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NURS 6531 Final Exam New Version 2021 - Walden University
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NURS 6531 Final Exam (Latest Version) NURS/6531 Primary Care of Adults Across the Lifespan
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NURS 6531 - FinalExam WITH ANSWERS
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,Dave, age 38, states that he thinks he has an ear infection because he just
flew back from a business trip and feels unusual pressure in his ear. You
diagnose barotrauma. What is your next action?
A. Prescribe nasal steroids and oral decongestants
B. Prescribe antibiotic eardrops
C. Prescribe systemic eardrops
D. Refer David to an ear, nose, and throat specialist
A. Prescribe nasal steroids and oral decongestants
A 32 year old male patient complains of urinary frequency and burning
on urination for 3 days. Urinalysis reveals bacteriuria. He denies any
past history of urinary tract infection. The initial treatment should be:
nitrofurantoin monohydrate/macrocrystals
trimethoprim-sulfamethoxazole (TMP-SMX)
fosfomycin.
Trimethoprim-sulfamethoxazole
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. Weight gain
B. Fracture risk
C. Hypoglycemia
D. Weight loss
C. Hypoglycemia
,Central obesity, "moon" face, and dorsocervical fat pad are associated
with:
A. Metabolic syndrome
B. Unilateral pheochromocytoma
C. Cushing's syndrome
D. None of the above
C. Cushing's syndrome
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:
A. Trauma
B. Tight shoes
C. Arthritis flare
D. Hydrochlorothiazide
D. Hydrochlorothiazide
What conditions must be met for you to bill "incident to" the physician,
receiving 100% reimbursement from Medicare?
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
The physician must be on-site and engaged in patient care
Which of the following is not a common early sign of benign prostatic
hyperplasia (BPH)?
A. Nocturia
B. Urgency incontinence
C. Strong urinary stream flow
D. Straining to void
C. Strong urinary stream flow
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?
§ Food that is very hot or very cold
§ Fatty or fried foods
§ Peppermint or spearmint, including flavoring
§ Coffee, tea, and soft drinks that contain caffeine
§ Spicy, highly seasoned foods
§ Fried foodDT caffeine, chocolate and anticholinergics
Peppermint or spearmint, including flavoring
A patient presents with dehydration, hypotension, and fever. Laboratory
testing reveals hyponatremia, hyperkalemia, and hypoglycemia. These
imbalances are corrected, but the patient returns 6 weeks later with the
same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and
weight loss. What action(s) should the nurse practitioner take?
.A Obtain a thorough history and physical, and check serum cortisol and
ACTH levels.
B. Perform a diet history and check CBC and FBS.
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