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

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

When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? 150 150 Nyagu

NURS-6531 Adv. Practice Care of Adults Midterm Exam
NURS-6531 Adv. Practice Care of Adults Midterm Exam

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Course NURS-6531N-8,Adv. Practice Care of Adults.2018 Summer Qtr 05/29-08/19-PT27
Test Midterm Exam
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Attempt Score 0 out of 100 points
Time Elapsed 1 hour, 53 minutes out of 1 hour and 50 minutesOVER TIME
Results Displayed All Answers, Submitted Answers, Correct Answers
Question 1
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0 out of 0 points

When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? NURS-6531 Adv. Practice Care of Adults Midterm Exam
Selected Answer:
Yes

Answers:
Yes

No
Question 2
1 out of 1 points

The most common cancer found on the auricle is:
Selected Answer:
Basal cell carcinoma

Answers: Actinic keratosis

Basal cell carcinoma

Squamous cell carcinoma
Acral-lentiginous melanoma
Question 3
0 out of 1 points

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?
Selected Answer:
Anticholinergics

Answers: Xanthines

Antihistimines

Steroids
Anticholinergics
Question 4
0 out of 1 points

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?
Selected Answer:
Instruct the patient on measures to prevent hemorrhoids such as bowel habits and diet.

Answers: Instruct the patient on measures to prevent hemorrhoids such as bowel habits and diet.
Order a topical hemorrhoid cream along with a stool softener.

Refer the patient for a barium enema and sigmoidoscopy.

Refer the patient for a surgical hemorrhoidectomy.
Question 5
0 out of 1 points

Which of the following patient characteristics are associated with chronic bronchitis?
Selected Answer:
Underweight, pink skin, and increased respiratory rate

Answers:
Overweight, cyanosis, and normal or slightly increased respiratory rate

Underweight, pink skin, and increased respiratory rate
Overweight, pink skin, and normal or slightly increased respiratory rate
Normal weight, cyanosis, and greatly increased respiratory rate
Question 6
1 out of 1 points

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:
Selected Answer:
CT scan

Answers: CBC/diff
Erythrocyte sedimentation rate
Abdominal ultrasound

CT scan

Question 7
1 out of 1 points

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:
Selected Answer:
Purulent drainage

Answers:
Purulent drainage

Tearing
Photophobia
A positive fluorescein stain
Question 8
1 out of 1 points

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:
Selected Answer:
Gonococcal conjunctivitis

Answers: Viral conjunctivitis
Common pink eye

Gonococcal conjunctivitis

Allergic conjunctivitis
Question 9
0 out of 1 points

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:
Selected Answer:
A complicated case of shingles and prescribe acyclovir, an analgesic, and a topical cortisone cream

Answers: A common case of shingles and prescribe an analgesic and an antiviral agent
A complicated case of shingles and prescribe acyclovir, an analgesic, and a topical cortisone cream

Herpes zoster and consider that this patient may be immunocompromised

A recurrence of chickenpox and treat the patient’s symptoms
Question 10
0 out of 1 points

Which type of lung cancer has the poorest prognosis?
Selected Answer:
Adenocarcinoma

Answers: Adenocarcinoma
Epidermoid carcinoma

Small cell carcinoma

Large cell carcinoma
Question 11
1 out of 1 points

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:
Selected Answer:
Chronic diarrhea

Answers: Acute diarrhea

Chronic diarrhea

Irritable bowel
Functional bowel disease
Question 12
1 out of 1 points

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?
Selected Answer:
Systemic lupus erythematosus

Answers: An allergic reaction
Relapsing polychondritis
Lymphocytoma cutis

Systemic lupus erythematosus

Question 13
1 out of 1 points

Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes?
Selected Answer:
Acute bronchitis

Answers: Chronic sinusitis

Acute bronchitis

Bacterial pneumonia
Acute exacerbation of chronic bronchitis
Question 14
0 out of 1 points

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?
Selected Answer:
Mild persistent

