NURS-6531D-1/NURS-6531N-1-Adv. Practice Care of Adults2018 Fall Quarter Final Exam

Canuella SERWAH Akrof Course NURS-6531D-1/NURS-6531N-1-Adv. Practice Care of Adults2018 Fall Quarter 08/27-11/18-PT27 TestFinal Exam

Started 11/9/18 11:30 AM

Submitted 11/9/18 1:20 PM

Due Date 11/12/18 1:59 AM

Status Completed Attempt Score 30 out of 100 points Time Elapsed 1 hour, 50 minutes out of 1 hour and 50 minutes  Question 1

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When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? Question 2

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A patient complains of generalized joint pain and stiffness associated with activity and relieved with rest. This patient history is consistent with which of the following disorders?Osteoarthritis  Question 3

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What diabetic complications result from hyperglycemia?

• Retinopathy
• Hypertension resistant to treatment
• Peripheral neuropathy
• Accelerated atherogenesis

 Question 4

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Which factors are associated with high risk for foot complications in a patient with diabetes mellitus?Obesity Abnormal nails Abnormal gait Poorly controlled lipids  Question 5

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Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)? What are common early signs of BPH – frequency, urgency, nocturia TX with alpha adrenergic Terazosin and doxazosin  Question 6

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A 63-year-old man presents to the office with hematuria, hesitancy, and dribbling.Digital rectal exam (DRE) reveals a moderately enlarged prostate that is smooth. The PSA is 1.2. What is the most appropriate management strategy for you to follow at this time?Prescribe an alpha adrenergic blocker  Question 7

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A 30 year old female patient presents to the clinic with heat intolerance, tremors, nervousness, and weight loss inconsistent with increased appetite. Which test would be most likely to confrm the suspected diagnosis? Graves hyperthyroid  Question 8

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Which history is commonly found in a patient with glomerulonephritis? Ask about recent infections (skin or upper respiratory); recent travel (possible exposure to viruses, bacteria, fungi, or parasites); recent illnesses, surgery, or invasive procedures (possible infection); any systemic diseases (Systemic Lupus Erythematosus -SLE)  Question 9

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A 60 year old male patient with multiple health problems presents with a complaint of erectile dysfunction (ED). Of the following, which medication is most likely to be causing the problem? diabetes  Question 10

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Which of the following is not a characteristic of type 2 diabetes mellitus?characterized by high blood sugar, insulin resistance, and relative lack of insulin. Common symptoms include increased thirst, frequent urination, and unexplained weight loss.

 Question 11

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A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is prescribed. How long should the nurse practitioner wait before checking the patient’s TSH? Six to 8 weeks  Question 12

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A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the following medications may be used to treat generalized anxiety disorder? Treatment may include counseling and medications, such as antidepressants. Selective Serotonin Reuptake Inhibitor (SSRI), Anxiolytic, and Antidepressant Paxil Effexor Lexapro and cymbalta  Question 13

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What is the most common cause of Cushing’s syndrome ? Pituitary-dependent/ACTH- dependent (Cushing's disease), one is a pituitary form, which results from excessive production of ACTH by a tumor of the pituitary gland,  Question 14

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Which of the following is the most cause of low back pain?Lumbar disc disease  Question 15

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Warfarin (Coumadin) is prescribed for a frail, elderly male with new onset atrial

fbrillation. The goal INR for this patient should be: 2.0 to 3.0

 Question 16

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A 72 year old patient exhibits sudden onset of fluctuating restlessness, agitation, confusion, and impaired attention. This is accompanied by visual hallucinations and sleep disturbance. What is the most likely cause of this behavior? delirium  Question 17

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Which of the following is the most common causative organism of nongonococcal

urethritis?which of the following does not cause nongonococcal urethritis a chlamydia – most common

• mycoplasma
• neisseria
• ureaplasma

 Question 18

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Which appropriate test for the initial assessment of Alzheimer’s disease provides the performance ratings on 10 complex, higher order activities? FAQ  Question 19

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What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare? the physician must be on-site and engaged in client care. Question 20

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Diagnostic evaluation for urinary calculi includes:

A.Urinalysis and culture B.Non contrast CT C.Serum calcium D.All of the above  Question 21

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Reed-Sternberg B lymphocytes are associated with which of the following disorders: Hodgkin’s lymphoma  Question 22

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Marsha presents with symptoms resembling both fbromyalgia and chronic fatigue syndrome, which have many similarities. Which of the following is more characteristic of fbromyalgia?Musculoskeletal pain is not characteristic of chronic fatigue syndrome; rather, it is characteristic of