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•             Question 1

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SOLUTION! • Question 1 0 out of 0 points When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic in
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0 out of 0 points

                When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?                                 

•             Question 2

1 out of 1 points

                The most common cancer found on the auricle is:                                           

•             Question 3

0 out of 1 points

                Which of the following medication classes should be avoided in patients with acute or chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the patient?                                             

•             Question 4

0 out of 1 points

                A 47 year old male patient presents to the clinic with a single episode of a moderate amount of bright red rectal bleeding. On examination, external hemorrhoids are noted. How should the nurse practitioner proceed?                                           

•             Question 5

0 out of 1 points

                Which of the following patient characteristics are associated with chronic bronchitis?                                     

Underweight, pink skin, and increased respiratory rate

•             Question 6

1 out of 1 points

                 A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain. Her current medications include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams po daily. The nurse practitioner suspects acute diverticulitis and possibly an abscess. The most appropriate diagnostic test for this patient at this time is:                                   

•             Question 7

1 out of 1 points

                A patient reports “something flew in my eye” about an hour ago while he was splitting logs. If there were a foreign body in his eye, the nurse practitioner would expect to find all except:                                 

                Selected Answer:             

Purulent drainage

•             Question 8

1 out of 1 points

                A 21 year old college student presents to the student health center with copious, markedly purulent discharge from her left eye. The nurse practitioner student should suspect:                                           

•             Question 9

0 out of 1 points

                 A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles consisting of about 15 lesions across 3 different thoracic dermatomes. He complains of pain, burning, and itching. The nurse practitioner should suspect:                                              

•             Question 10

0 out of 1 points

                Which type of lung cancer has the poorest prognosis?                                   

•             Question 11

1 out of 1 points

                 An 83-year-old female presents to the office complaining of diarrhea for several days. She explains she has even had fecal incontinence one time. She describes loose stools 3–4 times a day for several weeks and denies fever, chills, pain, recent antibiotic use. The history suggests that the patient has:                                

•             Question 12

1 out of 1 points

                Margaret, age 32, comes into the office with painful joints and a distinctive rash in a butterfly distribution on her face. The rash has red papules and plaques with a fine scale. What do you suspect?                                       

•             Question 13

1 out of 1 points

                Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes?                                        

•             Question 14

0 out of 1 points

                Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily. Her exacerbations affect her activities and they occur at least twice weekly and may last for days. She is affected more than once weekly during the night with an exacerbation. Which category of asthma severity is Lisa in?                                             

•             Question 15

0 out of 1 points

                Which of the following is the most appropriate therapeutic regimen for an adult patient with no known allergies diagnosed with group A B-hemolytic strep?                                        

•             Question 16

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                A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by leg elevation. She occasionally has edema in her lower legs at the end of the day. What is the most likely cause of these problems?                                            

•             Question 17

1 out of 1 points

                Which statement below is correct about pertussis?                                        

•             Question 18

0 out of 1 points

                Which of the following is the most important diagnosis to rule out in the adult patient with acute bronchitis?                                     

•             Question 19

1 out of 1 points

                A 70 year old patient presents with left lower quadrant (LLQ) abdominal pain, a markedly tender palpable abdominal wall, fever, and leukocytosis. Of the following terms, which correctly describes the suspected condition?                                      

•             Question 20

1 out of 1 points

                Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. This morning she noticed a rash with erythematous papules in that site. What do you suspect?                                        

•             Question 21

0 out of 1 points

                A 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knows that the most common cause of pancreatitis is:                                

                Selected Answer:             

•             Question 22

1 out of 1 points

                When a patient presents with symptoms of acute gallbladder disease, what is the appropriate nurse practitioner action?                                

•             Question 23

0 out of 1 points

                A false-positive result with the fecal occult blood test can result from:                                   

•             Question 24

0 out of 1 points

                 A 76-year-old male complains of weight loss, nausea, vomiting, abdominal cramping and pain. Physical findings include an abdominal mass and stool positive for occult blood. The nurse practitioner pain suspects a tumor in the small intestine. The best diagnostic test for this patient is:                                      

                Selected Answer:             

•             Question 25

1 out of 1 points

                A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema. The echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that these findings are consistent with:                                               

•             Question 26

1 out of 1 points

                Maxine, Age 76, has just been given a diagnosis of pneumonia. Which of the following is an indication that she should be hospitalized?                                               

•             Question 27

0 out of 1 points

                A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him:                                         

•             Question 28

1 out of 1 points

                Expected spirometry readings when the patient has chronic emphysema include:                                           

•             Question 29

1 out of 1 points

                 An 80-year-old male admits to difficulty swallowing during the review of systems. The nurse practitioner recognizes the differential diagnosis for this patient’s dysphagia is:                                         

•             Question 30

0 out of 1 points

                A 40 year old female with history of frequent sun exposure presents with a multicolored lesion on her back. It has irregular borders and is about 11mm in diameter. What should the nurse practitioner suspect?                                 

