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NURS 6531 Final Exam Latest Updated 2024(100%Solved with correct Answers) Top Ranked for Graded A+
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Patient report of bladder dysfunction, saddle anesthesia, and motor weakness of limbs.
History of significant trauma relative to the patient’s age.
Decreased reflexes, strength, and sensation in the lower extremities.
Patient report of pain with the crossed straight leg raise.
Question 2. Which of the following is a potential acquired cause of thrombophilia?
Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of:
Ulnar tunnel syndrome
Carpal tunnel syndrome
The most reliable indicator(s) of neurological deficit when assessing a patient with acute low back pain is(are):
Tarsal tunnel syndrome
Myofascial pain syndrome
Which patient would benefit most from screening for type 2 diabetes?
A 30 year old female with unintended weight loss.
A 25 year old male with family history of type 1 diabetes
An obese female with recurrent vaginitis
A 50 year old hyperlipidemic male
The diagnosis of human papilloma virus (HPV) infection in males is usually made by:
Clinical appearance
Viral culture
Tzanck smear
KOH prep
The most effective intervention(s) to prevent stroke is (are):
81 mg of aspirin daily
Carotid endarterectomy for patients with high-grade carotid lesions
Routine screening for carotid artery stenosis with auscultation for bruits
Smoking cessation and treatment of hypertension
What is the most common cause of Cushing’s syndrome?
Excessive ACTH production
Administration of a glucocorticoid or ACTH
Pituitary adenoma or a non-pituitary ACTH- producing tumor
Autonomous cortisol production from adrenal tissue
chorea
Routinely after 3 weeks of low back pain symptoms.
To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of more of low back pain.
When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection.
As a part of a pre-employment physical when heavy lifting is included in the job description.
An enzyme-linked immunosorbent assay titer
A urea breath test
A rapid urease test
A repeat endoscopy
CAGE questionnaire
FAQ – Functional Activities Questionnaire
Holmes and Rahe social readjustment scale
Diagnostic radiological studies are indicated for low back pain:
After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been cured?
Which appropriate test for the initial assessment of Alzheimer’s disease provides the performance ratings on 10 complex, higher order activities?
Major depression occurs most often in which of the following conditions?
Family history
Benign prostatic hypertrophy
African American race
Age
Hypoglycemia is a rare complication.
Hypoglycemia requires professional medical treatment.
Hypoglycemia is serious, dangerous, and can be fatal if not treated quickly.
Hypoglycemia occurs only as a result of insulin overdose.
Which history is commonly found in a patient with glomerulonephritis?
Beta-hemolytic strep infection
Frequent urinary tract infections
Kidney stones
Hypotension
Which of the following is characteristic of a manic episode?
weight loss of gain
What information should patients with diabetes and their families receive about hypoglycemia?
Mononucleosi s
All of the above
None of the above
Weight gain
Fracture risk
Hypoglyce mia
Weight loss
cryptococcosi s
toxoplasmosi s
cryptosporidi osis
cytomegalovi ru
An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for this patient, the nurse practitioner is most concerned with which of the following side effects?
A patient has HIV infection and is having a problem with massive diarrhea. You suspect the cause is:
Which of the following is the most common causative organism of nongonococcal urethritis?
Chlamydia trachomatis
Ureaplasma urealyticum
Mycoplasma hominis
Trichonomas vaginalis
The most common symptoms of transient ischemic attack (TIA) include:
Nausea, vomiting, syncope, incontinence, dizziness, and seizure.
Weakness in an extremity, abruptly slurred speech, or partial loss of vision, and sudden gait changes.
Headache and visual symptoms such as bright spots or sparkles crossing the visual field.
Gradual onset of ataxia, vertigo, generalized weakness, or lightheadedness
What is the first symptom seen in the majority of patients with Parkinson’s disease?
Rigidity
Bradykinesi a
Rest tremor
Flexed posture
Trauma
Tight shoes
Arthritis flare
Hydrochlorothia zide
Which of the following is a contraindication for metformin therapy?
Insulin therapy
Creatinine >
Edema
None of the above
A positive drawer sign supports a diagnosis of:
Sciatica
Cruciate ligament injury
Meniscal injury
Patellar ligament injury
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:
Apples
Pepperm int
Cucumb ers
Popsicles
A patient taking levothyroxine is being over-replaced. What condition is he at risk for?
Osteoporo sis
Constipati on
Depressio n
Exopthal mia
HbA1C
2-hour 75 gram oral glucose tolerance test
C-peptide level
A and B
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?
Diabetes screening recommendations for asymptomatic adults age 45 and over include which of the following:
All of the above
Urine cultures should be obtained for which of the following patients?
Suspected urinary tract infection in pregnancy
Febrile patients
Young men
All of the above
“Caffeine has not effect on osteoporosis.”
“A high caffeine intake has a diuretic effect that may cause calcium to be excreted more rapidly.”
“Caffeine affects bone metabolism by altering intestinal absorption of calcium and assimilation of calcium into the bone matrix.”
“Caffeine increase bone resorption.”
Migraine headache
Subarachnoid hemorrhage
Glaucoma
Jennifer says that she has heard that caffeine can cause osteoporosis and asks you why. How do you respond?
The diagnosis which must be considered in a patient who presents with a severe headache of sudden onset, with neck stiffness and fever, is:
Meningitis
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
Digital rectal examination (DRE) plus prostate specific antigen (PSA)
Prostate specific antigen (PSA) alone
Transrectal ultrasound (TRUS) alone
Prostate specific antigen (PSA) and transrectal ultrasound (TRUS)
The primary goals of treatment for patients with alcohol abuse disorder are:
Reduction in withdrawal symptoms and reduction in desire for alcohol
Psychotherapeutic and pharmacological interventions to decrease desire for and effects of alcohol
Abstinence or reduction in use, relapse prevention, and rehabilitation
What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare?
The most commonly recommended method for prostate cancer screening in a 55 year old male is:
Infection
Trauma
A and B
Question 50
Underweigh t
Normal weight
Overweight
Obese
Question 51 Reed-Sternberg B lymphocytes are associated with which of the following disorders:
Aplastic anemia
Hodgkin’s lymphoma
Non Hodgkin’s lymphoma
Myelodysplastic syndromes
Question 53
Arthritis
A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified as:
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
Septic arthritis
Olecranon bursitis
Question 54 Establishment of a definitive diagnosis of osteomyelitis requires:
A known causative injury such as a puncture wound, bite, or decubitus ulcer.
Biopsy of culture of the pathogen from blood or bone aspirate.
Visualization of purulent material draining into soft tissue.
Lucent areas identified on plain x-ray.
Question 55 The most accurate measure of diabetes control is:
Avoidance of micro- and macro-vascular complications.
Insulin sensitivity.
Early morning glucose levels.
HgbA1c
Question 56
Alprazolam or diazepam
A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the following medications may be used to treat generalized anxiety disorder?