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NRNP 6568 Week 8 Comprehensive Practice Questions - All Correct..

Walden University Nursing NRNP 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Stephen Larkin 16 pages
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Question 1 1 out of 1 points Martin is a 73 y/o male who has a 50 pack/year history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss and more noticeable pursed lip breathing. Your diagnosis is: Selected Answer: COPD Answers:Chronic bronchitis Emphysema 2548799107919 Question 2 COPD 1 out of 1 points Juan, an 82 y/o male, is brought to the clinic by his daughter with LLQ pain, anorexia, nausea, and vomiting. Palpation of the abdomen reveals a positive rebound tenderness, positive Rovsing’s sign, and rigid abdomen. The NP in Juan’s case should: Selected Answer: Refer to ER Answers: Refer to ER Try an antiemetic Draw labs Question 3 Send for a CAT scan 1 out of 1 points Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. This presentation is most typical of: Selected Answer: Pelvic inflammatory disease (PID) Answers: Pelvic inflammatory disease (PID) Vulvovaginitis Dysmenorrhea Question 4 Amenorrhea 1 out of 1 points Mark is a 2-month-old infant, and he should be able to do all the following tasks except: Selected Answer: Rolling over Answers:Follow objects past midline Make gurgling sounds Rolling over Question 5 Lift head up 45 degrees 1 out of 1 points All of the following are presumptive signs of pregnancy except: Selected Answer: Chadwick’s sign (blue coloration of the uterus and vagina) Answers: Amenorrhea 2548799108680 Chadwick’s sign (blue coloration of the uterus and vagina) Breast changes Question 6 Fatigue 1 out of 1 points Differential diagnoses for patients with alcohol use disorder would include all the following except: Selected Answer: Pulmonary disease Answers: Depression Pulmonary disease Peptic ulcer disease Question 7 Essential hypertension 1 out of 1 points Bonnie is a 76 y/o female patient who resides in a nursing home. She is currently on a 10-day course of Clindamycin for a recurrent bacterial vaginal infection. She has started having 10–15 watery stools per day. The best way to treat Bonnie’s diarrhea is: Selected Answer: Discontinue her Clindamycin Answers:Put her on an antidiarrheal medication Replace lost fluids with an IV 2548799109109 Discontinue her Clindamycin Question 8 Give her an antacid out of 1 points Kyle is a 68 y/o male who comes to the clinic for his annual checkup. His chief complaint is that for the past couple of weeks he has had severe, sharp, excruciating pain in his abdomen, flank, and back. During the physical exam, the NP notices that on palpation of the abdomen she feels a palpable mass that is greater than 3 cm in width. To confirm Kyle’s diagnosis the NP would immediately order which test(s)? Selected Answer: Answers: C & D only X-ray

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