Week 9 Practice Exam.docx questions and answers solution 2020

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Week 9 Practice Exam.docx questions and answers solution 2020 Question 1 (1 point) Which of the following is a primary prevention measure for a 76-year-old man newly diagnosed with a testosteron... e deficiency? Question 1 options: Question 2 (1 point) Which of the following is an example of secondary prevention in a 50-year-old woman? Question 2 options: Question 3 (1 point) Which of the following is an example of tertiary prevention in a patient with chronic renal failure? Question 3 options: Question 4 (1 point) Nursing research should be utilized by: Question 4 options: Question 5 (1 point) A clinical guideline may be found useful if the guideline was: Question 5 options: Question 6 (1 point) Practice guidelines are designed to: Question 6 options: Question 7 (1 point) Tatiana is receiving a sports physical to participate in cross-country running. She receives her exam from a single provider, who is examining all of the athletes one after the other in the nurse’s office at school. Which of the following is a problem with this exam format for sports physicals? Question 7 options: Question 8 (1 point) Tyler is a 16-year-old football player who has an appointment for his sports physical. He had a head hit yesterday while playing with friends, and went to the emergency room. He was discharged with a diagnosis of a concussion. Today he feels dizzy, has noise sensitivity, and had trouble sleeping last night. Which of the following options is best for the clinician to pursue? Question 8 options: Question 9 (1 point) The clinician is seeing Dahlia, a 15-year-old swimmer, for a sports physical. During examination, she notes she has had difficulty breathing while swimming over the last 3 days. Which of the following options is best for the clinician to pursue? Question 9 options: Question 10 (1 point) Which theory regarding the aging process is linked to cancer and Alzheimer’s disease? Question 10 options: Question 11 (1 point) What is the key to increase physical activity in older adults? Question 11 options: Question 12 (1 point) Which of the following is especially important for ensuring the safety of older adults? Question 12 options: Question 13 (1 point) Which of the following would be a cause of neuropathic pain? Question 13 options: Question 14 (1 point) Which drug is considered the MOST effective medication for pain in terminally ill patients? Question 14 options: Question 15 (1 point) Unlike palliative care, hospice provides: Question 15 options: Question 16 (1 point) How often should clinicians reassess a patient that is on chronic opioids? Question 16 options: Question 17 (1 point) You are providing end-of-life care to an elderly patient with a history of heart failure. The patient complains of dyspnea. What is often the first line treatment for this condition? Question 17 options: Question 18 (1 point) The cost of care provided by an APRN is approximately: Question 18 options: Question 19 (1 point) How do bundled payments differ from fee-for-service or global capitation? Question 19 options: Question 20 (1 point) Patients require education prior to accessing health-care services for the following reason: Question 20 options: Question 21 (1 point) Accounting keeps track of the financial state of a business. The accounting report that demonstrates the net-growth in assets is: Question 21 options: Question 22 (1 point) Commonalities among psychotherapeutic techniques include the following: Question 22 options: Question 23 (1 point) The goals of the 15-minute hour approach include: Question 23 options: Question 24 (1 point) BATHEing the patient refers to: Question 24 options: Question 25 (1 point) Which of the following scenarios best demonstrates the relationship between physical health and distress? Question 25 options: Question 26 (1 point) Which type of liability insurance covers only situations in which the incident occurred and the claim was made while the policy was in effect? Question 26 options: Question 27 (1 point) Which insurance plan was the first to allow members to choose nurse practitioners as their primary-care provider and pay them the same rate as physicians for the same care? Question 27 options: Question 28 (1 point) In the model for future Advanced Practice Registered Nurse (APRN) practice, what does the “C” of LACE represent? Question 28 options: Question 29 (1 point) What principle is most important when obtaining informed consent? Question 29 options: Question 30 (1 point) Emotional intelligence is defined as: Question 30 options: Question 31 (1 point) Qualities associated with resilience include: Question 31 options: Question 32 (1 point) According to nurse theorist Jean Watson, a focus on positive intentionality—holding caring thoughts, loving kindness, and open receptivity—enhances caring energy, which leads to healing. How can the APRN bring this to their practice? Question 32 options: Question 33 (1 point) Billy presents with edematous and erythematous lid margins and closer visual inspection with a Wood’s lamp reveals scaling. Which of the following conditions could be the diagnosis? Question 33 options: Question 34 (1 point) Which of the following is true about epiphora? Question 34 options: Question 35 (1 point) The clinician is seeing a patient complaining of red eye. The clinician suspects conjunctivitis. The presence of mucopurulent discharge suggests which type of conjunctivitis? Question 35 options: Question 36 (1 point) Which is appropriate patient education to provide regarding bacterial conjunctivitis? Question 36 options: Question 37 (1 point) With regards to the relationship between diabetes and diabetic retinopathy, which of the following is TRUE? Question 37 options: Question 38 (1 point) Who of the following is a patient with risk factors for macular degeneration? Question 38 options: Question 39 (1 point) Which of the following is an example of sensorineural hearing loss? Question 39 options: Question 40 (1 point) In which of the following scenarios would otitis media (OM) be considered chronic? Question 40 options: Question 41 (1 point) Which of the following treatments is appropriate for a patient who has acute otitis media and has an allergy to penicillin? Question 41 options: Question 42 (1 point) Fluctuations and reductions in estrogen may be a contributing factor in which type of rhinitis? Question 42 options: Question 43 (1 point) Which type of stomatitis is caused by continual exposure to chewing tobacco? Question 43 options: Question 44 (1 point) The presence of hairy leukoplakia in a person with no other symptoms of immune suppression is strongly suggestive of which type of infection? Question 44 options: Question 45 (1 point) Which of the following medications is safe to use when an adult patient has a perforated tympanic membrane? Question 45 options: Question 46 (1 point) Betty presents with tenderness on traction of the pinna in her right ear and when the provider places pressure on her right tragus, she expresses she is in pain. The clinician does not suspect a tympanic membrane rupture, but would like to make Betty more comfortable during the exam. Which of the following solutions should the clinician administer before attempting an examination? Question 46 options: Question 47 (1 point) A patient has dysphonia 3 days as a result of a viral illness. Which of the following educational points is correct? Question 47 options: Question 48 (1 point) Which of the following medications for temporomandibular disorder has the warning that patients should NOT drive while taking it? Question 48 options: Question 49 (1 point) What is the initial treatment for uncomplicated anterior epistaxis? Question 49 options: Question 50 (1 point) Based on these patients’ histories, which of the following should receive fungal serology testing for their chronic cough? Question 50 options: Question 51 (1 point) Which of these patients should be given a decongestant? Question 51 options: Question 52 (1 point) Annie is a 30-year-old African American woman that complains of “coughing up blood.”and SOB when lying down or during excertion What is a likely cause of her condition? Question 52 options: Question 53 (1 point) African American patients seem to have a negative reaction to which of the following asthma medications? Question 53 options: Question 54 (1 point) Why do you suspect that your patient may have a decreased response to the tuberculin skin test (TST)? Question 54 options: Question 55 (1 point) Which information should be included when you are teaching your patient about the use of nicotine gum? Question 55 options: Question 56 (1 point) George has COPD and an 80% forced expiratory volume in 1 second. How would you classify the severity of his COPD? Question 56 options: Question 57 (1 point) Which of the following patients would you expect to have a decreased response to TST? Question 57 options: Question 58 (1 point) Which of the following is a possible consequence of sleep apnea? Question 58 options: Question 59 (1 point) Which of the following statements regarding pulmonary function and cigarette smoking is true? Question 59 options: Question 60 (1 point) Which of these patients should be evaluated with serum alphaantitrypsin levels? Question 60 options: Question 61 (1 point) A blood pressure (BP) of 150/90 is considered: Question 61 options: Question 62 (1 point) Lifestyle modifications to manage hypertension (HTN) include: Question 62 options: Question 63 (1 point) You are assessing Sigred for metabolic syndrome. Which of her parameters is indicative of this syndrome? Question 63 options: Question 64 (1 point) Which type of angina do you suspect in Harvey, who complains of chest pain that occurs during sleep and most often in the early morning hours? Question 64 options: Question 65 (1 point) A patient is undergoing a cardiac stress test. Which of the following parts of their history could cause a false-positive reading? Question 65 options: Question 66 (1 point) Which of these patients is at a higher risk for developing deep vein thrombosis? Question 66 options: Question 67 (1 point) What percentage of patients with angina pectoris will have simultaneous dyspnea, caused by transient increase in pulmonary venous pressures that accompany ventricular stiffening during an episode of myocardial ischemia? Question 67 options: Question 68 (1 point) Which of the following patient complaints indicates palpitations are due to increased catecholamine production? Question 68 options: Question 69 (1 point) When teaching post-MI patients about their NTG tablets, the clinician should stress that the tablets should remain in the light-resistant bottle in which they are packaged and should