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NURS 6531N / NURS6531N week 5 MIDTERM

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NURS 6531N Week 5 Midterm Exam - Spring 2019

 Question 1

When completing this quiz, did you comply with Walden University’s Code of Conduct

including the expectations for academic integrity?

 Question 2

The most common cancer found on the auricle is:

 Question 3

Which of the following medication classes should be avoided in patients with acute or chronic bronchitis

because it will contribute to ventilation-perfusion mismatch in the patient?

Question 4

A 47 year old male patient presents to the clinic with a single episode of a moderate amount of bright red rectal

bleeding. On examination, external hemorrhoids are noted. How should the nurse practitioner proceed

 Question 5

Which of the following patient characteristics are associated with chronic bronchitis?

 Question 6

A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and polymyalgia rheumatica

presents to urgent care with new onset left lower quadrant pain. Her current medications include omeprazole 20

milligrams po daily, lisinopril 20 milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12

milligrams po daily. The nurse practitioner suspects acute diverticulitis and possibly an abscess. The most

appropriate diagnostic test for this patient at this time is:

 Question 7

A patient reports “something flew in my eye” about an hour ago while he was splitting logs. If there were a

foreign body in his eye, the nurse practitioner would expect to find all except:

 Question 8

A 21 year old college student presents to the student health center with copious, markedly purulent discharge

from her left eye. The nurse practitioner student should suspect:

 Question 9

A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles consisting of

about 15 lesions across 3 different thoracic dermatomes. He complains of pain, burning, and itching. The nurse

practitioner should suspect:

 Question 10

Which type of lung cancer has the poorest prognosis?

 Question 11An 83-year-old female presents to the office complaining of diarrhea for several days. She explains she has

even had fecal incontinence one time. She describes loose stools 3–4 times a day for several weeks and denies

fever, chills, pain, recent antibiotic use. The history suggests that the patient has:

 Question 12

Margaret, age 32, comes into the office with painful joints and a distinctive rash in a butterfly distribution on her

face. The rash has red papules and plaques with a fine scale. What do you suspect?

 Question 13

Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following

disease processes?

 Question 14

Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily. Her

exacerbations affect her activities and they occur at least twice weekly and may last for days. She is affected

more than once weekly during the night with an exacerbation. Which category of asthma severity is Lisa in?

 Question 15

Which of the following is the most appropriate therapeutic regimen for an adult patient with no known allergies

diagnosed with group A B-hemolytic strep?

 Question 16A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by leg elevation. She

occasionally has edema in her lower legs at the end of the day. What is the most likely cause of these problems?

 Question 17

Which statement below is correct about pertussis?

 Question 18

Which of the following is the most important diagnosis to rule out in the adult patient with acute bronchitis?

 Question 19

A 70 year old patient presents with left lower quadrant (LLQ) abdominal pain, a markedly tender palpable

abdominal wall, fever, and leukocytosis. Of the following terms, which correctly describes the suspected

condition?

 Question 20

Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. This morning she noticed a

rash with erythematous papules in that site. What do you suspect?

 Question 21

A 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knows that the most common

cause of pancreatitis is:

 Question 22

When a patient presents with symptoms of acute gallbladder disease, what is the appropriate nurse practitioner

action?

 Question 23

A false-positive result with the fecal occult blood test can result from:

Selected Answer:

stool that has been stored before testing

 Question 24

A 76-year-old male complains of weight loss, nausea, vomiting, abdominal cramping and pain. Physical

findings include an abdominal mass and stool positive for occult blood. The nurse practitioner pain suspects a

tumor in the small intestine. The best diagnostic test for this patient is:

 Question 25

A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema. The

echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that these findings are

consistent with:

 Question 26Maxine, Age 76, has just been given a diagnosis of pneumonia. Which of the following is an indication that she

should be hospitalized?

 Question 27

A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him:

 Question 28

Expected spirometry readings when the patient has chronic emphysema include:

 Question 29

An 80-year-old male admits to difficulty swallowing during the review of systems. The nurse practitioner

recognizes the differential diagnosis for this patient’s dysphagia is:

 Question 30

A 40 year old female with history of frequent sun exposure presents with a multicolored lesion on her back. It

has irregular borders and is about 11mm in diameter. What should the nurse practitioner suspect?

 Question 32

The nurse practitioner is performing a physical exam on a middle-aged African-American man. Which of the

following areas is a common site for melanomas in African-Americans and other dark-skinned individuals?

 Question 33

An adult presents with tinea corporis. Which item below is a risk factor for its development?

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[Solved] NURS 6531N / NURS6531N week 5 MIDTERM

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NURS 6531N Week 5 Midterm Exam - Spring 2019  Question 1 When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?  Question 2 The most common cancer found on the auricle is:  Question 3 Which of the following medication classes should be avoided in patients with acute or chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the patient? Question 4 A 47 year old male patient presents to the clinic with a single episode of a moderate amount of bright red rectal bleeding. On examination, external hemorrhoids are noted. How should the nurse practitioner proceed  Question 5 Which of the following patient characteristics are associated with chronic bronchitis?  Question 6 A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain. Her current medications include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams po daily. The nurse practitioner suspects acute diverticulitis and possibly an abscess. The most appropriate diagnostic test for this patient at this time is:  Question 7 A patient reports “something flew in my eye” about an hour ago while he was splitting logs. If there were a foreign body in his eye, the nurse practitioner would expect to find all except:  Question 8 A 21 year old college st...
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