nurs6501 week 11 final exam 2022 latest grades 94/100 all 100 answers

Question 1

Bronchiolitis tends to occur during the first years of life and is most often caused by what type of infection?

 

              Respiratory syncytial virus (RSV)               

 

              Influenza virus                      

 

              Adenoviruses                         

 

              Rhinovirus                   

Question 2

Mary, 47 presents to her primary care provider and reports nocturia x 6, urgency, frequency, voiding with laughing and coughing. She drinks one pot of coffee daily and does not drink much water daily. She reports this has impacting her quality of life and she frequently has embarrassing moments while out. Mary is possibly experiencing:

 

              The patient should have a full workup, that includes history, physical, and diagnostics which include a u/a, c/s, postvoid residual assessment. It is possible that she is experiencing overactive bladder concerns.

 

              The patient will need a full workup, that includes a history, physical and diagnostics which include a u/a, c/s, postvoid residual and urine cytology. It is possible that she is experiencing a urinary tract infection

 

              The patient may be experiencing urethritis, which can occur as a result of gastrointestinal bacteria spreading from the anus to the urethra.

 

              Because of her uncontrolled diabetes, she has an impaired immune system, which has resulted in her developing a urinary tract infection.

Question 3

The APRN would expect to find elevated blood levels of which of the following markers for patients with a diagnosis of depression?

 

              Proinflammatory cytokines and pH

 

               Calcium and Cortisol

 

              Calcium and pH

 

              Proinflammatory cytokines and cortisol

Question 4

A healthcare professional has taught a parent group about the causes of enuresis. What statement by a parent indicates the professional needs to give more information?

 

              A maturational lag may cause enuresis.

 

              Enuresis may be related to increased light sleep.

 

              Obstructive sleep apnea may be a symptom of enuresis.

 

              Elevated nocturnal levels of vasopressin may cause enuresis.

Question 5

What is the first indication of nephrotic syndrome in children?

 

              Periorbital edema                   

 

              Scrotal or labial edema          

 

              Frothy urine                           

 

              Ascites               

Question 6

Abnormalities in brain development related to schizophrenia are thought to develop when?

 

 

              Prenatal

 

              Infancy

 

              Early Childhood

 

              Adolescent

Question 7

A patient has a spinal cord injury at C4. What should the healthcare professional assess as the priority in this patient?

 

              Blood pressure                       

 

              Respirations                           

 

              Pulse  

 

              Temperature               

Question 9

Parents bring their 1-year-old child to the emergency department, reporting that the child has been irritable and pounding on her head, has projectile vomiting, and seems very sleepy for most of the last 3 days. What diagnostic testing does the healthcare professional prepare the child and parents for as the priority?

 

              Brain scanning with either CT or MRI        

 

              Lumbar puncture with CSF cultures           

 

              Developmental assessment    

 

              Ophthalmologic assessment  

Question 10

A child has iron deficiency anemia. In addition to iron supplements, what else does the healthcare professional educate the parents on giving the child?

 

              Vitamin A                              

 

              Magnesium                            

 

              Vitamin C                               

 

              Zinc   

Question 11

Why is nasal congestion a serious threat to young infants?

 

              Infants are obligatory nose breathers.

 

              Their nares are small in diameter.

 

              Infants become dehydrated when mouth breathing.

 

              Their epiglottis is proportionally greater than the epiglottis of an adult’s.

Question 12

The health care professional is caring for a person who has a pathologic fracture. The patient asks the professional to explain the condition. What response by the professional is best?

 

              The outer surface of the bone is disrupted, but the inside is intact.

 

              A stable fracture where the cortex of the bone bends but doesn’t break.

 

              A fracture that happens at the site of an abnormality already in that bone.

 

              It was caused by the cumulative effects of stress on the bone over time.

Question 13

A healthcare professional wants to volunteer for a community education project to help prevent spinal cord injury. What activity would the professional most likely volunteer for?

