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NSG 6440 EXAM QUESTIONS WITH COMPLETE SOLUTIONS.
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NSG 6440 EXAM QUESTIONS WITH COMPLETE SOLUTIONS.
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NSG 6440 EXAM QUESTIONS WITH COMPLETESOLUTIONS
A 27-year-old female presents with a chief complaint of burning
and pain on urination. She has no previous history of urinary
tract infection (UTI). What are some additional symptoms
consistent with a diagnosis of lower UTI?
a. Back and abdominal pain
b. Fever, chills, costovertebral angle (CVA) tenderness
c. Blood in urine and frequency
d. Foul-smelling discharge, perineal itch Correct Answer c.
Blood in urine and frequency
A 30-year-old patient presents with pain on urination. The urine
microscopy of unspun urine showed greater than 10
leukocytes/mL, and a dipstick was positive for nitrites. What is
probable diagnosis?
a. Lower urinary tract infection
b. Chlamydia infection
c. Candidiasis
d. Pyelonephritis Correct Answer a. Lower urinary tract
infection
A 34-year-old patient was treated for a urinary tract infection
(UTI) and has not responded to antibiotic therapy. Which of the
following actions should be taken next?
a. Send a urine specimen for microscopy looking for
fungal colonies.
b. Increase the dose of antibiotic.
,c. Order a cytoscopy.
d. Order a different antibiotic. Correct Answer a. Send a urine
specimen for microscopy looking for
fungal colonies.
A 42-year-old male presents with the following lipid profile. He
is not on any medications for cholesterol or herbal supplements.
Total: 210
LDL: 145
TG 162
HDL 52
What medication would you recommend?
a. Low dose statin
b. Low dose bile acid sequestrant
c. Low dose fibrate
d. Fish oil Correct Answer Low dose statin
A 42-year-old woman is seen in the clinic with fever, chills,
vomiting, and severe dysuria. She is diagnosed with acute
pyelonephritis. How should this patient be managed?
a. 3-day course of oral antibiotics
b. Hospitalization
c. Encourage cranberry juice intake
d. 6-week course of antibiotics Correct Answer b.
Hospitalization
A 58 year old male presents to your office with an episode of
chest tightness in his substernal area that radiated to his back
,while he was jogging. It was relieved with rest. Which of the
following does this best describe?
Acute myocardial infarction
Gastroesophageal reflux disease
Angina pectoris
Acute costochondritis Correct Answer Angina pectoris
A 72-year-old female presents to your office with gradual
difficulty breathing, non-productive cough, bilateral swelling of
her feet, and a 10 pound weight gain. Upon examination you
hear crackles and rhonchi with an S3 heart sound. What is the
most likely diagnosis?
COPD
Renal hypertension
Congestive heart hailure
Asthma Correct Answer Congestive heart failure
A 78-year-old man is diagnosed with Stage D bladder cancer
and asks the provider what that means. Which is the best
response?
a. "There is no such thing as Stage D cancer."
b. "You have cancer that has spread to the surrounding tissue."
c. "Your cancer has spread to other organs."
d. "Your cancer can be cured by removing your bladder."
Correct Answer c. "Your cancer has spread to other organs."
A blood pressure (BP) of 142/92 is considered:
a. Normal.
, b. Prehypertension.
c. Stage 1 hypertension.
d. Stage 2 hypertension. Correct Answer c. Stage 1
hypertension.
A chronic cough lasts longer than:
a. 3 weeks.
b. 1 month
c. 6 months.
d. 1 year. Correct Answer a. 3 weeks.
A Clean-catch, midstream urine sample for urinalysis
may exhibit what characteristics? Correct Answer Cloudy
appearance
Alkaline pH
Hematuria
Elevated levels of nitrites
Leukocyte esterase
Urine sediments of RBCs, WBCs, mucus, and bacterial
overgrowth
A Delta wave on the electrocardiogram (ECG) may be present in
which condition?
a. Prinzmetal's angina
b. Bundle Branch Block
c. Wolff-Parkinson-White syndrome
d. Aortic stenosis Correct Answer c. Wolff-Parkinson-White
syndrome
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