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NRNP 6531 FINAL EXAM WITH 100% CORRECT ANSWERS AND RATIONALES UPDATED 2023
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NRNP 6531 FINAL EXAM WITH 100% CORRECT ANSWERS AND RATIONALES UPDATED 2023
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NRNP 6531 FINAL EXAM WITH 100%CORRECT ANSWERS AND RATIONALES
UPDATED
2023
1.In the assessment for peripheral vascular disorders, the clinician should begin with
which of the following after the general history and physical examination?
1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally.
4. Order diagnostic testing.
---CORRECT ANSWER--- 1
First you should auscultate carotids then palpate then inspect fingers/nail beds
2. In the initial screening for a diagnosis of AAA, which of the following is the best
screening test?
1. CT scan
2. Complete blood count (CBC)
3. Ultrasound in the abdominal area
4. Angiograph
---CORRECT ANSWER--- 3
CT and angiography are for when surgical intervention is necessary US
is best initial screening
3. Patient education is very important for individuals who have AAA. The patient and
their family should be taught the importance of follow-up and the management of which
of the following? Select all that apply.
1. Hypertension
2. Hypercholesterolemia
3. Smoking
4. Chondromalacia
5. Pain –
-CORRECT ANSWER--- 1, 2, 3, 5
4.AAA is mostly atherosclerotic in nature, but can also be caused by trauma, infection,
and inflammation. Which of the following is a true statement regarding the tendency to
,develop AAA? Select all that apply.
1. There is no dominant ethnic group that develops AAA.
2. Caucasians have a higher risk of developing AAA.
3. Women have a higher risk of developing AAA.
4. There is a familial history associated with AAA development.
5. AAA is the 13th leading cause of death in the United States.
---CORRECT ANSWER--- 1, 4, 5
5. In treating AAA, arterial monitoring is recommended. Which of the following IV
6.antihypertensive agents should be used to rapidly and consistently maintain blood
pressure in the mean arterial pressure ranges? Select all that apply.
1. Nicardipine
2. Sertraline
3. Esmolol
4. Nitroglycerin
5. Carbidopa ---
CORRECT ANSWER--- 1, 3, 4
7. Devon visits the urgent care facility for sudden symptoms of pain to his lower
extremity. The initial diagnosis is acute arterial ischemia. Aside from pain, which other
symptoms may arise from this diagnosis? Select all that apply.
1. Pulselessness
2. Paresthesia
3. Pallor
4. Purulence
5. Paralysis ---
CORRECT ANSWER--- 1, 2, 3, 5
8. Treatment to slow the progression of PAD should include which of the following?
Select all that apply.
1. Immobilization
2. Pharmacological
3. Surgical
4. Conservative
5. Heat
---CORRECT ANSWER--- 2, 3, 4
9. Sharon is a 70-year-old patient with venous ulcers to her right lower extremity. She
has a history of multiple pregnancies and surgeries, and has a sedentary lifestyle.
Which of the following may be possible contributing factors to her diagnosis given
her history? Select all that apply.
1. Obesity
2. Reduced mobility
3. History of breast cancer
, 4. Degenerative disease
5. Parkinsonism
CORRECT ANSWER--- 1, 2
Grey Turner's sign --- CORRECT ANSWER--- bruising in flank area (lower back area)
Ransohoff sign ---CORRECT ANSWER--- yellow pigmentation in umbilical region
(ruptured common bile duct)
Cullen's sign ---CORRECT ANSWER--- superficial edema and bruising in the
subcutaneous fatty tissue around the umbilicus (indicates bleeding in peritoneum,
common most with pancreatitis)
10. Mr. Person comes to the health-care clinic with a presenting symptom of not
urinating as much as usual. The nurse practitioner assesses Mr. Person by asking
which of the following?
1. How much do you drink per day?
2. Is your urine a clear yellow color?
3. Do you experience urgency and frequency of urination?
4. What medications have you taken recently or are you currently taking?
---CORRECT ANSWER--- 4
11. J. T. is a 69-year-old Caucasian male who presents with dysuria. During the
examination, he asks the nurse practitioner if there is a chance he has cancer. The
nurse practitioner tells him that before she can determine what is causing the problem
she will need to perform a physical examination and order which of the following
diagnostic tests?
1. Computed tomography (CT) scan of the abdomen and pelvis
2. IV pyelogram
3. Urine dipstick and cytology
4. Ultrasound
CORRECT ANSWER--- 1
stage 1 kidney disease ---CORRECT ANSWER--- Kidney damaged but GFR Normal
(>90)
12. Jose Mirrare is a 65-year-old male who is being treated for cirrhosis of the liver.
Which of the following does the nurse practitioner include in his discharge teaching?
Select all that apply.
1. Eliminate all alcohol consumption.
2. Attend an alcohol treatment program.
3. Do not self-medicate with over-the-counter (OTC) medications, including herbal
products.
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