NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED, Exams of Nursing

Download NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED and more Exams Nursing in PDF only on Docsity! NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED 1- A patient is seen with complaints of diarrhea. Which of the following should be included in the patient's differential diagnosis? 1) Gastroenteritis 2) Recent use of Imodium 3) Lack of dietary fiber 4) Decreased physical activity 2- Cameron, 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he has had intermittent heartburn for several months and takes antacids with temporary relief. He has been waking during the night with a burning sensation in his chest. Which additional information would lead you to believe that gastroesophageal reflux disease (GERD) Is the cause of his pain? 1)The pain seems better when he smokes to relieve his nerves. 2) Coffee and fried foods don't bother him. 3) He wakes at night coughing with a bad taste in his mouth. 4) He likes to wear loose clothing 3-Gail, a 35-year-old female patient, is seen in the clinic in the morning. She complains of abrupt onset of nausea, vomiting, colicky abdominal cramps, and profuse watery diarrhea that began last night. Her vitals are BP: 110/70, HR: 110, temperature: 990OF, RR: 12. She recently came back from a vacation in Switzerland, ate leftovers for dinner last night, and had a cold 2 weeks ago. Which of the following is the most probable cause of her condition? 1) Staphylococcus 2) Shigella 3) Rotavirus 4)Entamoeba histolytica 4- Hannah is a patient that just had an appendectomy after a diagnosis of appendicitis and had no complications. Which of the following patient education points is correct? 1) You wilt need to take laxatives to encourage defecation post-surgery 2) You wil need to stay in the hospital for 2 weeks to recover, 3) Your diet will be advanced when bowel sounds returm. NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED 5- Which of the following patients should be referred to a hepatologist? 1-Patient with persistente elevation of HBSAg 2-Patient with anti-HAV IgG 3-Patient with IgG anti-HBs 4-Patient with anti-HEV 6- A 29-year-old is seen in the offce with complaints of pain in his chest and belly. He quit smoking 6 months ago. He has been suffering the pain for 2 weeks and gets temporary relief from Alka-Seltzer and Pepto-Bismol8. The burning pain wakes him at night and radiates to his chest Which factor favors a diagnosis of gastric ulcer? 1) His use of Pepto-Bismol 2) His age 3) His use of Alka-Seltzer 4) His smoking cessation 7- Which of the following causes gastrointestinal bleeding is found in the lower gastrointestinal tract? 1) Erosive esophagitis 2)Duodenal ulcer 3) Meckel's diverticulum 8- A 21-year-old student presents with complaints of fatigue, headache, anorexia, and a runny nose, all of which began about 2 weeks ago. She started taking vitamins and over-the-counter cold preparations but feels worse. The smell of food makes her nauseated. Her boyfriend had mononucleosis about 1 month ago, and she wonders if she might have it also. Examination reveals cervical adenopathy and an enlarged liver and spleen. Which of the following labs would be most helpful in the differential diagnosis at this point? 1)Stool culture 2)Liver enzymes 3) Antihepatitis D virus 4) Thyroid-stimulating hormone test 9-A patient is seen in the clinic with right upper quadrant pain that is radiating to the middle of the back. The NP suspects acute cholelithiasis. The NP should expect which of the following laboratory findings? NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED butter. 3) Limit shrimp Intake. 4)increase fat intake by eating ver. NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED 16- Ron has cirrhosis and now presents with altered mental status after increasing protein intake because he was trying to increase muscle mass. Which of the following diseases should the clinician be concerned about? 1)Hepatopulmonary syndrome 2) Hepatic encephalopathy 3) Hepatorenal syndrome 4) Spontaneous bacterial peritonitis 17- Which of the following patients is most likely to have urge incontinence? 1) Mary, a 35-year-old female with a history of four vaginal deliveries 2) Devon, a 40-year-old male with a history of multiple sclerosis 3) Dan, a 67-year-old male with a history of diabetes mellitus 4) Cheryl, a 95-year-old female who takes Norpace daily 18- A 30-year-old patient presents with pain on urination. The urine microscopy of clean-catch urine shows greater than 10 leukocytes/ml, and a dipstick is positive for nitrites. What is the probable diagnosis? 1- Lower urinary-tract infection 2-Chlamydia infection 3-Candidiasis 4- Pyelonephritis 19- A patient presents with CVA tenderness and a several day history of high fever, chills, and dysuria. Which of the following diagnoses is most likely given the above information? 