{"id":125553,"date":"2023-02-14T00:00:00","date_gmt":"2023-02-14T00:00:00","guid":{"rendered":"https:\/\/nursingstudybay.com\/2023\/02\/14\/nsg6420-week-5-midterm-quiz-new-2017\/"},"modified":"2023-02-14T00:00:00","modified_gmt":"2023-02-14T00:00:00","slug":"nsg6420-week-5-midterm-quiz-new-2017","status":"publish","type":"post","link":"https:\/\/www.studyproessays.com\/help\/nsg6420-week-5-midterm-quiz-new-2017\/","title":{"rendered":"Nsg6420 week 5 midterm quiz new (2017)"},"content":{"rendered":"

<\/p>\n

\n

Question<\/span><\/p>\n

Week 5 mid-term quiz<\/span><\/strong><\/p>\n

Question 1: Which of the following symptoms is common with acute otitis media?<\/span><\/p>\n

Bulging tympanic membrane<\/span><\/p>\n

Bright light reflex of tympanic membrane<\/span><\/p>\n

Increased tympanic membrane mobility<\/span><\/p>\n

All of the above<\/span><\/p>\n

Question 2<\/span>.<\/span>\u00a0The cytochrome p system involves enzymes that are generally:<\/span><\/p>\n

Inhibited by drugs<\/span><\/p>\n

Induced by drugs<\/span><\/p>\n

Inhibited or induced by drugs<\/span><\/p>\n

Associated with decreased liver perfusion<\/span><\/p>\n

Question 3<\/span>.<\/span>\u00a0In AR disorders, carriers have:<\/span><\/p>\n

Two mutated genes; one from each parent that cause disease<\/span><\/p>\n

A mutation on a sex chromosome that causes a disease<\/span><\/p>\n

A single gene mutation that causes the disease<\/span><\/p>\n

One copy of a gene mutation but not the disease<\/span><\/p>\n

Question 4<\/span>.<\/span>\u00a0A 56-year-old male complains of anorexia, changes in bowel habits, extreme fatigue, and unintentional weight loss<\/span>.<\/span>\u00a0At times he is constipated and other times he has episodes of diarrhea<\/span>.<\/span>\u00a0His physical examination is unremarkable<\/span>.<\/span>\u00a0It is important for the clinician to recognize the importance of:<\/span><\/p>\n

CBC with differential<\/span><\/p>\n

Stool culture and sensitivity<\/span><\/p>\n

Abdominal X-ray<\/span><\/p>\n

Colonoscopy<\/span><\/p>\n

Question 5<\/span>.<\/span>\u00a0Which of the following findings should trigger an urgent referral to a cardiologist or neurologist?<\/span><\/p>\n

History of bright flash of light followed by significantly blurred vision<\/span><\/p>\n

History of transient and painless monocular loss of vision<\/span><\/p>\n

History of monocular severe eye pain, blurred vision, and ciliary flush<\/span><\/p>\n

All of the above<\/span><\/p>\n

Question 6<\/span>.<\/span>\u00a0In examination of the nose, the clinician observes gray, pale mucous membranes with clear, serous discharge<\/span>.<\/span>\u00a0This is most likely indicative of:<\/span><\/p>\n

Bacterial sinusitis<\/span><\/p>\n

Allergic rhinitis<\/span><\/p>\n

Drug abuse<\/span><\/p>\n

Skull fracture<\/span><\/p>\n

Question 7<\/span>.<\/span>\u00a0An 82-year-old female presents to the emergency department with epigastric pain and weakness<\/span>.<\/span>\u00a0She admits to having dark, tarry stools for the last few days<\/span>.<\/span>\u00a0She reports a long history of pain due to osteoarthritis<\/span>.<\/span>\u00a0She self-medicates daily with ibuprofen, naprosyn, and aspirin for joint pain<\/span>.<\/span>\u00a0On physical examination, she has orthostatic hypotension and pallor<\/span>.<\/span>\u00a0Fecal occult blood test is positive<\/span>.<\/span>\u00a0A likely etiology of the patient\u2019s problem is:<\/span><\/p>\n

Mallory-Weiss tear<\/span><\/p>\n

Esophageal varices<\/span><\/p>\n

Gastric ulcer<\/span><\/p>\n

Colon cancer<\/span><\/p>\n

Question 8<\/span>.<\/span>\u00a0Your patient is a 78-year-old female with a smoking history of 120-pack years<\/span>.<\/span>\u00a0She complains of hoarseness that has developed over the last few months<\/span>.<\/span>\u00a0It is important to exclude the possibility of:<\/span><\/p>\n

