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NSG 6340 Predictor Study Guide 2 Questions & Answers(South University)), Exams of Nursing

Messiah CollegeNursing

NSG 6340 Predictor Study Guide 2 Questions & Answers(South University))

Typology: Exams

2023/2024

Available from 10/09/2024

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[Date]
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NSG 6340 Predictor Study Guide 2 Questions &
Answers(South University))
A 37-year-old female patient with a history of a single episode of depression and frequent complaints
of PMS is being treated for hypothyroidism. Today she complains of poor concentration and fatigue.
Initially, the NP should:
a. Question her further
3. Which of the following is an example of secondary prevention?
a. Annual influenza vaccination
7. A 35-year old female with a history of mitral valve prolapse is scheduled for routine dental
cleaning. According to the 2007 American Association’s guideline for endocarditis
prophylaxis, what would you advise this patient?
a. She does not need prophylaxis for any dental procedure
b.
8. A patient recovering from a recent stroke is starting anticoagulant therapy. The nurse practitioner should
teach the patient to avoid all of the following EXCEPT:
a. b. milk and milk products
9. A patient presents with periorbital erythema and edema, fever, and nasal drainage. The nurse
practitioner should
a. start aggressive antibiotic therapy
10. A positive drawer sign support a diagnosis of
b. cruciate ligament injury
11. A 50-year-old patient with diabetes complains of pain bilaterally in her lower legs while
walking. The pain disappears at rest. What else would you expect to identify on her lower
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Download NSG 6340 Predictor Study Guide 2 Questions & Answers(South University)) and more Exams Nursing in PDF only on Docsity!

NSG 6340 Predictor Study Guide 2 Questions &

Answers(South University))

A 37-year-old female patient with a history of a single episode of depression and frequent complaints of PMS is being treated for hypothyroidism. Today she complains of poor concentration and fatigue. Initially, the NP should: a. Question her further

  1. Which of the following is an example of secondary prevention? a. Annual influenza vaccination
  2. A 35-year old female with a history of mitral valve prolapse is scheduled for routine dental cleaning. According to the 2007 American Association’s guideline for endocarditis prophylaxis, what would you advise this patient? a. She does not need prophylaxis for any dental procedure b.
  3. A patient recovering from a recent stroke is starting anticoagulant therapy. The nurse practitioner should teach the patient to avoid all of the following EXCEPT: a. b. milk and milk products
  4. A patient presents with periorbital erythema and edema, fever, and nasal drainage. The nurse practitioner should a. start aggressive antibiotic therapy
  5. A positive drawer sign support a diagnosis of b. cruciate ligament injury
  6. A 50-year-old patient with diabetes complains of pain bilaterally in her lower legs while walking. The pain disappears at rest. What else would you expect to identify on her lower

extremities. b. peripheral artery insufficiency

  1. A 16-year-old athlete complains of pain underneath his heel every time he walks. There is a verrucous surface level with the skin of the heel. What pharmacologic interventions should the nurse practitioner prescribe for this patient? a. salicylic acid plasters
  2. A -year-old with Type I diabetes has had itching and burning lesions between her toes for 6 months. Scrapings of the lesion confirm the diagnosis of tinea pedis. What is the best treatment option for this patient? a. prescribe an anti-fungal powder for application between her toes and in her shoes and a topical prescription strength anti-fungal cream for other affected areas. Monitor for a secondary bacterial infection. c. Prescribe an oral anti-fungal for 4 to 12 weeks. Monitor liver enzymes, BUN and creatinine at one week, 2 weeks, and every month thereafter.

it, the nurse practitioner should ask: a. whether he smokes or consumes alcohol on a daily basis b. what other medications have been prescribed for him c. if he takes a daily antihistamine d. if other family members are hypertensive

