NRNP6531 Clinical Analysis Final Exam Mid Exam With Answers (721 Solved Questions)

Name: NRNP6531 Clinical Analysis Final Exam Mid Exam With Answers (721 Solved Questions)
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NRNP 6531 Final Exam All
Exams(Bundled NRNP 6531 MIDTERM
EXAMS PLUS FINAL EXAMS)

User
Course NURS-6531N-8,Adv. Practice Care of Adults.2018 Summer Qtr
05/29-08/19-PT27
Test Midterm Exam
Status Needs Grading
Attempt
Score
0 out of 100 points
Time Elapsed 1 hour, 53 minutes out of 1 hour and 50 minutesOVER TIME
Results
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All Answers, Submitted Answers, Correct Answers
 Question 1
0 out of 0 points
When completing this quiz, did you comply with Walden University’s Code
of Conduct including the expectations for academic integrity?
Selected
Answer: Ye
s
Answers: Ye
s
No
 Question 2
1 out of 1 points
The most common cancer found on the auricle is:
Selected
Answer: Basal cell carcinoma
Answers: Actinic keratosis
Basal cell carcinoma
Squamous cell
carcinoma
Acral-lentiginous
melanoma
 Question 3
0 out of 1 points
Which of the following medication classes should be avoided in patients with acute or
chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the
patient?

Selected
Answer: Anticholinerg
ics
Answers: Xanthines
Antihistimine
s
Steroids
Anticholinerg
ics
 Question 4
0 out of 1 points
A 47 year old male patient presents to the clinic with a single episode of a moderate
amount of bright red rectal bleeding. On examination, external hemorrhoids are noted.
How should the nurse practitioner proceed?
Selected
Answer: Instruct the patient on measures to prevent hemorrhoids such as
bowel habits and diet.
Answers: Instruct the patient on measures to prevent hemorrhoids such as
bowel habits and diet.
Order a topical hemorrhoid cream along with a stool softener.
Refer the patient for a barium enema and sigmoidoscopy.
Refer the patient for a surgical hemorrhoidectomy.
 Question 5
0 out of 1 points
Which of the following patient characteristics are associated with chronic bronchitis?
Selected
Answer: Underweight, pink skin, and increased respiratory rate
Answers: Overweight, cyanosis, and normal or slightly increased
respiratory rate
Underweight, pink skin, and increased respiratory rate

Overweight, pink skin, and normal or slightly increased
respiratory rate
Normal weight, cyanosis, and greatly increased
respiratory rate
 Question 6
1 out of 1 points
A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and
polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain.
Her current medications include omeprazole 20 milligrams po daily, lisinopril 20
milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams po
daily. The nurse practitioner suspects acute diverticulitis and possibly an abscess. The
most appropriate diagnostic test for this patient at this time is:
Selected
Answer: CT scan
Answers: CBC/dif
Erythrocyte
sedimentation rate
Abdominal ultrasound
CT scan
 Question 7
1 out of 1 points
A patient reports “something flew in my eye” about an hour ago while he was splitting
logs. If there were a foreign body in his eye, the nurse practitioner would expect to find
all except:
Selected
Answer: Purulent drainage
Answers: Purulent drainage
Tearing
Photophobia
A positive fluorescein
stain

 Question 8
1 out of 1 points
A 21 year old college student presents to the student health center with copious,
markedly purulent discharge from her left eye. The nurse practitioner student should
suspect:
Selected
Answer: Gonococcal
conjunctivitis
Answers: Viral conjunctivitis
Common pink eye
Gonococcal
conjunctivitis
Allergic
conjunctivitis
 Question 9
0 out of 1 points
A 35 year old man presents with radicular pain followed by the appearance of grouped
vesicles consisting of about 15 lesions across 3 diferent thoracic dermatomes. He
complains of pain, burning, and itching. The nurse practitioner should suspect:
Selected
Answer: A complicated case of shingles and prescribe acyclovir, an analgesic,
and a topical cortisone cream
Answers: A common case of shingles and prescribe an analgesic and an antiviral
agent
A complicated case of shingles and prescribe acyclovir, an analgesic,
and a topical cortisone cream
Herpes zoster and consider that this patient may be
immunocompromised
A recurrence of chickenpox and treat the patient’s symptoms
 Question 10
0 out of 1 points

