Nursing6501 Final Exam Questions with Answers, Exams of Nursing

Download Nursing6501 Final Exam Questions with Answers and more Exams Nursing in PDF only on Docsity! Nursing6501 final 2023 updated exam questions with answers> Walden university • Question 1 1 out of 1 points A child with acute poststreptococcal glomerulonephritis is voiding smoky, brown-colored urine and asks the healthcare professional to explain what causes it. What explanation by the professional is best? Selecte d Answer: Presence of red blood cells • Question 2 1 out of 1 points Cystic fibrosis is characterized by which symptom? Selecte d Answer: Excessive mucus production • Question 3 1 out of 1 points What is the primary pathologic alteration resulting from ankylosing spondylitis (AS)? Selecte d Answer: Inflammation of fibrocartilaginous joints of the vertebrae • Question 4 1 out of 1 points Which spinal tract carries the most nociceptive information? Selecte d Answer: Lateral spinothalamic • Question 5 0 out of 1 points Parents bring their 1-year-old child to the emergency department, reporting that the child has been irritable and pounding on her head, has projectile vomiting, and seems very sleepy for most of the last 3 days. What diagnostic testing does the healthcare professional prepare the child and parents for as the priority? Selecte d Answer: Lumbar puncture with CSF cultures • Question 6 1 out of 1 points A patient reports frequent nightmares. For which of these should the healthcare professional assess the patient? A healthcare professional is educating a community men's group on symptoms of benign prostatic hyperplasia (BPH). The professional relates that most symptoms are a result of which pathophysiologic condition? Selecte d Answer: Compression of the urethra • Question 13 1 out of 1 points A patient in the healthcare clinic reports fatigue, weakness, and dyspnea, as well as pale conjunctiva of the eyes and brittle, concave nails. What assessment by the healthcare professional is most appropriate for the suspected anemia? Selecte d Answer: Oral mucus membranes and tongue • Question 14 1 out of 1 points Prenatal exposure to diethylstilbestrol (DES) can result in which type of cancer? Selecte d Answer: Vagin al cance r • Question 15 1 out of 1 points A healthcare professional is caring for a patient diagnosed with aphasia. What action by the professional would be best in working with this patient? Selecte d Answer: Provide speech therapy. • Question 16 1 out of 1 points What are the clinical manifestations of testicular cancer? Selecte d Answer: Firm, nontender testicular mass • Question 17 0 out of 1 points A person has been diagnosed with acute lymphocytic leukemia (ALL) that is positive for the Philadelphia chromosome. What statement by the healthcare professional is most appropriate? Selected 1cThis is a very rare finding in adults who • Question 18 1 out of 1 points Answer: have ALL. 1d The healthcare professional directs a student to assess a teen who has Osgood-Schlatter disease. What assessment finding does the student anticipate for this disorder? Selecte d Answer: Tendinitis of the anterior patellar tendon • Question 19 0 out of 1 points Which statement by the healthcare professional accurately describes childhood asthma? Selecte d Answer: An obstructive airway disease characterized by atelectasis and increased pulmonary resistance as a result of a surfactant deficiency • Question 20 0 out of 1 points A healthcare professional is reviewing a patient's laboratory results and sees that the patient has a low reticulocyte count and a high iron level. Which type of anemia does the professional associate these findings with? Selecte d Answer: Anemia of chronic disease • Question 21 1 out of 1 points What directly causes ovulation during the menstrual cycle? Selecte d Answer: Sudden increase of LH • Question 22 1 out of 1 points A patient has been hospitalized for a large deep vein thrombosis and states he is the third person in his family to have this condition in the last 2 years. What response by the healthcare professional is most appropriate? Selecte d Answer: We can test your blood for factor V Leiden. Selecte d Answer: Natural killer (NK) cells • Question 29 1 out of 1 points Which statement by the professor best describes acute respiratory distress syndrome (ARDS)? Selecte d Answer: A pulmonary disease characterized by severe hypoxemia, decreased pulmonary compliance, and the presence of bilateral infiltrates on chest x-ray imaging • Question 30 0 out of 1 points What is the role of thromboxane A (TXA 2) in the secretion stage of hemostasis? Selecte d Answer: Stimulates the synthesis of serotonin. • Question 31 1 out of 1 points Parents report their 3-week-old infant who eats well and has gained weight began to have projectile vomiting for no apparent reason. What treatment option does the healthcare professional prepare to educate the parents on? Selecte d Answer: Correctiv e surgery • Question 32 1 out of 1 points A child has Duchenne muscular dystrophy. What complication does the healthcare professional teach the parents is most important to control? Selecte d Answer: Respiratory infection • Question 33 0 out of 1 points To quickly assess a patient's nervous