Thrush<\/span><\/p>\n

Laryngeal cancer<\/span><\/p>\n

Carotidynia<\/span><\/p>\n

Thyroiditis<\/span><\/p>\n

Question 9<\/span>.<\/span>\u00a0Your patient has been using chewing tobacco for 10 years<\/span>.<\/span>\u00a0On physical examination, you observe a white ulceration surrounded by erythematous base on the side of his tongue<\/span>.<\/span>\u00a0The clinician should recognize that very often this is:<\/span><\/p>\n

Malignant melanoma<\/span><\/p>\n

Squamous cell carcinoma<\/span><\/p>\n

Aphthous ulceration<\/span><\/p>\n

Behcet\u2019s syndrome<\/span><\/p>\n

Question 10<\/span>.<\/span>\u00a0The best way to diagnose structural heart disease\/dysfunction non-invasively is:<\/span><\/p>\n

Chest X-ray<\/span><\/p>\n

EKG<\/span><\/p>\n

Echocardiogram<\/span><\/p>\n

Heart catheterization<\/span><\/p>\n

Question 11<\/span>.<\/span>\u00a0(*There are multiple questions on this exam related to this scenario<\/span>.<\/span>\u00a0Be sure to read the whole way through to the question<\/span>.<\/span>) Mr<\/span>.<\/span>Keenan is a 42-year-old man with a mild history of GERD and a remote history of an appendectomy, presenting with\u00a0 an acute onset of significant right upper-quadrant abdominal pain and vomiting<\/span>.<\/span>\u00a0His pain began after a large meal, was unrelieved by a proton-pump inhibitor, was unlike his previous episodes of heartburn, but upon questioning, reports milder, prodromal episodes of similar post-prandial pain<\/span>.<\/span>\u00a0His pain seems to radiate to his back<\/span>.<\/span>\u00a0Despite a family history of cardiac disease, he reports no classic anginal signs or chest pain<\/span>.<\/span>\u00a0He furthermore denies respiratory or pleuritic signs and denies fever, night sweats, and unintended weight loss<\/span>.<\/span>\u00a0Finally, there are no dermatologic signs, nor genitourinary symptoms<\/span>.<\/span><\/p>\n

Of the following lab studies, which would provide little help in determining your differential diagnosis?<\/span><\/p>\n

Abdominal plain films<\/span><\/p>\n

Liver function tests<\/span><\/p>\n

Amylase\/lipase<\/span><\/p>\n

Urinalysis<\/span><\/p>\n

Question 12<\/span>.<\/span>\u00a0The pathophysiological hallmark of ACD is:<\/span><\/p>\n

Depleted iron stores<\/span><\/p>\n

Impaired ability to use iron stores<\/span><\/p>\n

Chronic unable bleeding<\/span><\/p>\n

Reduced intestinal absorption of iron<\/span><\/p>\n

Question 13<\/span>.<\/span>\u00a0A 72-year-old woman and her husband are on a cross-country driving vacation<\/span>.<\/span>\u00a0After a long day of driving, they stop for dinner<\/span>.<\/span>Midway through the meal, the\u00a0 woman becomes very short of breath, with chest pain and a feeling of panic<\/span>.<\/span>\u00a0Which of the following problems is most likely?<\/span><\/p>\n

Pulmonary edema<\/span><\/p>\n

Heart failure<\/span><\/p>\n

Pulmonary embolism<\/span><\/p>\n

Pneumonia<\/span><\/p>\n

Question 14<\/span>.<\/span>\u00a0A 66-year-old patient presents to the clinic complaining of dyspnea and wheezing<\/span>.<\/span>\u00a0The patient reports a smoking history of 2 packs of cigarettes per day since age 16<\/span>.<\/span>\u00a0This would be recorded in the chart as:<\/span><\/p>\n

50 x 2-pack years<\/span><\/p>\n

100-pack years<\/span><\/p>\n

50-year, 2-pack history<\/span><\/p>\n

100-pack history<\/span><\/p>\n

Question 15<\/span>.<\/span>\u00a0An 86-year-old patient who wears a hearing aid complains of poor hearing in the affected ear<\/span>.<\/span>\u00a0In addition to possible hearing aid malfunction, this condition is often due to:<\/span><\/p>\n

Acoustic neuroma<\/span><\/p>\n

Cerumen impaction<\/span><\/p>\n

Otitis media<\/span><\/p>\n

M\u00e9ni\u00e8re\u2019s disease<\/span><\/p>\n

Question 16<\/span>.<\/span>\u00a0Which symptom is more characteristic of Non-Cardiac chest pain?<\/span><\/p>\n

