<\/p>\n
\u00a0\u00a0<\/p>\n
NURS 6531 MIDTERM EXAM<\/strong> \/ NURS6531 MIDTERM EXAM<\/strong> (2 VERSIONS) (100 CORRECT Q & A IN EACH VERSION, TOTAL: 200 Q & A)<\/strong><\/p>\n \u00a0\u00a0<\/p>\n NURS 6531 Midterm Exam \/ NURS6531 Midterm Exam (Latest): Walden University<\/strong><\/p>\n Walden NURS 6531 Midterm Exam \/ Walden NURS6531 Midterm Exam (Latest)<\/strong><\/p>\n \u00b7 Question 1<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n When \u00a0\u00a0completing this quiz, did you comply with Walden University\u2019s Code of Conduct \u00a0\u00a0including the expectations for academic integrity?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Yes<\/p>\n \u00a0\u00a0<\/p>\n No<\/p>\n \u00b7 Question 2<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The most common cancer found on \u00a0\u00a0the auricle is:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Actinic keratosis<\/p>\n \u00a0\u00a0<\/p>\n Basal cell carcinoma<\/p>\n \u00a0\u00a0<\/p>\n Squamous cell carcinoma<\/p>\n \u00a0\u00a0<\/p>\n Acral-lentiginous melanoma<\/p>\n \u00b7 Question 3<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the following \u00a0\u00a0medication classes should be avoided in patients with acute or chronic \u00a0\u00a0bronchitis because it will contribute to ventilation-perfusion mismatch in \u00a0\u00a0the patient?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Xanthines<\/p>\n \u00a0\u00a0<\/p>\n Antihistimines<\/p>\n \u00a0\u00a0<\/p>\n Steroids<\/p>\n \u00a0\u00a0<\/p>\n Anticholinergics<\/p>\n \u00b7 Question 4<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 47 year old male patient \u00a0\u00a0presents to the clinic with a single episode of a moderate amount of bright \u00a0\u00a0red rectal bleeding. On examination, external hemorrhoids are noted. How \u00a0\u00a0should the nurse practitioner proceed?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Instruct the patient on \u00a0\u00a0\u00a0\u00a0measures to prevent hemorrhoids such as bowel habits and diet.\u00a0<\/p>\n \u00a0\u00a0<\/p>\n Order a topic (sample nursing essay examples by the best nursing assignment writing service)al hemorrhoid cream along with a stool softener.<\/p>\n \u00a0\u00a0<\/p>\n Refer the patient for a barium enema and sigmoidoscopy. \u00a0\u00a0<\/p>\n Refer the patient for a surgical hemorrhoidectomy.<\/p>\n \u00b7 Question 5<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the following patient \u00a0\u00a0characteristics are associated with chronic bronchitis?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Overweight, cyanosis, and normal or slightly increased respiratory \u00a0\u00a0\u00a0\u00a0rate \u00a0\u00a0<\/p>\n Underweight, pink skin, and increased respiratory rate \u00a0\u00a0<\/p>\n Overweight, pink skin, and normal or slightly increased respiratory \u00a0\u00a0\u00a0\u00a0rate \u00a0\u00a0<\/p>\n Normal weight, cyanosis, and greatly increased respiratory rate<\/p>\n \u00b7 Question 6<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 65-year-old female with \u00a0\u00a0a past medical history of hypertension, hyperlipidemia, and polymyalgia \u00a0\u00a0rheumatica presents to urgent care with new onset left lower quadrant pain. \u00a0\u00a0Her current medications include omeprazole 20 milligrams po daily, lisinopril \u00a0\u00a020 milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 \u00a0\u00a0milligrams po daily. The nurse practitioner suspects acute diverticulitis and \u00a0\u00a0possibly an abscess. The most appropriate diagnostic test for this patient at \u00a0\u00a0this time is:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n CBCdiff \u00a0\u00a0<\/p>\n Erythrocyte sedimentation rate \u00a0\u00a0<\/p>\n Abdominal ultrasound \u00a0\u00a0<\/p>\n CT scan<\/p>\n \u00b7 Question 7<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A patient reports \u201csomething \u00a0\u00a0flew in my eye\u201d about an hour ago while he was splitting logs. If there were \u00a0\u00a0a foreign body in his eye, the nurse practitioner would expect to find all \u00a0\u00a0except:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Purulent drainage \u00a0\u00a0<\/p>\n Tearing \u00a0\u00a0<\/p>\n Photophobia \u00a0\u00a0<\/p>\n A positive fluorescein stain<\/p>\n \u00b7 Question 8<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 21 year old college student \u00a0\u00a0presents to the student health center with copious, markedly purulent \u00a0\u00a0discharge from her left eye. The nurse practitioner student should suspect:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Viral conjunctivitis \u00a0\u00a0<\/p>\n Common pink eye \u00a0\u00a0<\/p>\n Gonococcal conjunctivitis \u00a0\u00a0<\/p>\n Allergic conjunctivitis<\/p>\n \u00b7 Question 9<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 35 year old man \u00a0\u00a0presents with radicular pain followed by the appearance of grouped vesicles \u00a0\u00a0consisting of about 15 lesions across 3 different thoracic dermatomes. He \u00a0\u00a0complains of pain, burning, and itching. The nurse practitioner should \u00a0\u00a0suspect:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A common case of shingles and prescribe an analgesic and an antiviral \u00a0\u00a0\u00a0\u00a0agent \u00a0\u00a0<\/p>\n A complicated case of shingles and prescribe acyclovir, an analgesic, \u00a0\u00a0\u00a0\u00a0and a topic (sample nursing essay examples by the best nursing assignment writing service)al cortisone cream \u00a0\u00a0<\/p>\n Herpes zoster and consider that this patient may be immunocompromised \u00a0\u00a0<\/p>\n A recurrence of chickenpox and treat the patient\u2019s symptoms<\/p>\n \u00b7 Question 10<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which type of lung cancer has \u00a0\u00a0the poorest prognosis?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Adenocarcinoma \u00a0\u00a0<\/p>\n Epidermoid carcinoma \u00a0\u00a0<\/p>\n Small cell carcinoma \u00a0\u00a0<\/p>\n Large cell carcinoma<\/p>\n \u00b7 Question 11<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n An 83-year-old female \u00a0\u00a0presents to the office complaining of diarrhea for several days. She explains \u00a0\u00a0she has even had fecal incontinence one time. She describes loose stools 3\u20134 \u00a0\u00a0times a day for several weeks and denies fever, chills, pain, recent antibiotic \u00a0\u00a0use. The history suggests that the patient has:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Acute diarrhea \u00a0\u00a0<\/p>\n Chronic diarrhea \u00a0\u00a0<\/p>\n Irritable bowel \u00a0\u00a0<\/p>\n Functional bowel disease<\/p>\n \u00b7 Question 12<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Margaret, age 32, comes into \u00a0\u00a0the office with painful joints and a distinctive rash in a butterfly \u00a0\u00a0distribution on her face. The rash has red papules and plaques with a fine \u00a0\u00a0scale. What do you suspect?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n An allergic reaction \u00a0\u00a0<\/p>\n Relapsing polychondritis \u00a0\u00a0<\/p>\n Lymphocytoma cutis \u00a0\u00a0<\/p>\n Systemic lupus erythematosus<\/p>\n \u00b7 Question 13<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Antibiotic administration has \u00a0\u00a0been demonstrated to be of little benefit to the treatment of which of the \u00a0\u00a0following disease processes?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Chronic sinusitis<\/p>\n \u00a0\u00a0<\/p>\n Acute bronchitis \u00a0\u00a0<\/p>\n Bacterial pneumonia \u00a0\u00a0<\/p>\n Acute exacerbation of chronic bronchitis<\/p>\n \u00b7 Question 14<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Lisa, age 49, has daily \u00a0\u00a0symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily. \u00a0\u00a0Her exacerbations affect her activities and they occur at least twice weekly \u00a0\u00a0and may last for days. She is affected more than once weekly during the night \u00a0\u00a0with an exacerbation. Which category of asthma severity is Lisa in?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Mild intermittent \u00a0\u00a0<\/p>\n Mild persistent \u00a0\u00a0<\/p>\n Moderate persistent<\/p>\n \u00b7 Question 15<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the following is the \u00a0\u00a0most appropriate therapeutic regimen for an adult patient with no known \u00a0\u00a0allergies diagnosed with group A B-hemolytic strep?