•             Question 31

1 out of 1 points

                Which of the following is not a goal of treatment for the patient with cystic fibrosis?                                       

•             Question 32

1 out of 1 points

                The nurse practitioner is performing a physical exam on a middle-aged African-American man. Which of the following areas is a common site for melanomas in African-Americans and other dark-skinned individuals?                                          

•             Question 33

1 out of 1 points

                An adult presents with tinea corporis. Which item below is a risk factor for its development?                                     

•             Question 34

0 out of 1 points

                A patient has experienced nausea and vomiting, headache, malaise, low grade fever, abdominal cramps, and watery diarrhea for 72 hours. His white count is elevated with a shift to the left. He is requesting medication for diarrhea. What is the most appropriate response?                                             

•             Question 35

1 out of 1 points

                Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria. What do you order?                                 

•             Question 36

0 out of 1 points

                 Of the following signs and symptoms of congestive heart failure (CHF), the earliest clinical manifestation is:                                       

•             Question 37

1 out of 1 points

                A 16 year old male presents with mild sore throat, fever, fatigue, posterior cervical adenopathy, and palatine petechiae. Without a definitive diagnosis for this patient, what drug would be least appropriate to prescribe?                                   

•             Question 38

1 out of 1 points

                A 70 year old man who walks 2 miles every day complains of pain in his left calf when he is walking. The problem has gotten gradually worse and now he is unable to complete his 2 mile walk. What question asked during the history, if answered affirmatively, would suggest a diagnosis of arteriosclerosis obliterans?                                             

•             Question 39

0 out of 1 points

                Which of the following statements about malignant melanomas is true?                                              

•             Question 40

1 out of 1 points

                Sheila, age 78, presents with a chief complaint of waking up during the night coughing. You examine her and find an S3 heart sound, pulmonary crackles that do not clear with coughing, and peripheral edema. What do you suspect?                                         

•             Question 41

0 out of 1 points

                Which antibiotic would be the most effective in treating community acquired pneumonia (CAP) in a young adult without any comorbid conditions?                                          

•             Question 42

1 out of 1 points

                Which of the following dermatologic vehicles are the most effective in absorbing moisture and decreasing friction?                                               

•             Question 43

1 out of 1 points

                A 70 year old patient presents with a slightly raised, scaly, erythematous patch on her forehead. She admits to having been a “sun worshiper.” The nurse practitioner suspects actinic keratosis. This lesion is a precursor to:                                    

•             Question 44

1 out of 1 points

                An elderly patient is being seen in the clinic for complaint of “weak spells” relieved by sitting or lying down. How should the nurse practitioner proceed with the physical examination?                                  

•             Question 45

1 out of 1 points

                What oral medication might be used to treat chronic cholethiasis in a patient who is a poor candidate for surgery?                                               

•             Question 46

0 out of 1 points

                A 46-year-old female with a past medical history of diabetes presents with a swollen, erythematous right auricle and is diagnosed with malignant otitis externa. The nurse practitioner knows that the most likely causative organism for this patient’s problem is:                                     

•             Question 47

0 out of 1 points

                Which of the following is not a symptom of irritable bowel syndrome?                                  

•             Question 48

1 out of 1 points

                A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to the right. What additional history is needed?                                         

•             Question 49

0 out of 1 points

                Marvin, age 56, is a smoker with diabetes. He has just been diagnosed as hypertensive. Which of the following drugs has the potential to cause the development of bronchial asthma and inhibit gluconeogenesis?                                     

•             Question 50

1 out of 1 points

                The differential diagnosis for a patient complaining of a sore throat includes which of the following?                                      

•             Question 51

0 out of 1 points

                A patient presents to the primary care provider complaining of a rash on his right forehead that started yesterday and is burning and painful. The physical exam reveals an erythematous, maculopapular rash that extends over the patient’s right eye to his upper right forehead. Based on the history and examination, the most likely cause of this patient’s symptoms is:                                    

•             Question 52

0 out of 1 points

                Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders liver function studies. The patient’s aminotransferase (ALT) is elevated. What laboratory test(s) should be ordered?                                 

•             Question 53

1 out of 1 points

                A patient with elevated lipids has been started on lovastatin. After 3 weeks of therapy, he calls to report generalized muscle aches. The nurse practitioner should suspect:                                           

•             Question 54

1 out of 1 points

                Treatment of acute vertigo includes:                                     

•             Question 55

1 out of 1 points

                Treatment of H.pylori includes which of the following?                                 

Question 56

1 out of 1 points

                Carl, age 78, is brought to the office by his son, who states that his father has been unable to see clearly since last night. Carl reports that his vision is “like looking through a veil.” He also sees floaters and flashing lights but is not having any pain. What do you suspect?                                       

•             Question 57

1 out of 1 points

                In order to decrease deaths from lung cancer:                                  

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