NCA 622 Exam 1 PlayPosit and Questions with correct answers, Exams of Nursing

Download NCA 622 Exam 1 PlayPosit and Questions with correct answers and more Exams Nursing in PDF only on Docsity!

What |is |the |goal |of |evidence-based |medicine? a. |Patient |satisfaction |with |their |care b. |Positive |impacts |on |the |patients' |outcomes c. |Reduced |length |of |stay |and |costs |for |the |patient d. |Improve |the |patient |to |provider |experience |- |correct |answer |✔b. |Positive |impacts |of |the |patients' |outcomes What |is |the |first |step |of |conducting |a |research |study? a. |Identify |the |population b. |Perform |a |literature |review c. |Formulate |the |research |problem d. |Formulate |a |hypothesis |- |correct |answer |✔c. |Formulate |the |research |problem What |is |the |last |step |in |the |research |process? a. |Interpret |results b. |Perform |data |analysis c. |Disseminate |the |findings d. |Identify |the |methods |oof |data |collection. |- |correct |answer |✔c. |Disseminate |the |findings

Which |research |design |is |more |susceptible |to |biases? a. |Qualitative b. |Quasi-experimental c. |Cohort d. |Cross-sectional |- |correct |answer |✔a. |Qualitative Which |research |design |helps |provide |answers |to |the |questions |of |who, |what, |when, |where, |and |how |associated |with |a |particular |research |problem? a. |Qualitative b. |Cross-sectional c. |Correlational d. |Descriptive |- |correct |answer |✔d. |Descriptive An |observational |study |draws |a |conclusion |by |comparing |subjects |against |a |control |group, |in |cases |where |the |researcher |has |no |control |over |the |experiment. |This |study |is |a |type |of |which |research |design? a. |Correlational b. |Quasi-experimental c. |Longitudinal d. |Qualitative |- |correct |answer |✔a. |Correlational This |type |of |study |follows |the |same |sample |over |time |and |makes |repeated |observations |by |interviewing |at |regular |intervals |or |increments |of |time? a. |Cross-sectional b. |Longitudinal

b. |There |is |no |clinical |significance c. |There |is |statistical |and |clinical |significance d. |There |is |a |statistical |significance |- |correct |answer |✔d. |There |is |a |statistical |significance A |clinical |study |of |the |results |of |two |different |therapies |for |hypertension |reports |that |the |mean |blood |pressure |using |therapy |A |was |less |than |that |using |therapy |B. |The |authors |report |a |pp |value |oof |< |0.05 |for |the |difference |between |the |two |therapies |and |statistical |significance |is |confirmed. |Which |oof |the |following |represents |the |proper |interpretation |of |this |p |value? a. |Therapy |A |is |five |times |better |than |Therapy |B b. |There |is |less |than |a |5% |probability |that |these |results |occurred |by |chance |alone c. |There |is |a |5% |probability |that |therapy |A |lowers |blood |pressure d. |The |difference |between |therapy |A |and |therapy |B |is |5% |- |correct |answer |✔b. |There |is |less |than |a |5% |probability |that |these |results |occurred |by |chance |alone. Type | 4 |hypersensitivity |reaction |is |a |cellular |response |and |considered |a |delayed |hypersensitivity |reaction. |T/F |- |correct |answer |✔True All |of |the |following |are |associated |with |Type | 1 |hypersensitivity |reactions |except: a. |serum |sickness b. |angioedema c. |hay |fever d. |eczema e |allergic |rhinitis

f. |systemic |anaphylaxis |- |correct |answer |✔a. |Serum |sickness A |21yo |presents |with |facial |swelling, |urticaria, |and |hives |after |attending |a |party |where |she |ate |lunch. |A |Type | 1 |hypersensitivity |reaction |is |due |to: a. |IgM |mediated |reaction b. |IgE |mediated |reaction c. |IgG |mediated |reaction d. |unrelated |to |any |immunoglobulin |mediated |reaction |- |correct |answer |✔b. |IgE All |of |the |following |are |Type | 2 |cytotoxic |complement |mediated |hypersensitivity |reactions |except: a. |Rheumatic |fever b. |Hemolytic |anemia c. |Rh |incompatibility d. |Goodpasture's |syndrome e. |Steven |Johnson |syndrome |- |correct |answer |✔e. |Steven |Johnson |syndrome Serum |sickness, |rheumatoid |arthritis, |and |an |arthrus |reaction |are |all |Type | 3 |hypersensitivity |reactions. |T/F |- |correct |answer |✔True Type | 4 |T |cell |mediated |delayed |hypersensitivity |reactions |include |all |of |the |following |except: a. |SJS b. |Contact |dermatitis c. |PPD |skin |testing