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Penicillin V 500 milligrams PO every 8 hours for 10 days \u00a0\u00a0<\/p>\n Ampicillin 250 milligrams PO twice a day for 10 days \u00a0\u00a0<\/p>\n Clarithromycin 500 milligrams po daily for 7 days<\/p>\n \u00a0\u00a0<\/p>\n None of the above<\/p>\n \u00b7 Question 16<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A cashier complains of dull \u00a0\u00a0ache and pressure sensation in her lower legs. It is relieved by leg \u00a0\u00a0elevation. She occasionally has edema in her lower legs at the end of the \u00a0\u00a0day. What is the most likely cause of these problems?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Congestive heart failure \u00a0\u00a0<\/p>\n Varicose veins<\/p>\n \u00a0\u00a0<\/p>\n Deep vein thrombosis<\/p>\n \u00a0\u00a0<\/p>\n Arterial insufficiency<\/p>\n \u00b7 Question 17<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which statement below is \u00a0\u00a0correct about pertussis?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n It is also called whooping cough \u00a0\u00a0<\/p>\n It begins with symptoms like strep throat \u00a0\u00a0<\/p>\n It lasts about 3 weeks \u00a0\u00a0<\/p>\n It occurs most commonly in toddlers and young children<\/p>\n \u00b7 Question 18<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the following is the \u00a0\u00a0most important diagnosis to rule out in the adult patient with acute bronchitis?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Pneumonia \u00a0\u00a0<\/p>\n Asthma \u00a0\u00a0<\/p>\n Sinusitis \u00a0\u00a0<\/p>\n Pertussis<\/p>\n \u00b7 Question 19<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 70 year old patient presents \u00a0\u00a0with left lower quadrant (LLQ) abdominal pain, a markedly tender palpable \u00a0\u00a0abdominal wall, fever, and leukocytosis. Of the following terms, which \u00a0\u00a0correctly describes the suspected condition?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Diverticulosis \u00a0\u00a0<\/p>\n Diverticula<\/p>\n \u00a0\u00a0<\/p>\n Diverticulitis \u00a0\u00a0<\/p>\n Diverticulum<\/p>\n \u00b7 Question 20<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Sylvia, age 83, presents with a \u00a0\u00a03 day history of pain and burning in the left forehead. This morning she \u00a0\u00a0noticed a rash with erythematous papules in that site. What do you suspect?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Varicella<\/p>\n \u00a0\u00a0<\/p>\n Herpes zoster<\/p>\n \u00a0\u00a0<\/p>\n Syphilis<\/p>\n \u00a0\u00a0<\/p>\n Rubella<\/p>\n \u00b7 Question 21<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 33-year-old female is \u00a0\u00a0admitted with acute pancreatitis. The nurse practitioner knows that the most \u00a0\u00a0common cause of pancreatitis is:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Alcohol \u00a0\u00a0<\/p>\n Gallstones \u00a0\u00a0<\/p>\n Medications \u00a0\u00a0<\/p>\n Pregnancy<\/p>\n \u00b7 Question 22<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n When a patient presents with symptoms \u00a0\u00a0of acute gallbladder disease, what is the appropriate nurse practitioner \u00a0\u00a0action?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Order abdominal x-rays \u00a0\u00a0<\/p>\n Order an abdominal ultrasound \u00a0\u00a0<\/p>\n Refer the patient to a surgeon for Assessment \u00a0\u00a0<\/p>\n Prescribe pain medication<\/p>\n \u00b7 Question 23<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A false-positive result with \u00a0\u00a0the fecal occult blood test can result from:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n ingestion of large amounts of vitamin C \u00a0\u00a0<\/p>\n a high dietary intake of rare cooked beef \u00a0\u00a0<\/p>\n a colonic neoplasm that is not bleeding \u00a0\u00a0<\/p>\n stool that has been stored before testing<\/p>\n \u00b7 Question 24<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 76-year-old male \u00a0\u00a0complains of weight loss, nausea, vomiting, abdominal cramping and pain. \u00a0\u00a0Physical findings include an abdominal mass and stool positive for occult \u00a0\u00a0blood. The nurse practitioner pain suspects a tumor in the small intestine. \u00a0\u00a0The best diagnostic test for this patient is:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Colonoscopy \u00a0\u00a0<\/p>\n Small bowel follow-through \u00a0\u00a0<\/p>\n Barium enema \u00a0\u00a0<\/p>\n CT abdomen<\/p>\n \u00b7 Question 25<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A patient presents to urgent \u00a0\u00a0care complaining of dyspnea, fatigue, and lower extremity edema. The \u00a0\u00a0echocardiogram reveals and ejection fraction of 38%. The nurse practitioner \u00a0\u00a0knows that these findings are consistent with:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Mitral regurgitation \u00a0\u00a0<\/p>\n Systolic heart failure \u00a0\u00a0<\/p>\n Cardiac myxoma \u00a0\u00a0<\/p>\n Diastolic heart failure<\/p>\n \u00b7 Question 26<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Maxine, Age 76, has just been \u00a0\u00a0given a diagnosis of pneumonia. Which of the following is an indication that \u00a0\u00a0she should be hospitalized?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Multilobar involvement on chest x-ray with the inability to take oral \u00a0\u00a0\u00a0\u00a0medications \u00a0\u00a0<\/p>\n Alert and oriented, slightly high but stable vital signs, and no one \u00a0\u00a0\u00a0\u00a0to take care of her at home \u00a0\u00a0<\/p>\n Sputum and gram positive organisms \u00a0\u00a0<\/p>\n A complete blood count showing leukocytosis<\/p>\n \u00b7 Question 27<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 55 year old man is diagnosed \u00a0\u00a0with basal cell carcinoma. The nurse practitioner correctly tells him:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u201cIt is the most common cause of death in patients with skin cancer.\u201d \u00a0\u00a0<\/p>\n \u201cIt can be cured with surgical excision or radiation therapy.\u201d \u00a0\u00a0<\/p>\n \u201cIt is a slow growing skin cancer that rarely undergoes malignant \u00a0\u00a0\u00a0\u00a0changes.\u201d \u00a0\u00a0<\/p>\n \u201cIt can be cured using 5-flurouracil cream twice daily for 2 to 4 \u00a0\u00a0\u00a0\u00a0weeks.\u201d<\/p>\n \u00b7 Question 28<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Expected spirometry readings \u00a0\u00a0when the patient has chronic emphysema include:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Decreased residual volume (RV) \u00a0\u00a0<\/p>\n Increased vital capacity (VC) \u00a0\u00a0<\/p>\n Increased forced expiratory volume (FEV-1) \u00a0\u00a0<\/p>\n Increased total lung capacity (TLC)<\/p>\n \u00b7 Question 29<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n An 80-year-old male \u00a0\u00a0admits to difficulty swallowing during the review of systems. The nurse \u00a0\u00a0practitioner recognizes the differential diagnosis for this patient\u2019s \u00a0\u00a0dysphagia is:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Esophageal cancer \u00a0\u00a0<\/p>\n Chest pain \u00a0\u00a0<\/p>\n GERD \u00a0\u00a0<\/p>\n A and C \u00a0\u00a0<\/p>\n All of the above<\/p>\n \u00b7 Question 30<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 40 year old female with \u00a0\u00a0history of frequent sun exposure presents with a multicolored lesion on her \u00a0\u00a0back. It has irregular borders and is about 11mm in diameter. What should the \u00a0\u00a0nurse practitioner suspect?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Squamous cell carcinoma \u00a0\u00a0<\/p>\n Malignant melanoma \u00a0\u00a0<\/p>\n A common nevus \u00a0\u00a0<\/p>\n Basal cell carcinoma<\/p>\n \u00b7 Question 31<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the following is not a \u00a0\u00a0goal of treatment for the patient with cystic fibrosis?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Prevent intestinal obstruction \u00a0\u00a0<\/p>\n Provide adequate nutrition \u00a0\u00a0<\/p>\n Promote clearance of secretions \u00a0\u00a0<\/p>\n Replace water-soluble vitamins<\/p>\n \u00b7 Question 32<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The nurse practitioner is \u00a0\u00a0performing a physical exam on a middle-aged African-American man. Which of \u00a0\u00a0the following areas is a common site for melanomas in African-Americans and \u00a0\u00a0other dark-skinned individuals?