Answers: Mild intermittent
Mild persistent

Moderate persistent

Question 15
0 out of 1 points

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?
Selected Answer:
None of the above

Answers:
Penicillin V 500 milligrams PO every 8 hours for 10 days

Ampicillin 250 milligrams PO twice a day for 10 days
Clarithromycin 500 milligrams po daily for 7 days
None of the above
Question 16
0 out of 1 points

A 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?
Selected Answer:
Arterial insufficiency

Answers: Congestive heart failure

Varicose veins

Deep vein thrombosis
Arterial insufficiency
Question 17
1 out of 1 points

Which statement below is correct about pertussis?
Selected Answer:
It is also called whooping cough

Answers:
It is also called whooping cough

It begins with symptoms like strep throat
It lasts about 3 weeks
It occurs most commonly in toddlers and young children
Question 18
0 out of 1 points

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

Answers:
Pneumonia

Asthma
Sinusitis
Pertussis
Question 19
1 out of 1 points

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?
Selected Answer:
Diverticulitis

Answers: Diverticulosis
Diverticula

Diverticulitis

Diverticulum
Question 20
1 out of 1 points

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?
Selected Answer:
Herpes zoster

Answers: Varicella

Herpes zoster

Syphilis
Rubella
Question 21
0 out of 1 points

A 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knows that the most common cause of pancreatitis is:
Selected Answer:
Medications

Answers: Alcohol

Gallstones

Medications
Pregnancy
Question 22
1 out of 1 points

When a patient presents with symptoms of acute gallbladder disease, what is the appropriate nurse practitioner action?
Selected Answer:
Order an abdominal ultrasound

Answers: Order abdominal x-rays

Order an abdominal ultrasound

Refer the patient to a surgeon for evaluation
Prescribe pain medication
Question 23
0 out of 1 points

A false-positive result with the fecal occult blood test can result from:
Selected Answer:
stool that has been stored before testing

Answers: ingestion of large amounts of vitamin C

a high dietary intake of rare cooked beef

a colonic neoplasm that is not bleeding
stool that has been stored before testing
Question 24
0 out of 1 points

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:
Selected Answer:
Colonoscopy

Answers: Colonoscopy

Small bowel follow-through

Barium enema
CT abdomen
Question 25
1 out of 1 points

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:
Selected Answer:
Systolic heart failure

Answers: Mitral regurgitation

Systolic heart failure

Cardiac myxoma
Diastolic heart failure
Question 26
1 out of 1 points

Maxine, Age 76, has just been given a diagnosis of pneumonia. Which of the following is an indication that she should be hospitalized?
Selected Answer:
Multilobar involvement on chest x-ray with the inability to take oral medications

Answers:
Multilobar involvement on chest x-ray with the inability to take oral medications

Alert and oriented, slightly high but stable vital signs, and no one to take care of her at home
Sputum and gram positive organisms
A complete blood count showing leukocytosis
Question 27
0 out of 1 points

A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him:
Selected Answer:
“It is the most common cause of death in patients with skin cancer.”

Answers: “It is the most common cause of death in patients with skin cancer.”

“It can be cured with surgical excision or radiation therapy.”

“It is a slow growing skin cancer that rarely undergoes malignant changes.”
“It can be cured using 5-flurouracil cream twice daily for 2 to 4 weeks.”
Question 28
1 out of 1 points

Expected spirometry readings when the patient has chronic emphysema include:
Selected Answer:
Increased total lung capacity (TLC)

Answers: Decreased residual volume (RV)
Increased vital capacity (VC)
Increased forced expiratory volume (FEV-1)

Increased total lung capacity (TLC)

Question 29
1 out of 1 points

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:
Selected Answer:
A and C

Answers: Esophageal cancer
Chest pain
GERD

A and C

All of the above
Question 30
0 out of 1 points

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?
Selected Answer:
Basal cell carcinoma

