Comparative Analysis of Common Symptoms and Diagnoses, Exams of Nursing

Download Comparative Analysis of Common Symptoms and Diagnoses and more Exams Nursing in PDF only on Docsity!  Nursing Profession Information Final Exam Questions with Verified Answers Top Ranked Solutions-Guaranteed Satisfaction Question 1 1 out of 1 points her legal represent Selected Answer: Release of information (ROI) to third parties requires authorization by the patient or his or dative. True or False? True Answers: True Falls e  Question 2 1 out of 1 points When giving patio health information? Selected Answer: nets written information, what is the suggested reading level for that 5th grade Answers: 10th gray de 7th grad e 1st grad e 5th grade  Question 3 1 out of 1 points An NP must have Selected Answer: A DNP to prescribe controlled substances. True or False? Falls e Answers: True Falls e  Question 4 1 out of 1 points DNP stands for Doctor of Nursing Profession Selected  Question 5 1 out of 1 points her son’s health. The provider begins to share medical information with mom. There is no signed HIPPA waiver in patients chart. This is not a HIPPA violation considering this is the patient’s mother, Selected Answer: Falls e Answers: True Falls e  Question 8 1 out of 1 points There are several titles for NPs, and some are based on the state requirement. What does ARNP stand for? Selected Answer: Advanced Registered Nurse Practitioner Answers: Adult Registered Nurse Practitioner Advanced Registered Nurse Practitioner Acute Registered Nurse Practitioner Advanced Registered Nurse Provider  Question 9 1 out of 1 points NP could be liable Selected Answer: If an NP is at a social gathering and someone casually asks his/her medical opinion that if something goes wrong. True or false? True Answers: True Falls e  Question 10 1 out of 1 points Telemedicine is defined as Selected Answer: When care is provided remotely and the provider and patient are not physically present with each other Answers: When care is provided remotely and the provider and patient are not physically present with each other When care is provided remotely and the provider and patient are physically present with each other Remote care that is challenging and only used for psychiatric patients Remote care provided to patients by providers and does not require HIPPA compliant video conferencing  Question 1 1 out of 1 points What is it called why Selected Answer: En an NP bills for a higher level of visit than actually was conducted? Up coding Answers: Billing Productivity y Up coding Answers: True Falls e  Question 6 1 out of 1 points A provider may be terribly negligent, but if there is no injury, there is no malpractice. True or False? Selected Answer: True Answers: True Falls e  Question 7 1 out of 1 points If a patient is dismissed from a practice, it is important that certain rules are followed. A patient should be sent a dismissal letter by First Class mail with return receipt requested. What elements need to be included in the letter? Selected Answer: The last day the practitioner will be available to render medical care, which should be at least 30 days; indication that med refills will be provided during this period; alternative sources of medical care; how to obtain medical records Answers: The last day the practitioner will be available to render medical care, which should be at least 30 days; indication that med refills will be provided during this period; alternative sources of medical care; how to obtain medical records The last day the practitioner will be available to render medical care, which can be immediately; referral information to another provider, and how to obtain medical records Notice of immediate discharge from the practitioners care, prescriptions for 30 days of their medications, and how to obtain medical records The last day the practitioner will be available to render medical care, which should be at least 60 days; indication that med refills will not be provided during this period; referral to new provider; how to obtain medical records  Question 8 0 out of 1 points There are _________ Selected Answer: _____ (fill in a number) levels of