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Scalp \u00a0\u00a0<\/p>\n Nails \u00a0\u00a0<\/p>\n Feet \u00a0\u00a0<\/p>\n B and C \u00a0\u00a0<\/p>\n All of the above<\/p>\n \u00b7 Question 33<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n An adult presents with tinea \u00a0\u00a0corporis. Which item below is a risk factor for its development?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Topical steroid use \u00a0\u00a0<\/p>\n Topical antibiotic use \u00a0\u00a0<\/p>\n A recent laceration \u00a0\u00a0<\/p>\n Cold climates<\/p>\n \u00b7 Question 34<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A patient has experienced \u00a0\u00a0nausea and vomiting, headache, malaise, low grade fever, abdominal cramps, \u00a0\u00a0and watery diarrhea for 72 hours. His white count is elevated with a shift to \u00a0\u00a0the left. He is requesting medication for diarrhea. What is the most \u00a0\u00a0appropriate response?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Prescribe loperamide (Immodium) or atropine-diphenoxylate (Lomotil) \u00a0\u00a0\u00a0\u00a0and a clear liquid diet for 24 hours. \u00a0\u00a0<\/p>\n Prescribe a broad-spectrum antibiotic such as ciprofloxacin (Cipro), \u00a0\u00a0\u00a0\u00a0and symptom management. \u00a0\u00a0<\/p>\n Offer an anti-emetic medication such as ondansetron (Zofran) and \u00a0\u00a0\u00a0\u00a0provide oral fluid and electrolyte replacement instruction. \u00a0\u00a0<\/p>\n Order stool cultures.<\/p>\n \u00b7 Question 35<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Janine, age 29, has numerous \u00a0\u00a0transient lesions that come and go, and she is diagnosed with urticaria. What \u00a0\u00a0do you order?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Aspirin<\/p>\n \u00a0\u00a0<\/p>\n NSAIDs<\/p>\n \u00a0\u00a0<\/p>\n Opioids<\/p>\n \u00a0\u00a0<\/p>\n Antihistamines<\/p>\n \u00b7 Question 36<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Of the following signs \u00a0\u00a0and symptoms of congestive heart failure (CHF), the earliest clinical \u00a0\u00a0manifestation is:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Peripheral edema \u00a0\u00a0<\/p>\n Weight gain \u00a0\u00a0<\/p>\n Shortness of breath \u00a0\u00a0<\/p>\n Nocturnal dyspnea<\/p>\n \u00b7 Question 37<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 16 year old male presents \u00a0\u00a0with mild sore throat, fever, fatigue, posterior cervical adenopathy, and \u00a0\u00a0palatine petechiae. Without a definitive diagnosis for this patient, what \u00a0\u00a0drug would be least appropriate to prescribe?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Ibuprofen<\/p>\n \u00a0\u00a0<\/p>\n Erythromycin<\/p>\n \u00a0\u00a0<\/p>\n Amoxicillin<\/p>\n \u00a0\u00a0<\/p>\n Acetaminophen<\/p>\n \u00b7 Question 38<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 70 year old man who walks 2 \u00a0\u00a0miles every day complains of pain in his left calf when he is walking. The \u00a0\u00a0problem has gotten gradually worse and now he is unable to complete his 2 \u00a0\u00a0mile walk. What question asked during the history, if answered affirmatively, \u00a0\u00a0would suggest a diagnosis of arteriosclerosis obliterans?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u201cAre you wearing your usual shoes?\u201d \u00a0\u00a0<\/p>\n \u201cDo you also have chest pain when you have leg pain?\u201d \u00a0\u00a0<\/p>\n \u201cIs your leg pain relieved by rest?\u201d \u00a0\u00a0<\/p>\n \u201cDo you ever have the same pain in the other leg?\u201d<\/p>\n \u00b7 Question 39<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the following \u00a0\u00a0statements about malignant melanomas is true?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n They usually occur in older adult males<\/p>\n \u00a0\u00a0<\/p>\n The patient has no family history of melanoma<\/p>\n \u00a0\u00a0<\/p>\n They are common in blacks<\/p>\n \u00a0\u00a0<\/p>\n The prognosis is directly related to the thickness of the lesion<\/p>\n \u00b7 Question 40<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Sheila, age 78, presents with a \u00a0\u00a0chief complaint of waking up during the night coughing. You examine her and \u00a0\u00a0find an S3 heart sound, pulmonary crackles that do not clear with coughing, \u00a0\u00a0and peripheral edema. What do you suspect?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Asthma<\/p>\n \u00a0\u00a0<\/p>\n Nocturnal allergies \u00a0\u00a0<\/p>\n Valvular disease \u00a0\u00a0<\/p>\n Heart failure<\/p>\n \u00b7 Question 41<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which antibiotic would be the \u00a0\u00a0most effective in treating community acquired pneumonia (CAP) in a young \u00a0\u00a0adult without any comorbid conditions?\u00a0<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Erythromycin \u00a0\u00a0<\/p>\n Clarithromycin (Biaxin) \u00a0\u00a0<\/p>\n Doxycycline (Vibramycin) \u00a0\u00a0<\/p>\n Penicillin<\/p>\n \u00b7 Question 42<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the following \u00a0\u00a0dermatologic vehicles are the most effective in absorbing moisture and \u00a0\u00a0decreasing friction?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Powders \u00a0\u00a0<\/p>\n Gels \u00a0\u00a0<\/p>\n Creams \u00a0\u00a0<\/p>\n Lotion<\/p>\n \u00b7 Question 43<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 70 year old patient presents \u00a0\u00a0with a slightly raised, scaly, erythematous patch on her forehead. She admits \u00a0\u00a0to having been a \u201csun worshiper.\u201d The nurse practitioner suspects actinic \u00a0\u00a0keratosis. This lesion is a precursor to:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Squamous cell carcinoma \u00a0\u00a0<\/p>\n Basal cell carcinoma \u00a0\u00a0<\/p>\n Malignant melanoma \u00a0\u00a0<\/p>\n Acne vulgaris<\/p>\n \u00b7 Question 44<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n An elderly patient is being \u00a0\u00a0seen in the clinic for complaint of \u201cweak spells\u201d relieved by sitting or \u00a0\u00a0lying down. How should the nurse practitioner proceed with the physical \u00a0\u00a0examination?\u00a0<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Help the patient to a standing position and take her blood \u00a0\u00a0\u00a0\u00a0pressure. \u00a0\u00a0<\/p>\n Assess the patient\u2019s cranial nerves. \u00a0\u00a0<\/p>\n Compare the patient\u2019s blood pressure lying first, then sitting, and \u00a0\u00a0\u00a0\u00a0then standing. \u00a0\u00a0<\/p>\n Compare the amplitude of the patient\u2019s radial and pedal pulses.<\/p>\n \u00b7 Question 45<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n What oral medication might be \u00a0\u00a0used to treat chronic cholethiasis in a patient who is a poor candidate for \u00a0\u00a0surgery?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00a0Ursodiol \u00a0\u00a0<\/p>\n \u00a0Ibuprofen \u00a0\u00a0<\/p>\n Prednisone \u00a0\u00a0<\/p>\n \u00a0Surgery is the only answer<\/p>\n \u00b7 Question 46<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 46-year-old female with a \u00a0\u00a0past medical history of diabetes presents with a swollen, erythematous right \u00a0\u00a0auricle and is diagnosed with malignant otitis externa. The nurse \u00a0\u00a0practitioner knows that the most likely causative organism for this patient\u2019s \u00a0\u00a0problem is:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Staphylococcus aureus \u00a0\u00a0<\/p>\n Group A beta hemolytic streptococcus \u00a0\u00a0<\/p>\n Haemophilus influenza \u00a0\u00a0<\/p>\n Pseudomonas aeruginosa<\/p>\n \u00b7 Question 47<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the following is not a \u00a0\u00a0symptom of irritable bowel syndrome?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Painful diarrhea<\/p>\n \u00a0\u00a0<\/p>\n Painful constipation<\/p>\n \u00a0\u00a0<\/p>\n Cramping and abdominal pain<\/p>\n \u00a0\u00a0<\/p>\n Weight loss<\/p>\n \u00b7 Question 48<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A patient comes in complaining \u00a0\u00a0of 1 week of pain in the posterior neck with difficulty turning the head to \u00a0\u00a0the right. What additional history is needed?