
Constipati on
Depression
Exopthalmi a
Question 14
Which of the following medications increase the risk for metabolic syndrome?
Antihistamines
Proton pump inhibitors
Protease inhibitors
A and C
All of the above
Question 15
Lateral meniscus
Cruciate ligament
Medical meniscus
Collateral ligament
Question 16
Gout
Epicondyliti
s
Osteoarthri tis
Lyme disease
Question 17
The organism most often associated with prostatitis is: Klebsiella
Neiserria gonorrhoaes
Chlamydia trachomatis
E.Coli
Question 18
Prescribe systemic antibiotics
Prescribe antibiotic ear drops
Prescribe nasal steroids and oral decongestants
Refer him to an ear, nose, and throat specialist
Question 19
Depression
Panic disorder
Anxiety
Post-traumatic stress disorder
Question 20
What diabetic complications result from hyperglycemia?
1, 2,
3
2, 3,
4
1, 3,
4
1, 2,
4
Question 21
Prolonged PT suggests: Platelet abnormality
Abnormality in intrinsic coagulation pathway
Abnormality in extrinsic coagulation pathway
None of the above
Question 22
Patient report of bladder dysfunction, saddle anesthesia, and motor weakness of limbs.
History of significant trauma relative to the patient’s age.
Decreased reflexes, strength, and sensation in the lower extremities.
Patient report of pain with the crossed straight leg raise.
Question 23
Underweigh t
Normal weight
Overweight
Obese
Question 24
“Caffeine has not effect on osteoporosis.”
“A high caffeine intake has a diuretic effect that may cause calcium to be excreted more rapidly.”
“Caffeine affects bone metabolism by altering intestinal absorption of calcium and assimilation of calcium into the bone matrix.”
“Caffeine increase bone resorption.”
Question 25
Start him on an ACE Inhibitor
Start him on a diuretic
Have him monitor his blood pressure at home
Try nonpharmacological methods and have him monitor his blood pressure at home
Question 26
Diagnostic radiological studies are indicated for low back pain: Routinely after 3 weeks of low back pain symptoms.
To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of more of low back pain.
When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection.
As a part of a pre-employment physical when heavy lifting is included in the job description.
Question 27
Risk factors for Addison’s disease include which of the following?
Tuberculosis
Autoimmune disease
AIDS
All of the above
Question 28
Consult with a physician
A 14 day course of ciprofloxacin
To obtain blood cultures from separate site
Obtain urine cultures, CBC, and initiate antibiotic therapy
Question 29
Although most of your symptoms will disappear, some will remain but can usually be camouflaged by altering your hairstyle or growing a beard
Unfortunately there is no cure but you have a mild case
The condition is self-limiting and most likely complete recovery will occur
With suppressive drug therapy you can minimize the symptoms
Question 30
An enzyme-linked immunosorbent assay titer
A urea breath test A rapid urease test
A repeat endoscopy
Question 31
Obtain a thorough history and physical, and check serum cortisol and ACTH levels.
Obtain a diet history and check CBC and FBS.
Provide nutritional guidance and have the patient return in 1 month.
Consult home health for intravenous administration of fluids and electrolytes.
Question 32
The most common symptoms of transient ischemic attack (TIA) include: Nausea, vomiting, syncope, incontinence, dizziness, and seizure.
Weakness in an extremity, abruptly slurred speech, or partial loss of vision, and sudden gait changes.
Headache and visual symptoms such as bright spots or sparkles crossing the visual field.
Gradual onset of ataxia, vertigo, generalized weakness, or lightheadedness
Question 33
Which patient would benefit most from screening for type 2 diabetes?
A 30 year old female with unintended weight loss.
A 25 year old male with family history of type 1 diabetes
An obese female with recurrent vaginitis
A 50 year old hyperlipidemic male
Question 34
An obese hyperlipidemic patient, newly diagnosed with type 2 diabetes mellitus, has fasting glucose values 180 to 250 mg/Dl. What is the most appropriate initial treatment to consider?