system for dysfunction, what assessment should the healthcare professional perform as the priority? Selecte d Answer: Pattern of breathin g • Question 34 1 out of 1 points A criterion for a diagnosis of generalized anxiety disorder (GAD) is a period of excessive worrying that lasts for at least how many months? Selected 6 Answer: A patient has been diagnosed with lithium toxicity. Which electrolyte imbalance does the healthcare professional correlate with this condition? Selecte d Answer: Hyponatremia A severely malnourished patient is in the hospital to improve nutrition. On the second day, the patient reports palpitations and difficulty breathing. After placing the patient on a cardiac monitor, what action does the health care professional take next? Selecte d Answer: Have lab drawn for electrolyte levels. Gait disturbances and instability are characteristic of which form of cerebral palsy? Selecte d Answer: Atax i c A healthcare professional works with recent refugees. A mother brings in her children who have been diagnosed with iron deficiency anemia. What action by the professional is most appropriate? Selecte d Answer: Arrange to test for parasitic infections. Which pain theory proposes that a balance of impulses conducted from the spinal cord to the higher centers in the central nervous system (CNS) modulates the transmission of pain? • Ques ion 39 1 out of 1 points • Qu stion 38 1 out of 1 points • Question 37 1 out of 1 points • Ques io 36 1 out of 1 points • Question 35 1 out of 1 points • Question 45 1 out of 1 points A student is learning about pelvic inflammatory disease (PID). What information does the student clarify with a study partner as being correct? Selecte d Answer: Such an inflammation may result in permanent changes to the ciliated epithelium of the fallopian tubes. • Question 46 1 out of 1 points In acute hypothermia, what physiologic change shunts blood away from the colder skin to the body core in an effort to decrease heat loss? Selecte d Answer: Peripheral vasoconstrictio n • Question 47 1 out of 1 points Which immunoglobulin (Ig) is present in childhood asthma? Selecte d Answer: IgE • Question 48 0 out of 1 points Clinical manifestations that include irregular or heavy bleeding, the passage of large clots, and the depletion of iron stores support which diagnosis? Selecte d Answer: Polycystic ovary syndrome • Question 49 1 out of 1 points An adult patient has been hospitalized with thrombocytopenia with a platelet count of 8000/mm 3. What action by the healthcare professional is most appropriate? Selecte d Answer: Tell the patient not to get out of bed without assistance. • Question 50 1 out of 1 points A 9-year-old child has a blood pressure of 112/72 mmHg in the school nurse's office. What action by the school nurse is most appropriate? Selecte d Answer: Note the normal finding in the child's records. • Question 51 1 out of 1 points Selecte d Answer: Human papillomavirus (HPV) • Question 57 1 out of 1 points A child has cystic fibrosis (CF). Which medication does the healthcare professional teach the parents about? Selecte d Answer: Pancreati c enzymes • Question 58 1 out of 1 points A healthcare professional is discussing breast feeding with a pregnant woman. Which beneficial substance does the professional tell the mother is found in breast milk? Selecte d Answer: IgA • Question 59 1 out of 1 points Which condition is considered a clinical cause of amenorrhea? Selecte d Answer: Failure to ovulate • Question 60 1 out of 1 points A person comes to the healthcare clinic and reports night sweats and fever. The healthcare professional obtains a chest x-ray which shows a mediastinal mass. What other assessment or diagnostic test does the professional provide as a priority? Selecte d Answer: Listen to heart sounds. • Question 61 1 out of 1 points What initiates inflammation in acute poststreptococcal glomerulonephritis? Selecte d Answer: Immune complex es • Question 62 1 out of 1 points The student asks the professor for a definition of orexigenic neurons. What description by the professor is most accurate? Selecte d Answer: Promote appetite and stimulate eating • Question 63 1 out of 1 points A health care professional is teaching a group of college women about increasing calcium in the diet to prevent osteoporosis. A participant asks at what age is peak bone mass is reached in women. What response is best? Selecte d Answer: 30 years • Question 64 1 out of 1 points A patient is 8 hours postoperative after a long orthopedic procedure. The student asks why this patient is at particular risk of developing a thromboembolism. What response by the healthcare professional is best? Selecte d Answer: Patients tend to have venous stasis from orthopedic operations. • Question 65 0 out of 1 points A healthcare professional is caring for a patient who was rewarmed after suffering from hypothermia. What possible long-term complication will the professional continue to assess the patient for? Selecte d Answer: Dysrhythmias • Question 66 1 out of 1 points Which patient finding would lead the health care professional to assess the patient for inflammatory joint disease? Selecte d Answer: Systemic symptoms of inflammation • Question 67 1 out of 1 points A