Answers: Squamous cell carcinoma

Malignant melanoma

A common nevus
Basal cell carcinoma
Question 31
1 out of 1 points

Which of the following is not a goal of treatment for the patient with cystic fibrosis?
Selected Answer:
Replace water-soluble vitamins

Answers: Prevent intestinal obstruction
Provide adequate nutrition
Promote clearance of secretions

Replace water-soluble vitamins

Question 32
1 out of 1 points

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?
Selected Answer:
B and C

Answers: Scalp
Nails
Feet

B and C

All of the above
Question 33
1 out of 1 points

An adult presents with tinea corporis. Which item below is a risk factor for its development?
Selected Answer:
Topical steroid use

Answers:
Topical steroid use

Topical antibiotic use
A recent laceration
Cold climates
Question 34
0 out of 1 points

A patient has experienced nausea and vomiting, headache, malaise, low grade fever, abdominal cramps, and watery diarrhea for 72 hours. His white count is elevated with a shift to the left. He is requesting medication for diarrhea. What is the most appropriate response?
Selected Answer:
Order stool cultures.

Answers: Prescribe loperamide (Immodium) or atropine-diphenoxylate (Lomotil) and a clear liquid diet for 24 hours.

Prescribe a broad-spectrum antibiotic such as ciprofloxacin (Cipro), and symptom management.

Offer an anti-emetic medication such as ondansetron (Zofran) and provide oral fluid and electrolyte replacement instruction.
Order stool cultures.
Question 35
1 out of 1 points

Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria. What do you order?
Selected Answer:
Antihistamines

Answers: Aspirin
NSAIDs
Opioids

Antihistamines

Question 36
0 out of 1 points

Of the following signs and symptoms of congestive heart failure (CHF), the earliest clinical manifestation is:
Selected Answer:
Peripheral edema

Answers: Peripheral edema

Weight gain

Shortness of breath
Nocturnal dyspnea
Question 37
1 out of 1 points

A 16 year old male presents with mild sore throat, fever, fatigue, posterior cervical adenopathy, and palatine petechiae. Without a definitive diagnosis for this patient, what drug would be least appropriate to prescribe?
Selected Answer:
Amoxicillin

Answers: Ibuprofen
Erythromycin

Amoxicillin

Acetaminophen
Question 38
1 out of 1 points

A 70 year old man who walks 2 miles every day complains of pain in his left calf when he is walking. The problem has gotten gradually worse and now he is unable to complete his 2 mile walk. What question asked during the history, if answered affirmatively, would suggest a diagnosis of arteriosclerosis obliterans?
Selected Answer:
“Is your leg pain relieved by rest?”

Answers: “Are you wearing your usual shoes?”
“Do you also have chest pain when you have leg pain?”

“Is your leg pain relieved by rest?”

“Do you ever have the same pain in the other leg?”
Question 39
0 out of 1 points

Which of the following statements about malignant melanomas is true?
Selected Answer:
They usually occur in older adult males

Answers: They usually occur in older adult males
The patient has no family history of melanoma
They are common in blacks

The prognosis is directly related to the thickness of the lesion

Question 40
1 out of 1 points

Sheila, age 78, presents with a chief complaint of waking up during the night coughing. You examine her and find an S3 heart sound, pulmonary crackles that do not clear with coughing, and peripheral edema. What do you suspect?
Selected Answer:
Heart failure

Answers: Asthma
Nocturnal allergies
Valvular disease

Heart failure

Question 41
0 out of 1 points

Which antibiotic would be the most effective in treating community acquired pneumonia (CAP) in a young adult without any comorbid conditions?
Selected Answer:
Doxycycline (Vibramycin)

Answers: Erythromycin

Clarithromycin (Biaxin)

Doxycycline (Vibramycin)
Penicillin
Question 42
1 out of 1 points

Which of the following dermatologic vehicles are the most effective in absorbing moisture and decreasing friction?
Selected Answer:
Powders