A low-calorie diet and exercise
Sliding-scale NPH insulin every 12 hours
An oral hypoglycemic agent
Sliding-scale regular insulin every 6 hours
Question 35
Trimethoprim-sulfamethoxazole for 3 days
Ciprofloxacin for 7-10 days
Trimethoprim-sulfamethoxazole for 14 days
Ciprofloxacin for 3 days
Question 36
The most reliable diagnostic indicator of gout is:
Monosodium urate (MSU) crystals in the synovial fluid.
Tophi visible over joints or in connective tissue.
Elevated serum uric acid level.
Abrupt onset of single joint inflammation and
pain.
Question 37
Thiazide diuretic
Insulin
Famotidine (Pepcid)
Albuterol
Question 38
HbA1C
2-hour 75 gram oral glucose tolerance test
C-peptide level
A and B
All of the above
Question 39
Diagnostic evaluation of hypothyroidism reveals:
Elevated TSH and decreased T4
Decreased TSH and increased T4
Decreased TSH and decreased T3
Elevated TSH and increased T4
Question 40
The most effective intervention(s) to prevent stroke is (are): 81 mg of aspirin daily
Carotid endarterectomy for patients with high-grade carotid lesions
Routine screening for carotid artery stenosis with auscultation for bruits
Smoking cessation and treatment of hypertension
Question 41
Maintain moderate bed rest for 3-4 days
Call the office for narcotics if there is no relief with the NSAID in 24-48 hours
Begin lower back strengthening exercises depending on pain tolerance
Wear a Boston brace at night
Question 42
The cardinal sign of infectious arthritis is:
Affected joint is painful at rest, with movement and weight bearing
Rapid onset that wakes the patient during the night
Long history of severe pain with associated joint swelling
None of the above
Question 43
MMSE
CAGE questionnaire
FAQ – Functional Activities Questionnaire
Holmes and Rahe social readjustment scale
Question 44
Akathisia
Dystonia
Parkinsonis m
Hallucinatio ns
Question 45
Urine cultures should be obtained for which of the following patients?
Suspected urinary tract infection in pregnancy
Febrile patients
Young men
All of the above
Refer for temporal artery biopsy and initiation of oral prednisone.
Aspirin or acetaminophen every 4 hours as needed for pain and fever.
A daily β-blocker such as propranolol.
CT scan of the head and lumbar puncture for CSF evaluation.
Question 47
Scoliosis
Osteoarthritis
Spinal stenosis
Herniated nucleus pulposus
Question 48
Acute otitis media
Chronic otitis media
External otitis
Tempomandibular joint syndrome
Question 49
Which history is commonly found in a patient with glomerulonephritis?
Beta-hemolytic strep infection
Frequent urinary tract infections
Kidney stones
Hypotension
Question 50
The effectiveness of an oral contraceptive may be reduced.
She should use a very low dose estrogen oral contraceptive.
She should use another anticonvulsant along with the phenytoin.
Bilateral tubal ligation is recommended.
Question 51
Which of the following is a contraindication for metformin therapy?
Insulin therapy
Creatinine > 1.5
Edema
None of the above
Question 52
Microalbuminuria is a measure of: Total urinary protein.
Late renal compromise in a diabetic patient.
Early glycemic abnormality.
Protein lost into the urine.
Question 53
A dipstick strip done during routine urinalysis in the office
A 24-hour urine collection
An early morning spot urine collection
A serum albumin test
Question 54
Congestive heart failure (CHF)
Dyslipidemia
Erectile dysfunction (ED)
Diabetes mellitus (DM)
Question 55
drug fever
upper respiratory infection
nothing specific, this is a systemic disease manifestation
urinary tract infection
Question 56
The patient should start anticoagulant therapy immediately.
Hereditary thrombophilia does not always require anticoagulation therapy.
Women of childbearing age cannot take anticoagulant therapy.
Genetic and risk management counseling are recommended.
B and D
Question 57
In which of the following presentations is further diagnostic testing not warranted?