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Which type of lung cancer has the poorest prognosis?
Selected
Answer: Adenocarcinoma
Answers: Adenocarcinoma
Epidermoid
carcinoma
Small cell
carcinoma
Large cell
carcinoma
 Question 11
1 out of 1 points
An 83-year-old female presents to the office complaining of diarrhea for several days.
She explains she has even had fecal incontinence one time. She describes loose stools 3–
4 times a day for several weeks and denies fever, chills, pain, recent antibiotic use. The
history suggests that the patient has:
Selected
Answer: Chronic diarrhea
Answers: Acute diarrhea
Chronic diarrhea
Irritable bowel
Functional bowel
disease
 Question 12
1 out of 1 points
Margaret, age 32, comes into the office with painful joints and a distinctive rash in a
butterfly distribution on her face. The rash has red papules and plaques with a fine scale.
What do you suspect?
Selected
Answer: Systemic lupus
erythematosus

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Answers: An allergic reaction
Relapsing
polychondritis
Lymphocytoma cutis
Systemic lupus
erythematosus
 Question 13
1 out of 1 points
Antibiotic administration has been demonstrated to be of little benefit to the treatment of
which of the following disease processes?
Selected
Answer: Acute bronchitis
Answers: Chronic sinusitis
Acute bronchitis
Bacterial pneumonia
Acute exacerbation of chronic
bronchitis
 Question 14
0 out of 1 points
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2
agonist daily. Her exacerbations afect her activities and they occur at least twice weekly
and may last for days. She is afected more than once weekly during the night with an
exacerbation. Which category of asthma severity is Lisa in?
Selected
Answer: Mild persistent
Answers: Mild
intermittent
Mild persistent

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Moderate
persistent
 Question 15
0 out of 1 points
Which of the following is the most appropriate therapeutic regimen for an adult patient
with no known allergies diagnosed with group A B-hemolytic strep?
Selected
Answer: None of the above
Answers: Penicillin V 500 milligrams PO every 8 hours
for 10 days
Ampicillin 250 milligrams PO twice a day for
10 days
Clarithromycin 500 milligrams po daily for 7
days
None of the above
 Question 16
0 out of 1 points
A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by
leg elevation. She occasionally has edema in her lower legs at the end of the day. What is
the most likely cause of these problems?
Selected
Answer: Arterial
insufficiency
Answers: Congestive heart
failure
Varicose veins
Deep vein
thrombosis
Arterial
insufficiency
 Question 17
1 out of 1 points
Which statement below is correct about pertussis?
Selected

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Answer: It is also called whooping cough
Answers: It is also called whooping cough
It begins with symptoms like strep throat
It lasts about 3 weeks
It occurs most commonly in toddlers and
young children
 Question 18
0 out of 1 points
Which of the following is the most important diagnosis to rule out in the adult patient
with acute bronchitis?
Selected
Answer: Asthma
Answers: Pneumo
nia
Asthma
Sinusitis
Pertussis
 Question 19
1 out of 1 points
A 70 year old patient presents with left lower quadrant (LLQ) abdominal pain, a markedly
tender palpable abdominal wall, fever, and leukocytosis. Of the following terms, which
correctly describes the suspected condition?
Selected
Answer: Diverticulit
is
Answers: Diverticulo
sis
Diverticula

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Diverticulit
is
Diverticulu
m
 Question 20
1 out of 1 points
Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. This
morning she noticed a rash with erythematous papules in that site. What do you suspect?
Selected
Answer: Herpes
zoster
Answers: Varicella
Herpes
zoster
Syphilis
Rubella
 Question 21
0 out of 1 points
A 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knows
that the most common cause of pancreatitis is:
Selected
Answer: Medicatio
ns
Answers: Alcohol
Gallstone
s
Medicatio
ns
Pregnanc
y
 Question 22
1 out of 1 points

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When a patient presents with symptoms of acute gallbladder disease, what is the
appropriate nurse practitioner action?
Selected
Answer: Order an abdominal ultrasound
Answers: Order abdominal x-rays
Order an abdominal ultrasound
Refer the patient to a surgeon for
evaluation
Prescribe pain medication
 Question 23
0 out of 1 points
A false-positive result with the fecal occult blood test can result from:
Selected
Answer: stool that has been stored
before testing
Answers: ingestion of large amounts of
vitamin C
a high dietary intake of rare
cooked beef
a colonic neoplasm that is not
bleeding
stool that has been stored
before testing
 Question 24
0 out of 1 points
A 76-year-old male complains of weight loss, nausea, vomiting, abdominal cramping and
pain. Physical findings include an abdominal mass and stool positive for occult blood. The
nurse practitioner pain suspects a tumor in the small intestine. The best diagnostic test
for this patient is:
Selected
Answer: Colonoscopy

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Answers: Colonoscopy
Small bowel follow-
through
Barium enema
CT abdomen
 Question 25
1 out of 1 points
A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity
edema. The echocardiogram reveals and ejection fraction of 38%. The nurse practitioner
knows that these findings are consistent with:
Selected
Answer: Systolic heart
failure
Answers: Mitral
regurgitation
Systolic heart
failure
Cardiac myxoma
Diastolic heart
failure
 Question 26
1 out of 1 points
Maxine, Age 76, has just been given a diagnosis of pneumonia. Which of the following is
an indication that she should be hospitalized?
Selected
Answer: Multilobar involvement on chest x-ray with the inability to take oral
medications
Answers: Multilobar involvement on chest x-ray with the inability to take oral
medications

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Alert and oriented, slightly high but stable vital signs, and no one to
take care of her at home
Sputum and gram positive organisms
A complete blood count showing leukocytosis
 Question 27
0 out of 1 points
A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner
correctly tells him:
Selected
Answer: “It is the most common cause of death in patients with skin
cancer.”
Answers: “It is the most common cause of death in patients with skin
cancer.”
“It can be cured with surgical excision or radiation therapy.”
“It is a slow growing skin cancer that rarely undergoes
malignant changes.”
“It can be cured using 5-flurouracil cream twice daily for 2
to 4 weeks.”
 Question 28
1 out of 1 points
Expected spirometry readings when the patient has chronic emphysema include:
Selected
Answer: Increased total lung capacity (TLC)
Answers: Decreased residual volume (RV)
Increased vital capacity (VC)
Increased forced expiratory volume
(FEV-1)
Increased total lung capacity (TLC)
 Question 29

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1 out of 1 points
An 80-year-old male admits to difficulty swallowing during the review of systems. The
nurse practitioner recognizes the diferential diagnosis for this patient’s dysphagia is:
Selected
Answer: A and C
Answers: Esophageal
cancer
Chest pain
GERD
A and C
All of the
above
 Question 30
0 out of 1 points
A 40 year old female with history of frequent sun exposure presents with a multicolored
lesion on her back. It has irregular borders and is about 11mm in diameter. What should
the nurse practitioner suspect?
Selected
Answer: Basal cell
carcinoma
Answers: Squamous cell
carcinoma
Malignant
melanoma
A common nevus
Basal cell
carcinoma
 Question 31
1 out of 1 points
Which of the following is not a goal of treatment for the patient with cystic fibrosis?

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Selected
Answer: Replace water-soluble
vitamins
Answers: Prevent intestinal
obstruction
Provide adequate
nutrition
Promote clearance of
secretions
Replace water-soluble
vitamins
 Question 32
1 out of 1 points
The nurse practitioner is performing a physical exam on a middle-aged African-American
man. Which of the following areas is a common site for melanomas in African-Americans
and other dark-skinned individuals?
Selected
Answer: B and C
Answers: Scalp
Nails
Feet
B and C
All of the
above
 Question 33
1 out of 1 points
An adult presents with tinea corporis. Which item below is a risk factor for its
development?
Selected
Answer: Topical steroid
use

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University

Chamberlain College of Nursing

Subject

Nursing

NRNP6531 Clinical Analysis Final Exam Mid Exam With Answers (721 Solved Questions)

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