  1. Which of the following is NOT associated with Type 2 diabetes mellitus? a. Gestational diabetes, birth of a macrosomic infant b. Hispanic, African-American, or Native American descent c. Alcohol or other drug abuse d. Obesity, hypertension, hypertriglyceridemia
  1. A 35-year-old male presents with a severe unilateral headache over his left eye. He says it started about one hour ago and has rapidly gotten worse. He gives a history of similar headaches over the past 2 years. Physical examination is negative except for left eye lacrimation. What is the most likely diagnosis? c. Cluster headache d. Classic migraine headache
  2. A 16-year-old sexually active female present to the clinic. She has never had vaccination for hepatitis A or B, she has had one MMR immunization, and her last tetanus vaccination was 4 years ago. Which vaccination would be contraindicated without further testing? c. MMR
  3. A 15-year-old male presents with abdominal pain that began in the peri-umbilical area then localized to the right lower quadrant. He complains of nausea, vomiting, anorexia, and low-grade fever. A complete blood count (CBC) reveals moderate leukocytosis. What is the most likely diagnosis? d. Acute appendicitis
  4. A 25-year-old hypertensive patient has a BMI of 16. His blood pressure is 165/100. There is an audible bruit in his left upper abdominal quadrant. He probably has: a. Essential hypertension b. Secondary hypertension
  5. Which of the following is the most common presenting sign of substance abuse in adolescents? d. changes in behavior
  6. Therapeutic international normalized ratio (INR) for a patient takein warfarin (Coumadin) for chronic atrial fibrillation is expected to be a. increased
  7. A 199-year-old female reports that she is having “panic attacks.” The NP knows that panic attacks are characterized by d. sudden onset of intense fear or terror
  1. Certification for nurse practitioners is offered through: c. national certifying organizations
  2. Simple cases of impetigo and folliculitis are usually successfully treated with: a. systemic antibiotics b. topical antibiotics
  3. A 43-year-old has chronic gout. He comes to the clinic for the 3rd^ time in as many months for treatment of an exacerbation. Dietary counseling should include avoidance of all of the following EXCEPT: c. green, leafy vegetables
  4. A 57-year-old patient presents for an annual physical exam. He reports having 3 attacks of acute gout during the past year. He does not take any medication except NSAIDs during the attacks which help “a little bit.” The NP would appropriately recommend c. avoidance of dietary purine sources
  5. A 43-year-old male presents with a large and painful furuncle, the 3rd^ one in the past 6 months. The NP should ? all of the following EXCEPT: b. prescription of a prophylactic antibiotic
  6. A 64-year-old female has sudden onset of right eye pain, blurred vision, and dilated pupil. The most likely diagnosis is acute: b. angle-closure glaucoma
  7. A 25-year-old patient presents with complaints of pain and burning in the vulvar area. Upon examination, the NP notices vesicles with an erythematous base arranged ina group on the patient’s labia major. The most likely diagnosis is: d. herpes simplex II
  8. An 85 – year-old is diagnosed with shingles. The patient states that she became “miserable” yesterday when the symptoms started. What pharmacologic interventions should the nurse practitioner

offer this patient? c. Oral acyclovir (Zovirax) for 7-10 days, NSAIDs, and topical capsaicin cream after resolution of the lesions

  1. A 16-year-old presents to the clinic for a scheduled immunization. The patient is unaccompanied by an adult. The NPs action is based on the knowledge that: a. a minor must have the informed consent of a parent or guardian to receive an immunization
  2. The mechanism by which nurses are held accountable for practice, based on the quality of nursing car ein a given situation inaccordance with established standards of practice, is: c. peer review

d. pain

  1. The most effective primary prevention of skin cancer is to educate the public about: d. limiting exposure to natural solar radiation
  2. Which of the following is NOT a symptom of irritable bowel syndrome? d. Weight loss
  3. An 18-year-old woman is taking a combined hormonal oral contraceptive. She should be instructed to use a backup method for the prevention of pregnancy: b. if prescribed topiramate (Topamax) for the treatment of migraines
  1. A 50-year old patient has abnormal vaginal bleeding with heavy periods and intermenstrual watery discharge with a small amount of blood. What is the most likely diagnosis? a. uterine fibroids b. normal peri-menopause c. endometrial cancer d. cervical cancer
  2. Which agent is most effective for the treatment of nodulocystic acne? d. isotretinoin (Accutane)
  3. Which of the following signs and symptoms is typical of hyperthyroidism? a. heat intolerance
  4. An 83-year-old man has a resting hand tremor. What disease process is this type of tremor is most commonly associated with? a. Multiple sclerosis (MS) b. Parkinson’s disease c. diabetic neuropathy
  5. A young female reports onset of right flank pain 2 days ago that is now severe. Last night she discovered a “burning rash” in the same area. The NP identifies popular fluid-filled lesions that are confluent and follow a linear distribution along the T-8 dermatome. The NP would appropriately order: c. an oral antiviral d. a topical steroid cream
  6. Expected spirometry redings when the patient has chronic emphysema include: d. increased total lung capacity (TLC)
  7. Right-sided heart failure is characterized by all of the following clinical findings EXCEPT: Answer: a 4 th^ heart sound
  8. Moderate weight loss, particularly of visceral adipose tissue, in patients with Type 2 diabetes mellitus may have all of the following beneficial effects EXCEPT: c. increased lean muscle mass d
  1. A 20-year-old male complains of a “skin rash” on his knees and elbows. The lesions have silvery scales and are pruritic. A positive Auspitz sign is present. What is the most likely diagnosis? d. psoriasis
  2. The daughter of a 75-year-old patient reports that her mother roams the house at night saying she cannot fall asleep. She has fallen twice. Of the following choices, which would be the most appropriate to treat her insomnia? a. doxepin (Sinequan)
  3. A 65-year-old African American patient was screened at his local church for “high cholesterol.” His total cholesterol (no-fasting) was 215 mg/dL (5.6 mmol/L). What action below is most appropriate for the NP? a. Recommend a fasting lipid profile
  4. Swan neck and boutonniere deformities are typical clinical findings in the later presentation of: a. gouty arthritis b. rheumatoid arthritis
  5. A 13- year-old patient complains the he fell while running during football practice. Now his knee hurts and sometimes “locks.” The NP conducts McMurray’s test. Which of the following is TRUE about this test? a. an audible or palpable click is positive for a torn meniscus
  6. A hemoglobin AIC level is 7.2 in a patient with Type 2 diabetes mellitus. The patient is currently taking a sulfonylurea medication. Which of the following drug should be added next to the medication regime? d. Metformin (Glucophage)
  7. A patient with a diagnosis of giardiasis is being treated with metronidazole (Flagyl). What information would be important to obtain before prescribing this medication? c. if the patient drinks alcohol
  8. The nurse practitioner is performing a routine assessment of a 47-year-old female who wants to lose weight She has truncal obesity with relatively slender forearm and lower legs. Her BMI is 38. Upon review of her history, physical examination, and laboratory reports, the nurse practitioner

