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NURS 6550 FINAL EXAM 2/QUESTION AND ANSWERS
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NURS 6550 FINAL EXAM 2/QUESTION AND ANSWERS
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1[Date]Page 1NURS 6550 FINAL EXAM 2/QUESTION AND ANSWERS
A 21-year-old woman requests hormonal emergency contraception after a condom break during intercourse approximately 16 hours ago. Today is day 14 of her normally 27–29 day menstrual cycle. You advise her that:
Likelihood of conception is minimal and emergency contraception use is not advised
Hormonal emergency contraception can be effective up to 5 days after intercourse
When taken as advised, hormonal emergency contraception use reduces the risk of pregnancy by up to 65%
The most likely mechanism of action of hormonal emergency contraceptive is as an abortifacient
A 36-year-old man is hospitalized for alcohol poisoning. During follow-up evaluation the next day, he denies that he has a drinking problem. The best approach to assess for possible alcoholism is conducting which of the
following questionnaires?
BDI. HEADDS.
CAGE. PHQ-9.
A quality improvement plan characterized by limiting variability and removing defects in a process best describes:
Six Sigma.
Continuous Quality Improvement.
Total Quality Management.
Healthcare Stewardship. 2[Date]Page 2
A 38-year-old woman comes to the emergency department complaining of a rapid heartbeat, tremors, and chest
tightness. She reports earlier in the day she was feeling a migraine starting so she took a pill given to her by her
friend who also experiences migraines. Her medical history reveals that she is currently taking a monoamine oxidase inhibitor for depression. Which migraine medication did she most likely take?
Acetaminophen and caffeine (Excedrin ® Migraine) 3[Date]Page 3
Naproxen sodium (Aleve ® )
Almotriptan (Axert ® )
Butalbital, acetaminophen and caffeine (Fioricet ® )
All of the following are elements of malpractice except:
A duty of care to the patient.
A fee is charged for the healthcare services related to the malpractice claim.
Breach of the standard of care.
Injury.
You are seeing a 68-year-old woman for treatment of an uncomplicated urinary tract infection (UTI). She has well-controlled hypertension, type 2 diabetes mellitus, and dyslipidemia and takes an angiotensin-converting enzyme inhibitor (ACEI), statin, biguanide, and low-dose aspirin (ASA). She worked in a dry cleaning facility
until approximately 8 years ago. During her evaluation, she mentions that she sometimes has difficulty understanding conversation, especially in noisy environments. This is likely a:
Drug-related reaction.
Consequence of occupational chemical exposure.
Early sign of dementia.
Normal age-related change in hearing
While evaluating a 33-year-old female with a 2-day history of dysuria, which of the following findings in
urinalysis is most suggestive of urinary tract infection (UTI) caused by a Gram-negative organism?
Nitrites
30 mg/dL protein
Epithelial cells pH>8 4[Date]Page 4
All of the following are examples of primary prevention strategies except:
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