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Any recent trauma<\/p>\n \u00a0\u00a0<\/p>\n Difficulty swallowing<\/p>\n \u00a0\u00a0<\/p>\n \u00a0Stiffness in the right shoulder<\/p>\n \u00a0\u00a0<\/p>\n Change in sleeping habits<\/p>\n \u00b7 Question 49<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Marvin, age 56, is a smoker \u00a0\u00a0with diabetes. He has just been diagnosed as hypertensive. Which of the \u00a0\u00a0following drugs has the potential to cause the development of bronchial \u00a0\u00a0asthma and inhibit gluconeogenesis?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n ACE Inhibitor \u00a0\u00a0<\/p>\n Beta Blocker \u00a0\u00a0<\/p>\n Calcium channel blocker \u00a0\u00a0<\/p>\n Diuretic<\/p>\n \u00b7 Question 50<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The differential diagnosis for \u00a0\u00a0a patient complaining of a sore throat includes which of the following?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Gonococcal infection \u00a0\u00a0<\/p>\n Thrush \u00a0\u00a0<\/p>\n Leukoplakia \u00a0\u00a0<\/p>\n B only \u00a0\u00a0<\/p>\n A, B, and C<\/p>\n \u00b7 Question 51<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A patient presents to the \u00a0\u00a0primary care provider complaining of a rash on his right forehead that \u00a0\u00a0started yesterday and is burning and painful. The physical exam reveals an \u00a0\u00a0erythematous, maculopapular rash that extends over the patient\u2019s right eye to \u00a0\u00a0his upper right forehead. Based on the history and examination, the most \u00a0\u00a0likely cause of this patient\u2019s symptoms is:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Rhus dermatitis \u00a0\u00a0<\/p>\n Ophthalmic zoster \u00a0\u00a0<\/p>\n Chemosis \u00a0\u00a0<\/p>\n Optic neuritis<\/p>\n \u00b7 Question 52<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Before initiating an HMG \u00a0\u00a0CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders \u00a0\u00a0liver function studies. The patient\u2019s aminotransferase (ALT) is elevated. \u00a0\u00a0What laboratory test(s) should be ordered?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Serologic markers for hepatitis \u00a0\u00a0<\/p>\n Serum bilirubin \u00a0\u00a0<\/p>\n Serum cholesterol with HDL and LDL \u00a0\u00a0<\/p>\n A liver biopsy<\/p>\n \u00b7 Question 53<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A patient with elevated lipids \u00a0\u00a0has been started on lovastatin. After 3 weeks of therapy, he calls to report \u00a0\u00a0generalized muscle aches. The nurse practitioner should suspect:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A drug interaction<\/p>\n \u00a0\u00a0<\/p>\n Hepatic dysfunction \u00a0\u00a0<\/p>\n Hypersensitivity to lovastatin<\/p>\n \u00a0\u00a0<\/p>\n Rhabdomyolysis<\/p>\n \u00b7 Question 54<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Treatment of acute vertigo \u00a0\u00a0includes:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Bedrest and an antihistamine \u00a0\u00a0<\/p>\n Fluids and a decongestant \u00a0\u00a0<\/p>\n A sedative and decongestant \u00a0\u00a0<\/p>\n Rest and a low sodium diet<\/p>\n \u00b7 Question 55<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Treatment of H.pylori includes \u00a0\u00a0which of the following?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Proton pump inhibitor \u00a0\u00a0<\/p>\n Antibiotic therapy \u00a0\u00a0<\/p>\n Bismuth subsalicylate \u00a0\u00a0<\/p>\n A and B \u00a0\u00a0<\/p>\n A, B, and C<\/p>\n \u00b7 Question 56<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Carl, age 78, is brought to the \u00a0\u00a0office by his son, who states that his father has been unable to see clearly \u00a0\u00a0since last night. Carl reports that his vision is \u201clike looking through a \u00a0\u00a0veil.\u201d He also sees floaters and flashing lights but is not having any pain. \u00a0\u00a0What do you suspect?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Cataracts \u00a0\u00a0<\/p>\n Glaucoma \u00a0\u00a0<\/p>\n Retinal detachment \u00a0\u00a0<\/p>\n Iritis<\/p>\n \u00b7 Question 57<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n In order to decrease deaths \u00a0\u00a0from lung cancer:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n All smokers should be screened annually \u00a0\u00a0<\/p>\n All patients should be screened annually \u00a0\u00a0<\/p>\n Only high risk patients should be screened routinely \u00a0\u00a0<\/p>\n Patients should be counseled to quit smoking<\/p>\n \u00b7 Question 58<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n John, age 33, has a total \u00a0\u00a0cholesterol level of 188 mgdL. How often should he be screened for \u00a0\u00a0hypercholesterolemia?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00a0Every 5 years \u00a0\u00a0<\/p>\n Every 2 years \u00a0\u00a0<\/p>\n Every year \u00a0\u00a0<\/p>\n Whenever blood work is done<\/p>\n \u00b7 Question 59<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Mort is hypertensive. Which of \u00a0\u00a0the following factors influenced your choice of using an alpha blocker as the \u00a0\u00a0antihypertensive medication?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Mort is black \u00a0\u00a0<\/p>\n Mort also has congestive heart failure \u00a0\u00a0<\/p>\n \u00a0Mort has benign prostatic hyperplasia \u00a0\u00a0<\/p>\n \u00a0Mort has frequent migraine headaches<\/p>\n \u00b7 Question 60<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n John, age 59, presents with \u00a0\u00a0recurrent, sharply circumscribed red papules and plaques with a powdery white \u00a0\u00a0scale on the extensor aspect of his elbows and knees. What do you suspect?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Actinic keratosis<\/p>\n \u00a0\u00a0<\/p>\n Eczema<\/p>\n \u00a0\u00a0<\/p>\n Psoriasis<\/p>\n \u00a0\u00a0<\/p>\n Seborrheic dermatitis<\/p>\n \u00b7 Question 61<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Harriet, a 79-year-old woman, \u00a0\u00a0comes to your office every 3 months for follow up on her hypertension. Her \u00a0\u00a0medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium \u00a0\u00a01500 mg daily. At today\u2019s visit. Her blood pressure is 17089. According to \u00a0\u00a0JNC VIII guidelines, what should you do next to control Harriet\u2019s blood \u00a0\u00a0pressure?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Increase her Lisinopril to 20mg daily \u00a0\u00a0<\/p>\n Add a thiazide diuretic to the Lisinopril 5mg daily \u00a0\u00a0<\/p>\n Discontinue the Lisinopril and start a combination of ACE Inhibitor \u00a0\u00a0\u00a0\u00a0and calcium channel blocker \u00a0\u00a0<\/p>\n Discontinue the Lisinopril and start a diuretic<\/p>\n \u00b7 Question 62<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n An active 65-year-old man under \u00a0\u00a0your care has known acquired valvular aortic stenosis and mitral \u00a0\u00a0regurgitation. He also has a history of infectious endocarditis. He has \u00a0\u00a0recently been told he needs elective replacement of his aortic valve. When he \u00a0\u00a0comes into the office you discover that he has 10 remaining teeth in poor \u00a0\u00a0repair. Your recommendation would be to:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n defer any further dental work until his valve replacement is completed<\/p>\n \u00a0\u00a0<\/p>\n instruct him to have dental \u00a0\u00a0\u00a0\u00a0extraction done cautiously, having no more than 2 teeth per visit removed.<\/p>\n \u00a0\u00a0<\/p>\n suggest he consult with his \u00a0\u00a0\u00a0\u00a0oral surgeon about having all the teeth removed at once and receiving \u00a0\u00a0\u00a0\u00a0appropriate antibiotic prophylaxis<\/p>\n \u00a0\u00a0<\/p>\n coordinate with his cardiac and oral surgeons to have the tooth \u00a0\u00a0\u00a0\u00a0extractions and valve replacement done at the same time to reduce the risk \u00a0\u00a0\u00a0\u00a0of anesthetic complications.<\/p>\n \u00b7 Question 63<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Appropriate therapy for peptic \u00a0\u00a0ulcer disease (PUD) is:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Primarily by eradication of infection \u00a0\u00a0<\/p>\n Based on etiology \u00a0\u00a0<\/p>\n Aimed at diminishing prostaglandin synthesis \u00a0\u00a0<\/p>\n Dependent on cessation of NSAID use<\/p>\n \u00b7 Question 64<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Shirley, age 58, has been a \u00a0\u00a0diabetic for 7 years. Her blood pressure is normal. Other than her diabetes \u00a0\u00a0medications, what would you prescribe today during her routine office visit?