evaluation/management visits. four Answers: thre e four five six  Question 9 1 out of 1 points If an NP receives a letter from the Board of Nursing with concerns about a license issue, what should the NP do immediately? Selected Answer: Respond to the complaint to the Board of Nursing. Consider contacting a lawyer Answers: Contact his or her malpractice insurance carrier and a lawyer o All Answer Choices A. anosmia B. parosmia C. hyposmia o  Question 3 1 out of 1 points How does an NP distinguish viral conjunctivitis from bacterial conjunctivitis? Viral conjunctivitis is: Selected Answer: watery discharge, unilateral, older children and adenopathy Answers: mucopurulent discharge, bilateral, and usually seen in preschoolers usually seen in adults, mucopurulent discharge, and unilateral, no adenopathy watery discharge, unilateral, older children and adenopathy watery discharge, adults, unilateral, no adenopathy  Question 4 1 out of 1 points The NP recognizes common symptoms for allergic rhinitis include: Selected Answer: Runny nose and itchy eyes Answers: Bloody nasal discharge Runny nose and itchy eyes Purulent nasal discharge Cough and fever  Question 5 1 out of 1 points What is the most important way to control allergic rhinitis? Selected Answer: environmental Answer: amoxicillin 80-90 mg/kg/day media? Answers: amoxicillin 80-90 mg/kg/day Ceftin 90 mg/kg/day Penicillin VK 10 mg/kg/day azithromycin 50 mg/kg/day  Question 9 1 out of 1 points What is normal intraocular pressure? Selected Answer: 10—20 mm hg Answers: 5-8 mm hg 2-4 mm hg 10—20 mm hg 50 mm hg or greater  Question 10 1 out of 1 points The NP will use what to diagnose a corneal abrasion? Selected Answer: all of the above Answers: fluorescein staining under a cobalt blue light wood lamp all of the above  Question 1 1 out of 1 points Which of the following can reduce breast cancer risk? Selected Answer: All of the above Answers: Healthy diet Limiting ETOH intake Stop smoking Maintain normal body weight All of the above A, B, & C only  Question 2 1 out of 1 points Selected Answer: Answers:  Question 4 1 out of 1 points Diabetes mellitus causes both microvascular and macrovascular damage. All of the following are indications of microvascular damage except: Selecte d Answer : Atherosclero sis Answer s: Retinopathy Nephropathy Neuropathy Atherosclerosis  Question 5 1 out of 1 points Selected Answer: Answers: Jay is a 72 y/o male who comes to the clinic with the following chief complaint: “I have been feeling very tired recently and having trouble breathing when I go upstairs. I noticed that my ankles and feet are swollen and I have been putting on weight.” The most likely diagnosis for this patient is: Congestive heart failure (CHF) Acute myocardial infarction (AMI) Infective endocarditis Congestive heart failure (CHF) Dissecting abdominal aortic aneurysm (AAA)  Question 6 1 out of 1 points Mickey is a 23 y/o male who comes to the clinic with the following complaints: abdominal pain, chest pain, and seizures. In reviewing his record, the NP notices that this is his 20th visit this year. Furthermore, he has had six Selected Answer: Answers: exploratory surgeries that have discovered nothing of consequence. His most likely diagnosis is: Selected Answer: Munchausen syndrome Answers: Munchausen syndrome Schizophrenia Posttraumatic syndrome Anorexia nervosa  Question 7 1 out of 1 points Bupropion (Wellbutrin) is contraindicated in patients with anorexia/bulimia because of the potential for increasing the seizure threshold. Selected Answer: True Answers: True Fals e Selected Answer: Answers: the LLQ. She has bloating that is relieved with defecation. The most likely cause is: Selected Answer: Irritable bowel syndrome Answers: Irritable bowel syndrome Peptic ulcer disease GERD Pancreatitis  Question 11 1 out of 1 points Oral contraceptives can be started anytime in the menstrual cycle. Selected Answer: True Answers: True Fals e  Question 12 0 out of 1 points Jay is a 72 y/o male who comes to the clinic with the following chief complaint: “I have been feeling very tired recently and having trouble breathing when I go upstairs. I noticed that my ankles and feet are swollen and I have been putting on weight.” Treatment for Jay’s diagnosis could include which of the following? Selected Answer: A & C only Answers: Diuretics Calcium channel blockers Beta blockers All of the above A & C only  Question 13 1 out of 1 points Which of the following glands is responsible for calcium balance in the body? Selected Answer: Parathyroid glands Answers: Posterior pituitary Parathyroid glands Thyroid gland Pineal gland  Question 14 1 out of 1 points Melanoma is the most common type of skin cancer. Selected Answer: Fals e Answers: True Fals e days. He initially had a mild fever and a runny nose. First- line treatment for Artie would include macrolides. Selected Answer: True Answers: True Fals e  Question 19 1 out of 1 points John is a 26 y/o Caucasian male who works as a landscaper for his father’s business. During the past couple of months, he has noticed a small dark popular lesion on his neck. He states that it sometimes bleeds and is a “sore that never heals.” The NP notes that he has a circumscribed 2mm lesion at the base of his neck just below the hairline. The most appropriate treatment for John’s lesion would be: Selected Answer: Mosh surgery Answers: Apply Caldara Cream Electro cautery Mosh surgery “Watch and wait”  Question 20 1 out of 1 points Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. Knowing that her cervix is not dilated, the most appropriate treatment would be: Selected Answer: Strict bedrest Answers: An emergency room visit Strict bedrest Hospitalization All of the above  Question 21 1 out of 1 points An S3 heart sound can be a normal finding in all the following except: Selected Answer: 40 year old female Answers: Well trained athletes Pregnant women Children 40 year old female  Question 22 1 out of 1 points Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. If Sara started having uterine cramping, then the most appropriate immediate treatment would be: Selected Answer: A & B only Answers: Family history of identical condition Low fluid intake Gout Arthritis A & B only  Question 26 1 out of 1 points Antipsychotics lead to an increased risk of metabolic syndrome. Selected Answer: True Answers: True Fals e  Question 27 1 out of 1 points Martin is a 17 y/o male who comes to the clinic with the following chief complaint: “I have pain around my belly button and have had no appetite for the past 24 hours. I have had some nausea and have vomited three times. I have had a low-grade fever also.” During the clinical exam, the NP notices that Martin has some guarding and rebound tenderness in the RLQ. In the physical exam, the NP performs some abdominal maneuvers. What would be the most appropriate maneuvers for Martin’s symptomatology? Selected Answer: A & B only Answers: Psoas sign Obturator sign Rovsing’s sign Murphy’s sign A & B only  Question 28 1 out of 1 points Randy is a 29 y/o African American male who has a body mass index (BMI) of 30, does not exercise, and has evidence of metabolic syndrome. The first line treatment for Randy’s diagnosis would be: Selecte d Answer: Metformi n Answer s: Insulin Actos Metformin Glucotrol  Question 29 1 out of 1 points Carlos is a 64 y/o male who has previously been diagnosed as a Category A COPD patient based on Gold guidelines (2017). Treatment for Carlos would include which of the following? Selected Answer: Short-acting beta Fals e  Question 3 1 out of 1 points Most patients with mitral valve prolapse are asymptomatic and require no intervention other than periodic clinical examinations and echocardiographic follow up evaluation every 3–5 years Selected Answer: True Answers: True Fals e  Question 4 1 out of 1 points A PPD skin test result that is a bright-red color and is not indurated is a positive result. Selected Answer: Fals e Answers: True Fals e  Question 5 1 out of 1 points Common causes of hemoptysis are: Selecte d Answer: All of the above Answers : acute bronchiti s chronic bronchitis lung cancer All of the above  Question 6 1 out of 1 points Lobar consolidation is more common in ______________ pneumonia and bilateral diffuse. Infiltrates are seen more commonly in __________________ pneumonia. Selected Answer: typical; atypical Answers: typical; atypical; typical fungal; viral; fungal  Question 7 1 out of 1 points How would you interpret this EKG? Selecte d Answer: Ventricula r tachycardi a Answer s: STEMI Third degree heart block Atrial fibrillation Ventricular tachycardia  Question 8 1 out of 1 points Treatment of an abdominal aortic aneurysm is recommended when it has grown to greater than _______ in diameter. Selected Answer: 5. 5 Ataxia Erectile dysfunction Seizures  Question 2 1 out of 1 points Joan is a 39 y/o female who presents to the clinic with a chief complaint of: 3-day history of fever (101 F degrees), chills, n & v, and flank pain. During the physical exam, the NP notices that Joan has CVA tenderness. In a urine check, the NP notes that she has many leukocytes, hematuria, WBC casts, and mild proteinuria. The most likely diagnosis is: Selected Answer: Acute pyelonephritis Answers: Acute pyelonephritis Nephrolithiasis Simple UTI None of the above  Question 3 1 out of 1 points Randy is a 29 y/o African American male who has a body mass index (BMI) of 30, does not exercise, and has evidence of metabolic syndrome. The first line treatment for Randy’s diagnosis would be: Selecte d Answer: Metformi n Answer s: Insulin Actos Metformin Glucotrol  Question 4 1 out of 1 points Pneumococcal vaccine is recommended for which of the following groups of patients? Selected Answer: All of the above Answers: Persons > 65 y/o Impaired immunity Blood disorders Heart and lung disease All of the above A, B & D only  Question 5 0 out of 1 points Martin is a 73 y/o male who has a 50 pack/year history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss and more noticeable pursed lip breathing. Your diagnosis is: redness. You perform a urine analysis, which is negative. What is your most likely treatment plan? Selected Answer: Send him to the ER. This is a surgical emergency. Answers: Use cold compresses on the groin area Start on antibiotics Give him acetaminophen and have him back in 24 hours Send him to the ER. This is a surgical emergency.  Question 9 1 out of 1 points John is 17 y/o and decides to marry his high school sweetheart. Under what condition(s) would he be declared an “emancipated minor?” Selected Answer: B & C only Answers: Moving out of parents’ house Joining the Navy Legally married B & C only  Question 10 1 out of 1 points Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved with defecation. The most likely cause is: Selected Answer: Irritable bowel syndrome Answers: Irritable bowel syndrome Peptic ulcer disease GERD Pancreatitis  Question 11 1 out of 1 points At 12 weeks in a pregnancy the fundal height of the uterus should be: Selected Answer: Above the syphilis pubis Answers: Above the syphilis pubis Between syphilis pubis and umbilicus At level of umbilicus Below the umbilicus  Question 12 1 out of 1 points Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. The most likely diagnosis for this condition is: Selected Answer: Placenta prevail Stage 3 Stage 4 Stage 5  Question 16 1 out of 1 points Bacterial vaginitis has all the following signs/symptoms except: Selected Answer: Greenish discharge Answers: Fish-like odor Milk-like discharge Non-itchy vulva Greenish discharge  Question 17 1 out of 1 points Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved with defecation. Treatment of Agnes’s condition would include which of the following: Selected Answer: All of the above Answers: Increased dietary fiber Avoid gas-producing foods Decrease stress in her life All of the above A & B only  Question 18 1 out of 1 points Bollinger-Ellison syndrome causes high levels of acid production in the stomach. Selected Answer: True Answers: True Fals e  Question 19 1 out of 1 points Hyperprolactinemia can be a sign of pituitary adenoma. Selected Answer: True Answers: True Fals e  Question 20 0 out of 1 points A pregnant women who has gestational diabetes mellitus (GDM) in the second trimester has which type of diabetes? Selected Answer: Neith er Answers: Type I Type 2 Neith er Decreased TSH and decreased free T4  Question 24 1 out of 1 points Once cervical cancer screening is initiated in women, the screening interval should be: Selected Answer: Every 3 years Answers: Every 2 years Every 3 years Every 4 years Every 5 years  Question 25 1 out of 1 points Which of the following vaccines are contraindicated in pregnancy? Selected Answer: All of the above Answers: MMR Oral polio Varicella All of the above  Question 26 1 out of 1 points Oscar is a 41 y/o male who presents to the clinic with onset of fever, n&v, with a rapid onset of pain that radiates to the midback, epigastria region. On physical exam, you notice guarding over epigastria area and a positive Cullen’s and Grey-Turner’s sign. The most likely diagnosis is: Selected Answer: Acute pancreatitis Answers: GERD Acute pancreatitis Hepatitis Peptic ulcer disease  Question 27 1 out of 1 points When testing an infant for developmental dysplasia of the hip, which of the following tests could be used? Selected Answer: All of the above Answers: Ortolani test Barlow test Galeazzi (Allis) sign All of the above  Question 28 1 out of 1 points Martin is a 17y/o male who comes to the clinic with the following chief complaint: “I have pain around my belly button and have had no appetite for the past 24 hours. I have had some nausea and have vomited three times. I have had a low-grade fever also.” During the clinical exam, Selected Answer: True Answers: True Fals e  Question 2 1 out of 1 points In a patient with chronic cholecystitis, would you expect to see normal lab values for which of the following? Selected Answer: All of the above Answers: White blood count Amylase Lipase All of the above  Question 3 1 out of 1 points The most common symptom of GERD is _______________. Selecte d Answer: Heartbur n Answer s: Diarrhea Stomach pain GI bleeding Heartburn  Question 4 1 out of 1 points Smoking is a major risk factor for bladder cancer. Selected Answer: True Answers: True Fals e  Question 5 1 out of 1 points For the Rome III Criteria for constipation to be fulfilled at least one of the symptoms listed below must be present for at least 3 months with onset 6 months before the diagnosis. Which symptom is correct? Selected Answer: sensation of straining Answers: fewer than 2 bowel movements per week sensation of straining no anorectal obstruction use of manual maneuvers to aid defecation in more than 10% of defecations  Question 6 1 out of 1 points Which of the following is an appropriate treatment regimen for H. pylori? Selected Answer: lansoprazole 30 mg twice daily for 10 days; amoxicillin 1 mg twice a day for 10 days; clarithromycin 500 mg three times daily for 10 days Answers: omeprazole 40 mg daily x 7 day; 120 15; 90 10; 50 60; 120  Question 10 1 out of 1 points In acute appendicitis, when palpating the left lower quadrant of the abdomen and it leads to right lower quadrant pain, that is known as the ___________ sign. Selecte d Answer: Rosvin g Answers: Rosving Murph y Cullen Psoas  Question 1 1 out of 1 points In a patient with hyperglycemia, the intracellular fluid may shift into the extracellular compartment, leading to decreased sodium levels. Selected Answer: Tru e Answers : True Fals e  Question 2 1 out of 1 points Several organizations have come together to define the diagnostic criteria for metabolic syndrome. One of these criteria is: Elevated blood pressure: systolic 140 mm Hg or higher and diastolic 95 mm Hg or higher, or drug treatment of previously diagnosed hypertension Selected Answer: Fals e Answers: True Fals e  Question 3 1 out of 1 points Levothyroxine typically _____________________ TSH levels Selected Answer: decrease s Answers: increase decrease s don't effect mask  Question 4 1 out of 1 points Reduced HDL cholesterol: below 50 mg/dL in males and below 60 in females, or specific treatment for this lipid abnormality Selected Answer: Fals e Answers : Tru e Fals e  Question 8 1 out of 1 points What HgA1C level indicates a diagnosis of diabetes? Selected Answer: 6.5 Answers: 5.7 6.0 6.5 7.0  Question 9 1 out of 1 points What are cardinal signs of Type 1 Diabetes Mellitus? Selected Answer: Increased urination, increased thirst, increased appetite Answers: Weight gain, blurred vision, and increased energy Weight gain, blurred vision, insomnia Decreased urination, decreased thirst, and decreased