NSG 6420 Final exam week 10

1.

In AR disorders, carriers have:

 Two mutated genes; two from one parent

that cause disease

 A mutation on a sex chromosome that

causes a disease

 A single gene mutation that causes the

disease

 One copy of a gene mutation but not

the disease

2.

A 76-year-old patient with a 200-pack year smoking history presents with complaints of chronic cough,

dyspnea, fatigue, hemoptysis, and weight loss over the past 2 months. The physical exam reveals decreased

breath sounds and dullness to percussion over the left lower lung field. The chest X-ray demonstrates shift of

the mediastinum and trachea to the left. These are classic signs of:

Lung cancer

Tuberculosis

Pneumonia

COPD

3.

The nurse practitioner is discussing lifestyle changes with a patient diagnosed with gastroesophageal reflux.

What are the nonpharmacological management interventions that should be included?

It will be helpful to keep the head of your bed elevated on blocks

4.

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?

leukoplakia

5.

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?

Ménière’s disease

Benign paroxysmal positional vertigo

Transient ischemic attack (TIA)

MigraineDefinition

6.

Age-related changes in the bladder, urethra, and ureters include all of the following in older women except:

A. Increased estrogen production’s influence on the bladder and ureter

B. Decline in bladder outlet function

C. Decline in ureteral resistance pressure

D. Laxity of the pelvic muscle

7.

Your patient has been using chewing tobacco for 10 years. On physical examination, you observe a white

ulceration surrounded by erythematous base on the side of his tongue. The clinician should recognize that very

often this is

Malignant melanoma

Squamous cell carcinoma

Aphthous ulceration

Behcet’s syndromeDefinition

8.

When interpreting laboratory data, you would expect to see the following in a patient with Anemia of Chronic

Disease (ACD)

Hemoglobin <12>

Hemoglobin >12 g/dl, MCV increased, MCH increased

Hemoglobin <12>

Hemoglobin >12 g/dl, MCV decreased, MCH increased

9.

What test is used to confirm the diagnosis of appendicitis?

CBC

Flat plate of abdomen

Rectal exam

CT of abdomen with attention to appendix

10.

Functional abilities are best assessed by:

observed assessment of function

11.

Your patient is a 43-year-old female golfer who complains of arm pain. On physical examination, there is point

tenderness on the elbow and pain when the patient is asked to flex the wrist against the clinician’s resistance.

These are typical signs of:

Carpal tunnel syndrome

Osteoarthritis of the wrist

Epicondylitis

Cervical osteoarthritis

12.

An 86-year-old patient who wears a hearing aid complains of poor hearing in the affected ear. In addition to

possible hearing aid malfunction, this condition is often due to

Acoustic neurom

Cerumen impaction

Otitis media

Ménière’s disease

13.

Which lesions are typically located along the distribution of dermatome?

Herpes Zoster