child has osteosarcoma and the healthcare team is assessing for metastases. What diagnostic study would be the priority? A mother reports that her young teens have voracious appetites. The healthcare professional would explain that which hormone is linked to an increase in appetite during puberty? Selecte d Answer: Lept i n • Question 74 1 out of 1 points A patient has chronic anemia associated with chronic renal failure. What substance does the healthcare professional tell the patient is needed to treat this anemia? Selecte d Answer: Erythropoietin • Question 75 1 out of 1 points A man has balanitis. What action by the healthcare professional is most appropriate? Selecte d Answer: Perform a finger stick for a blood glucose reading. • Question 76 1 out of 1 points A pregnant woman is seen for the first time at 6 months' gestation and has not taken prenatal vitamins. The healthcare professional educates the woman on the need for a blood test specifically to assess what substance? Selecte d Answer: a-F etoprotein • Question 77 0 out of 1 points A healthcare professional has taught a parent group about the causes of enuresis. What statement by a parent indicates the professional needs to give more information? Selecte d Answer: Obstructive sleep apnea may be a symptom of enuresis. • Question 78 1 out of 1 points What is the most abundant class of plasma protein? Selecte d Answer: Albumin • Question 79 1 out of 1 points A 7 year-old-child presents to the clinic where parents report signs and symptoms consistent with asthma. What does the healthcare professional do in order to confirm this diagnosis? Selecte d Answer: Measure expiratory flow rate with spirometry testing • Question 80 1 out of 1 points In which stage of syphilis would the following clinical manifestations be found: destructive skin, bone and soft tissue lesions, aneurysms, heart failure, and neurosyphilis? Selecte d Answer: Tertia r y • Question 81 1 out of 1 points A healthcare professional in an urban clinic is seeing a patient who has iron deficiency anemia (IDA). What question by the professional is most appropriate to assess for the cause of IDA? Selecte d Answer: 1cHave you ever noticed any blood in your stool? 1d • Question 82 1 out of 1 points A healthcare professional wants to volunteer for a community education project to help prevent spinal cord injury. What activity would the professional most likely volunteer for? Selecte d Answer: Teaching older adults how to prevent trip- and- fall events • Question 83 1 out of 1 points In immunoglobulin G (IgG) nephropathies such as glomerulonephritis, IgG is deposited in which location? Selecte d Answer: Glomerulus basement membranes • Question 84 1 out of 1 points Selecte d Answer: Flexion with or without extensor response of the lower extremities • Question 90 1 out of 1 points In infectious mononucleosis (IM), what does the Monospot test detect? Selecte d Answer: Immunoglobulin M (IgM) • Question 91 1 out of 1 points What is the link between major depression and cortisol secretion? Selecte d Answer: Individuals with depression show that persistently elevated plasma cortisol levels can result in inflammation that is believed to trigger depression. • Question 92 1 out of 1 points Which condition is consistent with the cardiac defect of transposition of the great vessels? Selecte d Answer: The aorta arises from the right ventricle. • Question 93 1 out of 1 points An infant has been diagnosed with intussusception and the student asks the healthcare professional to explain the condition. What explanation by the professional is most accurate? Selecte d Answer: One part of the intestine telescopes into another section of the intestine. • Question 94 1 out of 1 points A healthcare professional is planning a community event to reduce risk of cerebrovascular accident (CVA) in high risk groups. Which group would the professional target as the priority? Selecte d Answer: Hypertension • Question 95 1 out of 1 points A patient has primary immune thrombocytopenic purpura (ITP) and is hospitalized after a bleeding episode. What treatment does the healthcare provider anticipate being ordered for this patient? Selecte d Answer: Infusion of IVIG • Question 96 1 out of 1 points The healthcare professor states that a patient has reached pain tolerance. What further information from the professor is most accurate? Selecte d Answer: The patient cannot endure a higher level of pain intensity at this point. • Question 97 1 out of 1 points A patient has defective secretion of the intrinsic factor leading to anemia. What treatment option does the healthcare professional discuss with the patient? Selecte d Answer: Vitamin B 12 injections initially given once a week. • Question 98 1 out of 1 points How is gonorrhea transmitted from a pregnant woman to her fetus? Selecte d Answer: Predominately through infected cervical and secretions during the birth process • Question 99 1 out of 1 points What is the first indication of nephrotic syndrome in children? Selecte d Answer: Periorbita l edema • Question 100 1 out of 1 points Hypothalamic-pituitary-adrenal (HPA) system abnormalities exist in a large percentage of individuals with what? Selecte d Answer: Major depression • Question 101