Quizlet Nursing Diagnosis Practice Exam With Answers (85 Solved Questions)

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1.A 14yo male with bronchitis is being treated with fluids and expectorants. He returnsto the clinic with a fever of 103F, right pleuritic chest pain, and green sputum. Whichof the following examination results would be expected?A. Right lower lobe cracklesB. Decreased FremitusC. Bilateral WheezingD. Normal Percussion2.2 year old child is diagnosed with radial head subluxation ("nursemaid's elbow").After closed manipulation, the best indication of successful treatment is that:A. Swelling dissipates immediatelyB. Pulse and sensation are restoredC. The child quickly begins to use the affected armD. A click is felt while the child is extending and rotating the arm3.Which of the following would be an appropriate alternative to erythromycin therapy in an 18year old patient with Mycoplasma pneumoniae infection?A. Azithromycin (Zithromax)B. Cephalexin (Keflex)C. AmoxicillinD. Clindamycin (Cleocin)4.A 10-month old presents with a rash, runny nose, and cough. Examination reveals a cluster oftiny white papules with an erythematous base on the buccal mucosa. What does this suggest?A. Scarlet feverB. RubellaC. Erythema infectiosumD. Measles5.Office Spirometry performed with an albuterol nebulizer treatment can confirm a diagnosisof asthma because it indicates:A. Oxygen saturationB. Whether airway obstruction is from pulmonary fibrosisC. Chronic carbon dioxide retentionD. Whether a patient has reversible airway obstruction6.An 18yr old patient presents with complaints of maxillary facial pain and yellow nasaldischarge for 14 days. What is the appropriate initial pharmacologic intervention?A. Amoxicillin-Clavulanate (Augmentin)B. Ceftriaxone (Rocephin)C. Levofloxacin (Levaquin)D. Erythromycin7.Which of the following is the leading cause of cancer-related deaths in the majority ofwomen?A. cervical Cancer

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B. Ovarian CancerC. Breat CancerD. Lung Cancer8.A 29-year old male with noncomplicated Chlamidia infection may exhibit:A. UrticariaB. No remarkable clinical symptomsC. A green mucoid penile dischargeD. A penile ulcer9.To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient:A. The meaning of a common proverbB. What action the patient would take if there was a fire in the houseC. To count backwards from 100 by 7sD. To spell a word backward.10.A common rule to follow when prescribing many medications for the elderly is to:A. Give most medications in the morning to allow slowed body functions to have timeto adjust to the drug.B. Start at a lower dose than what is commonly prescribed for adults, and increasethe dose slowly.C. Perform a creatinine clearance test for baseline data on all person over age 70before starting on new medications.D. Give medication with a full glass of water to promote absorption and limit harm tothe kidneys.11.A 72 year old female presents with a medical history unremarkable except for theoccasional headache. She enjoyed emotional health throughout marriage andchildrearing, although her family history is significant for strokes and nervousbreakdowns. Since her husband died a year ago, however, she has been wakingevery morning at 3am, is reluctant to go out although she has family member livingnearby, and feels a continual urge to sleep. She cannot discuss her late husbandwithout crying. Differential diagnoses would include:A. Stroke, depression, and hyperthyroidismB. Depression, Unresolved grief, and hypothyroidismC. Migraine, anxiety disorder, and hypertensionD. Dementia, delirium, and pna12.The parent of a 13-year old diagnosed with seizure disorder calls to report that thechild is exhibiting symptoms of a cold, but has no fever. The nurse practitionershould advise the parent that development of fever may:A. make the seizure medication less effectiveB. Lower the seizure thresholdC. Increase the seizure thresholdD. Have no effect on the seizure threshold13.After a 3-week camping trip, an 11-year old is seen for a target lesion with centralclearing, located in the inguinal area. The patient has had a severe headache,malaise, fatigue, and generalized musculoskeletal pain for several days.