1- Pyelonephriti s 2- Cystitis 3- Renal calculi 4) Bladder tumor 20-Which of the following information patients with a UTI can receive Bactrim DS? 1-Mary, a 25-year-old who is 25 weeks pregnant 2-Donna, a 55-year-old with an allergy to sulfa 3) Lisa, a 33-year-old who is breastfeeding her 3-week-old NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED daughter 4 ) Tiffany, a 16-year-old with a hypersensitivity to penicillin 21-Which of the following Macrobid doses is appropriate to treat a lower UTI? 1) 200 mg bid 14 days 2- 100 mg bid 5 days NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED 27- The patient with severe iron deficiency anemia is eating ice chips. Which term should the clinician use to document this finding? 1- Cheilosis 2- Anorexia 3- Hypochromasi a 4- Pica 28-As a rule of thumb, the estimated level of hematocrit is how many times the value of the hemoglobin? 1-Two 2) Three 3) Four 4) Five 29- Which medication for type 2 diabetes mellitus would be contraindicated during pregnancy? 1- Insulin 2) Metformin (Glucophage) 3- Glipizide (Glucotrol) 4- Acarbose (Precose) 30- A 35-year-old woman presents with symptoms of hypoglycemia. There is no history of diabetes mellitus. Which condition should be included in the differential diagnosis? 1-Peripheral vascular disease 2- Pheochromocytoma 3-Cushing's disease 4- Acromegaly 31- Which action would the clinician take to elicit Chvostek's sign? 1- Check serum level of glucose after drinking a glass of juice. NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED 2) Tap the facial nerve below the zygomatic arch anterior to the earlobe. 3) Press into the lower quadrant of the abdomen and release quickly. 4) Pump a blood pressure cuff 20 mm Hg above the patient's systolic pressure. 32-Cydney presents with a history of asthma. She has not been treated for a while. She complains of daily but not continual symptoms, greater than 1 week and at nighttime. She has been using her rescue inhaler. Her FEV, is 60% to 80% predicted. How would you classify her asthma severity? NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED 1) Mild intermittent 2) Mild persistent 3) Moderate persistent 4) Severe persistent 33-Joyce is taking a long-acting beta agonist for her asthma. What additional medication should she be taking? 1) Inhaled corticosteroid 2) Leukotriene-receptor antagonist 3) Systemic corticosteroid 4) Methylxanthines 34-Your patient Is on theophylline for his asthma. You want to maintain his serum levels between: 1) o to 5 mcg/mL 2) 5 to 10 mcg/mL 3) 5 to 15 mcg/mL 4) 10 to 20 mcg/mL 35-George has COPD and an 80% forced expiratory volume in 1 second. How would you classify the severity of his COPD? 1) Stage 1 mild COPD 2) Stage 2 moderate COPD 3) Stage 3 severe COPD 4) Stage 5 very severe COPD 36-Most nosocomial pneumonias are caused by: 1) Fungi 2) Viruses 3) Gram-negative bacteria 4) Pneumococcal pneumonia 37-Nathan, a 32-year-old policeman, has a 15-pack-a-year history of smoking and continues to smoke heavily. During every visit, he gets irate when you try to talk to him about quitting. What should you do? O 1) Hand him literature about smoking cessation at every visit. 2) Wait until he is ready to talk to you about quitting. 3) Document in the record that he is not ready to quit NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED 1-Temperature of 100?F 2) Respiratory rate 22 breaths per minute 3) Hemoglobin 9.5 g/dL NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED 4) History of diabetes mellitus 43- Fredericka is a 40-year-old Hispanic female with a history of diabetes mellitus, hypertension, and HIV. She has a tuberculosis (TB) skin test. What is the smallest diameter of induration that would indicate a positive result? 1) 2 mm 2) 5 mm 3) 8 mm 4) 10 mm 44- Why do you suspect that your patient may have a decreased response to the tuberculin skin test (TST)? 1) She is on a high-protein diet. 2) She is an adolescent. 3) She has been on a long-term corticosterold therapy. 4)She just got over a cold. 45- Which of these patients should be given a decongestant? 1) Gerta, a 41-year-old female with GERD 2) Christine, a 15-year-old female with pneumonia 3) Dan, a 60-year-old male with allergic rhinitis 4) Andy, a 26-year-old with cystic fibrosis 46 -Which of the following herbal supplements should be used cautiously in a patient with hypertension? 1) Licorice 2) Horehound 3) Peppermint 4) Jasmine 47- A patient with hypertension comes in and insists that one of his new medications is causing him to cough. When looking at his list of medications, you think the cough must be from: 1) Metoprolol 2) Clopidogrel 3) Tadalafil 4) NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED Captopril 48- Lisa is a 25-year-old hispanic female experiencing chest tightness, a feeling of suffocation, and feels like she "can't get air in." She has no current history of heart NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED that occurs during sleep and most often in the early morning hours? 