NUR 6531 SET 4 ACTUAL LATEST

NUR 6531 SET 4 ACTUAL LATEST

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NURS 6531 FINAL EXAM [NEWEST]

What is the link between major depression and cortisol secretion? - ANSWER- Individuals with depression show that persistently elevated plasma cortisol levels can result in inflammation that is believed to trigger depression

A patient has chronic anemia associated with chronic renal failure. What substance does the healthcare professional tell the patient is needed to treat this anemia? - ANSWER- Erythropoietin

What is the first indication of nephrotic syndrome in children? - ANSWER- Periorbital edema

A patient is in the Emergency Department with heat stroke. What finding does the healthcare provider associate with this condition? - ANSWER- Absence of sweating despite a high core temperature

Clinical manifestations that include irregular or heavy bleeding, the 1 / 4

passage of large clots, and the depletion of iron stores support which diagnosis? - ANSWER- Abnormal uterine bleeding An 18-year-old female presents to the urgent care center complaining of severe pruritus in both eyes that started 2 days ago. Associated symptoms include a headache and fatigue. On examination, the nurse practitioner notes some clear discharge from both eyes and some erythema of the eyelids and surrounding skin.Which of the following is the most likely cause of this patient's symptoms? - ANSWER- Allergic conjunctivitis

A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective in keeping him symptom-free? - ANSWER- A bronchodilator PRN and an inhaled corticosteroid

Acute rheumatic fever is an inflammatory disease which can follow infection with:

• ANSWER- Group A Streptococcus

A 60 year old male diabetic patient presents with redness, tenderness, and edema of the left lateral aspect of his face. His left eyelid is grossly edematous. He reports history of a toothache in the past week which "is better." His temperature is 100°F

and pulse is 102 bpm. The most appropriate initial action is to: - ANSWER-

Initiate a parenteral antibiotic and consider hospital admission

If a patient presents with a deep aching, red eye and there is no discharge, you

should suspect: - ANSWER- Iritis

The National Cholesterol Education Program's Adult Treatment Panel III recommends that the goal for low density lipoproteins in high risk patients be less

than: - ANSWER- 100 mg/dL

A patient presents with classic symptoms of gastroesophageal reflux disease (GERD). He is instructed on life style modifications and drug therapy for 8 weeks. 2 / 4

Three months later he returns, reporting that he was "fine" as long as he took the

medication. The most appropriate next step is: - ANSWER- Investigation with

endoscopy, manometry, and/or pH testing

Group A β-hemolytic streptococcal (GABHS) pharyngitis is most common in which age group? - ANSWER- 6 to 12 years of age

The most appropriate treatment for a child with mild croup is: - ANSWER- A cool

mist vaporizer

A child complains that his "throat hurts" with swallowing. His voice is very "throaty" and he is hyperextending his neck to talk. Examination reveals asymmetrical swelling of his tonsils. His uvula is deviated to the left. What is the most likely diagnosis? - ANSWER- Peritonsillar abscess

Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important teaching point about this medication? - ANSWER- It is not effective during an acute asthma attack.

Which intervention listed below is safe for long term use by an adult with constipation? - ANSWER- Bulk-forming agents

A 40 year old presents with a hordeolum. The nurse practitioner teaches the patient

to: - ANSWER- Apply a topical antibiotic and warm compresses.

Sarah has allergic rhinitis and is currently being bothered by nasal congestion.Which of the following meds ordered for allergic rhinitis would be most appropriate? - ANSWER- A decongestant nasal spray

What is the Gold standard for the diagnosis of asthma? - ANSWER- Spirometry 3 / 4

A patient complains of "an aggravating cough for the past 6 weeks." There is no physiological cause for the cough. Which medication is most likely causing the cough? - ANSWER- Enalapril

Stacy, age 27, states that she has painless, white, slightly raised patches in her

mouth. They are probably caused by: - ANSWER- Candidiasis

Risk factors for acute otitis media (AOM) include all of the following except: - ANSWER- African-American ethnicity

The health care professional is caring for a person who has a pathologic fracture.The patient asks the professional to explain the condition. What response by the professional is best? - ANSWER- A fracture that happens at the site of an abnormality already in that bone.

A patient has a temporary displacement of two bones in a joint causing the bone surfaces to partially lose contact with each other. What treatment does the health care professional prepare the patient for? - ANSWER- Reduction and immobilization

Cystic fibrosis is characterized by which symptom? - ANSWER- Excessive mucus production A patient diagnosed with chronic constipation uses polyethylene glycol and reports increased abdominal discomfort with nausea and vomiting. What is the initial action by the provider?

• Increase the dose of polyethylene glycol
• Obtain radiographic abdominal studies
• Perform a stool culture and occult blood
• Refer to a specialist for colonoscopy - ANSWER- ANS: B
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