appetite Increased urination, increased thirst, increased appetite  Question 10 1 out of 1 points Insulin doses typically remain the same when a woman with Type 1 Diabetes Mellitus becomes pregnant. True or False? Selected Answer: Fals e Answers: True Fals e  Question 1 1 out of 1 points Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Potential organisms that might have caused Sam’s condition include which of the following: Selected Answer: All of the above Answers: Mycoplasma pneumoniae Chlamydia pneumoniae days. He initially had a mild fever and a runny nose. First- line treatment for Artie would include macrolides. Selected Answer: True Answers: True Fals e  Question 5 1 out of 1 points Mary is a 22 y/o female who is at 6 weeks gestation. She stated that her last menstrual period was June 10, 2020. Using Naegele’s rule, which of the following is her expected date of confinement (EDD)? Selected Answer: March 17, 2021 Answers: March 17, 2021 March 10, 2021 April 10, 2021 April 17, 2021  Question 6 1 out of 1 points The CDC recommends HPV vaccine for males until what age? Selected Answer: 26 y/o Answers: 18 y/o 20 y/o 23 y/o 26 y/o  Question 7 1 out of 1 points Andre is a 52 y/o construction worker who stayed home today because he was having severe chest pain. His wife calls the clinic and describes his symptoms as: squeezing chest tightness, with pain that radiates to the left side of his neck, jaw, and left arm. The NP’s immediate response should be to tell the wife: Selected Answer: Call 911 immediately. Answers: Begin CPR and then call 911. Call 911 immediately. Have the wife drive the patient to the ER. Call back if the intensity of the pain increases.  Question 8 1 out of 1 points 1 out of 1 points Martin is a 41 y/o male who comes to the clinic with the following symptoms: fever, chills, and malaise. On physical exam, the NP notes that he has a new murmur that was not present at his last visit and is aware that he has a prosthetic valve. He also has splinter hemorrhages on his nails, and petechiae on his palate. Based on these finding alone the NP arrives at the following presumed diagnosis: Selected Answer: Infective endocarditis Answers: Congestive heart failure Infective endocarditis Dissecting abdominal aortic aneurysm (AAA) None of the above  Question 12 1 out of 1 points Andreas is a 22 y/o male who comes to the clinic with a UTI. In reviewing the labs that were drawn yesterday, you know that there are many squamous epithelial in the specimen. This indicates: Selected Answer: Sample contamination Answers: Sample contamination Pyelonephritis Bladder cancer None of the above  Question 13 1 out of 1 points The most common drug trigger for Stevens-Johnson Syndrome include all the following except: Selected Answer: ASA Answers: ASA NSAIDS Anticonvulsa nts Allopurinol  Question 14 1 out of 1 points Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved with defecation. Treatment of Agnes’s condition would include which of the following: Selected Answer: All of the above Answers: 1 out of 1 points Jeremy is suffering from chronic alcohol abuse. His symptoms include mental confusion, ataxia, stupor, and hypotension. The most likely diagnosis for these symptoms is: Selected Answer: Korsakoff’s syndrome Answers: Korsakoff’s syndrome Insomnia Anorexia nervosa Bipolar disorder  Question 18 1 out of 1 points According to the CDC, an infant can start receiving live attenuated vaccine at 6 months of age. Selected Answer: Fals e Answers : Tru e Fals e  Question 19 1 out of 1 points Hillary is an 18 y/o Caucasian who comes to the clinic with a chief complaint of hirsutism, acne, and amenorrhea. Her most likely diagnosis is: Selected Answer: Polycystic ovary syndrome (PCOS) Answers: Polycystic ovary syndrome (PCOS) Ovarian cancer Hyperprolactinemia Pregnancy  Question 20 1 out of 1 points Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. Treatment for Judy’s condition would include all the following drugs except: Selected Answer: Amoxicillin Answers: Cefotan Amoxicillin Ceftriaxone Metronidazole  Question 21 0 out of 1 points The CDC recommends that after a child receives a vaccine (s)he should be monitored for: