NURS 6531 Final Exam
NURS6531
Question 2. Which of the following is a potential acquired cause of thrombophilia?
Question 3
Phalen’s test,
... [Show More] 90°wrist flexion for 60 seconds, reproduces symptoms of:
Ulnar tunnel syndrome
Carpal tunnel syndrome
Tarsal tunnel syndrome
Myofascial pain syndrome
Question 4
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 5
Rheumatoid arthritis (RA)
Osteoarthritis (OA)
Lupus
Peripheral neuropathy
Question 6
Trimethoprim-sulfamethoxazole for 3 days
Ciprofloxacin for 7-10 days
Trimethoprim-sulfamethoxazole for 14 days
Ciprofloxacin for 3 days
A thymectomy is usually recommended in the early treatment of which disease?
Question 8
Clinical appearance
Viral culture
Tzanck smear
KOH prep
Question 9
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 10
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 11
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 12
An enzyme-linked immunosorbent assay titer
A urea breath test A rapid urease test
A repeat endoscopy
Question 13
MMSE
CAGE questionnaire
FAQ – Functional Activities Questionnaire
Holmes and Rahe social readjustment scale
Question 14
Major depression occurs most often in which of the following conditions?
A. Myocardial infarction
Parkinson’s disease
Stroke
Alzheimer’s disease
Question 15
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 16
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 17
Risk factors for prostate cancer include all of the following except: Family history
Benign prostatic hypertrophy
African American race Age
Question 18
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 19
Which history is commonly found in a patient with glomerulonephritis?
Beta-hemolytic strep infection
Frequent urinary tract infections
Kidney stones
Hypotension
Question 20
Which of the following is characteristic of a manic episode? weight loss of gain
insomnia or hypersomnia
diminished ability to think or concentrate
grandiose delusions
Question 21
Central obesity, “moon” face, and dorsocervical fat pad are associated with: Metabolic syndrome
Unilateral pheochromocytoma
Cushing’s syndrome
None of the above
Question 22
Which of the following is the most common cause of low back pain?
Lumbar disc disease
Spinal stenosis
Traumatic fracture
Osteoporosis
Question 23
Infection
Toxoplasmosis
Mononucleosis
All of the above
None of the above
Question 24
Weight gain
Fracture risk
Hypoglyce mia
Weight loss
Question 25
cryptococcosis
toxoplasmosis
cryptosporidio sis
cytomegalovir u
Question 26
Which of the following is the most common causative organism of nongonococcal urethritis?
Chlamydia trachomatis
Ureaplasma urealyticum
Mycoplasma hominis
Trichonomas vaginalis
Question 27
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 28
What is the first symptom seen in the majority of patients with Parkinson’s disease?
Rigidity Bradykinesi
a
Rest tremor
Flexed posture
Question 29
1–4 red blood cells per high-powered field
Specific gravity 1.012 Urobilinogen
10- white blood cells per high- powered field
Question 30
Radial tunnel syndrome
Ulnar collateral ligament sprain
Olecranon bursitis
Lateral epicondylitis
Question 31
Depression
Panic disorder
Anxiety
Post-traumatic stress disorder
Question 32
Trauma
Tight shoes
Arthritis flare
Hydrochlorothiazi de
Question 33
Which of the following is a contraindication for metformin therapy?
Insulin therapy
Creatinine > 1.5
Edema
None of the above
Question 34
A positive drawer sign supports a diagnosis of: Sciatica
Cruciate ligament injury
Meniscal injury
Patellar ligament injury
Question 35
Apples
Peppermi nt
Cucumbe rs
Popsicles
Question 36
A patient taking levothyroxine is being over-replaced. What condition is he at risk for?
Osteoporo sis
Constipati on
Depression
Exopthalmi a
Question 37
HbA1C
2-hour 75 gram oral glucose tolerance test
C-peptide level
A and B
All of the above
Question 38
Prescribe systemic antibiotics
Prescribe antibiotic ear drops
Prescribe nasal steroids and oral decongestants
Refer him to an ear, nose, and throat specialist
Question 39
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 40
Risk factors for Addison’s disease include which of the following?
Tuberculosis
Autoimmune disease
AIDS
All of the above
Question 41
Suspected urinary tract infection in pregnancy
Febrile patients
Young men
All of the above
Question 42
“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 43
Migraine headache
Subarachnoid hemorrhage
Glaucoma
Meningitis
Question 44
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 45
Digital rectal examination (DRE) plus prostate specific antigen (PSA)
Prostate specific antigen (PSA) alone
Transrectal ultrasound (TRUS) alone
Prostate specific antigen (PSA) and transrectal ultrasound (TRUS)
Question 46
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 47
Lateral meniscus
Cruciate ligament
Medical meniscus
Collateral ligament
Question 48
Musculoskeletal pain
Difficulty sleeping
Depression
Fatigue
Question 49
Differential diagnosis of proteinuria includes which of the following?
Orthostatic proteinuria
Nephrotic syndrome
Infection
Trauma A and B
Question 50
Underweigh t
Normal weight
Overweight
Obese
Question 51
Reed-Sternberg B lymphocytes are associated with which of the following disorders: Aplastic anemia
Hodgkin’s lymphoma
Non Hodgkin’s lymphoma
Myelodysplastic syndromes
Question 53
Arthritis
Ulnar neuritis
Septic arthritis
Olecranon bursitis
Question 54
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 55
Avoidance of micro- and macro-vascular complications.
Insulin sensitivity.
Early morning glucose levels.
HgbA1c
Question 56
Alprazolam or diazepam
Venlafaxine or buspirone
Trazodone or sertraline
Venlafaxine or hydroxyzine pamoate
Question 57
Generalized enlargement of the thyroid gland.
A solitary thyroid nodule.
A multinodular goiter.
Abnormal thyroid function tests.
Question 58
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
Question 59
Sjogren’s syndrome
Pancreatic cancer
Disseminated malignancy of the hematologic system
Cancer of the liver
Question 60
Refer her to a hand surgeon
Take a more complete history
Try neutral position wrist splinting and oral NSAID
Order a nerve conduction study such as am electromyography
Question 61
Corticosteroids
Inhaled beta-2 agonist bronchodilators
Inhaled anticholinergic bronchodilators
Xanthines
Question 62
Potential causes of septic arthritis include which of the following?
Lyme disease
Prosthetic joint infection
Reiter’s syndrome A and B
All of the above
Question 63
The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male
patient. The drug of choice for treatment of this patient is: Oral ciprofloxacin (Cipro)
Oral doxycycline (Virbamycin) plus intramuscular ceftriaxone
Oral trimethoprim-sulfamethoxazole (Bactrim DS)
Intramuscular penicillin
Question 64
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 65
Iron-deficiency anemia
Hemolytic anemia
Lead poisoning
Liver disease
Question 66
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 67
Acoustic neuroma
Astrocytoma of the retina
Distinctive osseous lesions
Café au lait spots
Question 68
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 69
Legal authority for advanced practice nursing rests with:
The Health Care Financing Administration
Federal statutes
State laws and regulations
Certifying bodies
Question 70
Superficial and deep heat
Application of cold
Transcutaneous electrical nerve stimulation (TENS)
Exercise
Question 71
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 72
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
Martin is complaining of erectile dysfunction. He also has a condition that has reduced arterial blood flow to his penis. The most common cause of this condition is:
Question 74
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 75
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 76
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 77
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 78
The most common cause of elevated liver function tests is: Hepatitis
Biliary tract obstruction
Chronic alcohol abuse
A drug-induced injury
estion 79
The physiological explanation of syncope is:
Accelerated venous return and increased stroke volume resulting in deactivation of the parasympathetic nervous system.
A cycle of inappropriate vasodilation, bradycardia, and hypotension.
A sudden rise in blood pressure due to overly efficient vasoconstriction.
Emotional stress resulting in hypertension, tachycardia, and increased venous return.
Question 80
Thiazide diuretic
Insulin
Famotidine (Pepcid)
Albuterol
Question 81
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 82
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)
estion 83
Doxycycline 100 mg qd
Nitrofurantoin 100 mg qd
Bactrim DS qd
Erythromycin qd
Question 84
Who is at a higher risk for developing nephrolithiasis?
Jack, who exercises every day and drinks copious amounts of water
Mary, who watches her weight and eats a low-sodium diet
Harvey, a “couch potato” who drinks a lot of no-sodium soda
Bill, who runs every day and takes excessive amounts of vitamin C
Question 85
Potential side effects of levofloxacin include which of the following?
Confusion
Hypoglycemia
Achilles tendon rupture
All of the above
Question 86
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 87
Change to a different class of antihypertensive medication to get better control.
Increase the dosage of the current BP medication.
Continue the current medication and dosage for 4 more weeks.
Add a beta-blocker to the current medication regimen.
Question 88
1, 2,
3
2, 3,
4
1, 3,
4
1, 2,
4
Question 89
Diagnostic confirmation of acute leukemia is based on:
Bone marrow aspiration and biopsy
Pancytopenia
Hyperuricemia
All of the above
Question 90
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 91
Trimethoprim-
sulfamethoxazole
Erythromycin
Cefuroxime
Levofloxacin
Question 92
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 93
Psychotherapy
Electroconvulsive therapy (ECT)
A selective serotonin reuptake inhibitor (SSRI)
A tricyclic antidepressant (TCA)
Question 94
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 95
Fatigue
Cardiomyopat hy
Falls
Bleeding
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
What is the most commonly abused substance?
Heroin
Cocaine
Alcohol
Marijuan a
Question 98
“You’re right; it seems like your diabetes is improving.”
“Because your kidneys are not functioning well, your insulin is not being metabolized and excreted as it should, so you need less of it.”
“You have watched your diet for all these years and as a result, your body is using less insulin.”
“I will have to change your oral hyperglycemic agents as it seems your body is making more insulin.”
Question 99
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 100
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 101
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. [Show Less]