NURS 6540 MIDTERM EXAM
- The most common cancer found on the auricle is:
Basal Cell Carcinoma - 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?
A. Xanthines
B. Antihistimines
C. Steroids
D. Anticholinergics - 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?
A. Instruct the patient on measures to prevent hemorrhoids such as bowel habits
and diet.
B. Order a topical hemorrhoid cream along with a stool softener.
C. Refer the patient for a barium enema and sigmoidoscopy.
D. Refer the patient for a surgical hemorrhoidectomy. - Which of the following patient characteristics are associated with chronic bronchitis?
A. Overweight, cyanosis, and normal or slightly increased respiratory rate
B. Underweight, pink skin, and increased respiratory rate
C. Overweight, pink skin, and normal or slightly increased respiratory rate
D. Normal weight, cyanosis, and greatly increased respiratory rate - 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:
A. CBC/diff
B. Erythrocyte sedimentation rate
C. Abdominal ultrasound
D. CT scan
- 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:
A. Purulent drainage
B. Tearing
C. Photophobia
D. A positive fluorescein stain - 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:
A. Viral conjunctivitis
B. Common pink eye
C. Gonococcal conjunctivitis
D. Allergic conjunctivitis - 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:
A. A common case of shingles and prescribe an analgesic and an antiviral agent
B. A complicated case of shingles and prescribe acyclovir, an analgesic, and a
topical cortisone cream
C. Herpes zoster and consider that this patient may be immune compromised
D. A recurrence of chickenpox and treat the patient’s symptoms - Which type of lung cancer has the poorest prognosis?
A. Adenocarcinoma
B. Epidermoid carcinoma
C. Small cell carcinoma
D. Large cell carcinoma - An 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:
A. Acute diarrhea
B. Chronic diarrhea
C. Irritable bowel
D. Functional bowel disease - 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?
A. An allergic reaction
B. Relapsing polychondritis
C. Lymphocytoma cutis
D. Systemic lupus erythematosus - Antibiotic administration has been demonstrated to be of little benefit to the
treatment of which of the following disease processes?
A. Chronic sinusitis
B. Acute bronchitis
C. Bacterial pneumonia
D. Acute exacerbation of chronic bronchitis - 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