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Adult Gero And FNP Review Dunphy, Brown Exam 2-157 Verified Study Questions And Answers
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Adult Gero And FNP Review Dunphy, Brown Exam 2-157 Verified Study Questions And Answers
2-1 Anne has a history of hyperlipidemia, and today you note a soft, yellowish, raised, waxy lesion beneath her right
eyelid. You diagnose this as a
A. xanthelasma.
B. hordeolum.
C. chalazion.
D. lagophthalmos. 2-1 Answer A Content area: Head and Neck Problems (chap. 9)
2-2 Marjorie has a Bartholin's cyst. What is the most common offending pathogen?
A. Gonococcus
B. Staphylococcus aureus
C. Streptococcus faecalis
D. Escherichia coli 2-2 Answer A Content area: Female Genitourinary Problems (chap. 15)
2-3 You have just seen Mrs. Hill with her 4-month-old infant boy for a well-baby visit. You would schedule the next
appointment in
A. 1 month.
B. 2 months.
C. 3 months.
D. 4 months. 2-3 Answer B Content area: Care of the Emerging Family (chap. 4)
2-4 Mrs. Hill's 4-month-old infant son is formula fed. An infant that age should have approximately how much
formula per day?
A. 8 - 9 oz given in four feedings per day
B. 6 - 7 oz given in four to five feedings per day
C. 5 - 6 oz given in six feedings per day
D. 5 oz given in seven feedings per day 2-4 Answer B Content area: Care of the Emerging Family (chap. 4)
2-5 Judy has come to have an influenza immunization today. Which of the following would be a contraindication for
her to receive the injection?
A. She is pregnant.
,B. She has a temperature of 102 °F (38.8 ° C).
C. She has a history of neurological reaction.
D. She had a previous anaphylactic reaction to neomycin and streptomycin. 2-5 Answer B Content area: Health
Promotion (chap. 3)
2-6 Marsha, age 36, comes for a physical. Her chart mentions a swan-neck deformity. You will be sure to assess her
A. hands.
B. neck.
C. shoulders.
D. ankles. 2-6 Answer A Content area: Musculoskeletal Problems (chap. 16)
2-7 Betsy, age 23, is 38 weeks pregnant and has a urinary tract infection. Which drug is the best choice for
treatment?
A. Cefprozil (Cefzil)
B. Tetracycline (Achromycin)
C. Nitrofurantoin (Furadantin)
D. Amoxicillin (Amoxil) 2-7 Answer D Content area: Care of the Emerging Family (chap. 4)
2-8 Thyroxine (T4) level may be influenced by a number of factors, thus giving an inaccurate result. These factors
include
A. pregnancy, malnutrition, and alcohol use.
B. pregnancy, birth control pills, and malnutrition.
C. birth control pills, alcohol use, and use of opiates.
D. physical activity level, malnutrition, and alteration in liver function. 2-8 Answer B Content area: Endocrine
and Metabolic Problems (chap. 17)
2-9 The most common cause of disability in clients younger than age 45 is
A. stress-related psychological disturbances.
B. low back pain.
C. severe migraine headaches.
D. alcohol and drug-related problems. Jill E. Winland-Brown Lynne M. Dunphy Examination 2 2-9 Answer B
Content area: Musculoskeletal Problems (chap. 16)
,2-10 Karen, age 43, was recently in a car accident but is now up and about. She comes into the office with vague
complaints of being tired. You assess Cullen's sign and Grey Turner's sign. You assume therefore that she has
A. anemia.
B. retroperitoneal bleeding.
C. portal hypertension.
D. liver dysfunction. 2-10 Answer B Content area: Abdominal Problems (chap. 12)
2-11 Spoon-shaped, thin nails are often seen in clients with
A. psoriasis.
B. a fungal infection.
C. anemia.
D. eczema. 2-11 Answer C Content area: Integumentary Problems (chap. 8)
2-12 You are assessing the direction of Jim's abdominal venous blood flow and note a centrifugal venous return
radiating outward from his umbilicus. This may be a sign of
A. inferior vena cava obstruction.
B. normal blood flow.
C. portal hypertension.
D. an abdominal aortic aneurysm. 2-12 Answer C Content area: Abdominal Problems (chap. 12)
2-13 The majority of clients affected with inflammatory bowel disease are
A. older adults, with men and women equally affected.
B. young adults, with men and women equally affected.
C. older adults, with women affected twice as frequently as men.
D. young adults, with women affected twice as frequently as men. 2-13 Answer D Content area: Abdominal
Problems (chap. 12)
2-14 You suspect that Bill, age 44, is abusing alcohol. There are several effective ways of eliciting sensitive
information from such a client. Which of the following is the most effective way of eliciting meaningful
information?
A. Ask Bill directly, "How much do you drink?"
B. Ask Bill if he has had a drink in the past 24 hours.
C. Ask Bill if he has ever tried to cut down on his drinking.
, D. Ask Bill if he has ever had health, legal, or personal problems as a result of alcohol, and if the response is yes, ask
him "When was the last time you had a drink?" 2-14 Answer D Content area: Health Promotion (chap. 3)
2-15 All of the following are common discomforts of pregnancy except
A. leg cramps.
B. edema of the face and fingers.
C. varicosities.
D. urinary frequency. 2-15 Answer B Content area: Care of the Emerging Family (chap. 4)
2-16 Jane, age 74, is incontinent of urine about 50% of the time. Which of the following is the absolute last resort in
management of incontinence?
A. Incontinence pads
B. Intermittent catheterization
C. A bladder training program (because of her age)
D. Indwelling catheterization 2-16 Answer D Content area: Renal Problems (chap. 13)
2-17 Cranial nerve XI is tested by
A. touching the pharynx with a cotton applicator.
B. asking the client to say "ah"
C. having the client shrug his or her shoulders while you resist movement.
D. having the client stick out his or her tongue and move it from side to side. 2-17 Answer C Content area:
Neurological Problems (chap. 7)
2-18 Julie says that her doctor told her to participate in 20 - 30 minutes of vigorous activity at least three times per
week and asks you to qualify "vigorous. How do you respond?
A. "Exercise that makes you sweat is vigorous, as long as you sweat for the entire 20 - 30 minutes."
B. "It's vigorous if the heart rate is elevated to at least 60% of maximum for your age with the maximum heart rate
calculated as 220 minus your age."
C. "If your heart rate is increased to 1.5 times your walking rate, the exercise is vigorous."
D. "If your heart rate is increased to twice your resting rate and is no more than 160, the exercise is vigorous." 2-
18 Answer B Content area: Health Counseling (chap. 6)
2-19 In a 4-year-old child, the ideal glucose level after 2 or more hours of fasting should be
A. 80 - 180 mg/dL.
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