Nursing6531 Final Exam 2 with Correct Answers 2023, Exams of Nursing

Download Nursing6531 Final Exam 2 with Correct Answers 2023 and more Exams Nursing in PDF only on Docsity! Final Exam 2 Nursing6531 final exam with correct answers 2023 The most effective treatment of non-infectious bursitis includes: Conservative treatment includes rest, cold and heat treatments, elevation, administration of nonsteroidal anti-inflammatory drugs (NSAIDs), bursal aspiration, and intrabursal steroid injections What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare? The physician must be on-site and engaged in patient care You must initiate the plan of care for the patient Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus? The metabolic syndrome refers to the co-occurrence of several known cardiovascular risk factors, including insulin resistance, obesity, atherogenic dyslipidemia and hypertension. Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)? Strong urinary stream flow Final Exam 2 Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him Final Exam 2 another diagnosis? high fever (102 to 104 degrees F), irregular pulse, accelerated heartbeat (tachycardia), increased rate of respiration (tachypnea), muscle rigidity, altered mental status, autonomic nervous system dysfunction resulting in high or low blood pressure, profuse Final Exam 2 perspiration, and excessive sweating. Called Malignant Hyperthermia” OR Neuroleptic malignant syndrome hallucinations. Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of: Carpal tunnel syndrome The most common cause of elevated liver function tests is: Alcohol Which of the following is a potential acquired cause of thrombophilia? Antiphospholipid antibodies A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse practitioner what the treatment for this disorder is. The nurse practitioner explains: Primary hyperparathyroidism is treated with parathyroidectomy Final Exam 2 A 25-year-old overweight patient presents with a complaint of dull achiness in his groin and history of a palpable lump in his scrotum that “comes and goes”. On physical examination, the nurse practitioner does not detect a scrotal mass. There is no tenderness, edema, or erythema of the scrotum, the scrotum does not transilluminate. What is the most likely diagnosis? Inguinal hernia Dave, age 38, states that he thinks he has an ear infection because he just flew back from a business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next action? Prescribe nasal steroids and oral decongestants The physiological explanation of syncope is: Syncope is a transient loss of consciousness (TLOC) due to global cerebral hypoperfusion characterized by rapid onset, short duration and spontaneous complete recovery. A 20-year-old male patient complains of “scrotal swelling.” He states his scrotum feels heavy but denies pain. On examination, the nurse practitioner notes transillumination of the scrotum. What is the most likely diagnosis? Hydrocele A 32-year-old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be: nclude nitrofurantoin monohydrate/macrocrystals, trimethoprim- sulfamethoxazole (TMP-SMX), or fosfomycin. Final Exam 2 Which of the following set of symptoms should raise suspicion of a brain tumor? Holocranial headaches present in the morning and accompanied by projectile vomiting without nausea The cornerstone of treatment for stress fracture of the femur or metatarsal stress fracture is: Relative rest-that being the cessation of the offending activity for a period of time until the irritation is eliminated, pain is gone and the bone is given a chance to heal Rest the affected part of the body - Once pain free, the person can gradually begin the sporting activity again - Air splinting can reduce pain and decrease the time until return to full participation or intensity of exercise. - NSAIDs to reduce pain and inflammation Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel syndrome. Your next step is to: Try neutral position wrist splinting and order an oral NSAID Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue syndrome, which have many similarities. Which of the following is more characteristic of fibromyalgia? Musculoskeletal pain Final Exam 2 Diagnostic evaluation for urinary calculi includes: Diagnosis is based on urinalysis and radiologicimaging, usually noncontrast helical CT. A positive drawer sign supports a diagnosis of: Posterior cruciate ligament injury A 63-year-old man presents to the office with hematuria, hesitancy, and dribbling. Digital rectal exam (DRE) reveals a moderately enlarged prostate that is smooth. The PSA is 1.2. What is the most appropriate management strategy for you to follow at this time? Prescribe an alpha-adrenergic blocker A 14-year-old female cheerleader reports gradual and progressive dull anterior knee pain, exacerbated by kneeling. The nurse practitioner notes swelling and point tenderness at the tibial tuberosity. X-ray is negative. What is the most likely diagnosis? Prepatellar bursitis? Jack, age 55, comes to the office with a blood pressure of 144/98 mm Hg. He states that he did not know if it was ever elevated before. When you retake his blood pressure at the end of the exam, it remains at 144/98. Final Exam 2 What should your next action Final Exam 2 The most effective intervention(s) to prevent stroke is (are): Aspirin is one of the most common, most effective/or lifestyle changes What is the most commonly abused substance? alcohol is the #1 abused substance in America. An estimated 135.5 million people drink alcohol, but of those people, 86 million are considered to be abusers Prolonged PT suggests: Abnormality in extrinsic coagulation pathway Deficiency of FII, FV, FX, or fibrinogen abnormalities Diabetes screening recommendations for asymptomatic adults age 45 and over include which of the following: (HbA1C and 2-hour 75gram oral glucose tolerance test) Potential side effects of levofloxacin include which of the following? Confusion, Hypoglycemia, Achilles tendon rupture, All of the above. Final Exam 2 Which of the following is the most common complication of the myelodysplastic syndromes? Bleeding Which of the following is characteristic of a manic episode? Grandiosity or grandiose delusions A middle-aged female presents complaining of recent weight loss. The physical exam reveals an enlarged painless cervical lymph node. The differential diagnosis for this patient’s problem includes: Infection What is the most common cause of Cushing’s syndrome? The long-term, high-dose use of the cortisol-like glucocorticoids Final Exam 2 A diabetic patient is taking low dose enalapril for hypertension. A record of the patient’s blood pressure over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg diastolic. How should the nurse practitioner respond? Current guidelines recommend lowering BP to <135/80 mmHg At what age is screening most likely to detect scoliosis? Adolescent (age 11 and older, or from onset of puberty until skeletal maturity). A patient has been taking fluoxetine (Prozac) since being diagnosed with major depression, first episode, 2 months ago. She reports considerable improvement in her symptoms and her intention to discontinue the medication. What should be the nurse practitioner’s recommendation? Recommend that the patient continue the antidepressant medication for at least 4 more months A typical description of a tension headache is: Mild to moderate intensity, bilateral, nonthrobbing Which of the following is not a characteristic of type 1 diabetes mellitus? It is generally controlled by diet and/or oral medication Final Exam 2 A patient with HIV infection has a fever of unknown origin (FUO). Which of the following is a possible cause of FUO in a patient with HIV? Drug fever Which of the following physical modalities recommended for treatment of rheumatoid arthritis provides the most effective long-term pain relief? Your physical therapist may use modalities, such as gentle heat and electrical stimulation to help manage your RA symptoms. Other than smoking cessation, which of the following slows the progression of COPD in smokers? Oxygen What intervention does the American College of Rheumatology recommend as first line therapy for osteoarthritis? Acetaminophen should be used as first-line therapy for mild osteoarthritis. Nonsteroidal anti-inflammatory drugs are superior to acetaminophen for treating moderate to severe osteoarthritis Final Exam 2 The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy: Measure albumin (microalbuminuria) A 26-year-old female presents with elbow pain that is described as aching and burning. There is point tenderness along the lateral aspect of the elbow and painful passive flexion and extension. She reports she has been playing tennis almost daily for the past month. The most likely diagnosis is: Lateral epicondylitis (tennis elbow)