NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATE, Exams of Nursing

Download NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATE and more Exams Nursing in PDF only on Docsity! NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2023 Which of the following clinical reasoning tools is defined as evidence- based resource based on mathematical modeling to express the likelihood of a condition in select situations, settings, and/or patients? Clinical practice guideline Clinical decision rule Clinical algorithm Clinical recommendatio n A common auscultatory finding in advanced CHF is S3 gallop rhythm . Mr. Keenan is a 42-year-old man with a mild history of GERD and a remote history of an appendectomy, presenting with an acute onset of significant right upper-quadrant abdominal pain and vomiting. His pain began after a large meal, was unrelieved by a proton-pump inhibitor, NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2023 NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2023 was unlike his previous episodes of heartburn, but upon questioning, reports milder, prodromal episodes of similar post-prandial pain. His pain seems to radiate to his back. Despite a family history of cardiac disease, he reports no classic anginal signs or chest pain. He furthermore denies respiratory or pleuritic signs and denies fever, night sweats, and unintended weight loss. Finally, there are no dermatologic signs, nor genitourinary symptoms. The chosen imaging study reveals: “GB normal in size without wall- thickening, but with 5-6 stones with shadowing. Common bile duct not dilated. Liver is homogenous and normal in size. Pancreas and kidneys are normal.” What is the most effective therapeutic/management option at this point? chole The best evidence rating drugs to consider in a post myocardial infarction patient include: ASA, ACE/ARB, beta-blocker, aldosterone blockade NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2023 NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2023 Increased lateral diameter Increased anterior- posterior diameter Pectus excavatum 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 Which of the following details are NOT considered while staging asthma? A. Nighttime awakenings B. Long-acting beta agonist usage NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2023 NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 C. Frequency of symptoms D. Spirometry findings The cytochrome p system involves enzymes that are generally Inhibited by drugs : • Inhibited by drugs • Induced by drugs • Inhibited or induced by drugs • Associated with decreased liver perfusion A 22-year-old female comes to your office with complaints of right lower quadrant abdominal pain, which has been worsening over the last 24 hours. On examination of the abdomen, there is a palpable mass and rebound tenderness over the right lower quadrant. The clinician should recognize the importance of Digital rectal NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 examination Endoscopy Pelvic examination UrinalysisDe finition A patient complains of fever, fatigue, and pharyngitis. On physical examination there is pronounced cervical lymphadenopathy. Which of the following diagnostic tests should be considered? Mono spot Strep test Throat culture All of the above The first assessment to complete related to the eyes is NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 Pneum onia Angina 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 Susan P., a 60-year-old woman with a 30 pack year history, presents to your primary care practice for evaluation of a persistent, daily cough with increased sputum production, worse in the morning, occurring over the past three months. She tells you, “I have the same thing, year after year.” Which of the following choices would you consider strongly in your critical thinking process? chronic bronichitis NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 Mr. Keenan is a 42-year-old man with a mild history of GERD and a remote history of an appendectomy, presenting with an acute onset of significant right upper-quadrant abdominal pain and vomiting. His pain began after a large meal, was unrelieved by a proton-pump inhibitor, was unlike his previous episodes of heartburn, but upon questioning, reports milder, prodromal episodes of similar post-prandial pain. His pain seems to radiate to his back. Despite a family history of cardiac disease, he reports no classic anginal signs or chest pain. He furthermore denies respiratory or pleuritic signs and denies fever, night sweats, and unintended weight loss. Finally, there are no dermatologic signs, nor genitourinary symptoms. Of the following lab studies, which would provide little help in determining your differential diagnosis? Abdominal plain films Liver function tests Amylase/lipas e Urinalysis NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain, fatigue, palpitations, lightheadedness, and shortness of breath. The pain comes and goes and is not associated with activity or exertion. Food does not exacerbate or relieve the pain. The pain is usually located under the left nipple. Jeff is concerned because his father has cardiac disease and underwent a CABG at age 65. The ANP examines Jeff and hears a mid-systolic click at the 4th ICS mid-clavicular area. The ANP knows that this is a hallmark sign of: Angina Pericarditis Mitral valve prolapse Congestive heart failur Men have faster and more efficient biotransformation of drugs and this is thought to be due to: • Less obesity rates than women • Prostate enlargement • Testosterone • Less estrogen than women NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 Verifying a red reflex Extraocular movements 30. If it has been determined a patient has esophageal reflux, you should tell them: They probably have a hiatal hernia causing reflux They probably need surgery They should avoid all fruit juices Smoking, alcohol, and caffeine can aggravate their problem 31. The following criterion is considered a positive finding when determining whether a patient with asthma can be safely monitored and treated at home: Age over 40 Fever greater than 101 NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 Tachypnea greater than 30 breaths/minute Productive cough 32. Jenny is a 24 year old graduate student that presents to the clinic today with complaints of fever, midsternal chest pain and generalized fatigue for the past two days. She denies any cough or sputum production. She states that when she takes Ibuprofen and rest that the chest pain does seem to ease off. Upon examination the patient presents looking very ill. She is leaning forward and states that this is the most comfortable position for her. Temp is 102. BP= 100/70. Heart rate is 120/min and regular. Upon auscultation a friction rub is audible. Her lung sounds are clear. With these presenting symptoms your initial diagnosis would be Mitral Valve Prolapse Referred Pain from Cholecystitis Pericarditis Pulmonary Embolus 33. During auscultation of the chest, your exam reveals a loud grating sound at the lower anterolateral lung fields, at full inspiration and early NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 expiration. This finding is consistent with: NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 In examining the mouth of an older adult with a history of smoking, the nurse practitioner finds a suspicious oral lesion. The patient has been referred for a biopsy to be sent for pathology. Which is the most common oral precancerous lesion? Fictional keratosis Keratoacan thoma Lichen planus Leukoplakia 38. The aging process causes what normal physiological changes in the heart? The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis Cardiology occurs along with prolapse of the mitral valve and regurgitation Dilation of the right ventricle occurs with sclerosis of pulmonic and tricuspid valves Hypertrophy of the right ventricle NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 39.In assessing the eyes, which of the following is considered a “red flag” finding when associated with eye redness? History of prior red-eye episodes Grossly visible corneal defect Exophtha lmos Photoph obia 40.Helicobacter pylori is implicated as a causative agent in the development of duodenal or gastric ulcers. What teaching should the nurse practitioner plan for a patient who has a positive Helicobacter pylori test? A.It is highly contagious and a mask should be worn at home. B.Treatment regimen is multiple lifetime medications. C. Treatment regimen is multiple medications taken daily for a few weeks. D. Treatment regimen is complicated and is not indicated unless the patient is symptomatic. NURS 6520 WEEK 5 MIDTERM EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022