1) Stable angina 2) Unstable angina 3) Variant (Prinzmetal's angina) 4) Probably not angina but hiatal hernia 54- In which patient do premature ventricular contractions NOT need to be treated? 1) Kelly, a 25-year-old female with an allergy to bee stings 2)Mary, a 50-year-old female with a history of untreated anxiety 3) Randy, a 45-year-old male with a history of hypotension 4) Bill, a 65-year-old male with a history of angina 55- What is the most common form of heart disease in a patient with atrial fibrillation? 1) Hypertension 2) Rheumatic heart disease 3)Angina 4) Coronary artery disease associated with heart failure 56- What does digitalis compete with at binding sites on the cell membrane? 1) Magnesium 2)Potassium 3) Sodium 4) Calcium 57- What of the following patients is a candidate for statins? 1)Jerry is a 55-year-old male with a history of syncope. 2) Christa is a 65-year-old female with a history of myocardial infarction (MI). 3) Manny is a 75-year-old male with a 10-year cardiovascular risk of 6.5%. 4) April is an 80-year old female with a low-density fipoprotein (LDLJ level of 180. NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED 58- Which of the following is a chest wall syndrome? 1)Myocardial infarction NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED 2) Angina 3)Costochondrit is 4) Pericarditis 59- Which of the following may help a clinician to determine whether palpitations are caused by a potentially lethal cardiac rhythm? 1) Holter monitoring 2) Complete blood count (CBC) 3) Thyroid panel 4)Computed axial tomography (CAT) scan 60- An elderly female without prior history of cardiovascular disease reports lower leg soreness and fatigue when shopping or walking in the neighborhood. The primary care provider notes decreased pedal pulses bilaterally. Which test will the provider order initially to evaluate for peripheral arterial disease based on these symptoms? 1)Digital subtraction angiography 2) Doppler ankle, arm index 3) Magnetic resonance angiography 4) Segmental limb pressure measurement 61- With regards to the relationship between diabetes and diabetic retinopathy, which of the following is TRUE 1- Diabetic retinopathy only econ in patients with type 1 diabetes 2- Diabetic retinapathy is always the frut sign that a patient has diabetes 3- The longer the patient han had diabetes, the more likelihood that they will develop retinopathy 4- Diabetic retinopathy only occurs in patients with type 2 diabetes. 62- Which of the following produces allow and painless vil feldloss that usually begin peripherally 1- Posterior catars 2- Open angle glaucoma 3- Immature cataracts 4- Macular degeneration 63-Which is apprneriate patient education to prvide anding hacterial NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED 1) Benzodiazepines 2) Selective serotonin reuptake inhibitors (SSRIS) 3) Tricyclic antidepressants NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED 4) Cognitive behavioral therapy 69- Which of the following symptoms is NOT part of the diagnostic criteria for post- traumatic stress disorder (PTSD)? 1) Hypersomnolence 2) Blunted feelings 3) Loss of interest in signifficant activities 4) Intrusive recurrent recollections of the event 70- Which of the following neuroendocrine abnormalities is implicated in depression? 1) Decrease in adrenal size 2) Hypersecretion of cortisol 3) An exaggerated response of thyrotropin (TRH) to infusion of thyroid- releasing hormone 4) Increased inhibitory response of glucocorticoids to thasone 71- The clinician has chosen to prescribe an SSRI instead of a tricyclic antidepressant (TCA) for a patient fitting the diagnostic criteria for depression. Which of the following is NOT true concerning SSRIS in comparison to tricyclic antidepressants? 1) SSRIS are more effective than TCAS. 2) SSRIS take less time to work than TCAS. 3) SSRIS have a more favorable side-effect profile than TCAS. 4) SSRIS are not lethal in overdose. 72- After discontinuing fluoxetine, how long must a person wait before starting a monoamine axidase inhibitor? 1) 2 weeks 2) 3 weeks 3) 4 weeks 4) 5 weeks 73- It is important to educate patients with depression and their family members about reporting signs of increasing depression and suicidal thoughts. This is especially true during which time period? NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED 1) Prior to the antidepressant reaching therapeutic levels NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED 79- Which drug for Alzheimer's disease should be administered beginning at the time of diagnosis? 1) Cholinesterase inhibitors 2) Anxiolytics 3) Antidepressants 4) Atypical antipsychotics 80- The health-care provider is treating a patient who was hit in the head with a frying pan. Which of the following should the provider suspect? 1) Intraparenchymal hemorrhage 2) Subdural hematoma 3) Eoidural hematoma 4) Subarachnoid hematoma 81- Which of the following indicates a diagnosis of dementia? 1) Onset after an infection 2) Abrupt onset over a week 3) Difficulty with long-term mengry 4) Hard time finding words 82-Which of the following aspects of the patient history is a hallmark of delirium? 1) Patient has chronic kidney disease. 2) Patient has had aphasia for a year. 3) Patient has diabetes mellitus. 4) Patient has been getting lost driving home. 83- Which of the following would lead the clinician to suspect a tumor when paired with low back pain? 1) Minor trauma with sneezing in elderly with osteoporosis 2) History of spinal procedure NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED 3) Sudden loss of bowel or bladder function NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED 4) Unintended weight loss >10% of body weight in 6 months 84- A 70-year-old female fell 2 weeks ago and developed immediate pain In her left elbow on the lateral epicondyle. She thought she just bruised it, but is now worried because it has not improved. She has used Tylenol® and ice at home, and that has helped slightly. During your examination, you find she has moderate swelling and ecchymosis, but no overtly obvious deformity. Her ROM is uncomfortable and severely diminished due to the pain. No crepitus is heard or felt. Her fingers are warm; her pulse is strong: and capillary refill is less than 2 seconds. What should you do? 1) Make an immediate referral for an orthopedic surgical evaluation without further assessment. 2) Tell her that it takes time for these bruises to improve, so she should be patient. 3) Prescribe a splint for her left wrist and begin corticosteroid injections. 4) Send her to the emergency room for reduction of this obvious wrist fracture. 85- You have detected the presence of crepitus on examination of a patient with a musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with both active and passive movement. These findings suggest that the origin of the musculoskeletal complaint is: 1) Articular 2) Inflammatory 3) Nonarticular 4) Noninflammatory 86- Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain? 1) Decreased C-reactive protein 2) Hyperalbuminemia 3) Morning stiffness 4) Weight gain NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED 2) There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses. NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED 3) x-rays are the only diagnostic testing appropriate to assess a dislocation. 4) Most traumatic dislocations are posterior. 91- Fred has been diagnosed with a trigger finger of the ring finger. Which of the following management strategies is appropriate? 1) Surgical removal of the tendon sheath 2) NSAIDS 3) Local anesphetic injection into the tendon sheath 4) Splinting 92- Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal tunnel syndrome. She has two young children and asks the clinician what the chances are that they also will develop carpal tunnel syndrome. Which of the following responses would be correct regarding the risk of developing carpal tunnel syndrome? 1) Carpal tunnel syndrome commonly occurs in familes. Genetic factors are thought to account for about one-half the risk of developing carpal tunnel. 2) People with occupations that require repeated flexion extension of the wrist, use of hand tools that require forceful gripping. or use of hand tools that vibrate are at rísk for developing carpal tunnel. 3) An underlying musculoskeletal disorder must be present for a person to develop carpal tunnel. 4) 4) Carpal tunnel syndrome only occurs in the presence of a hormonal imbalance. 93- Which of the following statements is true regarding the treatment of carpal tunnel syndrome? 1) The goal of treatment is to prevent flexion and extension movements of the wrist. 2) Splints are not used in carpal tunnel syndrome, because they restrict complete movement of the fingers and wrist. 3) 3) Corticosteroid injections are encouraged in the treatment of carpal tunnel syndrome. 4) 4 Treatment that encourages fluid retention, to keep the Joints lubricated, is an emphasis of treatment. 94- Sam is a 25-year-old who has been diagnosed with low back strain NUR 2306 ADVACED NURSING FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023 A+ SUCCESS GUARANTEED based on his history of localized low back pain and muscle spasm along with a normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician