NSG 6420 MIDTERM EXAM NEWEST
ACTUAL EXAM COMPLETE ACCURATE
QUESTIONS AND DETAILED VERIFIED
ANSWERS GRADED A+ | 100% VERIFIED |
2024 UPDATE!!!
Dan G., a 65-year-old man, presents to your primary care office
for the evaluation of chest pain and left-sided shoulder pain.
Pain begins after strenuous activity, including walking. Pain is
characterized as dull, aching; 8/10 during activity, otherwise
0/10. Began a few months ago, intermittent, aggravated by
exercise, and relieved by rest. Has occasional nausea. Pain is
retrosternal, radiating to left shoulder, definitely affects quality
of life by limiting activity. Pain is worse today; did not go away
after he stopped walking. BP 120/80. Pulse 72 and regular.
Normal heart sounds, S1 and S2, no murmurs. Which of the
following differential diagnoses would be most likely? - ✔✔✔
Correct Answer > a) Musculoskeletal chest wall
syndrome with radiation
b) Esophageal motor disorder with radiation c) Acute
cholecystitis with cholelithiasis
d) Coronary artery disease with angina pectoris
,When teaching a group of older adults regarding prevention of
gastroesophageal reflux disease symptoms, the nurse
practitioner will include which of the following instructions? -
✔✔✔ Correct Answer > a) Raise the head of the bed
with pillows at night and chew peppermints when symptoms of
heartburn begins.
b) Raise the head of the bed on blocks and take the proton
pump inhibitor medication at bedtime.
c) Sit up for an hour after taking any medication and restrict
fluid intake.
d) Avoid food intolerances, raise head of bed on blocks, and
take a proton pump inhibitor before a meal.
Jenny is a 24 year old graduate student that presents to the
clinic today with complaints of fever, midsternal chest pain and
generalized fatigue for the past two days. She denies any cough
or sputum production. She states that when she takes
Ibuprofen and rest that the chest pain does seem to ease off.
Upon examination the patient presents looking very ill. She is
leaning forward and states that this is the most comfortable
position for her. Temp is 102. BP= 100/70. Heart rate is
120/min and regular. Upon auscultation a friction rub is
audible. Her lung sounds are clear. With these presenting
,symptoms your initial diagnosis would be: - ✔✔✔ Correct
Answer > a) Mitral Valve Prolapse
b) Referred Pain from Cholecystitis
c) Pericarditis
d) Pulmonary Embolus
The following criterion is considered a positive finding when
determining whether a patient with asthma can be safely
monitored and treated at home: - ✔✔✔ Correct Answer
> a) Age over 40
b) Fever greater than 101
c) Tachypnea greater than 30 breaths/minute d) Productive
cough
Your 2-year-old patient shows facial features, such as
epicanthal folds, up-slanted palpebral fissures, single transverse
palmar crease, and a low nasal bridge. These are referred to as:
- ✔✔✔ Correct Answer > b) Dysmorphic features related
to genetic disease
, A 26-year-old, non-smoker, male presented to your clinic with
SOB with exertion. This could be due to: - ✔✔✔ Correct
Answer > c) Alpha-1 deficiency
Your patient has been treated for glaucoma for 5 years. Which
of the following will provide indication of the level of
progression during the funduscopic examination for this
patient? - ✔✔✔ Correct Answer > b)Estimating cup-to-
disk ratio
Which of the following medications are commonly associated
with the side effect of cough? - ✔✔✔ Correct Answer >
a) Beta blocker
b) Diuretic
c) ACE inhibitor
d) Calcium antagonist
When interpreting laboratory data, you would expect to see
the following in a patient with Anemia of Chronic Disease
(ACD): - ✔✔✔ Correct Answer > a) Hemoglobin <12 g/dl,
MCV normal, MCH normal
b) Hemoglobin >12 g/dl, MCV increased, MCH increased
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