Answers:
Powders

Gels
Creams
Lotion
Question 43
1 out of 1 points

A 70 year old patient presents with a slightly raised, scaly, erythematous patch on her forehead. She admits to having been a “sun worshiper.” The nurse practitioner suspects actinic keratosis. This lesion is a precursor to:
Selected Answer:
Squamous cell carcinoma

Answers:
Squamous cell carcinoma

Basal cell carcinoma
Malignant melanoma
Acne vulgaris
Question 44
1 out of 1 points

An elderly patient is being seen in the clinic for complaint of “weak spells” relieved by sitting or lying down. How should the nurse practitioner proceed with the physical examination?
Selected Answer:
Compare the patient’s blood pressure lying first, then sitting, and then standing.

Answers: Assist the patient to a standing position and take her blood pressure.
Assess the patient’s cranial nerves.

Compare the patient’s blood pressure lying first, then sitting, and then standing.

Compare the amplitude of the patient’s radial and pedal pulses.
Question 45
1 out of 1 points

What oral medication might be used to treat chronic cholethiasis in a patient who is a poor candidate for surgery?
Selected Answer:
Ursodiol

Answers:
Ursodiol

Ibuprofen
Prednisone
Surgery is the only answer
Question 46
0 out of 1 points

A 46-year-old female with a past medical history of diabetes presents with a swollen, erythematous right auricle and is diagnosed with malignant otitis externa. The nurse practitioner knows that the most likely causative organism for this patient’s problem is:
Selected Answer:
Staphylococcus aureus

Answers: Staphylococcus aureus
Group A beta hemolytic streptococcus
Haemophilus influenza

Pseudomonas aeruginosa

Question 47
0 out of 1 points

Which of the following is not a symptom of irritable bowel syndrome?
Selected Answer:
Painful diarrhea

Answers: Painful diarrhea
Painful constipation
Cramping and abdominal pain

Weight loss

Question 48
1 out of 1 points

A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to the right. What additional history is needed?
Selected Answer:
Any recent trauma

Answers:
Any recent trauma

Difficulty swallowing
Stiffness in the right shoulder
Change in sleeping habits
Question 49
0 out of 1 points

Marvin, age 56, is a smoker with diabetes. He has just been diagnosed as hypertensive. Which of the following drugs has the potential to cause the development of bronchial asthma and inhibit gluconeogenesis?
Selected Answer:
ACE Inhibitor

Answers: ACE Inhibitor

Beta Blocker

Calcium channel blocker
Diuretic
Question 50
1 out of 1 points

The differential diagnosis for a patient complaining of a sore throat includes which of the following?
Selected Answer:
A, B, and C

Answers: Gonococcal infection
Thrush
Leukoplakia
B only

A, B, and C

Question 51
0 out of 1 points

A patient presents to the primary care provider complaining of a rash on his right forehead that started yesterday and is burning and painful. The physical exam reveals an erythematous, maculopapular rash that extends over the patient’s right eye to his upper right forehead. Based on the history and examination, the most likely cause of this patient’s symptoms is:
Selected Answer:
Rhus dermatitis

Answers: Rhus dermatitis

Ophthalmic zoster

Chemosis
Optic neuritis
NURS-6531 Adv. Practice Care of Adults Midterm Exam

Question 52
0 out of 1 points

Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders liver function studies. The patient’s aminotransferase (ALT) is elevated. What laboratory test(s) should be ordered?
Selected Answer:
Serum cholesterol with HDL and LDL

Answers:
Serologic markers for hepatitis

Serum bilirubin
Serum cholesterol with HDL and LDL
A liver biopsy
Question 53
1 out of 1 points

A patient with elevated lipids has been started on lovastatin. After 3 weeks of therapy, he calls to report generalized muscle aches. The nurse practitioner should suspect: NURS-6531 Adv. Practice Care of Adults Midterm Exam
Selected Answer:
Rhabdomyolysis