Pain often radiates to the neck, jaw, epigastrium, shoulder, or arm<\/span><\/p>\n

Pain tends to occur with movement, stretching or palpation<\/span><\/p>\n

Pain usually lasts less than 10 minutes and is relieved by nitroglycerine<\/span><\/p>\n

Pain is aggravated by exertion or stress<\/span><\/p>\n

Question 17<\/span>.<\/span>\u00a0Aortic regurgitation requires medical treatment for early signs of CHF with:<\/span><\/p>\n

Beta blockers<\/span><\/p>\n

ACE inhibitors<\/span><\/p>\n

Surgery<\/span><\/p>\n

Hospitalization<\/span><\/p>\n

Question 18<\/span>.<\/span>\u00a0In examining the mouth of an older adult with a history of smoking, the nurse practitioner finds a suspicious oral lesion<\/span>.<\/span>\u00a0The patient has been referred for a biopsy to be sent for pathology<\/span>.<\/span>\u00a0Which is the most common oral precancerous lesion?<\/span><\/p>\n

Fictional keratosis<\/span><\/p>\n

Keratoacanthoma<\/span><\/p>\n

Lichen planus<\/span><\/p>\n

Leukoplakia<\/span><\/p>\n

Question 19<\/span>.<\/span>\u00a0Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic anemia<\/span>.<\/span>\u00a0This classification refers to which of the following laboratory data?<\/span><\/p>\n

Hemoglobin and Hematocrit<\/span><\/p>\n

Mean Corpuscular Volume (MCV) and Mean Corpuscular Hemoglobin (MCH)<\/span><\/p>\n

Serum ferritin and Serum iron<\/span><\/p>\n

Total iron binding capacity and transferrin saturation<\/span><\/p>\n

Question 20<\/span>.<\/span>\u00a0A key symptom of ischemic heart disease is chest pain<\/span>.<\/span>\u00a0However, angina equivalents may include exertional dyspnea<\/span>.<\/span>\u00a0Angina equivalents are important because:<\/span><\/p>\n

Women with ischemic heart disease many times do not present with chest pain<\/span><\/p>\n

Some patients may have no symptoms or atypical symptoms; diagnosis may only be made at the time of an actual myocardial infarction<\/span><\/p>\n

Elderly patients have the most severe symptoms<\/span><\/p>\n

A & B only<\/span><\/p>\n

Question 21<\/span>.<\/span>\u00a0An older patient reports burning pain after ingestion of many foods and large meals<\/span>.<\/span>\u00a0What assessment would Help the nurse practitioner in making a diagnosis of GERD?<\/span><\/p>\n

Identification of a fluid wave<\/span><\/p>\n

Positive Murphy\u2019s sign<\/span><\/p>\n

Palpable spleen<\/span><\/p>\n

Midepigastric pain that is not reproducible with palpation<\/span><\/p>\n

Question 22<\/span>.<\/span>\u00a0When interpreting laboratory data, you would expect to see the following in a patient with Anemia of Chronic Disease (ACD):<\/span><\/p>\n

Hemoglobin <12 g\/dl, MCV decreased, MCH decreased<\/span><\/p>\n

Hemoglobin >12 g\/dl, MCV increased, MCH increased<\/span><\/p>\n

Hemoglobin <12 g\/dl, MCV normal, MCH normal<\/span><\/p>\n

Hemoglobin >12 g\/dl, MCV decreased, MCH increased<\/span><\/p>\n

Question 23<\/span>.<\/span>\u00a0Symptoms in the initial human immunodeficiency virus (HIV) infection include all of the following except:<\/span><\/p>\n

Sore throat<\/span><\/p>\n

Fever<\/span><\/p>\n

Weight loss<\/span><\/p>\n

Headache<\/span><\/p>\n

Question 24<\/span>.<\/span>\u00a0Epistaxis can be a symptom of:<\/span><\/p>\n

Over-anticoagulation<\/span><\/p>\n

Hematologic malignancy<\/span><\/p>\n

Cocaine abuse<\/span><\/p>\n

All of the above<\/span><\/p>\n

Question 25<\/span>.<\/span>\u00a0In a patient presenting with suspected recurrence of diverticulitis, abdominal pain usually presents where in the abdomen?<\/span><\/p>\n

Left upper quadrant<\/span><\/p>\n

Right upper quadrant<\/span><\/p>\n

Left lower quadrant<\/span><\/p>\n

Right lower quadrant<\/span><\/p>\n

Question 26<\/span>.<\/span>\u00a0Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain, fatigue, palpitations, lightheadedness, and shortness of breath<\/span>.<\/span>\u00a0The pain comes and goes and is not associated with activity or exertion<\/span>.<\/span>\u00a0Food does not exacerbate or relieve the pain<\/span>.<\/span>\u00a0The pain is usually located under the left nipple<\/span>.<\/span>\u00a0Jeff is concerned because his father has cardiac disease and underwent a CABG at age 65<\/span>.<\/span>\u00a0The ANP examines Jeff and hears a mid-systolic click at the 4th ICS mid-clavicular area<\/span>.<\/span>\u00a0The ANP knows that this is a hallmark sign of:<\/span><\/p>\n

Angina<\/span><\/p>\n

Pericarditis<\/span><\/p>\n

Mitral valve prolapse<\/span><\/p>\n

Congestive heart failure<\/span><\/p>\n

Question 27<\/span>.<\/span>\u00a0The first assessment to complete related to the eyes is:<\/span><\/p>\n

Eye lids<\/span><\/p>\n

Visual acuity<\/span><\/p>\n

Extraocular movements<\/span><\/p>\n

Peripheral vision<\/span><\/p>\n

Question 28<\/span>.<\/span>\u00a0Rheumatic heart disease is a complication that can arise from which type of infection?<\/span><\/p>\n

Epstein-Barr virus<\/span><\/p>\n

Diphtheria<\/span><\/p>\n

Group A beta hemolytic streptococcus<\/span><\/p>\n

Streptococcus pneumoniae<\/span><\/p>\n

Question 29<\/span>.<\/span>\u00a0A 22-year-old female comes to your office with complaints of right lower quadrant abdominal pain, which has been worsening over the last 24 hours<\/span>.<\/span>\u00a0On examination of the abdomen, there is a palpable mass and rebound tenderness over the right lower quadrant<\/span>.<\/span>\u00a0The clinician should recognize the importance of:<\/span><\/p>\n

Digital rectal examination<\/span><\/p>\n

Endoscopy<\/span><\/p>\n

Pelvic examination<\/span><\/p>\n

Urinalysis<\/span><\/p>\n

Question 30<\/span>.<\/span>\u00a0Patients that have atopic (sample nursing essay examples by the best nursing assignment writing service) disorders are mediated by the production of Immunoglobulin E (IgE) will have histamine stimulated as an immediate phase response<\/span>.<\/span>\u00a0This release of histamine results in which of the following?<\/span><\/p>\n

Sinus pain, increased vascular permeability, and bronchodilation<\/span><\/p>\n

Bronchospasm, vascular permeability, and vasodilatation<\/span><\/p>\n

Contraction of smooth muscle, decreased vascular permeability, and vasoconstriction<\/span><\/p>\n

Vasodilatation, bronchodilation, and increased vascular permeability<\/span><\/p>\n

Question 31<\/span>.<\/span>\u00a0Which of the following is the most common cause of heartburn-type epigastric pain?<\/span><\/p>\n

Decreased lower esophageal sphincter tone<\/span><\/p>\n

Helicobacter pylori infection of stomach<\/span><\/p>\n

Esophageal spasm<\/span><\/p>\n

Peptic ulcer disease<\/span><\/p>\n

Question 32<\/span>.<\/span>\u00a0Which of the following statements is true concerning anti-arrhythmic drugs?<\/span><\/p>\n

Amiodarone is the only one not associated with increased mortality and it has a very favorable side effect profile<\/span>.<\/span><\/p>\n

Both long-acting and short-acting calcium channel blockers are associated with an increased risk of cardiovascular morbidity and mortality<\/span>.<\/span><\/p>\n

Most anti-arrhythmics have a low toxic\/therapeutic ratio and some are exceedingly toxic<\/span>.<\/span><\/p>\n

Anti-arrhythmic therapy should be initiated in the hospital for all patients<\/span>.<\/span><\/p>\n

Question 33<\/span>.<\/span>\u00a0During auscultation of the chest, your exam reveals a loud grating sound at the lower anterolateral lung fields, at full inspiration and early expiration<\/span>.<\/span>\u00a0This finding is consistent with:<\/span><\/p>\n

Pneumonia<\/span><\/p>\n

Pleuritis<\/span><\/p>\n

Pneumothorax<\/span><\/p>\n

A and B<\/span><\/p>\n

Question 34<\/span>.<\/span>\u00a0Which of the following would be considered a \u201cred flag\u201d that requires more investigation in a patient assessment?<\/span><\/p>\n

