Download NSG 5003 Exam Review 2023 and more Exams Nursing in PDF only on Docsity!
- It is important to not dilate the eye if ____ is suspected. Cataract Macular degeneration Acute closed-angle glaucoma Chronic open-angle glaucoma - Acute closed-angle glaucoma Question 2. 2. An 18-year-old female patient presents with repeated urinary tract infections. She has no risk factors in her history, and her physical examination is unremarkable. She also has a normal pelvic exam. Which of the following should be obtained if anatomic abnormalities are suspected? Ultrasound of the kidneys Intravenous pyelogram Cystoscopy Transvaginal ultrasound of the bladder - Intravenous pyelogram Question 3. 3. The pathophysiological hallmark of ACD is: Depleted iron stores Impaired ability to use iron stores Chronic uncorrectable bleeding
Reduced intestinal absorption of iron - Impaired ability to use iron stores Question 4. 4. Which of the following is the most important question to ask during cardiovascular health history? Number of offspring Last physical exam Sudden death of a family member Use of caffeine - Sudden death of a family member Question 5. 5. A 26-year-old, non-smoker, male presented to your clinic with SOB with exertion. This could be due to: Exercise-induced cough Bronchiectasis Alpha-1 deficiency Pericarditis - Alpha-1 deficiency Question 6. 6. Which of the following dermatological conditionsresults from reactivation of the dormant varicella virus? Tineaversicolor
Herpes zoster - Physiologic aging Question 9. 9. Asymptomatic 1+ bacteriuria is found in a nursing home resident with an indwelling catheter. The nurse practitioner's initial intervention includes: Assessing resident's cognitive status and last change of the catheter/bag Prescribing prophylactic Bactrim 1 tablet at bedtime Ordering a urine culture and sensitivity and prescribing empiric treatment until results obtained Ordering an X-ray of the kidney, urine, and bladder - Assessing resident's cognitive status and last change of the catheter/bag Question 10. 10. A 64-year-old male presents with erythema of the sclera, tearing, and bilateral pruritus of the eyes. The symptoms occur intermittently throughout the year and he has associated clear nasal discharge. Which of the following is most likely because of the inflammation? Bacterium Allergen
Virus Fungi - Allergen Question 11. 11. The nurse practitioner is examining a 62-year-old female who has been complaining of lower abdominal pain. Upon auscultation, bowel sounds are high pitched and tinkling. Which of the following terms describes this finding? Succession splash Borborygmi Tenesmus Puddle sign - Borborygmi Question 12. 12. Which ethnic group has the highest incidence of prostate cancer? Asians Hispanics African Americans American Indians - african americans
Question 15. 15. Which lesions are typically located along the distribution of dermatome? Scabies Herpes zoster Tinea Dyshidrosis - Herpes zoster Question 16. 16. Which of the following medications are commonly associated with the side effect of cough? Beta blocker Diuretic ACE inhibitor Calcium antagonist - ACE inhibitor Question 17. 17. On DRE, you note that a 45-year-old patient has a firm, smooth, non-tender but asymmetrically shaped prostate. The patient has no symptoms and has a normal urinalysis. The patient's PSA is within normal limits for the patient's age. The clinician should: Refer the patient for transrectal ultrasound guided prostate biopsy Obtain an abdominal X-ray of kidneys, ureter, and bladder
Recognize this as a normal finding that requires periodic follow up Obtain urine culture and sensitivity for prostatitis - Recognize this as a normal finding that requires periodic follow up Question 18. 18. Your patient complains of a feeling of heaviness in the lower legs daily. You note varicosities, edema, and dusky color of both ankles and feet. Which of the following is the most likely cause for these symptoms? Femoral vein thrombosis Femoral artery thrombus Venous insufficiency Musculoskeletal injury - Venous insufficiency Question 19. 19. The most common cause of eye redness is: Conjunctivitis Acute glaucoma Head trauma Corneal abrasion - Conjunctivitis Question 20. 20. The aging process causes what normal physiological changes in the heart? The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis
Question 23. 23. Which of the following is considered a "red flag" when diagnosing a patient with pneumonia? Fever of 102 Infiltrates on chest X-ray Pleural effusion on chest X-ray Elevated white blood cell count - Pleural effusion on chest X-ray Question 24. 24. Your patient complains of lower abdominal pain, anorexia, extreme fatigue, unintentional weight loss of 10 pounds in last 3 weeks, and you find a positive hemoccult on digital rectal examination. Laboratory tests show iron deficiency anemia. The clinician needs to consider: Diverticulitis Colon cancer Appendicitis Peptic ulcer disease - Colon cancer Question 25. 25. You have a patient complaining of vertigo and want to know what could be the cause. Knowing there are many causes for vertigo, you question the length of time the sensation lasts. She tells you several hours to days and is accompanied by tinnitus and hearing loss. You suspect which of the following conditions? Ménière's disease Benign paroxysmal positional vertigo
Transient ischemic attack (TIA) Migraine - Ménière's disease Question 26. 26. In examining the mouth of an older adult with a history of smoking, the nurse practitioner finds a suspicious oral lesion. The patient has been referred for a biopsy to be sent for pathology. Which is the most common oral precancerous lesion? Fictional keratosis Keratoacanthoma Lichen planus Leukoplakia - Leukoplakia Question 27. 27. A cough is described as chronic if it has been present for: 2 weeks or more 8 weeks or more 3 months or more 6 months or more - 8 weeks or more Question 28. 28. The first assessment to complete related to the eyes is: Eye lids Visual acuity Extraocular movements