Answers: A drug interaction
Hepatic dysfunction
Hypersensitivity to lovastatin

Rhabdomyolysis

Question 54
1 out of 1 points

Treatment of acute vertigo includes:
Selected Answer:
Bedrest and an antihistamine

Answers:
Bedrest and an antihistamine

Fluids and a decongestant
A sedative and decongestant
Rest and a low sodium diet
Question 55
1 out of 1 points

Treatment of H.pylori includes which of the following?
Selected Answer:
A, B, and C

Answers: Proton pump inhibitor
Antibiotic therapy
Bismuth subsalicylate
A and B

A, B, and C

Question 56
1 out of 1 points

Carl, age 78, is brought to the office by his son, who states that his father has been unable to see clearly since last night. Carl reports that his vision is “like looking through a veil.” He also sees floaters and flashing lights but is not having any pain. What do you suspect? NURS-6531 Adv. Practice Care of Adults Midterm Exam
Selected Answer:
Retinal detachment

Answers: Cataracts
Glaucoma

Retinal detachment

Iritis
Question 57
1 out of 1 points

In order to decrease deaths from lung cancer:
Selected Answer:
Patients should be counseled to quit smoking

Answers: All smokers should be screened annually
All patients should be screened annually
Only high risk patients should be screened routinely

Patients should be counseled to quit smoking

Question 58
1 out of 1 points

John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be screened for hypercholesterolemia?
Selected Answer:
Every 5 years

Answers:
Every 5 years

Every 2 years
Every year
Whenever blood work is done
Question 59
1 out of 1 points

Mort is hypertensive. Which of the following factors influenced your choice of using an alpha blocker as the antihypertensive medication?
Selected Answer:
Mort has benign prostatic hyperplasia

Answers: Mort is black
Mort also has congestive heart failure

Mort has benign prostatic hyperplasia

Mort has frequent migraine headaches
Question 60
1 out of 1 points

John, age 59, presents with recurrent, sharply circumscribed red papules and plaques with a powdery white scale on the extensor aspect of his elbows and knees. What do you suspect?
Selected Answer:
Psoriasis

Answers: Actinic keratosis
Eczema

Psoriasis

Seborrheic dermatitis
Question 61
1 out of 1 points

Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her hypertension. Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium 1500 mg daily. At today’s visit. Her blood pressure is 170/89. According to JNC VIII guidelines, what should you do next to control Harriet’s blood pressure? NURS-6531 Adv. Practice Care of Adults Midterm Exam
Selected Answer:
Add a thiazide diuretic to the Lisinopril 5mg daily

Answers: Increase her Lisinopril to 20mg daily

Add a thiazide diuretic to the Lisinopril 5mg daily

Discontinue the Lisinopril and start a combination of ACE Inhibitor and calcium channel blocker
Discontinue the Lisinopril and start a diuretic
Question 62
0 out of 1 points

An active 65-year-old man under your care has known acquired valvular aortic stenosis and mitral regurgitation. He also has a history of infectious endocarditis. He has recently been told he needs elective replacement of his aortic valve. When he comes into the office you discover that he has 10 remaining teeth in poor repair. Your recommendation would be to:
Selected Answer: coordinate with his cardiac and oral surgeons to have the tooth extractions and valve replacement done at the same time to reduce the risk of anesthetic complications.
Answers: defer any further dental work until his valve replacement is completed
instruct him to have dental extraction done cautiously, having no more than 2 teeth per visit removed.

suggest he consult with his oral surgeon about having all the teeth removed at once and receiving appropriate antibiotic prophylaxis

coordinate with his cardiac and oral surgeons to have the tooth extractions and valve replacement done at the same time to reduce the risk of anesthetic complications.
Question 63
0 out of 1 points

Appropriate therapy for peptic ulcer disease (PUD) is:
Selected Answer:
Dependent on cessation of NSAID use

Answers: Primarily by eradication of infection

Based on etiology

Aimed at diminishing prostaglandin synthesis
Dependent on cessation of NSAID use
Question 64
1 out of 1 points