 

              Teaching school aged children bicycle safety                   

 

              Teaching stretching to high school athletes

 

              Teaching adults good body mechanics for lifting             

 

              Teaching older adults how to prevent trip-and-fall events

Question 14

What diagnosis is given to parents when their infant’s hip maintains contact with the acetabulum but is not well seated within the hip joint?

 

              Dislocatable hip                     

 

              Subluxated hip                      

 

              Dislocated hip                       

 

              Subluxable hip                       

Question 15

What is the role of thromboxane A (TXA 2) in the secretion stage of hemostasis?

 

              Stimulates the synthesis of serotonin.

 

              Promotes vasodilation.

 

              Stimulates platelet aggregation.

 

              Promotes formation of cyclooxygenase.

Question 16

A healthcare professional suspects a patient is brain dead. How would the professional assess for brain death?

 

              Determine if the patient can make voluntary movements.

 

              Perform tests to assess if the patient is in a coma.

 

              Remove the patient’s ventilator to see if spontaneous breathing occurs.

 

              Monitor the patient for eye movements that seem purposeful.

uestion 17

A healthcare professional is educating a community men’s group on symptoms of benign prostatic hyperplasia (BPH). The professional relates that most symptoms are a result of which pathophysiologic condition?

 

              Infection of the prostate        

 

              Obstruction of the urethra     

 

              Ischemia of the urethra          

 

              Compression of the urethra   

Question 18

A woman who is positive for hepatitis B is in labor. What action by the healthcare professional is most appropriate?

 

              Draw blood for a drug screen.

 

              Encourage the mother to bottle feed.

 

              Immunize the newborn within 12 hours.

 

              Discuss poor infant survival.

Question 19

In acute hypothermia, what physiologic change shunts blood away from the colder skin to the body core in an effort to decrease heat loss?

 

              Hypotension                           

 

              Peripheral vasoconstriction   

 

              Voluntary muscle movements

 

              Shivering

Question 20

How is gonorrhea transmitted from a pregnant woman to her fetus?

 

              Unbound in the blood via the placenta       

 

              Attached to immunoglobulin G (IgG) via the placenta    

 

              By direct inoculation with the fetal scalp electrodes exposed to maternal body fluids

 

              Predominately through infected cervical and secretions during the birth process

Question 21

A student reads in a chart that a child has been diagnosed with mixed precocious puberty and asks for an explanation. What explanation by the healthcare professional is most accurate?

 

              When a child develops some secondary sex characteristics of the opposite sex  

 

              When a child does not develop any identifiable external sex organs       

 

              When early puberty occurs due to multiple, integrated causative effects

 

              When early puberty has signs of physical and hormonal abnormalities    

Question 22

A student reads in a chart that a baby was born with an encephalocele. The student asks the healthcare professional to explain this condition. What explanation by the healthcare professional is best?

 

              A herniation or protrusion of brain and meninges through a defect in the skull  

 

              A protruding saclike cyst of meninges filled with spinal fluid and is a mild form of spina bifida

 

              Protrusion of a saclike cyst containing meninges, spinal fluid, and a portion of the spinal cord through a defect in the posterior arch of a vertebra 

 

              Premature closure of one or more of the cranial sutures during the first 18 to 20 months of an infant’s life       

Question 23

Cystic fibrosis is characterized by which symptom?

 

              Excessive mucus production 

 

              Elevated blood glucose levels

 

              Low sodium content in perspiration            

 

              Abnormally thin exocrine secretions           

Question 24

A patient reports frequent nightmares. For which of these should the healthcare professional assess the patient?

 

              A recent major loss                

 

              Family history of nightmares

 

              History of traumatic event    

 

              Poor nutrition and weight loss                    

Question 25

A student is learning about pelvic inflammatory disease (PID). What information does the student clarify with a study partner as being correct?

 

              An episode of mild PID can decrease the possibility of a successful pregnancy by 80%.

 

              Such an inflammation may result in permanent changes to the ciliated epithelium of the fallopian tubes.             

 

              PID has not been associated with an increased risk of an ectopic pregnancy.

 

              Contracting this infection increases the risk of cervical cancer.

Question 26

What causes the vasomotor flushes (hot flashes) that are associated with declining ovarian function with age?

 

              Decreased estrogen levels     

 

              Absence of estrogen              

 

              Increased estrogen levels       

 

              Rapid changes in estrogen levels                 

Question 27

In the majority of children experiencing delayed puberty, what is the problem caused by?

 

              Disruption in the hypothalamus                  

 

              Disruption of the pituitary    

 

              Deficit in estrogen or testosterone               

 

              Physiologic delays in maturation

Question 28

A patient has been hospitalized for a large deep vein thrombosis and states he is the third person in his family to have this condition in the last 2 years. What response by the healthcare professional is most appropriate?

 

              This condition is not transmitted genetically.                   

 

              We can test your blood for factor V Leiden.                    

 

              Were they all men or both men and women?                    

 

              Familial thromboses tend to be very severe.                     

uestion 29

A healthcare professional is planning a community event to reduce risk of cerebrovascular accident (CVA) in high risk groups. Which group would the professional target as the priority?

 

              Insulin-resistant diabetes mellitus               

 

              Hypertension                         

 

              Polycythemia                         

 

              Smoking                  

Question 30

A preschool teacher notices a child who has burrows on the hands that are several millimeters to 1 cm long, papules, and vesicular lesions. What other assessment finding would help the teacher determine the type of infestation the child has?

 

              Ask the child if he or she has been around puppies or kittens.

 

              Check the child’s hair for the presence of small mites.

 

              Ask the child if itching occurs especially at night.

 

              Assess the child’s trunk and abdomen for petechiae.

Question 31

Which condition is consistent with the cardiac defect of transposition of the great vessels?

 

              The aorta arises from the right ventricle.

 

              The pulmonary trunk arises from the right ventricle.

 

              The right ventricle pumps blood to the lungs.

 

              An intermittent murmur is present.

Question 32

A patient has a temporary displacement of two bones in a joint causing the bone surfaces to partially lose contact with each other. What treatment does the health care professional prepare the patient for?

 

              Internal fixation                     

 

              Reduction and immobilization                    

 

              Calcium phosphate cement    

 

              Low-density ultrasound        

Question 33

Which statement by the professor best describes acute respiratory distress syndrome (ARDS)?

 

              An obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation                             

 

              A pulmonary disease characterized by severe hypoxemia, decreased pulmonary compliance, and the presence of bilateral infiltrates on chest x-ray imaging      

 

              A respiratory disorder involving an abnormal expression of a protein producing viscous mucus that lines the airways, pancreas, sweat ducts, and vas deferens                

 

              A pulmonary disorder characterized by atelectasis and increased pulmonary resistance as a result of a surfactant deficiency                                  

Question 35

A child has Duchenne muscular dystrophy. What complication does the healthcare professional teach the parents is most important to control?

 

              Respiratory infection             

 

              Joint contractures                  

 

              Urinary tract infection           

 

              Fractures from falling            

Question 36

How should the healthcare professional reply when parents question why a computed tomographic (CT) scan of the head was not ordered for their 5-year-old child after a minor fall?

 

              Physicians are cautious about ordering CT scan on children younger than 10 years of age.

 

              CT scans are seldom conclusive when used to diagnosis head injuries in young children.

 

              The child’s symptoms will determine whether a CT scan is necessary and worth the expense.

 

              Research suggests that repeated CT scans can increase the risk of developing brain cancer

uestion 37

An infant is brought to the emergency department by parents who report that the baby’s fontanels seem to be bulging outward. What action by the healthcare provider is most appropriate?

 

              Assess the baby for recent trauma to the head.

 

              Measure the head circumference and plot it on a growth chart.

 

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