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Pharmacologic management of this condition includes:A. trimethoprim-sulamethoxazole (Bactrim)B. Azithromycin (Zithromax)C. Metronidazole (Flagyl)D. Doxycycline (Doryx)14.An 88 year old male presents with concerns about memory loss. He feels good,takes an aspirin daily, and has no chronic diseases. He lives alone, drives his owncar, and manages his financial affairs. To evaluate his memory, which of thefollowing tests should the nurse practitioner choose?A. Folstein Mini-Mental State examinationB. Geriatric Depression ScaleC. Minnesota Multiphasic Personality InventoryMyers-Briggs Test15. During development of a treatment plan for an 84 year old patient with hypothyroidism, thenurse practitioner has to keep in mind the worsening of:A. renal insufficiencyB. OsteoporosisC. DementiaD. Anemia16. A 16 year old female in the first month of taking Ortho-Novum 7/7/7 complains of midcyclespotting. She hasn't missed any doses and uses no other medication. Which of the followingis appropriate?A. Modifying useB. Double dosing for 2 daysC. Changing to Ortho-Novum 1/35D. Providing reassurance17. The management of choice for polymyalgia rheumatica includes:A. whirlpoolB. PrednisoneC. AnelgesicsD. Celebrex18.A 50 year old male presents with a chief complaint of malaise. Further questioningreveals that his primary concern is delayed ejaculation. He is currently taking thefollowing medications: atenolol (Tenormin), 50 mg daily; paroxetine (Paxil), 20 mgdaily; loratadine (Claritin-D), 1 tablet daily; and hydrochlorthoriazide (HCTZ), 25 mgdaily. The most likely cause of the patient's concern would be:A. loratadineB. hydrochlorthoriazide (HCTZ)C. lisinopril (Zestril)D. paroxetine (Paxil)19.A 3 year old patient presents at an inner-city clinic with fever, cough, malaise, andloss of appetite. The patient lives with several relatives, including a grandmotherwho also has a cough. Which of the following diagnostic tests would be mostappropriate for the patient?A. throat cultureB. sputum culture

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C. Mantoux (PPD) skin testD. Cold agglutinin test20.A 25-year old presents with the chief complaint of decreased mobility and pain of theright shoulder exacerbated with movement. The patient reports that he participatedin extensive house painting 24 hours prior to the onset of pain. He denies anytrauma. Passive ROM is intact. No redness or ecchymosis is present. What is thenext step that should be taken in order to make a diagnosis?A. Palpate structures around the shoulderB. Obtain an MRI to evaluate the shoulderC. Order an Xray of the shoulderD. Request an EMG21.A 17 year old femlae has never had her menses. She is at Tanner stage III of sexualdevelopment. Her physical exam in completely normal, and her weight is appropriatefor her age and height. What is the most likely diagnosis?A. Ovarian dysgenesisB. DysmenorrheaC. Primary amenorrheaD. Secondary amenorrhea22.An 18-month old child presents with a bulging, immobile tympanic membrane; T-103F(39.4C). Assessment also reveals a grade II/VI systolic murmur at the leftsternal border. After initiation of treatment for otitis media, the most appropriateintervention is to:A. Obtain an EKGB. Obtain an EchocardiogramC. Reevaluate the patient in 10 daysD. Refer the patient to a cardiologist23. Which of the following is NOT an indication of preeclampsia?A. visual disturbancesB. GlucosuriaC. Edema of the face and handsD. Headaches24. Which of the following pharmacotherapeutics would be most important to administer to apatient who has a corneal abrasion?A. Olopatadine (Patanol)B. Cromolyn opthalmic (Crolom)C. Timolol (Timoptic)D. Gentamycin Opthalmic (Genoptic)25.An 88 year old patient presents with right-sided weakness after being unable to riseunassisted following a fall to the bathroom floor. History includes aphasia andnoncompliance with hypertension medication regimen. What is the most likelydiagnosis?A. SeizureB. Right-sided StrokeC. Left-sided strokeD. Trans ischemic attack

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