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A calcium channel blocker \u00a0\u00a0<\/p>\n A beta blocker \u00a0\u00a0<\/p>\n An ACE Inhibitor \u00a0\u00a0<\/p>\n No hypertension medication \u00a0\u00a0<\/p>\n \u00b7 Question 65<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Medicare is a federal program \u00a0\u00a0administered by the Centers for Medicare and Medicaid Services (CMS). The CMS \u00a0\u00a0has developed guidelines for Assessment and Management coding, which all providers \u00a0\u00a0are expected to follow when coding patient visits for reimbursement. Which of \u00a0\u00a0the following is an important consideration regarding billing practices?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n It is important to \u201cundercode\u201d so that one does not get charged with \u00a0\u00a0\u00a0\u00a0Medicare fraud<\/p>\n \u00a0\u00a0<\/p>\n The practice of \u201covercoding\u201d is essential in this age of decreasing \u00a0\u00a0\u00a0\u00a0reimbursements<\/p>\n \u00a0\u00a0<\/p>\n Failing to bill for billable services will lead to unnecessarily low \u00a0\u00a0\u00a0\u00a0revenues<\/p>\n \u00a0\u00a0<\/p>\n Time spent with the patient is a very important determinant of billing<\/p>\n \u00b7 Question 66<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 2 year old presents with a \u00a0\u00a0white pupillary reflex. What is the most likely cause of this finding?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Viral conjunctivitis<\/p>\n \u00a0\u00a0<\/p>\n Glaucoma<\/p>\n \u00a0\u00a0<\/p>\n Corneal abrasion<\/p>\n \u00a0\u00a0<\/p>\n Retinoblastoma<\/p>\n \u00b7 Question 67<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Harvey has had Meniere\u2019s \u00a0\u00a0disease for several years. He has some hearing loss but now has persistent \u00a0\u00a0vertigo. What treatment might be instituted to relieve the vertigo?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Pharmacological therapy \u00a0\u00a0<\/p>\n A labyrinthectomy \u00a0\u00a0<\/p>\n A vestibular neurectomy \u00a0\u00a0<\/p>\n Wearing an earplug in the ear with the most hearing loss<\/p>\n \u00b7 Question 68<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the following is not a \u00a0\u00a0risk factor for coronary arterial insufficiency?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Hyperhomocysteinemia \u00a0\u00a0<\/p>\n Smoking \u00a0\u00a0<\/p>\n Genetic factors \u00a0\u00a0<\/p>\n Alcohol ingestion<\/p>\n \u00b7 Question 69<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n An 18-year-old female presents \u00a0\u00a0to the urgent care center complaining of severe pruritus in both eyes that \u00a0\u00a0started 2 days ago. Associated symptoms include a headache and fatigue. On \u00a0\u00a0examination, the nurse practitioner notes some clear discharge from both eyes \u00a0\u00a0and some erythema of the eyelids and surrounding skin. Which of the following \u00a0\u00a0is the most likely cause of this patient\u2019s symptoms?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Allergic conjunctivitis \u00a0\u00a0<\/p>\n Bacterial conjunctivitis \u00a0\u00a0<\/p>\n Gonococcal conjunctivitis \u00a0\u00a0<\/p>\n Viral conjunctivitis<\/p>\n \u00b7 Question 70<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 20 year old is diagnosed with \u00a0\u00a0mild persistent asthma. What drug combination would be most effective in \u00a0\u00a0keeping him symptom-free?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A long-acting bronchodilator<\/p>\n \u00a0\u00a0<\/p>\n An inhaled corticosteroid and cromolyn \u00a0\u00a0<\/p>\n Theophylline and a short acting bronchodilator \u00a0\u00a0<\/p>\n A bronchodilator PRN and an inhaled corticosteroid<\/p>\n \u00b7 Question 71<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Acute rheumatic fever is an \u00a0\u00a0inflammatory disease which can follow infection with:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Group A Streptococcus \u00a0\u00a0<\/p>\n Staphlococcus areus \u00a0\u00a0<\/p>\n \u0392-hemolytic Streptococcus \u00a0\u00a0<\/p>\n Streptococcus pyogenes<\/p>\n \u00b7 Question 72<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 60 year old male diabetic \u00a0\u00a0patient presents with redness, tenderness, and edema of the left lateral \u00a0\u00a0aspect of his face. His left eyelid is grossly edematous. He reports history \u00a0\u00a0of a toothache in the past week which \u201cis better.\u201d His temperature is 100\u00b0F and \u00a0\u00a0pulse is 102 bpm. The most appropriate initial action is to:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Start an oral antibiotic, refer the patient to a dentist immediately, \u00a0\u00a0\u00a0\u00a0and follow up within 3 days \u00a0\u00a0<\/p>\n Order mandibular x-rays and question the patient about physical abuse \u00a0\u00a0<\/p>\n Start an oral antibiotic, mouth swishes with an oral anti-infective, \u00a0\u00a0\u00a0\u00a0and an analgesic \u00a0\u00a0<\/p>\n Initiate a parenteral antibiotic and consider hospital admission<\/p>\n \u00b7 Question 73<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n If a patient presents with a \u00a0\u00a0deep aching, red eye and there is no discharge, you should suspect:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Iritis \u00a0\u00a0<\/p>\n Allergic conjunctivitis \u00a0\u00a0<\/p>\n Viral conjunctivitis<\/p>\n \u00a0\u00a0<\/p>\n Bacterial conjunctivitis<\/p>\n \u00b7 Question 74<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The National Cholesterol \u00a0\u00a0Education Program\u2019s Adult Treatment Panel III recommends that the goal for \u00a0\u00a0low density lipoproteins in high risk patients be less than:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n 160 mgdL \u00a0\u00a0<\/p>\n 130 mgdL \u00a0\u00a0<\/p>\n 100 mgdL \u00a0\u00a0<\/p>\n 70 mgdL<\/p>\n \u00b7 Question 75<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A patient presents with \u00a0\u00a0classic symptoms of gastroesophageal reflux disease (GERD). He is instructed \u00a0\u00a0on life style modifications and drug therapy for 8 weeks. Three months later \u00a0\u00a0he returns, reporting that he was \u201cfine\u201d as long as he took the medication. \u00a0\u00a0The most appropriate next step is:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Referral for surgical intervention such as a partial or complete \u00a0\u00a0\u00a0\u00a0fundoplication \u00a0\u00a0<\/p>\n Dependent upon how sever the practitioner believes the condition \u00a0\u00a0<\/p>\n To repeat the 8 week course of drug therapy while continuing lifestyle \u00a0\u00a0\u00a0\u00a0modifications \u00a0\u00a0<\/p>\n Investigation with endoscopy, manometry, andor pH testing<\/p>\n \u00b7 Question 76<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Group A \u03b2-hemolytic \u00a0\u00a0streptococcal (GABHS) pharyngitis is most common in which age group?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Under 3 years of age \u00a0\u00a0<\/p>\n Preschool children \u00a0\u00a0<\/p>\n 6 to 12 years of age \u00a0\u00a0<\/p>\n Adolescents<\/p>\n \u00b7 Question 77<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The most appropriate treatment \u00a0\u00a0for a child with mild croup is:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A bronchodilator \u00a0\u00a0<\/p>\n An antibiotic \u00a0\u00a0<\/p>\n A decongestant \u00a0\u00a0<\/p>\n A cool mist vaporizer<\/p>\n \u00b7 Question 78<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A child complains that his \u00a0\u00a0\u201cthroat hurts\u201d with swallowing. His voice is very \u201cthroaty\u201d and he is \u00a0\u00a0hyperextending his neck to talk. Examination reveals asymmetrical swelling of \u00a0\u00a0his tonsils. His uvula is deviated to the left. What is the most likely \u00a0\u00a0diagnosis?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Peritonsillar abscess \u00a0\u00a0<\/p>\n Thyroiditis \u00a0\u00a0<\/p>\n Mononucleosis \u00a0\u00a0<\/p>\n Epiglottitis<\/p>\n \u00b7 Question 79<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Salmeterol (Servent) is \u00a0\u00a0prescribed for a patient with asthma. What is the most important teaching \u00a0\u00a0point about this medication?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n It is not effective during an acute asthma attack. \u00a0\u00a0<\/p>\n It may take 2 to 3 days to begin working. \u00a0\u00a0<\/p>\n This drug works within 10 minutes. \u00a0\u00a0<\/p>\n This drug may be used by patients 6 years and older.<\/p>\n \u00b7 Question 80<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which intervention listed below \u00a0\u00a0is safe for long term use by an adult with constipation?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Bulk-forming agents \u00a0\u00a0<\/p>\n Stool softeners \u00a0\u00a0<\/p>\n Laxatives \u00a0\u00a0<\/p>\n Osmotic agents<\/p>\n \u00b7 Question 81<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 40 year old presents with a \u00a0\u00a0hordeolum. The nurse practitioner teaches the patient to:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Apply a topic (sample nursing essay examples by the best nursing assignment writing service)al antibiotic and warm compresses. \u00a0\u00a0<\/p>\n Apply cool compresses and avoid touching the hordeolum. \u00a0\u00a0<\/p>\n Use an oral antibiotic and eye flushes. \u00a0\u00a0<\/p>\n Apply light palpation to facilitate drainage.<\/p>\n \u00b7 Question 82<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Sarah has allergic rhinitis and \u00a0\u00a0is currently being bothered by nasal congestion. Which of the following meds \u00a0\u00a0ordered for allergic rhinitis would be most appropriate?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n An antihistamine intranasal spray<\/p>\n \u00a0\u00a0<\/p>\n A decongestant nasal spray \u00a0\u00a0<\/p>\n Ipratropium \u00a0\u00a0<\/p>\n Omalizumab<\/p>\n \u00b7 Question 83<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n What is the Gold standard for \u00a0\u00a0the diagnosis of asthma?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Patient\u2019s perception of clogged airways \u00a0\u00a0<\/p>\n Validated quality-of-life questionnaires<\/p>\n \u00a0\u00a0<\/p>\n \u00a0Bronchoscopy \u00a0\u00a0<\/p>\n Spirometry<\/p>\n \u00b7 Question 84<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A patient complains of \u201can aggravating \u00a0\u00a0cough for the past 6 weeks.\u201d There is no physiological cause for the cough. \u00a0\u00a0Which medication is most likely causing the cough?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Methyldopa \u00a0\u00a0<\/p>\n Enalapril \u00a0\u00a0<\/p>\n Amlodipine \u00a0\u00a0<\/p>\n Hydrochlorothiazide<\/p>\n \u00b7 Question 85<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Stacy, age 27, states that she \u00a0\u00a0has painless, white, slightly raised patches in her mouth. They are probably \u00a0\u00a0caused by:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Herpes simplex \u00a0\u00a0<\/p>\n Aphthous ulcers \u00a0\u00a0<\/p>\n Candidiasis \u00a0\u00a0<\/p>\n Oral cancer<\/p>\n \u00b7 Question 86<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Risk factors for acute otitis \u00a0\u00a0media (AOM) include all of the following except:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Household cigarette smoke \u00a0\u00a0<\/p>\n Group daycare attendance \u00a0\u00a0<\/p>\n Sibling history of acute otitis media \u00a0\u00a0<\/p>\n African-American ethnicity \u00b7 Question 87<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the following can \u00a0\u00a0result from chronic inflammation of a meibomian gland?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A chalazion \u00a0\u00a0<\/p>\n Uveitis \u00a0\u00a0<\/p>\n Keratitis \u00a0\u00a0<\/p>\n A pterygium<\/p>\n \u00b7 Question 88<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n What conditions must be met for \u00a0\u00a0you to bill \u201cincident to\u201d the physician, receiving 100% reimbursement from \u00a0\u00a0Medicare?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n You must initiate the plan of care for the patient<\/p>\n \u00a0\u00a0<\/p>\n The physician must be on-site and engaged in patient care<\/p>\n \u00a0\u00a0<\/p>\n You must be employed as an independent contractor<\/p>\n \u00a0\u00a0<\/p>\n You must be the main health care provider who sees the patient<\/p>\n \u00b7 Question 89<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Of the following choices, the \u00a0\u00a0least likely cause of cough is:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Asthma \u00a0\u00a0<\/p>\n Gastroesophageal reflux \u00a0\u00a0<\/p>\n Acute pharyngitis<\/p>\n \u00a0\u00a0<\/p>\n Allergic rhinitis<\/p>\n \u00b7 Question 90<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The most common correlate(s) \u00a0\u00a0with chronic bronchitis and emphysema is(are):<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Familial and genetic factors \u00a0\u00a0<\/p>\n Cigarette smoking \u00a0\u00a0<\/p>\n Air pollution \u00a0\u00a0<\/p>\n Occupational environment<\/p>\n \u00b7 Question 91<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which choice below is least \u00a0\u00a0effective for alleviating symptoms of the common cold?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Antihistamines<\/p>\n \u00a0\u00a0<\/p>\n Oral decongestants<\/p>\n \u00a0\u00a0<\/p>\n Topical decongestants<\/p>\n \u00a0\u00a0<\/p>\n Antipyretics<\/p>\n \u00b7 Question 92<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n When teaching a patient with \u00a0\u00a0hypertension about restricting sodium, you would include which of the \u00a0\u00a0following instructions?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Diets with markedly reduced intakes of sodium may be associated with \u00a0\u00a0\u00a0\u00a0other beneficial effects beyond blood pressure \u00a0\u00a0\u00a0\u00a0control \u00a0\u00a0\u00a0 \u00a0\u00a0<\/p>\n Sodium restriction can cause serious adverse effects \u00a0\u00a0<\/p>\n A goal of 3 g of sodium chloride or 1.2 g of sodium per day is easily \u00a0\u00a0\u00a0\u00a0achievable \u00a0\u00a0<\/p>\n Seventy-five of sodium intake is derived from processed foods<\/p>\n \u00b7 Question 93<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Which of the following heart \u00a0\u00a0murmurs warrants the greatest concern?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Systolic murmur \u00a0\u00a0<\/p>\n Venous hum murmur \u00a0\u00a0<\/p>\n Diastolic murmur \u00a0\u00a0<\/p>\n Flow murmur<\/p>\n \u00b7 Question 94<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A patient presents with an \u00a0\u00a0inflamed upper eyelid margin. The conjunctiva is red and there is particulate \u00a0\u00a0matter along the upper eyelid. The patient complains of a sensation that \u00a0\u00a0\u201cthere is something in my eye.\u201d What is the diagnosis and how should it be \u00a0\u00a0treated?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Hordeolum; treat with a topic (sample nursing essay examples by the best nursing assignment writing service)al antibiotic and warm compress \u00a0\u00a0<\/p>\n Conjunctivitis; treat with topic (sample nursing essay examples by the best nursing assignment writing service)al antibiotic and warm compresses \u00a0\u00a0<\/p>\n Blepharitis; treat with warm compresses and gentle debridement with a \u00a0\u00a0\u00a0\u00a0cotton swab \u00a0\u00a0<\/p>\n Chalazion; refer to an ophthalmologist for incision and drainage<\/p>\n \u00b7 Question 95<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 57-year-old male presents to \u00a0\u00a0urgent care complaining of substernal chest discomfort for the past hour. The \u00a0\u00a0EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner \u00a0\u00a0is aware that these changes are consistent with which myocardial infarction \u00a0\u00a0territory?