Bilateral gynecomastia in a pre-pubertal male of average weight; Tanner stage 1
Bilateral gynecomastia in a 13 year old male with normal testicular size and volume
Recent onset gynecomastia in a 20 year old male with breast tenderness
Unilateral breast mass which is 5 centimeters in diameter
Question 58
Exercising for at least 30 minutes every day
Exercising a total of 2 hours per week
Exercising for at least 20 minutes, 3 or more days per week
Exercising for at least 30 minutes, 5 days per week
Question 59
The most accurate measure of diabetes control is:
Avoidance of micro- and macro-vascular complications.
Insulin sensitivity.
Early morning glucose levels.
HgbA1c
Question 60
Which of the following statements about multiple sclerosis (MS) is correct?
MS is a chronic, untreatable illness that is almost always fatal.
MS is a disease of steadily progressive and unrelenting neurologic deterioration.
MS is a chronic, treatable illness with unknown cause and a variable course.
Patients with MS who take active steps to improve their health have the best cure rate.
Question 61
Risk factors for prostate cancer include all of the following except: Family history
Benign prostatic hypertrophy
African American race Age
Question 62
Which of the following symptoms suggests a more serious cause of back pain?
Pain associated with coughing or sneezing
Pain associated with muscle spasm
Pain associated with lying down at night
Pain associated with negative straight leg raise
Question 63
Potential side effects of levofloxacin include which of the following?
Confusion
Hypoglycemia
Achilles tendon rupture
All of the above
Question 64
Diagnostic evaluation for urinary calculi includes:
Urinalysis and culture
Non contrast CT
Serum calcium
All of the above
Question 65
Hypertriglyceridemia and low high-density lipoprotein (HDL)
Gestational diabetes and polycystic ovarian syndrome
Hispanic, African-American, Native-American, and Pacific Islander ethnicity
Postprandial hypoglycemia
Question 66
Establishment of a definitive diagnosis of osteomyelitis requires:
A known causative injury such as a puncture wound, bite, or decubitus ulcer.
Biopsy of culture of the pathogen from blood or bone aspirate.
Visualization of purulent material draining into soft tissue.
Lucent areas identified on plain x-ray
Question 67
Advise the patient to stop the antidepressant medication
Question the patient to determine if the self-assessment is correct before advising her to discontinue the medication
Recommend that the patient continue the antidepressant medication for at least 4 more months
Discuss with the patient the need to take the antidepressant medication indefinitely
Question 68
1
week
2
weeks
4
weeks
8
weeks
Question 69
Which of the following is the most common complication of the myelodysplastic syndromes?
Fatigue
Cardiomyopat hy
Falls
Bleeding
Question 70
Prescribe an alpha adrenergic
blocker
Recommend saw palmetto
Prescribe an antibiotic
Refer to urology
Question 71
What is the most common cause of Cushing’s syndrome?
Excessive ACTH production
Administration of a glucocorticoid or ACTH
Pituitary adenoma or a non-pituitary ACTH- producing tumor
Autonomous cortisol production from adrenal tissue
Question 72
Arthritis
Ulnar neuritis
Septic arthritis
Olecranon bursitis
Question 73
Hypoglycemia is a rare complication.
Hypoglycemia requires professional medical treatment.
Hypoglycemia is serious, dangerous, and can be fatal if not treated quickly.
Hypoglycemia occurs only as a result of insulin overdose.
