Dunphy Exam 2 - Primary Care Test Questions

Dunphy Exam 2 - Primary Care Test Questions Latest Update -160 Questions with 100% Verified Correct Answers Guaranteed A+ Verified by Professor

.What should the nurse do to keep the chest tubes from becoming occluded?

• Irrigate tubes as needed
• Prevent dependent loops
• Loop the tube over the bed rail

4. Milk the tube frequently - CORRECT ANSWER: 2. Prevent dependent loops

10.The nurse is assessing a client diagnosed with glomerulonephritis. Which of the following findings is consistent with this disorder?

1.Brown urine 2.Hip pain 3.Hypotension

4.Bradycardia - CORRECT ANSWER: 1.Brown urine

• The nurse is documenting care provided to a patient with left-sided flaccidity caused

by a stroke. Which term should the nurse use to document this patients motor status?

• Ipsilateral paraplegia
• Ipsilateral hemiparesis
• Contralateral hemiplegia
• Contralateral quadriparesis - CORRECT ANSWER: 3. Contralateral hemiplegia 1 / 4

A 27-year-old female presents with a chief complaint of burning and pain on urination.She has no previous history of urinary tract infection (UTI). What are some additional symptoms consistent with a diagnosis of lower UTI?

• Back and abdominal pain
• Fever, chills, costovertebral angle (CVA) tenderness
• Blood in urine and frequency
• Foul-smelling discharge, perineal itch - CORRECT ANSWER: c. Blood in urine and

frequency

A 30-year-old patient presents with pain on urination. The urine microscopy of unspun urine shows greater than 10 leukocytes/mL, and a dipstick is positive for nitrites. What is the probable diagnosis?

• Lower urinary tract infection
• Chlamydia infection
• Candidiasis

d. Pyelonephritis - CORRECT ANSWER: a. Lower urinary tract infection

A 34-year-old patient was treated for a UTI and has not responded to antibiotic therapy.Which of the following actions should be taken next?

• Send a urine specimen for microscopy and evaluate for fungal colonies.
• Increase the dose of antibiotic.
• Order a cytoscopy.

d. Order a different antibiotic. - CORRECT ANSWER: a. Send a urine specimen for

microscopy and evaluate for fungal colonies.

A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe dysuria.She is diagnosed with acute pyelonephritis. How should this patient be managed? 2 / 4

• 3-day course of oral antibiotics
• Hospitalization
• Encourage cranberry juice intake.

d. 6-week course of antibiotics - CORRECT ANSWER: b. Hospitalization

A 60-year-old man was admitted for cholecystitis that resulted in a cholecystectomy. On his third day of hospitalization, he begins to sweat profusely, tremble, and has a blood pressure of 160/100. Based on these findings, what focused assessment should the nurse complete?

• Cardiac problems
• Respiratory problems
• Withdrawal problems

4. Circulatory problems - CORRECT ANSWER: 3. Withdrawal problems

A 78-year-old man is diagnosed with Stage D bladder cancer and asks the provider what that means. Which is the best response?

• "There is no such thing as Stage D cancer."
• "You have cancer that has spread to the surrounding tissue."
• "Your cancer has spread to other organs."
• "Your cancer can be cured by removing your bladder." - CORRECT ANSWER: c.

"Your cancer has spread to other organs."

A child care worker complains of flu-like symptoms. On further assessment, hepatitis is suspected. The nurse realizes that this individual is at risk for which type of hepatitis?

1.Hepatitis A 3 / 4

2.Hepatitis B 3.Hepatitis C

4.Hepatitis D - CORRECT ANSWER: 1.Hepatitis A

A client asks the nurse if he needs to alter any of his activities because he is taking lithium carbonate. Which of the following responses would be most appropriate?

• Increase your salt intake if an activity causes you to perspire heavily.
• Wear sunscreen when you are going to be outdoors in the summer time.
• Drink less fluid than usual now because you are taking this drug.
• No changes are necessary for strenuous activities you do outdoors. - CORRECT

ANSWER: 1. Increase your salt intake if an activity causes you to perspire heavily.

A client comes to the emergency department because he thinks he is having a heart attack. Further assessment determines that the client is not having a heart attack but is having a panic attack. When beginning to interview the client, which question would be most appropriate for the nurse to use?

• Are you feeling much better now that you are lying down?
• What did you experience just before and during the attack?
• Do you think you will be able to drive home?

4. What do you think caused you to feel this way? - CORRECT ANSWER: 2. What did

you experience just before and during the attack?

A client complains of acute gastrointestinal distress. While obtaining a health history, the nurse asks about the family history. Which disorder has a familial basis?

1.Hepatitis 2.Ulcerative colitis

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