NURS 6531 FINAL EXAM, PART TWO EXAM QUESTIONS WITH CORRECT VERIFIED SOLUTIONS 100% GUARANTEED PASS (LATEST UPDATE)
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NURS 6531
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NURS 6531
NURS 6531 FINAL EXAM, PART TWO EXAM QUESTIONS WITH CORRECT VERIFIED SOLUTIONS 100% GUARANTEED PASS (LATEST UPDATE)NURS 6531 FINAL EXAM, PART TWO EXAM QUESTIONS WITH CORRECT VERIFIED SOLUTIONS 100% GUARANTEED PASS (LATEST UPDATE)NURS 6531 FINAL EXAM, PART TWO EXAM QUESTIONS WITH CORRECT VERIFIED SOL...
NURS 6531 FINAL EXAM QUESTIONS
AND ANSWERS UPDATED (2024/2025)
(VERIFIED ANSWERS)
Which medications may be used as part of the treatment for a patient with
hidradenitis suppurativa? (Select all that apply.)
a. Chemotherapy
b. Erythromycin
c. Infliximab
d. Isotretinoin
e. Prednisone - ANS ✓ANS: B, C, D, E
Hidradenitis suppurativa is not malignant and chemotherapy is not used.
Erythromycin,
infliximab, isotretinoin, and prednisone are all used.
A patient is seen in the clinic for patches of hair loss. The provider notes
several well-demarcated patches on the scalp and eyebrows without areas
of inflammation and several hairs within the patch with thinner shafts near
the scalp. Based on these findings, which type
of alopecia is most likely?
a. Alopecia areata
b. Anagen effluvium
c. Cicatricial alopecia
d. Telogen effluvium - ANS ✓ANS: A
These findings are characteristic of alopecia areata. Anagen effluvium and
telogen effluvium both result in diffuse hair loss and not discrete patches.
Cicatricial alopecia involves inflammation.
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A patient diagnosed with alopecia is noted to have scaling on the affected
areas of the scalp. Which confirmatory test(s) will the provider order?
a. Examination of scalp scrapings with potassium hydroxide (KOH)
b. Grasping and pulling on a few dozen hairs
c. Serum iron studies and a complete blood count
d. Venereal Disease Research Laboratory (VDRL) test - ANS ✓ANS: A
Scaling on the scalp is suggestive of tinea capitis. To confirm this, the
provider will perform scalp scraping or test hair samples with KOH
preparation to look for hyphae. Grasping and pulling on hairs is used to
identify anagen or telogen hairs by appearance. Serum iron and aCBC are
used if anemia is suspected as a cause. VDRL is performed if syphilis is
suspected.
A female patient is diagnosed with androgenetic alopecia. Which
medication will the primary health care provider prescribe?
a. Anthralin
b. Cyclosporine
c. Finasteride
d. Minoxidil - ANS ✓ANS: D
Either minoxidil or finasteride are used for androgenetic alopecia, but
finasteride is Pregnancy
Category X, so minoxidil is the only medication approved by the FDA for use
in women. Anthralin and cyclosporine are used to treat alopecia areata.
A young adult has been bitten by a dog resulting in several puncture
wounds near the thumb of one hand but can move all fingers and the
bleeding has stopped. What understanding
regarding dog bites should direct the care of this patient?
a. Infection is a likely outcome for a dog bite.
b. Dog bites generally result in serious injury.
c. Neurovascular and destructive soft tissue injuries can occur from such a
bite.
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d. Oral antibiotics are needed to address the increased risk for the
development of
osteomyelitis. - ANS ✓ANS: C
Dog bites account for most of the domestic animal bites that require
medical care, yet dog bites have had the lowest incidence of wound
infection (2% to 13%). Even though most dog bites are relatively minor,
severe injuries can occur. These can include crush injuries, destructive soft
tissue injuries, neurovascular injuries, orthopedic injuries, and death.
Osteomyelitis is a risk for human bites.
A patient has sustained a human bite on the hand during a fist fight. Which
is especially concerning with this type of bite injury?
a. Possible exposure to rabies virus
b. Potential septic arthritis or osteomyelitis
c. Sepsis from Capnocytophaga canimorsus infection
d. Transmission of human immunodeficiency virus - ANS ✓ANS: B
Clenched-fist injury, or "fight bite," has a high complication rate from the
high penetrating
force with the potential for osteomyelitis, tendinitis, and septic arthritis.
Humans do not transmit rabies unless infected, which is highly unlikely.
Humans do not transmit C. canimorsus. HIV transmission is potential, but
the risk is extremely low.
Which type of bite is generally closed by delayed primary closure? (Select
all that apply.) p. 262
a. Bites to the face
b. Bites to the hand
c. Deep puncture wounds
d. Dog bites on an arm
e. Wounds 6 hours old or older - ANS ✓ANS: B, C, E
Cat and human bites, deep puncture wounds, clinically infected wounds,
wounds more than 6 to 12 hours old, and bites to the hand should be left
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open and closed by delayed primary closure. A bite to the face is closed by
primary closure. Dog bites do not require delayed or secondary closure.
A patient comes to the clinic after being splashed with boiling water while
cooking. The patient has partial thickness burns on both forearms, the
neck, and the chin. What will the provider do?
a. Clean and dress the burn wounds.
b. Order a CBC, glucose, and electrolytes.
c. Perform a chest radiograph.
d. Refer the patient to the emergency department (ED). - ANS ✓ANS: D
Patients with burns on the face, potential circumferential burns, and any
patient at risk of
airway compromise should be referred to the ED for evaluation and
treatment. The provider should do this urgently and not clean and dress
the wounds or order diagnostic tests.
A patient sustains chemical burns on both arms after a spill at work. What
is the initial action by the health care providers in the emergency
department (ED)? p. 269
a. Begin aggressive irrigation of the site.
b. Contact the poison control center.
c. Remove the offending chemical and garments.
d. Request the Material Safety Data information. - ANS ✓ANS: C
The initial response to a chemical burn is to remove the patient's clothing
and the offending chemical. Aggressive irrigation is usually recommended
next, but providers should first determine the source to make sure that it is
safe to use water. Contacting Poison Control and getting MSDS information
are useful measures after the clothing and chemical is removed.
A patient is taking a sulfonamide antibiotic and develops a rash that begins
peeling. Which type of rash is suspected?
a. Erythema multiforme
b. Stevens-Johnson
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