Legionnaires' disease Malaria Tuberculosis Pneumonia - Tuberculosis Question 32. 32. In assessing the eyes, which of the following is considered a "red flag" finding when associated with eye redness? History of prior red-eye episodes Grossly visible corneal defect Exophthalmos Photophobia - Grossly visible corneal defect Question 33. 33. The best evidence rating drugs to consider in a post myocardial infarction patient include: ASA, ACE/ARB, beta-blocker, aldosterone blockade ACE, ARB, Calcium channel blocker, ASA Long-acting nitrates, warfarin, ACE, and ARB ASA, clopidogrel, nitrates - ASA, ACE/ARB, beta-blocker, aldosterone blockade Question 34. 34. In examination of the nose, the clinician observes gray, pale mucous membranes with clear, serous discharge. This is most likely indicative of:
Bacterial sinusitis Allergic rhinitis Drug abuse skull fracture - Allergic rhinitis Question 35. 35. Which of the following findings should trigger an urgent referral to a cardiologist or neurologist? History of bright flash of light followed by significantly blurred vision History of transient and painless monocular loss of vision History of monocular severe eye pain, blurred vision, and ciliary flush All of the above - History of transient and painless monocular loss of vision Question 36. 36. Which symptom is more characteristic of Non-Cardiac chest pain? Pain often radiates to the neck, jaw, epigastrium, shoulder, or arm Pain tends to occur with movement, stretching or palpation Pain usually lasts less than 10 minutes and is relieved by nitroglycerine Pain is aggravated by exertion or stress - Pain tends to occur with movement, stretching or palpation Question 37. 37. Aortic regurgitation requires medical treatment for early signs of CHF with:
Herpes zoster Basal cell carcinoma - Basal cell carcinoma Question 41. 41. A 20-year-old engineering student complains of episodes of abdominal discomfort, bloating, and episodes of diarrhea. The symptoms usually occur after eating, and pain is frequently relieved with bowel movement. She is on a "celiac diet" and the episodic symptoms persist. Physical examination and diagnostic tests are negative. Colonoscopy is negative for any abnormalities. This is a history and physical consistent with: Inflammatory bowel disease Irritable bowel syndrome Giardiasis Norovirus gastroenteritis - Irritable bowel syndrome Question 42. 42. Which of the following disorders can cause urinary incontinence? Cystocele Overactive bladder Uterine prolapse All of the above - All of the above Question 43. 43. Which of the following drugs would be useful for the nurse practitioner to prescribe for an older adult to prevent gastric
ulcers when a nonsteroidal anti-inflammatory drug is used for chronic pain management? Misoprostol (Cytotec) Cimetidine (Tagamet) Metronidazole (Flagyl) Bismuth subsalicylate (Peptobismol) - Misoprostol (Cytotec) Question 44. 44. Which of the following details are NOT considered while staging asthma? Nighttime awakenings Long-acting beta agonist usage Frequency of symptoms Spirometry findings - Long-acting beta agonist usage Question 45. 45. A 66-year-old patient presents to the clinic complaining of dyspnea and wheezing. The patient reports a smoking history of 2 packs of cigarettes per day since age 16. This would be recorded in the chart as: 50 x 2-pack years 100-pack years 50-year, 2-pack history 100-pack history - 100-pack years
Question 49. 49. Which of the following is the most common cause of heartburn-type epigastric pain? Decreased lower esophageal sphincter tone Helicobacter pylori infection of stomach Esophageal spasm Peptic ulcer disease - Decreased lower esophageal sphincter tone Question 50. 50. A nurse practitioner reports that your patient's abdominal X-ray demonstrates multiple air-fluid levels in the bowel. This is a diagnostic finding found in: Appendicitis Cholecystitis Bowel Obstruction Diverticulitis - bowel obstruction Question 51. 51. A patient suffered a laceration of the shin three days ago, and today presents with a painful, warm, red swollen region around the area. The laceration has a purulent exudate. The clinician should recognize that the infected region is called: Contact dermatitis Folliculitis Hidradenitis suppurativa Cellulitis - cellulitis
Question 52. 52. A 62-year-old client presents with a complaint of fever, pain, and burning on urination. Difficulty urinating with dribbling has been increasing in the past few days. He has a feeling of pressure in his groin. On examination, his prostate is tender, boggy, and warm. A stat urinalysis reveals the presence of leukocytes and bacteria. He is allergic to sulfa drugs. His weight is 70 kg and his last serum creatinine was 1.0. While awaiting the culture and sensitivity, the nurse practitioner begins empiric treatment with which of the following? Trimethoprim/sulfamethoxazole DS bid x 2 weeks Ampicillin 250 mg PO Q day for 10 days Nitrofurantoin 100 mg Q 12 hours for 7 days Ciprofloxacin 500 mg Q 12 hours for 14 days - Ciprofloxacin 500 mg Q 12 hours for 14 days Question 53. 53. In teaching an older adult female client with end-stage renal disease her medication regimen, the nurse practitioner must include which of the following pieces of information in the treatment plan? Report any changes in the color of her stool Take iron supplement and elemental calcium with each meal Take iron supplement before meals and the calcium after meals Take calcium with a high phosphorus meal - Take iron supplement before meals and the calcium after meals