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Inferior wall \u00a0\u00a0<\/p>\n Anterior wall \u00a0\u00a0<\/p>\n Apical wall \u00a0\u00a0<\/p>\n Lateral wall<\/p>\n \u00b7 Question 96<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n The nurse practitioner observes \u00a0\u00a0a tympanic membrane that is opaque, has decreased mobility, and is without \u00a0\u00a0bulging or inflammation. The least likely diagnosis for this patient \u00a0\u00a0is: \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Acute otitis media (AOM) \u00a0\u00a0<\/p>\n Otitis media with effusion \u00a0\u00a0<\/p>\n Mucoid otitis media \u00a0\u00a0<\/p>\n Serous otitis media<\/p>\n \u00b7 Question 97<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Alan, age 54, notices a bulge \u00a0\u00a0in his midline every time he rises from bed in the morning. You tell him it \u00a0\u00a0is a ventral hernia, also known as:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n inguinal hernia<\/p>\n \u00a0\u00a0<\/p>\n epigastric hernia \u00a0\u00a0<\/p>\n umbilical hernia \u00a0\u00a0<\/p>\n incisional hernia \u00a0\u00a0<\/p>\n \u00b7 Question 98<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n A 58-year-old man is diagnosed \u00a0\u00a0with Barrett\u2019s esophagus after an endoscopy. He has no known allergies. Which \u00a0\u00a0of the following medications is MOST appropriate to treat this patient\u2019s \u00a0\u00a0disorder?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Omeprazole \u00a0\u00a0<\/p>\n Ranitidine \u00a0\u00a0<\/p>\n An antacid \u00a0\u00a0<\/p>\n None of the above<\/p>\n \u00b7 Question 99<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Larry, age 66, is a smoker with \u00a0\u00a0hyperlipidemia and hypertension. He is 6 months post-MI. To prevent \u00a0\u00a0reinfarction, the most important behavior change that he can make is to:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Quit smoking \u00a0\u00a0<\/p>\n Maintain aggressive hypertension therapy \u00a0\u00a0<\/p>\n Stick to a low-fat, low-sodium diet \u00a0\u00a0<\/p>\n Continue with his exercise program<\/p>\n \u00b7 Question 100<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Risk factors for acute arterial \u00a0\u00a0insufficiency include which of the following?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Recent myocardial infarction \u00a0\u00a0<\/p>\n Atrial fibrillation \u00a0\u00a0<\/p>\n Atherosclerosis \u00a0\u00a0<\/p>\n All of the above<\/p>\n \u00b7 Question 101<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Impetigo and folliculitis are \u00a0\u00a0usually successfully treated with:<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Systemic antibiotics \u00a0\u00a0<\/p>\n Topical antibiotics \u00a0\u00a0<\/p>\n Topical steroid creams \u00a0\u00a0<\/p>\n Cleansing and debridement<\/p>\n \u00a0\u00a0<\/p>\n NURS 6531 Midterm Exam \/ NURS6531 Midterm Exam (Latest): Walden University<\/strong><\/p>\n Walden NURS 6531 Midterm Exam \/ Walden NURS6531 Midterm Exam (Latest)<\/strong><\/p>\n Question 1<\/p>\n 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?<\/p>\n Question 2<\/p>\n Which type of lung cancer has the poorest prognosis?<\/p>\n Question 3<\/p>\n Stacy, age 27, states that she has painless, white, slightly raised patches in her mouth. They are probably caused by:<\/p>\n Question 4<\/p>\n An 80-year-old male admits to difficulty swallowing during the review of systems. The nurse practitioner recognizes the differential diagnosis for this patient\u2019s dysphagia is:<\/p>\n Question 5<\/p>\n A 40 year old presents with a hordeolum. The nurse practitioner teaches the patient to:<\/p>\n Question 6<\/p>\n Marvin has sudden eye redness that occurred after a strenuous coughing episode. You diagnose a subconjunctival hemorrhage. Your next step is to:<\/p>\n Question 7<\/p>\n Which of the following is not a goal of treatment for the patient with cystic fibrosis?<\/p>\n Question 8<\/p>\n The most common cancer found on the auricle is:<\/p>\n Question 9<\/p>\n Which of the following color changes in a pigmented lesion suggests malignant transformation?<\/p>\n Question 10<\/p>\n Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes?<\/p>\n Question 11<\/p>\n The Centorcriteria for diagnosis of Group A B-hemolytic streptococcus includes which of the following?<\/p>\n Question 12<\/p>\n When teaching a patient with hypertension about restricting sodium, you would include which of the following instructions?<\/p>\n Question 13<\/p>\n Mark has just been given a diagnosis of congestive heart failure. Which of his medications should be discontinued?<\/p>\n Question 14<\/p>\n Which of the following patient characteristics are associated with chronic bronchitis?<\/p>\n Question 15<\/p>\n Treatment of acute vertigo includes:<\/p>\n Question 16<\/p>\n 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:<\/p>\n Question 17<\/p>\n A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective in keeping him symptom-free?<\/p>\n Question 18<\/p>\n Diagnosis of Crohn\u2019s disease is made considering signs, symptoms and:<\/p>\n Question 19<\/p>\n Which of the following is a predisposing condition for furunculosis?<\/p>\n Question 20<\/p>\n Expected spirometry readings when the patient has chronic emphysema include:<\/p>\n Question 21<\/p>\n A child complains that his \u201cthroat hurts\u201d with swallowing. His voice is very \u201cthroaty\u201d 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?<\/p>\n Question 22<\/p>\n Of the following signs and symptoms of congestive heart failure (CHF), the earliest clinical manifestation is:<\/p>\n Question 23<\/p>\n Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important teaching point about this medication?<\/p>\n Question 24<\/p>\n 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:<\/p>\n Question 25<\/p>\n A middle-aged male presents to urgent care complaining of fever, dysphagia, and shortness of breath. The nurse practitioner notes the patient leaning forward in a tripod position and drooling. The clinical presentation of this patient suggests:<\/p>\n Question 26<\/p>\n 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:<\/p>\n Question 27<\/p>\n The differential diagnosis for a patient complaining of a sore throat includes which of the following?<\/p>\n Question 28<\/p>\n 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?<\/p>\n Question 29<\/p>\n The American Cancer Society recommends a flexible sigmoidoscopy for colorectal cancer screening in persons at average risk every:<\/p>\n Question 30<\/p>\n Jennifer, age 49, who has a history of hyperlipidemia, has symptoms that lead you to suspect unstable angina. Your next action would be to:<\/p>\n Question 31<\/p>\n A 2 year old presents with a white pupillary reflex. What is the most likely cause of this finding?<\/p>\n Question 32<\/p>\n 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:<\/p>\n Question 33<\/p>\n John, age 33, has a total cholesterol level of 188 mg\/dL. How often should he be screened for hypercholesterolemia?<\/p>\n Question 34<\/p>\n A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him:<\/p>\n Question 35<\/p>\n Your patient Jerry has gout. What do you suggest?<\/p>\n Question 36<\/p>\n Your well-nourished 75-year-old patient has come into the office for a physical exam and states that she recently had two nosebleeds. She does not take any anticoagulants, and you have ruled out any coagulopathies. The most likely cause of these nosebleeds is:<\/p>\n Question 37<\/p>\n A 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knows that the most common cause of pancreatitis is:<\/p>\n Question 38<\/p>\n 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:<\/p>\n Question 39<\/p>\n 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 \u201clike looking through a veil.\u201d He also sees floaters and flashing lights but is not having any pain. What do you suspect?<\/p>\n Question 40<\/p>\n A 55 year old patient has a work-up for hypertension and is noted to have elevated BUN and creatinine. Which of the following should the nurse practitioner suspect?\u00a0<\/p>\n Question 41<\/p>\n Which of the following is not a symptom of irritable bowel syndrome?<\/p>\n Question 42<\/p>\n Impetigo and folliculitis are usually successfully treated with:<\/p>\n Question 43<\/p>\n Which of the following is not a risk factor for coronary arterial insufficiency?<\/p>\n Question 44<\/p>\n The most appropriate treatment for a child with mild croup is:<\/p>\n Question 45<\/p>\n 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?<\/p>\n Question 46<\/p>\n Appropriate therapy for peptic ulcer disease (PUD) is:<\/p>\n Question 47<\/p>\n An AST that is more than twice the level of ALT is suggestive of:<\/p>\n Question 48<\/p>\n A 45 year old with diabetes has had itching and burning lesions between her toes for 2 months. Scrapings of the lesions confirm the diagnosis tineapedis. What is the best initial treatment option for this patient?