diagnoses “Syndrome X.” This diagnosis is based on the previous findings plus all of the following EXCEPT: d. cardiac arrhythmias

  1. A 59-year-old postmenopausal woman has atrophic vaginitis. She has a history of breast cancer at age 40 years. What is the appropriate initial treatment for this patient? d. Topical conjugate estrogen cream
  2. The process by which a profession association cofers recognition that a licensed profession has demonstrated mastery of a specialist body of knowledge and skills is termed: c. certification
  3. A nurse practitioner has just diagnosed a patient as having acute hepatitis B. The principle which prohibits the nurse practitioner from notifying the patient’s spouse without permission is:

a. thiazide diuretic b. angiotensin-converting enzyme inhibitor

  1. A patient has laboratory studies performed which demonstrate increased TSH, decreased free T4, and T3. Which symptoms might she complain of? d. hair loss
  2. The anatomical site currently believed to be the best location for subcutaneous insulin administration is the c. abdomen
  1. Following the finding of prostate gland abnormalities on DRE, the nurse practitioner orders appropriate labs. When preparing to review lab reports with the patient, the NP know all of the following are true EXCEPT: a. normal PSA is 10 mg/ml or less
  2. An obese 43-year-old has recurrent superficial fungal skin infections over the past 2 years. Today, she presents with intertriginous candida. Her skin is macerated from frequent rubbing and scratching. The plan of care for this patient should include: a. recommended screening for diabetes mellitus and HIV infection
  3. Which statement is true regarding dental health? a. a diet high in sugar has no effect on dental caries b. individuals with dentures should visit the dentist every 2 years
  4. A 51-year-old post-menopausal female, requests guidance regarding osteoporosis risk. The NP would be correct to recommend all of the following EXCEPT: d. weight loss
  5. When a patient presents with symptoms of acute gallbladder disease, what is the appropriate nurse practitioner action? a. order abdominal x-rays b. order abdominal ultrasound
  6. Which of the following is NOT an appropriate treatment for chronic bacterial prostatitis (CBP) d. nitrofurantoin (Macrobid)
  7. The first step when taking a patient history is the c. introductory information
  8. Characteristics of prescription and OTC drug use in the elder population include all of the following EXCEPT: a. high incidence of drug reactions b. multiple prescribers and polypharmacy

c. herpes simplex d. chlamydia

  1. The differential diagnoses for transient episodes of dizziness would appropriately include all of the following EXCEPT: c. allergic rhinitis
  2. Which of the following is NOT a common early sign of benign prostatic hyperplasia (BPH)? d. increased force of urine flow
  3. The nurse practitioner observes a tympanic membrane that is opaque, has decreased mobility, and is without bulging or inflammation. The LEAST likely diagnosis is: a. acute otitis media (AOM)
  4. A 16-year-old presents for a sports physical for football. The nurse practitioner auscultates a diastolic murmur. It is a grade II/IV. He has no history of a murmur. The patient denies symptoms. What is the most appropriate action for the NP? a. refer this patient to a cardiologist
  5. What is the most common causative pathogen found in cystitis, pyelonephritis, and prostatitis? a. Escherichia coli
  6. The most common symptoms of a transient ischemic attack (TIA) include: a. nausea, vomiting, syncope, incontinence, dizziness, and seizure b. weakness in an extremity, abruptly slurred speech or partial loss of vision, and sudden gait changes
  7. A characteristic of delirium that is typically absent in dementia is: a. acute onset of confusion in a previously alert and oriented patient b. gradual loss of short-term memory c. loss of language skills d. long-term memory gaps filled in with confabulation
  1. A 48-year-old female presents with a chief complaint of insomnia. On further investigation, she reports fatigue, nervousness and agitation during the daytime, and feeling hot most of the time. Which of the following would NOT be included in the differential diagnosis? d. Parkinson’s disease
  2. The nurse practitioner correctly diagnoses iron deficiency anemia in a female patient whose lab report reveals a. an increased reticulocyte count b. a mean corpuscular volume (MCV >100) c. hemoglobin (Hgb) 14. d. an increase total iron binding capacity (TIBC)