Colon cancer in family member at age 70<\/span><\/p>\n

Breast cancer in family member at age 75<\/span><\/p>\n

Myocardial infarction in family member at age 35<\/span><\/p>\n

All of the above<\/span><\/p>\n

Question 35<\/span>.<\/span>\u00a0Which of the following clinical reasoning tools is defined as evidence-based resource based on mathematical modeling to express the likelihood of a condition in select situations, settings, and\/or patients?<\/span><\/p>\n

Clinical practice guideline<\/span><\/p>\n

Clinical decision rule<\/span><\/p>\n

Clinical algorithm<\/span><\/p>\n

Clinical recommendation<\/span><\/p>\n

Question 36<\/span>.<\/span>\u00a0Your patient complains of a feeling of heaviness in the lower legs daily<\/span>.<\/span>\u00a0You note varicosities, edema, and dusky color of both ankles and feet<\/span>.<\/span>\u00a0Which of the following is the most likely cause for these symptoms?<\/span><\/p>\n

Femoral vein thrombosis<\/span><\/p>\n

Femoral artery thrombus<\/span><\/p>\n

Venous insufficiency<\/span><\/p>\n

Musculoskeletal injury<\/span><\/p>\n

Question 37<\/span>.<\/span>\u00a0What is the most common valvular heart disease in the older adult?<\/span><\/p>\n

Aortic regurgitation<\/span><\/p>\n

Aortic stenosis<\/span><\/p>\n

Mitral regurgitation<\/span><\/p>\n

Mitral stenosis<\/span><\/p>\n

Question 38<\/span>.<\/span>\u00a0Upon assessment of respiratory excursion, the clinician notes asymmetric expansion of the chest<\/span>.<\/span>\u00a0One side expands greater than the other<\/span>.<\/span>\u00a0This could be due to:<\/span><\/p>\n

Pneumothorax<\/span><\/p>\n

Pleural effusion<\/span><\/p>\n

Pneumonia<\/span><\/p>\n

Pulmonary embolism<\/span><\/p>\n

Question 39<\/span>.<\/span>\u00a0A nurse practitioner reports that your patient\u2019s abdominal X-ray demonstrates multiple air-fluid levels in the bowel<\/span>.<\/span>\u00a0This is a diagnostic finding found in:<\/span><\/p>\n

Appendicitis<\/span><\/p>\n

Cholecystitis<\/span><\/p>\n

Bowel Obstruction<\/span><\/p>\n

Diverticulitis<\/span><\/p>\n

Question 40<\/span>.<\/span>\u00a0According to the Genetic Information Nondiscrimination Act (GINA):<\/span><\/p>\n

Nurse Practitioners (NPs) should keep all genetic information of patients confidential<\/span><\/p>\n

NPs must obtain informed consent prior to genetic testing of all patients<\/span><\/p>\n

Employers cannot inquire about an employee\u2019s genetic information<\/span><\/p>\n

All of the above<\/span><\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Question Week 5 mid-term quiz Question 1: Which of the following symptoms is common with acute otitis media? Bulging tympanic membrane Bright light reflex of\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10601,10596,10882,479,537,172,478,10597,10599,10595],"tags":[10524,10522,10890,10561,10883,10889,10515,10521,10696,10518,10888,10887,10886,10885,10884,10525],"class_list":["post-125553","post","type-post","status-publish","format-standard","hentry","category-assignment-help-by-uks-no-1-writing-service","category-assignment-writers-canada-university-cost","category-free-ai-english-assignment-writers-china","category-nursing-course-hero","category-nursing-essay-pro","category-nursing-study-bay","category-nursing-study-pool","category-professional-assignment-writers-usa","category-uae-1-cheap-assignment-writing-service","category-write-a-word-essay","tag-apa-citation-format-assignment","tag-assignment-writers-australia-college-student","tag-best-nursing-case-study-writing-services","tag-buy-essay-usa","tag-case-study-nursing-writing-services-for-care-plans","tag-free-nursing-case-study-writing-services","tag-help-write-a-page-assignment","tag-i-need-someone-to-do-my-assignment-within-hours","tag-need-assistance-completing-the-assignment","tag-need-to-write-an-essay","tag-nursing-case-studies-with-answers","tag-nursing-case-study-paper-example","tag-nursing-case-study-template-examples-of-case-studies-nursing","tag-pharmacology-case-study","tag-soap-note-case-study","tag-write-pages"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/125553","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=125553"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/125553\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=125553"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=125553"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=125553"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}