NURS 6531N FINAL EXAM Discussion

NURS 6531N FINAL EXAM Discussion

NURS 6531N FINAL EXAM Discussion


When   completing this quiz, did you comply with Walden University’s Code of Conduct   including the expectations for academic integrity?

· Question 2


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Central obesity, “moon” face, and dorsocervical fat pad   are associated with:



Metabolic     syndrome



Unilateral     pheochromocytoma



Cushing’s     syndrome



None     of the above


· Question 3


An elderly man is started on lisinopril and   hydrochlorhiazide for hypertension. Three days later, he returns to the   office complaining of left great toe pain. On exam, the nurse practitioner   notes an edematous, erythematous tender left great toe. The likely   precipitant of this patient’s pain is: NURS 6531N FINAL EXAM Discussion






Tight     shoes



Arthritis     flare





· Question 4


The most effective treatment of non-infectious bursitis   includes:


· Question 5


What conditions must be met for you to bill “incident to”   the physician, receiving 100% reimbursement from Medicare?



You must initiate the plan     of care for the patient


The physician must be     on-site and engaged in patient care


You must be employed as an     independent contractor


You must be the main health     care provider who sees the patient


· Question 6


Which of the following is not a risk factor associated   with the development of syndrome X and type 2 diabetes mellitus?


· Question 7


Which of the following is not a common early sign of   benign prostatic hyperplasia (BPH)?

A.   Nocturia
B. Urgency incontinence
C. Strong urinary stream flow
D. Straining to void


· Question 8


Steve, age 69, has gastroesophageal reflux disease (GERD).   When teaching him how to reduce his lower esophageal sphincter pressure,   which substances do you recommend that he avoid?

§ Food that is very hot or very cold

§ Fatty or fried foods

§ Peppermint or spearmint, including flavoring

§ Coffee, tea, and soft drinks that contain caffeine

§ Spicy, highly seasoned foods

§ Fried foodDT caffeine, chocolate and anticholinergics


· Question 9


Which drug category contains the drugs that are the first   line Gold standard therapy for COPD?


· Question 10


The most commonly recommended pharmacological treatment   regimen for low back pain (LBP) is:


· Question 11


Which of the following is not appropriate suppression   therapy for chronic bacterial prostatitis?


· Question 12


A patient presents with dehydration, hypotension, and   fever. Laboratory testing reveals hyponatremia, hyperkalemia, and   hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks   later with the same symptoms of hyperpigmentation, weakness, anorexia,   fatigue, and weight loss. What action(s) should the nurse practitioner take?

.A Obtain a   thorough history and physical, and check serum cortisol and ACTH levels.
B. Perform a diet history and check CBC and FBS.
C. Provide nutritional guidance and have the patient return in one month.
D. Consult home health for intravenous administration


· Question 13

The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is:

· Question 14

How do you respond when Jessica, age 42, asks you what constitutes a good minimum cardiovascular workout?

· Question 15


The intervention known to be most effective in the   treatment of severe depression, with or without psychosis, is:

· Question 16


You are assessing a patient after a sports injury to his   right knee. You elicit a positive anterior/posterior drawer sign. This test   indicates an injury to the: he
A. lateral meniscus
B. cruciate ligament
C. medial meniscus
D. collateral ligament.


· Question 17



A 32 year old female patient presents with fever, chills,   right flank pain, right costovertebral angle tenderness, and hematuria. Her   urinalysis is positive for leukocytes and red blood cells. The nurse   practitioner diagnoses pyelonephritis. The most appropriate management is:


· Question 18


A 21-year-old female presents to the office   complaining of urinary frequency and urinary burning. The nurse practitioner   suspects a urinary tract infection when the urinalysis reveals

· Question 19


A middle-aged man presents to urgent care complaining of   pain of the medial condyle of the lower humerus. The man works as a carpenter   and describes a gradual onset of pain. On exam, the medial epicondyle is   tender and pain is increased with flexion and pronation. Range of motion is   full The most likely cause of this patient’s pain is:


· Question 20


The initial clinical sign of Dupuytren’s contracture is:


· Question 21


The best test to determine microalbuminuria to assist in   the diagnosis of diabetic neuropathy


· Question 22


What is the first symptom seen in the majority of patients   with Parkinson’s disease?


· Question 23


The most commonly recommended method for prostate cancer   screening in a 55 year old male is:


· Question 24


Martin, age 24, presents with an erythematous ear canal,   pain, and a recent history of swimming. What do you suspect?


· Question 25


Which of   the following symptoms suggests a more serious cause of back pain?


· Question 26


Josh, age 22, is a stock boy and has an acute episode of   low back pain. You order and NSAID and tell him which of the following?

· Question 27


A 72 year old female patient reports a 6 month   history of gradually progressive swollen and painful distal interphalangeal   (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte   sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor   (RF) are all minimally elevated. What is the most likely diagnosis?

· Question 28


A patient taking levothyroxine is being   over-replaced. What condition is he at risk for?


· Question 29


Which of the following is the most common cause of low   back pain?



Lumbar     disc disease



Spinal     stenosis



Traumatic     fracture





· Question 30


Which is the most common cause of end-stage renal disease   in the United States?


· Question 31


A 77-year-old female presents to the office complaining a   sudden swelling on her right elbow. She denies fever, chills, trauma, or   pain. The physical exam reveals a non-tender area of swelling over the   extensor surface over the right elbow with evidence of trauma or irritation.   The nurse practitioner suspects:






Ulnar     neuritis

NURS 6531N FINAL EXAM Discussion


Septic     arthritis



Olecranon     bursitis

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