Question 74
Apples
Peppermi nt
Cucumbe rs
Popsicles
Question 75
Corticosteroids
Inhaled beta-2 agonist bronchodilators
Inhaled anticholinergic bronchodilators
Xanthines
Question 76
Doxycycline 100 mg qd
Nitrofurantoin 100 mg qd
Bactrim DS qd
Erythromycin qd
Question 77
Legal authority for advanced practice nursing rests with:
The Health Care Financing Administration
Federal statutes
State laws and regulations
Certifying bodies
Question 78
The primary goals of treatment for patients with alcohol abuse disorder are: Reduction in withdrawal symptoms and reduction in desire for alcohol
Psychotherapeutic and pharmacological interventions to decrease desire for and effects of alcohol
Abstinence or reduction in use, relapse prevention, and rehabilitation
Marital satisfaction, improvement in family functioning, and reduction in psychiatric impairment
Question 79
Making sure the environment is free of all pollutants
Eliminating all pets from the environment
Engaging in moderate to high levels of physical activity
Remaining indoors with air conditioning as much as possible
Question 80
cryptococcosis
toxoplasmosis
cryptosporidio sis
cytomegalovir us
Question 81
Central obesity, “moon” face, and dorsocervical fat pad are associated with: Metabolic syndrome
Unilateral pheochromocytoma
Cushing’s syndrome
None of the above
Question 82
Wash your feet with cold water daily
See a podiatrist every 2 years, inspect your own feet monthly, and apply lotion to your feet daily
Go to a spa and have a pedicure monthly
See a podiatrist yearly; wash your feet daily with warm soapy water and towel dry between the toes; inspect your feet daily for lesions; apply lotion to dry areas
Question 83
Oral ciprofloxacin (Cipro)
Oral doxycycline (Virbamycin) plus intramuscular ceftriaxone
Oral trimethoprim-sulfamethoxazole (Bactrim DS)
Intramuscular penicillin
Question 84
Extensive diagnostic work-up
NSAIDs at therapeutic doses
Early joint replacement
Exercise and weight loss
Question 85
Which of the following characteristics are associated with prepatellar bursitis?
Pain with weight bearing
Pain with range of motion of the knee
Repetitive knee trauma
All of the above
Question 86
Radial tunnel syndrome
Ulnar collateral ligament sprain
Olecranon bursitis
Lateral epicondylitis
Question 87
Potential causes of hypocalcemia include which of the following?
Vitamin D deficiency
Chronic kidney disease
Malnutrition
All of the above
Question 88
Diagnostic confirmation of acute leukemia is based on:
Bone marrow aspiration and biopsy
Pancytopenia
Hyperuricemia
All of the above
Question 89
Alprazolam or diazepam
Venlafaxine or buspirone
Trazodone or sertraline
Venlafaxine or hydroxyzine pamoate
Question 90
discuss proper nutrition
tell her what she should weight for her height and suggest a balanced diet
speak to her parents before going any further
confront her with the fact that you suspect an eating disorder
Question 91
Bursitis
Paget’s disease
Fibromyalgia
Osteoarthriti s
Question 92
At what age is screening most likely to detect scoliosis?
4 to 6 years
8 to 10 years
12 to 14 years
18 to 20 years
Question 93
A positive drawer sign supports a diagnosis of: Sciatica
Cruciate ligament injury
Meniscal injury
Patellar ligament injury
Question 94
Acetaminophen or an NSAID
A muscle relaxant as an adjunct to an NSAID
An oral corticosteroid and diazepam (Valium)
Colchicine and an opioid analgesic
Question 95
Primary hyperparathyroidism is treated with Vitamin D restriction
Primary hyperparathyroidism is treated with parathyroidectomy
Primary hyperparathyroidism is treated with daily magnesium
Primary hyperparathyroidism is treated with parenteral parathyroid hormone (PTH)
Question 96
Buy good walking shoes with support and a flexible sole.
Exercise at least 5 days per week.
Snack before exercise.
Do not exercise if your blood sugar is greater than 180 mg/dL
Question 97
A serum thyroid stimulating hormone (TSH) level
Follicle stimulating hormone (FSH)
A urine drug screen
The Hamilton Anxiety Scale
Question 98
Which of the following set of symptoms should raise suspicion of a brain tumor?
Recurrent, severe headaches that awaken the patient and are accompanied by visual disturbances.
Vague, dull headaches that are accompanied by a reported sense of impending doom.
Periorbital headaches occurring primarily in the evening and accompanied by pupillary dilation and photophobia.
Holocranial headaches present in the morning and accompanied by projective vomiting without nausea.
Question 99
1, 2,
3
2, 3,
4
2, 3
1, 4
Question 100
Which of the following patients most warrants screening for hypothyroidism?
A young adult female with postpartum depression lasting 2 weeks.
A patient taking thyroid replacement preparation.
A 40 year old male with unexplained tremors.
An elderly female with recent onset of mental dysfunction.
Question 101
Cigarette smoke, both active and passive inhalation
Chemicals from plastic and rubber
Chronic use of phenacetin-containing analgesic agents
Working long hours and not voiding often
FINAL SCORE 83/100 [Show Less]