not be put in another pill box or remain in areas that are or could become warm and humid. Once opened, the bottle must be dated and discarded after how many months? Question 69 options: Question 70 (1 point) Which of the following doses of statins decrease LDL by up to 50% on average? Question 70 options: Question 71 (1 point) What is true regarding the treatment of cilostazol? Question 71 options: Question 72 (1 point) What value on the ankle-brachial index diagnoses peripheral artery disease? Question 72 options: Question 73 (1 point) Your patient with permanent atrial fibrillation asks what other options he has to warfarin. You tell him: Question 73 options: Question 74 (1 point) A patient comes to the office complaining of constipation. The patient lists all of the following medications. Which drug could be responsible for the constipation? Question 74 options: Question 75 (1 point) A patient is seen with complaints of diarrhea. Which of the following should be included in the patient’s differential diagnosis? Question 75 options: Question 76 (1 point) Cameron, 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he has had intermittent heartburn for several months and takes antacids with temporary relief. He has been waking during the night with a burning sensation in his chest. Which additional information would lead you to believe that gastroesophageal reflux disease (GERD) is the cause of his pain? Question 76 options: Question 77 (1 point) Hannah is a patient that just had an appendectomy after a diagnosis of appendicitis and had no complications. Which of the following patient education points is correct? Question 77 options: Question 78 (1 point) Which of the following is true of appendicitis? Question 78 options: Question 79 (1 point) A 28-year-old patient is seen in the clinic with colicky abdominal pain, particularly after meals. She has frequent constipation, flatulence, and abdominal distension. Which of the data make a diagnosis of diverticulitis unlikely? Question 79 options: Question 80 (1 point) A 28-year-old patient is seen with complaints of diarrhea. Which of the following responses to the history questions would help the primary-care provider (PCP) establish the diagnosis of irritable bowel syndrome (IBS)? Question 80 options: Question 81 (1 point) Elaine is a 32-year-old Hispanic woman who is 33 weeks pregnant. She complains that when she wipes after defecation she noticed “a red streak on the toilet paper.” Which of the following should be included in the differential diagnosis? Question 81 options: Question 82 (1 point) The nurse practitioner (NP) suspects a patient has a peptic ulcer. Which of the following items on the history would lead the NP to this conclusion? Question 82 options: Question 83 (1 point) Which of the following is part of the treatment plan for the patient with IBS? Question 83 options: Question 84 (1 point) Which type of heat-related illness involves a core body temperature of at least 104°F and may present with hot dry skin, acute mental status changes, absent sweat, and tachypnea? Question 84 options: Question 85 (1 point) Which drug commonly prescribed for burns is active against a wide spectrum of microbial pathogens and is the most frequently used agent for partial- and full-thickness thermal injuries? Question 85 options: Question 86 (1 point) What number represents normal neurological function on the Glasgow Coma Scale? Question 86 options: Question 87 (1 point) Delayed serum sickness–type reactions in response to multiple bee, wasp, or fire-ant stings can be managed with which of the following? Question 87 options: Question 88 (1 point) A patient who sustains blunt chest trauma and/or penetrating chest trauma must have which of the following imaging examinations? Question 88 options: Question 89 (1 point) What is the most common cause of infectious conjunctivitis? Question 89 options: Question 90 (1 point) Which of the following indicates a diagnosis of dementia? Question 90 options: Question 91 (1 point) Which of the following may trigger migraines? Question 91 options: Question 92 (1 point) Sondra’s peripheral vestibular disease causes dizziness and vertigo. Which of the following medications will help to decrease edema in the labyrinth of the ear? Question 92 options: Question 93 (1 point) Which of the following signs would a health-care provider expect to see in a patient with Parkinson-plus disorder? Question 93 options: Question 94 (1 point) Which of the following is a sign or symptom of a migraine? Question 94 options: Question 95 (1 point) Which of the following describes a bulla? Question 95 options: Question 96 (1 point) An example of ecchymosis is: Question 96 options: Question 97 (1 point) Your patient is in her second trimester of pregnancy and has a yeast infection. Which of the following is the most appropriate treatment? Question 97 options: Question 98 (1 point) Jeffrey has atopic dermatitis. You are prescribing a low-dose topical corticosteroid for him. Which would be a good choice? Question 98 options: Question 99 (1 point) Jack is complaining of an extremely pruritic lesion that is round to a half circle in his genital area. Which of the following is the most likely diagnosis? Question 99 options: Question 100 (1 point) Which of the following is true of scabies? Question 100 options: [Show More]

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