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TEST BANK NURS 6560 Exit Exam | NURS6560 exit exam (2020/2021)

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NURS 6560 Exit Exam 1. You see a 73-year-old woman with a 40 pack year smoking history, chronic obstruction pulmonary disease and peripheral artery disease who presents with an ulcer on the soul of he... r left foot. The also has an irregular edge and pale face and punched out appearance, with the surrounding skin white and shiny. The patient states that the pain is worse at night in bed and when the legs are elevated. The most likely diagnosis is: 2. Hey 75-year-old man presents with chief complaints of headache, Nausea, and muscle weakness. His creatinine level is 2.1 MG/DLNGFR is 30 ML/MIN/1.73 m2. He currently takes a thiazides diuretic for the management of hypertension. Which of the following statements is false regarding the use of diuretics in the elderly? 3. All of the following practices are recommended when prescribing medication with confusing or similar-sounding names except: 4. A 19-year-old is diagnosed with meningococcal meningitis. In order to prevent secondary infections among adults who had close contact with the patient, all of the following are recommended except: 5. A 38-year-old woman comes to the emergency department complaining of a rapid heartbeat, tremors, and chest tightness. She reports early in the day she was feeling a migraine starting so she took a pill giving to her by her friend who also experience migraines. Her medical history reveals that she is currently taking a monoamine oxidase inhibitor for depression. Which migraine medication did see most likely take? 6. 826-year-old woman presents with uncomplicated UTI. She is otherwise healthy, has not received any systematic anti microbials in the past year and it’s not taking any medications. She is currently not pregnant and is using etonogestrel/ estradiol vaginal ring for contraception. The local E. Coli resistance rate to TMP/SMX is about 12%. The preferred therapy for this patient is: 7. As part of the Deficit reduction act of 2005, Medicare will incorporate quality payment adjustments for certain hospitals-acquired conditions, including all of the following except: 8. Which of the following example describes a potential malpractice scenario? 9. A 57-year-old woman presents for a flu shot as she has heard reports that it will be “a bad flu season’. She has had no primary care for more than 10 years she like health insurance. She admits to a 30 pack here cigarette smoking history, currently smoking one pack for a day. Her history and examination are unremarkable. Which screening test would you recommend? 10. A 28-year-old woman presents who complains of tugging chest pain unrelated to physical activity. She is generally in good health and non-smoker has a BMI of 23 KG/M2, and denies dyspnea of dizziness. Physical examination reveals a grade 2/6 late systolic murmur that follows a midsystoloc click at the 5th intercostal space, mid-clavicular line. An echocardiogram Fails to reveal mitral valve tissue redundancy. This can you go presentation is most consistent with: 11. A quality improvement plan characterized by Limiting variability and removing defects in a process best describes: 12. Laboratory findings of a 28-year-old male suspected of a heart stroke can include all of the following except: 13. A 42-year-old male presents with a sudden onset of inability to tightly close the eye lid, frown, or smile on the right side. His examination is otherwise unremarkable and past medical history is unremarkable. This likely represent paralysis of cranial nerve: 14. You see a 71-year-old man with atrial fibrillation and chronic obstructive pulmonary Disease who is diagnosed with community-acquired Pneumonia. His medical history does not show any drug allergies and he completed a course of respiratory fluoroquindore for the treatment of acute bacterial sinuses within the past month. Which of the following would you consider The most appropriate choice of anti-microbial? 15. According to the Consolidated Omnibus Reconciliation Act ( CORBA), The spouse of an eligible employee will be eligible for COBRA coverage in all of the following circumstances except when the eligible employee: 16. A 43-year-old woman presents in the emergency department with a chief complaint of swelling of the ankles, hands, and face. She also reports urine dad is darkly colored and foamy. Her blood pressure is 184/118 mm hg. All of the following urinalysis findings will support a diagnosis of glomerulonephritis except: 17. A 78-year-old male is being treated for hypoglycemia episode. He has a long history of type 2 diabetes mellitus as well as congestive heart failure and COPD. He is currently taking basal insulin with a sulfonylurea. What is the acceptable a A1C goal for this patient? 18. Tertiary Prevention activities for a 69-year-old woman with congestive heart failure and type 2 diabetes mellitus include: 19. A physicians employs an NP to provide service at a satellite acute care clinic. If the physician is never present at the clinic, which of the following statements is true? 20. You see a 48-year-old man with a chief complaint of pain during urination. Imaging reveals the presence of a kidney stone in the ureter. Do you consider all of the following management option except: 21. In managing a 58-year-old woman who is admitted for deep vein thrombosis, caution should be used with which of the following medication due to risk of heparin induced thrombocytopenia? 22. You see a 76-year-old woman living at home who is accompanied by her home care provider. She has COPD and type two diabetes mellitus. An example of a secondary prevention strategy is: 23. All of the following persons are eligible for Medicare service except: 24. The NP is called to treat a 43-year-old woman for multiple contusions following a domestic violence attack. The NP realizes that one of the best predictors of a subsequent homicide of victims are domestic violence is: 25. When initiating therapy for a spironolactone for a patient who Is also and ace inhibitor, you advise the patient to return in 5 days to check which of the following laboratory parameters? 26. All of the following are examples of primary prevention strategies except: 27. When considering HIPAA regulations, all the following are examples of” individual identifiable health information” except: 28. Which of the following statements is false regarding end-of-life decisions making for a patient that is hopelessly and terminally ill? 29. While evaluating 833 or female with a two day history of dysuria, which of the following findings in urinalysis is most suggestive of urinary tract infection caused by a gram-negative organism? 30. You are examining a 65-year-old woman with a history of rheumatic heart disease. In assessing the patient for mitral stenosis, you expect to find a heart heart murmur characterized as: 31. The privacy rule established by the US health department and human services in 1996 Implemented the requirements for: 32. When managing elderly patients with diminish cognitive function, which of the following statements is true regarding patient’s competence for making in form healthcare decisions? 33. A 17-year-old male is admitted after experiencing sudden, severe pain in the scrotum during the night. Physical examination reveals swelling of the scrotum and the loss of cremasteric reflex. His heart rate is 110 bpm, Blood pressure 150/80 mm hg, and temperature 99.8 F. There’s most likely represents: 34. In considering treatment for Jane in the previous question, which of the following would be most appropriate if she has a history of penicillin allergy? 35. All of the following are required Medicare terms and conditions for paying NP service except: 36. The NP is called to evaluate a 57-year-old man who reports episodes of acute angina with physical exertion. He is currently taking an ace inhibitor and low-dose aspirin. The NP considers which of the following approaches at the start of anginal symptoms? 37. A 41-year-old woman is diagnosed with hypertension that requires medication. She is otherwise healthy but currently takes drospirenone/ethinyl estradiol for birth control. Which of the following antihypertensive medication would be least preferred for this patient? 38. The NP is called to evaluate Jane, a 43-year-old woman, who presents with a diffuse maculopapular rash that began on The trunk but now covers the entire body, including the palms and soles. The rash is not itchy but wart-like sores are present in the mouth and genital area as well as skin folds. Initial evaluation reveals generalize lymphadenopathy And a low-grade fever, and she complains of lethargy and headache. The patient reports that she had a painless genital ulcer that healed on its own about 3 weeks earlier. Which of the following is the most likely diagnosis? 39. Gary is a 63-year-old African-American male who has been treated for hypertension with ace inhibitors her monotherapy for the past six weeks. Despite carries insistence that he is taking his medication as directed, his blood pressure continues to elevated. Gary mentions that he prefers not having to take multiple medications is day due to the cost and convenience. Which of the following is the most appropriate course of action? 40. A 15-year-old male is brought into the emergency department by his parents following a 12 hour history of nausea, family, and abdominal pain. Physical examination reveals obturator and psoas signs and a temperature of 102.6 F. Anticipated white blood cell with differential results are as follows: 41. A 27-year-old man presents with a chief concern of an abnormal mass within his left scrotum. He describes it as feeling like a bag of worms in his present when he is standing but disappears when he lies down. His past medical history is unremarkable and his BMI is 29 KG/M2. He has been in a monogamous relationship for the past four months. The most likely diagnosis is: 42. In a patient diagnosed with infections mononucleosis, the use of amoxicillin should be avoided due to the risk: 43. Mrs. Gonzalez is a 53 old female who is being evaluated for routine follow-up care. Her medical history includes dyslipidemia; hypertension, and rheumatoid arthritis. Laboratory animal is reveals elevated serum alanine transaminase and aspartate transaminase. The long-term use of which of the following medications is the most likely cause of this finding? 44. A 77 year old woman is accompanied by her husband for evaluation. She is currently being treated for metoprolol for hypertension and digoxin for atrial fibrillation. He reports that his wife is becoming increasingly forgetful over the past year, fell into note in Porten family events such as birthdays sometime to come and confused with driving directions to familiar locations. She has no previous psychiatric history. The most likely diagnosis is: 45. A 22-year-old college student presents with a two day history of severe sore throat and difficulty eating or drinking due to trouble swallowing. A physical examination reveals exudative pharyngitis and minimally tender anterior and posterior cervical lymphadenopathy. The NP suspects infectious mononucleosis and expects which are the following laboratory findings? 46. Phyllis is a 34-year-old woman who presents with a chief complaint of a migraine resulting in nausea and vomiting. She reports that she experiences multiple migraines each month. She has given a prescription for sumatriptan 100-mg tablets orally to treat acute migraine pain. When counseling Phyllis about the medication, the nurse practitioner advises about all of the following adverse effects except: 47. A 27-year-old woman is being evaluated for a seven day history of acute bacterial rhino-sinusitis. She is otherwise healthy and has not received any antimicrobial therapy in the past six months. She also has no history of drug allergy. In considering a first-line antimicrobial treatment, which of the following would be most appropriate? 48. A 21-year-old female student presents at the university clinic with a nose bleed. This is her third bleeding episode in the past week she is otherwise healthy with no history of bleeding disorders. The NP advises that the appropriate first line intervention of anterior epistaxis is: 49. A 49-year-old woman presents with a three day history of Burning during urination, a thin and grayish white vaginal discharge in vagina itching. Laboratory examinations common you expect to find all-of the following except: 50. You see a 77-year-old male for treatment in lacerations on his forearm. Upon examination, you notice poor skin turgor what it says on the arms and back of the hands. This is likely a sign of: 51. A 26-year-old male presents with a chief complaint of bilateral, intermittent itchy eyes accompanied by a rope like discharge. This is most consistent with conjunctivitis caused by: 52. A 32 -year-old woman in her second trimester pregnancy presents with fever, flank pain, and hematuria. The NP suspects pyelonephritis. Which of The following urinalysis results would be most indicative of pyelonephritis? 53. A 21 year old camp counselor presents for evaluation with a chief complaint of generalized itchiness. He has just returned after a week of summer camp. Physical examination reveals excoriated papules along his axillary folds and at the belt line. The NP suspects scabies and prescribes permethrin lotion. In counseling the patient on the use of permethrin, the NP mention that: 54. Bill is a 46-year-old man who rushed to the emergency department at the experiencing Senate onset of edema of the lips and face and a sensation of the tightness and difficulty breathing following a wasp sting. His blood pressure is 78/52 mm hg, heart rate 120 BPM, and respiratory rate is 32/min. The course of action in caring for Bill is to administer: 55. A 32-year-old man requires evaluation for hepatitis infection prior to taking a job as a restaurant cook. He Presents with the following Laboratory results: 56. A 57-year-old woman presents with a six month old numbness of the finger tips and oral irritation. Physical examination reveals pale conjunctiva and the heart murmur. She is otherwise healthy, exercise regularly, has a BMI of 22 kg/m2, and she states she is a vegan. Hemogram results are as follows: Hg= 8.2 g/dL (12-16 g/dL) Hct =23% (36% - 42%) MCV = 135 fl ( 80 - 96 fL) - Red Blood Cell distribution width =17%, These findings are most consistent with: 57. A 23-year-old man is admitted after experiencing seizures. A witness to the seizure described how the patient fell to the ground with rigid extension of the arms and legs which was followed by A period of jerking movement and loss of consciousness. This best describes which type seizures? 58. A 23-year-old male patient is evaluated in the early morning hours for nausea with vomiting. He had eaten some food from the fridge from the night before that “was probably to old”. The NP expects acute gastroenteritis and would expect The course of the disease over the next 48 to 72 hours to involve: 59. A 64-year-old woman with chronic kidney disease presents with a chief complaint lethargy. His hemogram is as follows: Hemoglobin (Hg)=9.9 g/dL, Hematocrit (Hct)=30% 60. There is no number 60 61. A 16-year-old male presents for evaluation after a syncopal Episode at school. He reports that he has recently been experiencing bouts of lightheadedness. His blood pressure is 126/76 episode at school. He reports that he has recently been experiencing bouts of lightheadedness. His blood pressure is 126/76 mm Hg and his BMI=33 kg/m2. You notice velvet-like plaques at the naps of the neck. Laboratory assessment should include which of the following tests? 62. 846-year-old man is rushed to the emergency department while experiencing an acute adrenaline crisis that presents with abdominal pain, severe vomiting, and low blood pressure. He appears cyanotic and confused. The most appropriate treatment for this patient is an injection of: 63. A 17-year-old male with intermittent asthma presents for routine follow-up. He explains that he experienced asthma symptoms once or twice is weak, usually during physical activity. Symptoms are promptly will leave each time with albuterol per MDI with spacer. He does not report any nighttime awakenings due to his asthma. His act score is 24 and vital signs are all within normal limits. According to the NAEPP EPR-3, what is the next step in the management of his asthma? 64. Which of the following electrocardiogram changes do you expect to find in a person with myocardial ischemia? 65. Clinical features of Hashimoto’s thyroiditis typically include: 66. Which of the following is the most appropriate antibiotic for a 57-year-old man with acute bacterial rhinosinusitis and who has type 2 Diabetes mellitus, COPD and a beta lactam allergy? 