\u00a0<\/p>\n Question 49<\/p>\n An elderly patient is being seen in the clinic for complaint of \u201cweak spells\u201d relieved by sitting or lying down. How should the nurse practitioner proceed with the physical examination?\u00a0<\/p>\n Question 50<\/p>\n Sandra has celiac disease. You place her on which diet?<\/p>\n Question 51<\/p>\n 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:<\/p>\n Question 52<\/p>\n Group A \u03b2-hemolytic streptococcal (GABHS) pharyngitis is most common in which age group?<\/p>\n Question 53<\/p>\n A very active elderly patient has a documented diagnosis of arteriosclerosis obliterans. Common expected lower extremity physical exam findings include:<\/p>\n Question 54<\/p>\n Which of the following is a secondary cause of hyperlipidemia?<\/p>\n Question 55<\/p>\n Harvey has had Meniere\u2019s disease for several years. He has some hearing loss but now has persistent vertigo. What treatment might be instituted to relieve the vertigo?<\/p>\n Question 56<\/p>\n An employee picnic menu includes grilled hamburgers, potato salad, and homemade ice cream sundaes. Within an hour after the meal, several children and parents begin to have nausea, vomiting and stomach cramps. None of those affected have fever. What is the most likely etiologic agent?<\/p>\n Question 57<\/p>\n 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?<\/p>\n Question 58<\/p>\n A 58-year-old man is diagnosed with Barrett\u2019s esophagus after an endoscopy. He has no known allergies. Which of the following medications is MOST appropriate to treat this patient\u2019s disorder?<\/p>\n Question 59<\/p>\n 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?<\/p>\n Question 60<\/p>\n A 70 year old patient presents with a slightly raised, scaly, erythematous patch on her forehead. She admits to having been a \u201csun worshiper.\u201d The nurse practitioner suspects actinic keratosis. This lesion is a precursor to:<\/p>\n Question 61<\/p>\n A patient presents to the office with a blood pressure 142\/80. This patient is classified as having:<\/p>\n Question 62<\/p>\n 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?<\/p>\n Question 63<\/p>\n A patient reports \u201csomething flew in my eye\u201d 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:<\/p>\n Question 64<\/p>\n A patient complains of \u201can aggravating cough for the past 6 weeks.\u201d There is no physiological cause for the cough. Which medication is most likely causing the cough?<\/p>\n Question 65<\/p>\n Which choice below is least effective for alleviating symptoms of the common cold?<\/p>\n Question 66<\/p>\n 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\u20134 times a day for several weeks and denies fever, chills, pain, recent antibiotic use. The history suggests that the patient has:<\/p>\n Question 67<\/p>\n A patient reports to the nurse practitioner that he was diagnosed with hepatitis B a year ago and has not seen a health care provider since then. What information should this patient be given?<\/p>\n Question 68<\/p>\n The most common correlate(s) with chronic bronchitis and emphysema is(are):<\/p>\n Question 69<\/p>\n If a patient presents with a deep aching, red eye and there is no discharge, you should suspect:<\/p>\n Question 70<\/p>\n Treatment of H.pylori includes which of the following?<\/p>\n Question 71<\/p>\n Which of the following is the most important diagnosis to rule out in the adult patient with acute bronchitis?<\/p>\n Question 72<\/p>\n What oral medication might be used to treat chronic cholethiasis in a patient who is a poor candidate for surgery?<\/p>\n Question 73<\/p>\n Which of the following best describes hypertrophic cardiomyopathy?<\/p>\n Question 74<\/p>\n Amaurosisfugax is described as a:<\/p>\n Question 75<\/p>\n 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:\u00a0<\/p>\n Question 76<\/p>\n Which of the following heart murmurs warrants the greatest concern?<\/p>\n Question 77<\/p>\n 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:<\/p>\n Question 78<\/p>\n 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, Lisinopril5mg daily, and Calcium 1500 mg daily. At today\u2019s visit. Her blood pressure is 170\/89. According to JNC VIII guidelines, what should you do next to control Harriet\u2019s blood pressure?\u00a0<\/p>\n Question 79<\/p>\n Of the following, the patient who should be referred for periodic colonoscopy is the patient with:<\/p>\n Question 80<\/p>\n Dana has ischemic arterial ulcers. What is your first priority when counseling her?<\/p>\n Question 81<\/p>\n After thorough history, physical examination, and laboratory tests, a patient is diagnosed with irritable bowel syndrome (IBS). Which of the following initial treatment plans is currently considered most effective?<\/p>\n Question 82<\/p>\n 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?<\/p>\n Question 83<\/p>\n What is the Gold standard for the diagnosis of asthma?<\/p>\n Question 84<\/p>\n An 8 year old presents to the health clinic with history of acute onset severe sore throat and respiratory distress with stridor in the last 2 hours. The child\u2019s history is positive for fever and pharyngitis for 2 days. What is the most likely diagnosis?<\/p>\n Question 85<\/p>\n The National Cholesterol Education Program\u2019s Adult Treatment Panel III recommends that the goal for low density lipoproteins in high risk patients be less than:<\/p>\n Question 86<\/p>\n Which intervention listed below is safe for long term use by an adult with constipation?<\/p>\n Question 87<\/p>\n The nurse practitioner is reviewing a patient\u2019s lab report who completed the hepatitis B series 3 months ago. Which of the following lab results would you expect to see in this patient?\u00a0<\/p>\n Question 88<\/p>\n 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?<\/p>\n Question 89<\/p>\n 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?<\/p>\n Question 90<\/p>\n 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\u2019s problem is:<\/p>\n Question 91<\/p>\n 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 \u201cis better.\u201d His temperature is 100\u00b0F and pulse is 102 bpm. The most appropriate initial action is to:<\/p>\n Question 92<\/p>\n 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?<\/p>\n Question 93<\/p>\n Which of the following can result from chronic inflammation of a meibomian gland?<\/p>\n Question 94<\/p>\n A 15 year old male presents with abdominal pain that began in the peri-umbilical area then localized to the right lower quadrant (RLQ). He complains of anorexia, and low grade fever. A complete blood count (CBC) reveals moderate leukocytosis. What is the most likely diagnosis?<\/p>\n Question 95<\/p>\n 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?<\/p>\n Question 96<\/p>\n A false-positive result with the fecal occult blood test can result from:<\/p>\n Question 97<\/p>\n 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 \u201cfine\u201d as long as he took the medication. The most appropriate next step is:<\/p>\n Question 98<\/p>\n Risk factors for acute arterial insufficiency include which of the following?<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n Question 99<\/p>\n 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\u2019s right eye to his upper right forehead. Based on the history and examination, the most likely cause of this patient\u2019s symptoms is:<\/p>\n Question 100<\/p>\n Which of the following are classic features of ulcerative colitis?<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":" \u00a0\u00a0 NURS 6531 MIDTERM EXAM \/ NURS6531 MIDTERM EXAM (2 VERSIONS) (100 CORRECT Q & A IN EACH VERSION, TOTAL: 200 Q & A) \u00a0\u00a0\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-129003","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\/129003","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=129003"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/129003\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=129003"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=129003"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=129003"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
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