Walden University NURS 6531 final exam (2019) | Graded A+ (120 QUESTIONS)

Course  NURS-6531D-1/NURS-6531N-1-Adv. Practice Care of Adults 2019

Test       Final Exam

Status   Completed

•             Question 1

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            When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?

•             Question 2

1 out of 1 points

                A patient complains of generalized joint pain and stiffness associated with activity and relieved with rest. This patient history is consistent with which of the following disorders?

•             Question 3

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                What diabetic complications result from hyperglycemia?

1.           

1.           

1.            Retinopathy

2.            Hypertension resistant to treatment

3.            Peripheral neuropathy

4.            Accelerated atherogenesis                                        

                5.           

•             Question 4

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                Which factors are associated with high risk for foot complications in a patient with diabetes mellitus?

1.            Obesity

2.            Abnormal nails

3.            Abnormal gait

4.            Poorly controlled lipids                                 

                5.           

•             Question 5

1 out of 1 points

                Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?What are common early signs of BPH – frequency, urgency, nocturia TX with alpha adrenergic Terazosin and doxazosin

•             Question 6

1 out of 1 points

                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

•             Question 7

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                A 30 year old female patient presents to the clinic with heat intolerance, tremors, nervousness, and weight loss inconsistent with increased appetite. Which test would be most likely to confirm the suspected diagnosis?Graves hyperthyroid                                    

•             Question 8

1 out of 1 points

                Which history is commonly found in a patient with glomerulonephritis?Ask about recent infections (skin or upper respiratory); recent travel (possible exposure to viruses, bacteria, fungi, or parasites); recent illnesses, surgery, or invasive procedures (possible infection); any systemic diseases (Systemic Lupus Erythematosus -SLE)                                     

•             Question 9

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                 A 60 year old male patient with multiple health problems presents with a complaint of erectile dysfunction (ED). Of the following, which medication is most likely to be causing the problem?diabetes                                          

•             Question 10

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                 Which of the following is not a characteristic of type 2 diabetes mellitus?characterized by high blood sugar, insulin resistance, and relative lack of insulin. Common symptoms include increased thirst, frequent urination, and unexplained weight loss.                                       

•             Question 11

1 out of 1 points

                A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is prescribed. How long should the nurse practitioner wait before checking the patient’s TSH?Six to 8 weeks                                            

•             Question 12

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                A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the following medications may be used to treat generalized anxiety disorder?Treatment may include counseling and medications, such as antidepressants. Selective Serotonin Reuptake Inhibitor (SSRI), Anxiolytic, and Antidepressant

•             Question 13

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                 What is the most common cause of Cushing’s syndrome?Pituitary-dependent/ACTH-dependent (Cushing's disease), one is a pituitary form, which results from excessive production of ACTH by a tumor of the pituitary gland,

•             Question 14

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                Which of the following is the most  cause of low back pain?

•             Question 15

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                Warfarin (Coumadin) is prescribed for a frail, elderly male with new onset atrial fibrillation. The goal INR for this patient should be:2.0 to 3.0                                        

•             Question 16

1 out of 1 points

                A 72 year old patient exhibits sudden onset of fluctuating restlessness, agitation, confusion, and impaired attention. This is accompanied by visual hallucinations and sleep disturbance. What is the most likely cause of this behavior? delirium                                         

•             Question 17

1 out of 1 points

                Which of the following is the most common causative organism of nongonococcal urethritis?

which of the following does not cause nongonococcal urethritis

a chlamydia – most common

b. mycoplasma

c. neisseria

d. ureaplasma                                  

•             Question 18

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                Which appropriate test for the initial assessment of Alzheimer’s disease provides the performance ratings on 10 complex, higher order activities?FAQ                                    

•             Question 19

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                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 client care.                                       

•             Question 20

1 out of 1 points

                Diagnostic evaluation for urinary calculi includes:

                A.            Urinalysis and culture

                B.            Non contrast CT

                C.            Serum calcium

                D.            All of the above

•             Question 21

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                Reed-Sternberg B lymphocytes are associated with which of the following disorders:

•             Question 22

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                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 is not characteristic of chronic

fatigue syndrome; rather, it is characteristic of

fibromyalgia                                      

•             Question 23

1 out of 1 points

                Beth, age 49, comes in with low back pain. An x-ray of the lumbosacral spine is within normal limits. Which of the following diagnoses do you explore further?

herniated nucleus pulposus.

•             Question 24

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                Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid?

•             Question 25

1 out of 1 points

                The cornerstone of treatment for stress fracture of the femur or metatarsal stress fracture is:

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                                          

•             Question 26

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                Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus?

Post-prandial hypoglycemia

•             Question 27

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                A thymectomy is usually recommended in the early treatment of which disease?

Thymectomy is an important treatment option for Myasthenia Gravis                                   

•             Question 28

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                The most common cause of elevated liver function tests is:

•             Question 29

1 out of 1 points

                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?

Osgood 

The most likely diagnosis based on the reports of gradual progressive dull anterior knee pain cause of kneeling and the complains of sore lump on the patient’s knee which the result of the assessment notes were swelling and point tenderness is likely Arthritis or gout. It is the symptoms of Arthritis or gouts usually complaining having knee pain and swelling.

•             Question 30

1 out of 1 points

                Which of the following is a contraindication for metformin therapy?

Creatinine > 1.5

•             Renal dysfunction.

•             Congestive cardiac failure needing drug treatment.

•             Hypersensitivity to metformin.

•             Acute or chronic metabolic acidosis.

•             Impaired hepatic function.                                         

•             Question 31

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                The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy:albumin-to-creatinine ratio with a spot urine                                             

•             Question 32

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                Which is the most common cause of end-stage renal disease in the United States?

Diabetic Neuropahty, hypertenson, glomerulonephritis, systemic lupus, cystic kidney disease                                   

•             Question 33

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                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:

•             Question 34

1 out of 1 points

                Risk factors for prostate cancer include all of the following except:History of genital trauma and bph

•             Question 35

1 out of 1 points

                Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of:carpal tunnels                                  

•             Question 36

1 out of 1 points

                The most effective intervention(s) to prevent stroke is (are):smoking cessation and treatment of hypertension

•             Question 37

1 out of 1 points

                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?

•             Question 38

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                Microalbuminuria is a measure of:endothelial dysfunction, dm neuropathy, diabetic kidney disease and end organ damage r/t htn

•             Question 39

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                Martin, age 24, presents with an erythematous ear canal, pain, and a recent history of swimming. What do you suspect?

•             Question 40

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                 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:

:cipro or Levaquin fluoroquinolones 10 to 14 days

 trimethoprim sulfamethoxazole for 14 days

 UTI in males should be treated with fluoroquinolones for 10 to 14 days. Acute bacterial prostatitis requires 2 weeks of oral antibiotic treatment with trimethoprim-sulfamethoxazole (TMP-SMX) or fluoroquinolones. Chronic bacterial prostatitis may require 4 to 6 weeks of treatment.

•             Question 41

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                 A 21-year-old female presents to the office complaining of urinary frequency and urinary burning. The nurse practitioner suspects a urinary tract infection when the urinalysis reveals

10 WBC/ HP

Pyuria (neutrophils in the urine)

Bacteriuria

Hematuria

Positive leukocyte esterase and/or nitrite dipstick

(Leukocyte esterase = indicates presence of WBCs; suggests bacterial cause)

(Positive nitrite = indicates gram - organism)

Urine culture indicated in symtpoms and negative urinalysis

·         Question 42

1 out of 1 points

Which of the following medications increase the risk for...

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