Shirley, age 58, has been a diabetic for 7 years. Her blood pressure is normal. Other than her diabetes medications, what would you prescribe today during her routine office visit?
Selected Answer:
An ACE Inhibitor

Answers: A calcium channel blocker
A beta blocker

An ACE Inhibitor

No hypertension medication
Question 65
1 out of 1 points

Medicare is a federal program administered by the Centers for Medicare and Medicaid Services (CMS). The CMS has developed guidelines for Evaluation and Management coding, which all providers are expected to follow when coding patient visits for reimbursement. Which of the following is an important consideration regarding billing practices?
Selected Answer:
Failing to bill for billable services will lead to unnecessarily low revenues

Answers: It is important to “undercode” so that one does not get charged with Medicare fraud
The practice of “overcoding” is essential in this age of decreasing reimbursements

Failing to bill for billable services will lead to unnecessarily low revenues

Time spent with the patient is a very important determinant of billing
Question 66
1 out of 1 points

A 2 year old presents with a white pupillary reflex. What is the most likely cause of this finding?
Selected Answer:
Retinoblastoma

Answers: Viral conjunctivitis
Glaucoma
Corneal abrasion

Retinoblastoma

NURS-6531 Adv. Practice Care of Adults Midterm ExamQuestion 67
0 out of 1 points

Harvey has had Meniere’s disease for several years. He has some hearing loss but now has persistent vertigo. What treatment might be instituted to relieve the vertigo?
Selected Answer:
A labyrinthectomy

Answers: Pharmacological therapy
A labyrinthectomy

A vestibular neurectomy

Wearing an earplug in the ear with the most hearing loss
Question 68
0 out of 1 points

Which of the following is not a risk factor for coronary arterial insufficiency?
Selected Answer:
Hyperhomocysteinemia

Answers: Hyperhomocysteinemia
Smoking
Genetic factors

Alcohol ingestion

Question 69
1 out of 1 points

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?
Selected Answer:
Allergic conjunctivitis

Answers:
Allergic conjunctivitis

Bacterial conjunctivitis
Gonococcal conjunctivitis
Viral conjunctivitis
Question 70
0 out of 1 points

A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective in keeping him symptom-free?
Selected Answer:
A long-acting bronchodilator

Answers: A long-acting bronchodilator
An inhaled corticosteroid and cromolyn
Theophylline and a short acting bronchodilator

A bronchodilator PRN and an inhaled corticosteroid

Question 71
0 out of 1 points

Acute rheumatic fever is an inflammatory disease which can follow infection with:
Selected Answer:
Β-hemolytic Streptococcus

Answers:
Group A Streptococcus

Staphlococcus areus
Β-hemolytic Streptococcus
Streptococcus pyogenes
NURS-6531 Adv. Practice Care of Adults Midterm ExamQuestion 72
0 out of 1 points

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:
Selected Answer:
Start an oral antibiotic, mouth swishes with an oral anti-infective, and an analgesic

Answers: Start an oral antibiotic, refer the patient to a dentist immediately, and follow up within 3 days
Order mandibular x-rays and question the patient about physical abuse
Start an oral antibiotic, mouth swishes with an oral anti-infective, and an analgesic

Initiate a parenteral antibiotic and consider hospital admission

Question 73
1 out of 1 points

If a patient presents with a deep aching, red eye and there is no discharge, you should suspect:
Selected Answer:
Iritis

Answers:
Iritis

Allergic conjunctivitis
Viral conjunctivitis
Bacterial conjunctivitis
Question 74
1 out of 1 points

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:
Selected Answer:
100 mg/dL

Answers: 160 mg/dL
130 mg/dL

100 mg/dL

70 mg/dL
Question 75
1 out of 1 points

A patient presents with classic symptoms of gastroesophageal reflux disease (GERD). He is instructed on life style modifications and drug therapy for 8 weeks. Three months later he returns, reporting that he was “fine” as long as he took the medication. The most appropriate next step is:
Selected Answer:
Investigation with endoscopy, manometry, and/or pH testing

Answers: Referral for surgical intervention such as a partial or complete fundoplication
Dependent upon how sever the practitioner believes the condition
To repeat the 8 week course of drug therapy while continuing lifestyle modifications

Investigation with endoscopy, manometry, and/or pH testing

NURS-6531 Adv. Practice Care of Adults Midterm ExamQuestion 76
0 out of 1 points

Group A β-hemolytic streptococcal (GABHS) pharyngitis is most common in which age group?
Selected Answer:
Under 3 years of age

Answers: Under 3 years of age
Preschool children

6 to 12 years of age

Adolescents
Question 77
0 out of 1 points

The most appropriate treatment for a child with mild croup is:
Selected Answer:
A decongestant

Answers: A bronchodilator
An antibiotic
A decongestant

A cool mist vaporizer

Question 78
0 out of 1 points

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?
Selected Answer:
Epiglottitis

Answers:
Peritonsillar abscess

Thyroiditis
Mononucleosis
Epiglottitis
Question 79
1 out of 1 points

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

Answers:
It is not effective during an acute asthma attack.

It may take 2 to 3 days to begin working.
This drug works within 10 minutes.
This drug may be used by patients 6 years and older.
Question 80
0 out of 1 points

Which intervention listed below is safe for long term use by an adult with constipation?
Selected Answer:
Stool softeners

Answers:
Bulk-forming agents

Stool softeners
Laxatives
Osmotic agents
Question 81
1 out of 1 points

A 40 year old presents with a hordeolum. The nurse practitioner teaches the patient to:
Selected Answer:
Apply a topical antibiotic and warm compresses.

Answers:
Apply a topical antibiotic and warm compresses.

Apply cool compresses and avoid touching the hordeolum.
Use an oral antibiotic and eye flushes.
Apply light palpation to facilitate drainage.
Question 82
1 out of 1 points

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?
Selected Answer:
A decongestant nasal spray

Answers: An antihistamine intranasal spray

A decongestant nasal spray

Ipratropium
Omalizumab
Question 83
1 out of 1 points

What is the Gold standard for the diagnosis of asthma?
Selected Answer:
Spirometry

Answers: Patient’s perception of clogged airways
Validated quality-of-life questionnaires
Bronchoscopy

Spirometry

Question 84
0 out of 1 points

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?
Selected Answer:
Methyldopa

Answers: Methyldopa

Enalapril

Amlodipine
Hydrochlorothiazide
Question 85
1 out of 1 points

Stacy, age 27, states that she has painless, white, slightly raised patches in her mouth. They are probably caused by:
Selected Answer:
Candidiasis

Answers: Herpes simplex
Aphthous ulcers

Candidiasis

Oral cancer
Question 86
1 out of 1 points

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

Answers: Household cigarette smoke
Group daycare attendance
Sibling history of acute otitis media

African-American ethnicity

NURS-6531 Adv. Practice Care of Adults Midterm Exam Question 87
1 out of 1 points

Which of the following can result from chronic inflammation of a meibomian gland?
Selected Answer:
A chalazion

Answers:
A chalazion

Uveitis
Keratitis
A pterygium
Question 88
0 out of 1 points

What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare?
Selected Answer:
You must initiate the plan of care for the patient

Answers: You must initiate the plan of care for the patient

The physician must be on-site and engaged in patient care

You must be employed as an independent contractor
You must be the main health care provider who sees the patient
Question 89
1 out of 1 points

Of the following choices, the least likely cause of cough is:
Selected Answer:
Acute pharyngitis

Answers: Asthma
Gastroesophageal reflux

Acute pharyngitis

Allergic rhinitis
Question 90
1 out of 1 points

The most common correlate(s) with chronic bronchitis and emphysema is(are):
Selected Answer:
Cigarette smoking