Serum |sickness |is |a |type | 3 |hypersensitivity |immune |complex |mediated |reaction |that |presents |with |fever, |rash, |and |polyarthralgias. |T/F |- |correct |answer |✔True What |disease |process |presents |with |GI |infections |and |other |dysfunctions? |- |correct |answer |✔CVID A |patient |at |risk |for |CVID |is |at |risk |for |all |of |the |following |except: a. |infection b. |malignancy c. |autoimmune |disorders d. |hypergammaglobulinemia |- |correct |answer |✔d. |hypergammaglobulinemia All |of |the |following |encapsulated |bacteria |are |more |likely |to |cause |an |infection |in |patients |with |CVID |except: a. |Staph |aureus b. |Klebsiella c. |H |flu d. |Strep |pneumo |- |correct |answer |✔b. |Klebsiella A |29yo |female |presents |with |another |URI |for |the |3rd |time |in |a |month |despite |Abx |treatment. |Labs |include |an |absence |of |plasma |B |cells |and |hypogammaglobulinemia. |You |suspect: |- |correct |answer |✔CVID The |most |common |laboratory |abnormalities |found |with |CVID |are: |- |correct |answer |✔Low |levels |of |plasma |B |cells |and |hypogammaglobulinemia

A |40yo |male |with |PMH |of |asthma |and |Chron's |presents |with |infection |despite |vaccination, |recurrent |infections, |and |severe |fatigue. |He |has |low |plasma |levels |and |hypogammaglobulinemia. |The |most |important |therapy |for |this |patient |is: |- |correct |answer |✔Treat |the |underlying |infections |and |begin |IVIG |infusion |with |allergist |or |immunologist |consult The |most |common |complication |of |CVID |from |recurrent |sinopulmonary |disease |is: |- |correct |answer |✔Chronic |lung |disease: |bronchiectasis |or |bronchiolitis |obliterans |syndrome Those |with |IgA |deficiency |have |undetectable |IgA |levels |< | 7 |with |normal |IgG, |IgM, |and |IgE |levels. |T/F |- |correct |answer |✔True Selective |IgA |deficiency |is |not |associated |with |other |autoimmune |disorders |like |Grave's |disease |and |SLE. |T/F |- |correct |answer |✔False Many |of |those |with |IgA |deficiency |are |asymptomatic |and |are |diagnosed |due |to |work |up |of |another |underlying |problem. |T/F |- |correct |answer |✔True A |patient |with |IgA |deficiency |is |safe |to |get |vaccines |with |an |appropriate |physiological |response |to |the |action |of |the |vaccine |within |the |body |as |long |as |it |is |not |life |or |attenuated. |T/F |- |correct |answer |✔True Acute |rejection |falls |under |what |type/s |of |hypersensitivity |reaction? a. |Type | 1 | b. |Type | 2 c. |Type | 3

c. |Transplant |rejection d. |GI |bleed |- |correct |answer |✔c. |Transplant |rejections Chronic |rejection |s/p |transplant |occurs |within |one |month |and |is |reversible |with |the |treatment |of |high |dose |IV |solumedrol. |T/F |- |correct |answer |✔False All |of |the |following |are |immunosuppressant |medications |except: a. |corticosteroids b. |tacrolimus c. |hydralazine d. |azathioprine e. |mycophenolate |mofetil |- |correct |answer |✔c |hydralazine Gastrointestinal |infections |and |dysfunction |are |commonly |associated |with |which |of |the |following |immunodeficiencies? a. |CVID b. |Immune |complex |mediated c. |Adult |T |cell d. |Complement |- |correct |answer |✔a |CVID A | 60 |year |old |man |presents |with |pain |and |stiffness |in |his |fingers, |mostly |the |DIP |joints |and |in |his |right |knee. |What |is |the |best |initial |treatment? a. |Methotrexate b. |NSAIDS |or |acetaminophen c. |Prednisone |- |correct |answer |✔b. |NSAIDS |or |acetaminophen

What |laboratory |tests |should |be |ordered |for |lupus? |- |correct |answer |✔CBC: |leukopenia, |anemia, |thrombocytopenia BMP: |creatinine Antinuclear Anti-double |stranded |DNA Anti-Smith Anti-phospholipid ESR CRP C3 |and |C What |are |the |goals |of |therapy |for |those |with |lupus? |Choose |all |that |apply: a. |Limit |damage b. |Prevent/minimize |flares c. |Cure |the |disease |- |correct |answer |✔a |and |b, |limit |damage |and |prevent/minimize |flares What |is |the |treatment |for |mild |to |moderate |lupus? |- |correct |answer |✔Hydroxychloroquine |and |glucocorticoids A | 46 |year |old |woman |presents |with |swelling |around |both |of |her |eyes. |She |has |had |decreased |urination |over |the |past |two |weeks. |She |feels |malaise |and |has |a |low-grade |fever |and |joint |pain. |A |UA |shows |moderate |proteinuria, |3g, |and |erythrocyte |casts. |Lab |studies |show |a |hemoglobin |of |9.6, |BUN |of |29, |and |creatinine |of |2. |Which |differential |is |most |likely?

Elevated |_____ |and |_____ |help |confirm |the |diagnosis |of |polymyalgia |rheumatica |- |correct |answer |✔ESR |and |CRP A | 75 |year |old |presents |with |severe |left |sided |pain |of |the |temporal |region, |headache, |and |diplopia/visual |impairment. |A |head |CT |report |indicates |arterial |narrowing |of |the |temporal |artery. |What |is |your |next |immediate |step? a. |Give |NSAIDS b. |Order |a |repeat |CT |scan c. |Give |IV |methylprednisolone |now d. |Give |PO |methylprednisolone |now |- |correct |answer |✔c. |Give |IV |methylprednisolone |now An |NP |is |assessing |a | 30 |year |old |female |with |suspected |depression. |Which |of |these |questions |are |most |important |to |ask? a. |Have |you |thought |about |harming |yourself? b. |Have |you |talked |to |your |husband |about |your |feelings? c. |Are |you |prescribed |anything |to |help |with |your |mood? d. |Have |you |been |diagnosed |with |depression |before? |- |correct |answer |✔a. |Have |you |thought |of |harming |yourself A |patient |with |a |history |of |bipolar |depression |is |brought |to |the |ER |by |his |mother |due |to |change |in |behavior. |The |mother |says |this |is |similar |to |when |he |was |diagnosed |with |bipolar |disorder | 2 |years |ago. |Which |line |of |questioning |by |the |NP |shows |an |understanding |of |the |likely |cause |of |the |behavior |change? a. |How |much |sleep |is |he |getting? b. |What |kind |of |impulsive |behavior |is |he |exhibiting? |

c. |Is |he |still |taking |his |bipolar |medication? d. |How |old |was |he |when |he |was |diagnosed |with |bipolar? |- |correct |answer |✔c. |Is |he |still |taking |his |bipolar |medications? Which |statement |by |the |NP |student |shows |a |lack |of |understanding |of |the |risk |factors |of |suicide? a. |Losing |one's |job |is |a |risk |factor |for |committing |suicide |in |an |individual |with |depression. b. |Someone |who |feels |better |after |starting |antidepressants |is |not |a |risk |of |committing |suicide. c. |Women |attempt |suicide |at |a |higher |rate |than |men. d. |Having |a |chronic |medical |condition |is |a |risk |for |suicide. |- |correct |answer |✔b. |Someone |who |feels |better |after |starting |antidepressant |is |not |a |suicide |risk When |choosing |an |antidepressant |to |prescribe |a | 50 |year |old |man |with |BPH, |which |of |these |should |be |avoided? a. |amitriptyline b. |citalopram c. |duloxetine d. |escitalopram |- |correct |answer |✔a. |amitriptyline Which |statement |made |by |a |patient |starting |an |MAO |inhibitor |shows |need |for |education? a. |I |should |not |stop |taking |the |medicine |without |talking |to |my |prescriber. b. |I |should |take |the |medicine |as |prescribed. c. |I |should |not |expect |the |medication |to |work |immediately.

What |is |the |only |class |of |medications |approved |for |the |treatment |of |PTSD? |- |correct |answer |✔SSRIs What |is |the |most |appropriate |intervention |for |a | 75 |year |old |female |with |sepsis |for |acute |delirium? a. |Order |restraints. |You |do |not |want |to |put |in |another |CVL. b. |Order |lorazepam |2mg |IV |PRN |Q4h. c. |Don't |order |anything. |This |behavior |is |normal |for |a |patient |her |age. d. |Reassure |the |nurse |that |the |patient |likely |has |developed |delirium |secondary |to |her |infection |process |and |that |you |will |order |PRN |haldol |for |the |agitation. |- |correct |answer |✔d. |Reassure |the |nurse |that |the |patient |likely |has |developed |delirium |secondary |to |her |infection |process |and |that |you |will |order |PRN |haldol |for |the |agitation. A | 75 |year |old |man |is |brought |to |the |ER |for |evaluation |of |confusion. |In |review |of |the |patient's |medications, |which |one |concerns |you? a. |Benadryl b. |Tylenol c. |Coreg d. |Lasix |- |correct |answer |✔a. |Benadryl You |are |reviewing |labs |on |a |patient |in |the |ICU |admitted |with |delirium. |Which |lab |value |helps |to |explain |the |likely |cause |of |delirium? a. |Mag |2. b. |Potassium |4. c. |Sodium | 120

d. |Blood |glucose | 100 |- |correct |answer |✔c. |Sodium | 120 All |of |these |are |management |options |for |delirium |in |an | 80 |year |old |except: a. |lorazepam b. |family |or |sitter c. |quetiapine d. |reorientation |- |correct |answer |✔a. |lorazepam All |of |the |following |are |management |choices |for |psychosis |except: a. |ensure |patient |and |staff |safety b. |consult |psychiatry c. |discharge |the |patient |home |with |a |prescription |for |anxiety |medicine d. |anticipate |ordering |an |antipsychotic |medication |if |the |agitation |continues |- |correct |answer |✔c. |discharge |the |patient |home |with |a |prescription |for |anxiety |medication What |classes |of |medications |have |a |black |box |warning |for |dementia |patients? |- |correct |answer |✔1st |and |2nd |generation |antipsychotics Due |to |high |risk |of |extrapyramidal |symptoms, |which |of |these |medications |is |not |considered |first |line |treatment |for |a |patient |with |psychosis |without |any |other |known |medical |problems? a. |haldol b. |ziprasidone c. |aripiprazole d. |quetiapine |- |correct |answer |✔a. |Haldol

b. |it |is |a |progressive |decline |in |cognition c. |dementia |and |mild |cognitive |impairment |are |the |same d. |Alzheimer's |is |often |diagnosed |before |the |age |of |60. |- |correct |answer |✔b. |it |is |a |progressive |decline |in |cognition All |of |the |following |statements |show |an |understanding |of |dementia |except: a. |Patients |with |dementia |are |not |at |risk |for |depression b. |Dementia |diagnosis |cannot |be |done |in |one |office |visit c. |The |Katz |and |Lawton |scales |are |used |to |assess |functional |capacity |in |the |elderly d. |The |evaluation |of |dementia |should |be |done |when |the |patient |is |medically |stable |- |correct |answer |✔a. |Patients |with |dementia |are |not |at |risk |for |depression An |MMSE |score |of | 15 |correlates |to: a. |severe |dementia b. |mild |dementia c. |moderate |dementia d. |normal |finding |- |correct |answer |✔c. |moderate |dementia T/F: |Individuals |who |are |diagnosed |with |Alzheimer's |disease |develop |loss |of |function |within | 10 |years |of |diagnosis. |- |correct |answer |✔False A | 70 |year |old |man |is |brought |for |evaluation |of |possible |dementia. |Which |of |the |following |symptoms |is |concerning |for |Alzheimer's |dementia? a. |She |has |been |shopping |a |lot. |This |is |out |of |character |for |her.

b. |She |has |been |having |behavior |disturbances. c. |She |cannot |remember |where |she |places |her |house |keys |a |lot. d. |She |seems |apathetic. |- |correct |answer |✔c. |She |cannot |remember |where |she |places |her |house |keys |a |lot. Which |medication |is |most |appropriate |as |a |sleep |aid |in |a |patient |with |dementia? a. |benadryl b. |seroquel c. |trazodone d. |ambien |- |correct |answer |✔c. |trazodone When |assessing |whether |a |person |with |dementia |should |stop |driving, |all |of |the |following |are |factors |except: a. |age |the |dementia |diagnosis |was |made b. |ability |to |perform |other |ADLs c. |dementia |severity d. |medications |the |patient |is |taking |- |correct |answer |✔a. |age |the |dementia |diagnosis |was |made A |research |study |found |the |results |of |the |study |to |be |strong |enough |to |reject |the |null |hypothesis. |However, |the |intervention |is |not |feasible |in |the |given |clinical |setting. |This |would |be |interpreted |as |- |correct |answer |✔statistically |significant |but |not |clinically |significant.