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Course NURS-6531N-8,Adv. Practice Care of Adults.2018 Summer Qtr

05/29-08/19-PT27

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Time Elapsed 1 hour, 53 minutes out of 1 hour and 50 minutes

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• Question 1

0 out of 0 points

When completing this quiz, did you comply with Walden University’s Codeof

Conduct including the expectations for academic integrity?

Selected Answer:

Y

e

s

Answers:

Ye

s

No

• Question 2

The most common cancer found on the auricle is:

Selected

Answer: Basal cell carcinoma

Answers: Actinic keratosis

Basal cell carcinoma

Squamous cell

carcinoma

Acral-lentiginous

melanoma

• Question 3

1 out of 1 points

0 out of 1 points

Which of the following medication classes should be avoided in patients with acute orchronic

bronchitis because it will contribute to ventilation-perfusion mismatch in the patient?

Selected

Answer: Anticholinerg

ics

Answers: Xanthines

Antihistimines

Steroids

Anticholinerg

ics

• Question 4

0 out of 1 points

A 47 year old male patient presents to the clinic with a single episode of a moderate amount of bright

red rectal bleeding. On examination, external hemorrhoids are noted.How should the nurse

practitioner proceed?

Selected

Answer: Instruct the patient on measures to prevent hemorrhoids such asbowel

habits and diet.

Answers: Instruct the patient on measures to prevent hemorrhoids such asbowel

habits and diet.

Order a topical hemorrhoid cream along with a stool softener.

Refer the patient for a barium enema and sigmoidoscopy.

Refer the patient for a surgical hemorrhoidectomy.

• Question 5

0 out of 1 points

Which of the following patient characteristics are associated with chronic bronchitis?

Selected

Answer: Underweight, pink skin, and increased respiratory rate

Answers:

Overweight, cyanosis, and normal or slightly increasedrespiratory rate

Underweight, pink skin, and increased respiratory rate

Overweight, pink skin, and normal or slightly increasedrespiratory rate

Normal weight, cyanosis, and greatly increased

respiratory rate

• Question 6

1 out of 1 points

A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and polymyalgia

rheumatica presents to urgent care with new onset left lower quadrant pain.Her current medications

include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily, simvastatin 20

milligrams po daily, and prednisone 12 milligrams po daily. The nurse practitioner suspects acute

diverticulitis and possibly an abscess. The most appropriate diagnostic test for this patient at this time

is:

Selected

Answer: CT scan

Answers: CBC/diff

Erythrocyte

sedimentation rate

Abdominal ultrasound

CT scan

• Question 7

1 out of 1 points

A patient reports “something flew in my eye” about an hour ago while he was splitting logs. If

there were a foreign body in his eye, the nurse practitioner would expect to findall except:

Selected

Answer: Purulent drainage

Answers:

Purulent drainage

Tearing

Photophobia

A positive fluorescein

stain

• Question 8

1 out of 1 points

A 21 year old college student presents to the student health center with copious, markedly purulent

discharge from her left eye. The nurse practitioner student shouldsuspect:

Selected

Answer: Gonococcal

conjunctivitis

Answers: Viral conjunctivitis

Common pink eye

Gonococcal

conjunctivitis

Allergic

conjunctivitis

• Question 9

0 out of 1 points

A 35 year old man presents with radicular pain followed by the appearance of groupedvesicles

consisting of about 15 lesions across 3 different thoracic dermatomes. He complains of pain,

burning, and itching. The nurse practitioner should suspect:

Selected

Answer: A complicated case of shingles and prescribe acyclovir, an analgesic,and a

topical cortisone cream

Answers: A common case of shingles and prescribe an analgesic and an antiviralagent

A complicated case of shingles and prescribe acyclovir, an analgesic,and a

topical cortisone cream

Herpes zoster and consider that this patient may beimmunocompromised

A recurrence of chickenpox and treat the patient’s symptoms

• Question 10

0 out of 1 points

Which type of lung cancer has the poorest prognosis?

Selected

Answer: Adenocarcinoma

Answers: Adenocarcinoma

Epidermoid

carcinoma

Small cell

carcinoma

Large cell

carcinoma

• Question 11

1 out of 1 points

An 83-year-old female presents to the office complaining of diarrhea for several days. She explains

she has even had fecal incontinence one time. She describes loose stools 3–4 times a day for several

weeks and denies fever, chills, pain, recent antibiotic use. The history suggests that the patient has:

Selected

Answer: Chronic diarrhea

Answers: Acute diarrhea

Chronic diarrhea

Irritable bowel

Functional bowel

disease

• Question 12

1 out of 1 points

Margaret, age 32, comes into the office with painful joints and a distinctive rash in a butterfly

distribution on her face. The rash has red papules and plaques with a fine scale.What do you suspect?

Selected

Answer: Systemic lupus

erythematosus

Answers: An allergic reaction

Relapsing

polychondritis

Lymphocytoma cutis

Systemic lupus

erythematosus

• Question 13

1 out of 1 points

Antibiotic administration has been demonstrated to be of little benefit to the treatment ofwhich of the

following disease processes?

Selected

Answer: Acute bronchitis

Answers: Chronic sinusitis

Acute bronchitis

Bacterial pneumonia

Acute exacerbation of chronic

bronchitis