67.The NP is called to evaluate a 56-year-old man complaining of severe pain in the upper right abdomen that radiates to the right shoulder, nausea and vomiting, which started soon after dinner. The NP suspects a cute cholecystitis. All of the following findings would be consistent with the diagnosis except: 68. The NP is called to evaluate a 34 year old non-pregnant woman who complains of a four week history of anxiety, palpitations, diarrhea, unexplained weight loss, and sensitivity to heat. Her medical history is unremarkable and she is not taking any medications. Physical examination reveals warm moist skin and exaggerated deep tendon reflexes. The NP suspects Graves’ disease. Which of the following laboratory results would best support this diagnosis? 69. A 27-year-old male is rushed to the emergency department after experiencing a series of seizures. He has no history of neurologic disorder. His girlfriend states that he was taking multiple medications for mood disorder but recently stopped taking one of them. The most likely medication the patient discontinue is a: 70. A 68-year-old woman who resides in a long-term care facility is being treated for a urinary tract infection. Her medical history includes hypertension, peripheral artery disease, and a 35 pack year smoking history. During the evaluation, she brings to your attention a painless, pearly nodule on the upper lip. This clinical presentation most likely represents: 71. A 24 year old with a history of major depressive disorder is rushed to the emergency department by his friends after taking an overdose of antidepressant medication. The ingestion of which of the following medications poses the greatest risk of death for this patient? 72. You see a 24-year-old woman of Asian and Sestri who is being evaluated for a neurologic disorder. A thorough laboratory analysis is conducted in the hemogram results are as follows: hemoglobin 10.4, hematocrit 32%, Mean cell volume (MCV) 71, Red blood cell distribution with (RDW) 13%, Red blood cells 5.5, the most likely condition associated with these hemogram results are: 73. And 18-year-old man is being evaluated for a severe exacerbation of asthma. He is currently taking an inhaled corticosteroid, a long acting beta agonist, and a short acting beta agonist one and as needed basis. The most important component of the initial assessment includes an: 74. A 19 year old college freshman has been urged by her friends to be evaluated for lethargy, loss of appetite, and hypersomnia over the past two weeks. You administer the Beck Depression inventory assessment and she scores at 22. This would indicate: 75. 35-year-old woman presents with a chief complaint of being unable to close her right eyelid tightly, frown, or Smile on the right side. She is otherwise healthy with no significant prior medical history. Inappropriate diagnostic test for this patient would be: 76. The NP is called to evaluate a 72 year old woman with community acquired pneumonia. Her vital signs include temperature 101.6°F, blood pressure 106/68 mmHg, and heart rate 78 BPM, physical examination reveals increased tactile fremitus and donis to percussion at the left lung base. These findings are consistent with: 77. The nurse practitioner is evaluating a 19-year-old male suffering from a severe headache. He has a history of headaches that lead to occur in clusters over a few days. He has unsuccessfully tried several therapeutic modalities. A positive response to which of the following interventions supports the diagnosis of cluster headache? 78. When developing a management plan for patients with genitourinary infections, which of the following would you most likely recommend for follow-up imaging following resolution of their infection? 79. The NP is called to evaluate a 48-year-old man who was brought to the emergency department after experiencing severe low back pain following an attempt to lift heavy furniture. He also reports a coincident loss of bowel and bladder control. This most likely indicates: 80. A 43-year-old woman is being evaluated in the emergency department with a complaint of a severe headache. She describes a unilateral, pulsing headache that was preceded by a gradual onset of paresthesia affecting the ipsilateral face and arm. The patient stated she noticed a funny smell prior to the symptoms starting. This description is most typical of: 81. A 20-year-old college student living in a campus dormitory has been diagnosed with Meningococcal meningitis. The NP decides to speak with the University health officials and inform them that: 91. Mr. Waugh is a 62-year-old man who has been previously diagnosed with Dilated cardiomyopathy and is being evaluated for fatigue, Edina, and shortness of breath. On examination, you expect to find: 92. A A 54-year-old man is being evaluated for pain related to acute bacterial prostatitis. In considering the diagnosis and management, the NP realizes that: 93. You see a 64-year-old man with an area erythema concentrated on the left side of his neck with clusters of vesicles forming a line. He reported pain in the area a couple of days before the eruption of the lesions. He states that he recently initiated biologic therapy for rheumatoid arthritis. Which of the following is the most likely diagnosis? 94. While taking the history on a 60-year-old female patient the nurse practitioner learns that she has a 15-year-old history of poorly controlled hypertension. The patient admits that another provider had told her that the high blood pressure had affected her eyes. As a result, the nurse practitioner expects that funduscopic examination will likely reveal: 95. [Show More]

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