Answers: Familial and genetic factors

Cigarette smoking

Air pollution
Occupational environment
Question 91
0 out of 1 points

Which choice below is least effective for alleviating symptoms of the common cold?
Selected Answer:
Topical decongestants

Answers:
Antihistamines

Oral decongestants
Topical decongestants
Antipyretics
Question 92
0 out of 1 points

When teaching a patient with hypertension about restricting sodium, you would include which of the following instructions?
Selected Answer:
Diets with markedly reduced intakes of sodium may be associated with other beneficial effects beyond blood pressure control

Answers: Diets with markedly reduced intakes of sodium may be associated with other beneficial effects beyond blood pressure control
Sodium restriction can cause serious adverse effects
A goal of 3 g of sodium chloride or 1.2 g of sodium per day is easily achievable

Seventy-five of sodium intake is derived from processed foods

NURS-6531 Adv. Practice Care of Adults Midterm Exam Question 93
1 out of 1 points

Which of the following heart murmurs warrants the greatest concern?
Selected Answer:
Diastolic murmur

Answers: Systolic murmur
Venous hum murmur

Diastolic murmur

Flow murmur
Question 94
1 out of 1 points

A patient presents with an inflamed upper eyelid margin. The conjunctiva is red and there is particulate matter along the upper eyelid. The patient complains of a sensation that “there is something in my eye.” What is the diagnosis and how should it be treated?
Selected Answer:
Blepharitis; treat with warm compresses and gentle debridement with a cotton swab

Answers: Hordeolum; treat with a topical antibiotic and warm compress
Conjunctivitis; treat with topical antibiotic and warm compresses

Blepharitis; treat with warm compresses and gentle debridement with a cotton swab

Chalazion; refer to an ophthalmologist for incision and drainage
Question 95
1 out of 1 points

A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the past hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that these changes are consistent with which myocardial infarction territory?
Selected Answer:
Inferior wall

Answers:
Inferior wall

Anterior wall
Apical wall
Lateral wall
Question 96
0 out of 1 points

The nurse practitioner observes a tympanic membrane that is opaque, has decreased mobility, and is without bulging or inflammation. The least likely diagnosis for this patient is:
Selected Answer:
Otitis media with effusion

Answers:
Acute otitis media (AOM)

Otitis media with effusion
Mucoid otitis media
Serous otitis media
Question 97
0 out of 1 points

Alan, age 54, notices a bulge in his midline every time he rises from bed in the morning. You tell him it is a ventral hernia, also known as:
Selected Answer:
incisional hernia

Answers: inguinal hernia

epigastric hernia

umbilical hernia
incisional hernia
Question 98
1 out of 1 points

A 58-year-old man is diagnosed with Barrett’s esophagus after an endoscopy. He has no known allergies. Which of the following medications is MOST appropriate to treat this patient’s disorder?
Selected Answer:
Omeprazole

Answers:
Omeprazole

Ranitidine
An antacid
None of the above
NURS-6531 Adv. Practice Care of Adults Midterm Exam Question 99
1 out of 1 points

Larry, age 66, is a smoker with hyperlipidemia and hypertension. He is 6 months post-MI. To prevent reinfarction, the most important behavior change that he can make is to:
Selected Answer:
Quit smoking

Answers:
Quit smoking

Maintain aggressive hypertension therapy
Stick to a low-fat, low-sodium diet
Continue with his exercise program
Question 100
1 out of 1 points

Risk factors for acute arterial insufficiency include which of the following?
Selected Answer:
All of the above

Answers: Recent myocardial infarction
Atrial fibrillation
Atherosclerosis

All of the above

Question 101
1 out of 1 points

Impetigo and folliculitis are usually successfully treated with:
Selected Answer:
Topical antibiotics

Answers: Systemic antibiotics

Topical antibiotics

Topical steroid creams
Cleansing and debridement
NURS-6531 Adv. Practice Care of Adults Midterm Exam