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NSG 6420 Final Exam,NSG 6420 Test Bank
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NSG 6420 Final Exam,NSG 6420 Test Bank
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NSG 6420 Final Exam,NSG 6420 Test BankIn examination of the nose, the clinician observes gray, pale mucous membranes with
clear, serous discharge. This is most likely indicative of: - ANSWERb) Allergic rhinitis
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? - ANSWERc) Venous insufficiency
Which of the following is the most important question to ask during cardiovascular
health history? - ANSWERc) The sudden death of a family member
Rheumatic heart disease is a complication that can arise from which type of infection? -
ANSWERc) Group A beta hemolytic streptococcus
[p. 515 Primary Care: Art and Science]
A cough is described as chronic if it has been present for: - ANSWERb) 8 weeks or
more
[p. 357 Primary Care]
A key symptom of ischemic heart disease is chest pain. However, angina equivalents
may include exertional dyspnea. Angina equivalents are important because -
ANSWERa) Women with ischemic heart disease many times do not present with chest
pain b) Some patients may have no symptoms or atypical symptoms; diagnosis may
only be made at the time of an actual myocardial infarction
d) A & B only [p. 453]
A woman with an X-linked dominant disorder will: - ANSWERb) Transmit the disorder to
50% of her offspring (male or female)
A 55-year-old post-menopausal woman with a history of hypertension complains of jaw
pain on heavy exertion. There were no complaints of chest pain. Her ECG indicates
normal sinus rhythm without ST segment abnormalities. Your plan may include: -
ANSWERb) Exercise stress test
The aging process causes what normal physiological changes in the heart? -
ANSWERa) The heart valve thickens and becomes rigid, secondary to fibrosis and
sclerosis
It is important to not dilate the eye if ____ is suspected - ANSWERc) Acute closed-
angle glaucoma
Your patient is a 78-year-old female with a smoking history of 120-pack years. She
complains of hoarseness that has developed over the last few months. It is important to
exclude the possibility of: - ANSWERb) Laryngeal cancer
, 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? -
ANSWERd) Leukoplakia
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: -
ANSWERb) Irritable bowel syndrome
The most common cause of eye redness is - ANSWERa) Conjunctivitis
In AR disorders, carriers have - ANSWERD. One copy of a gene mutation but not the
disease
According to the Genetic Information Nondiscrimination Act (GINA): - ANSWERa) Nurse
Practitioners (NPs) should keep all genetic information of patients confidential
b) NPs must obtain informed consent prior to genetic testing of all patients
c) Employers cannot inquire about an employee's genetic information
d) All of the above ***
Aortic regurgitation requires medical treatment for early signs of CHF with: - ANSWERb)
ACE inhibitors
Which of the following is the most common cause of heartburn-type epigastric pain? -
ANSWERd) Peptic ulcer disease
The best way to diagnose structural heart disease/dysfunction non-invasively is: -
ANSWERc) Echocardiogram
Essential parts of a health history include all of the following except: - ANSWERc)
Current vital signs
Men have faster and more efficient biotransformation of drugs and this is thought to be
due to: - ANSWERb) Testosterone
The main focus of treatment of patients with ACD is - ANSWERc) Management of the
underlying disorder
A 72-year-old woman and her husband are on a cross-country driving vacation. After a
long day of driving, they stop for dinner. Midway through the meal, the woman becomes
very short of breath, with chest pain and a feeling of panic. Which of the following
problems is most likely? - ANSWERc) Pulmonary embolism
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