2023 Questions With 100%Correct Answers(NURSING NSG5003)

2023 Questions With 100%Correct Answers(NURSING NSG5003) Acute closed-angle glaucoma - CORRECT ANSWER-1. It is important to not dilate the eye if ____ is suspected. Intravenous pyelogram - CORRECT ANSWER-An 18-year-old female patient presents with repeated urinary tract infections. She has no risk factors in her history, and her physical examination is unremarkable. She also has a normal pelvic exam. Which of the following should be obtained if anatomic abnormalities are suspected? Impaired ability to use iron stores - CORRECT ANSWER-The pathophysiological hallmark of ACD is: Sudden death of a family member - CORRECT ANSWER-Which of the following is the most important question to ask during cardiovascular health history? Alpha-1 deficiency - CORRECT ANSWER-A 26-year-old, non-smoker, male presented to your clinic with SOB with exertion. This could be due to Herpes zoster - CORRECT ANSWER-Which of the following dermatological conditions results from reactivation of the dormant varicella virus? Selected low back pain - CORRECT ANSWER-Mr. Jones is a 68-year-old retired Air Force pilot that has been diagnosed with prostate cancer in the past week. He has never had a surgical procedure in his life and seeks clarification on the availability of treatments for prostate cancer. He asks the nurse practitioner to tell him the side effects of a radical prostatectomy. Which of the following is not a potential side effect of this procedure? Physiologic aging - CORRECT ANSWER-Presbycusis is the hearing impairment that is associated with Assessing resident's cognitive status and last change of the catheter/bag - CORRECT ANSWER-Asymptomatic 1+ bacteriuria is found in a nursing home resident with an indwelling catheter. The nurse practitioner's initial intervention includes Allergen - CORRECT ANSWER-A 64-year-old male presents with erythema of the sclera, tearing, and bilateral pruritus of the eyes. The symptoms occur intermittently throughout the year and he has associated clear nasal discharge. Which of the following is most likely because of the inflammation? Borborygmi - CORRECT ANSWER-The nurse practitioner is examining a 62-year-old female who has been complaining of lower abdominal pain. Upon auscultation, bowel sounds are high pitched and tinkling. Which of the following terms describes this finding African Americans - CORRECT ANSWER-Which ethnic group has the highest incidence of prostate cancer A.Women with ischemic heart disease many times do not present with chest pain B. Some patients may have no symptoms or atypical symptoms; diagnosis may only be made at the time of an actual myocardial infarction - CORRECT ANSWER-A key symptom of ischemic heart disease is chest pain. However, angina equivalents may include exertional dyspnea. Angina equivalents are important because Elevation of head of the bed 4-6 inches on blocks and weight reduction - CORRECT ANSWER-The nurse practitioner is discussing lifestyle changes with a patient diagnosed with gastroesophageal reflux. What are the nonpharmacological management interventions that should be included? Herpes zoster - CORRECT ANSWER-Which lesions are typically located along the distribution of dermatome? ACE inhibitor - CORRECT ANSWER-Which of the following medications are commonly associated with the side effect of cough? Recognize this as a normal finding that requires periodic follow up - CORRECT ANSWER-On DRE, you note that a 45-year-old patient has a firm, smooth, non-tender but asymmetrically shaped prostate. The patient has no symptoms and has a normal urinalysis. The patient's PSA is within normal limits for the patient's age. The clinician should: Venous insufficiency - CORRECT ANSWER-Your patient complains of a feeling of heaviness in the lower legs daily. You note varicosities, edema, and dusky color of both ankles and feet. Which of the following is the most likely cause for these symptoms Conjunctivitis - CORRECT ANSWER-The most common cause of eye redness is: The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis - CORRECT ANSWER-The aging process causes what normal physiological changes in the heart? tension headaches - CORRECT ANSWER-Ms. Smith, 37-year-old, comes to the clinic today complaining of dull, throbbing bilateral headaches almost every evening. You suspect she is experiencing Esophageal varices - CORRECT ANSWER-A 59-year-old patient with history of alcohol abuse comes to your office because of 'throwing up blood". On physical examination, you note ascites and caput medusa. A likely cause for the hematemesis is Pleural effusion on chest X-ray - CORRECT ANSWER-Which of the following is considered a "red flag" when diagnosing a patient with pneumonia? Colon cancer - CORRECT ANSWER-Your patient complains of lower abdominal pain, anorexia, extreme fatigue, unintentional weight loss of 10 pounds in last 3 weeks, and you find a positive hemoccult on digital rectal examination. Laboratory tests show iron deficiency anemia. The clinician needs to consider Ménière's disease - CORRECT ANSWER-You have a patient complaining of vertigo and want to know what could be the cause. Knowing there are many causes for vertigo, you question the length of time the sensation lasts. She tells you several hours to days and is accompanied by tinnitus and hearing loss. You suspect which of the following conditions Leukoplakia - CORRECT ANSWER-In examining the mouth of an older adult with a history of smoking, the nurse practitioner finds a suspicious oral lesion. The patient has been referred for a biopsy to be sent for pathology. Which is the most common oral precancerous lesion 8 weeks or more - CORRECT ANSWER-A cough is described as chronic if it has been present for Visual acuity - CORRECT ANSWER-The first assessment to complete related to the eyes is A score of 0-2 is a positive screen for dementia - CORRECT ANSWER-The Mini-Cog is a short screening tool used to assess cognition. Which of the following statements pertaining to the test is a true statement Transmit the disorder to 50% of her offspring (male or female) - CORRECT ANSWER-A woman with an X-linked dominant disorder will Tuberculosis - CORRECT ANSWER-Your patient has just returned from a 6-month missionary trip to Southeast Asia. He reports unremitting cough, hemoptysis, and an unintentional weight loss of 10 pounds over the last month. These symptoms should prompt the clinician to suspect Grossly visible corneal defect - CORRECT ANSWER-In assessing the eyes, which of the following is considered a "red flag" finding when associated with eye redness ASA, ACE/ARB, beta-blocker, aldosterone blockade - CORRECT ANSWER-The best evidence rating drugs to consider in a post myocardial infarction patient include Allergic rhinitis - CORRECT ANSWER-In examination of the nose, the clinician observes gray, pale mucous membranes with clear, serous discharge. This is most likely indicative of History of transient and painless monocular loss of vision - CORRECT ANSWER-Which of the following findings should trigger an urgent referral to a cardiologist or neurologist Pain tends to occur with movement, stretching or palpation - CORRECT ANSWERWhich symptom is more characteristic of Non-Cardiac chest pain ACE inhibitors - CORRECT ANSWER-Aortic regurgitation requires medical treatment for early signs of CHF with: Flat plate of abdomen - CORRECT ANSWER-What test is used to confirm the diagnosis of appendicitis Reduced physiological reserve Reduced homeostatic mechanisms Impaired immunological response All of the above - CORRECT ANSWER-The major impact of the physiological changes that occur with aging is: Basal cell carcinoma - CORRECT ANSWER-A smooth round nodule with a pearly gray border and central induration best describes which skin lesion Irritable bowel syndrome - CORRECT ANSWER-A 20-year-old engineering student complains of episodes of abdominal discomfort, bloating, and episodes of diarrhea. The symptoms usually occur after eating, and pain is frequently relieved with bowel movement. She is on a "celiac diet" and the episodic symptoms persist. Physical examination and diagnostic tests are negative. Colonoscopy is negative for any abnormalities. This is a history and physical consistent with: Cystocele Overactive bladder Uterine prolapse All of the above - CORRECT ANSWER-Which of the following disorders can cause urinary incontinence Misoprostol (Cytotec) - CORRECT ANSWER-Which of the following drugs would be useful for the nurse practitioner to prescribe for an older adult to prevent gastric ulcers when a nonsteroidal anti-inflammatory drug is used for chronic pain management Long-acting beta agonist usage - CORRECT ANSWER-Which of the following details are NOT considered while staging asthma 100-pack years - CORRECT ANSWER-A 66-year-old patient presents to the clinic complaining of dyspnea and wheezing. The patient reports a smoking history of 2 packs of cigarettes per day since age 16. This would be recorded in the chart as Rising BUN level with normal creatinine level - CORRECT ANSWER-A clinical clue for suspected renal artery stenosis would be Aortic stenosis - CORRECT ANSWER-What is the most common valvular heart disease in the older adult Inhibited or induced by drugs - CORRECT ANSWER-The cytochrome p system involves enzymes that are generally Decreased lower esophageal sphincter tone - CORRECT ANSWER-Which of the following is the most common cause of heartburn-type epigastric pain? Bowel Obstruction - CORRECT ANSWER-A nurse practitioner reports that your patient's abdominal X-ray demonstrates multiple air-fluid levels in the bowel. This is a diagnostic finding found in Cellulitis - CORRECT ANSWER-A patient suffered a laceration of the shin three days ago, and today presents with a painful, warm, red swollen region around the area. The laceration has a purulent exudate. The clinician should recognize that the infected region is called Ciprofloxacin 500 mg Q 12 hours for 14 days - CORRECT ANSWER-A 62-year-old client presents with a complaint of fever, pain, and burning on urination. Difficulty urinating with dribbling has been increasing in the past few days. He has a feeling of pressure in his groin. On examination, his prostate is tender, boggy, and warm. A stat urinalysis reveals the presence of leukocytes and bacteria. He is allergic to sulfa drugs. His weight is 70 kg and his last serum creatinine was 1.0. While awaiting the culture and sensitivity, the nurse practitioner begins empiric treatment with which of the following Take iron supplement before meals and the calcium after meals - CORRECT ANSWER-In teaching an older adult female client with end-stage renal disease her medication regimen, the nurse practitioner must include which of the following pieces of information in the treatment plan? Rheumatoid arthritis - CORRECT ANSWER-A 46-year-old female complains of fatigue, general malaise, and pain and swelling in her hands that has gradually worsened over the last few weeks. She reports that pain, stiffness, and swelling of her hands are most severe in the morning. On physical examination, you note swelling of the metacarpophalangeal joints bilaterally. These are common signs of Cardiac origin of symptoms Gastrointestinal condition Cervical spine disorder All of the above - CORRECT ANSWER-Whenever a patient presents with acute nontraumatic shoulder pain, the clinician should make sure to exclude a: Migraine headache - CORRECT ANSWER-A female patient presents to the clinic with complaints of a severe, throbbing, unilateral headache. She complains of seeing flashes of light prior to the headache. She complains of sound and light sensitivity as well as nausea. The clinician should recognize these as symptoms of Management of the underlying disorder - CORRECT ANSWER-The main focus of treatment of patients with ACD is Stroke - CORRECT ANSWER-The most common neurological cause of seizures in an older adult is: