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NURS 611 FINAL EXAM ACTUAL EXAM ADVANCED
PHARMACOLOGY 2024 LATEST MARYVILLE
UNIVERSITY QUESTIONS AND CORRECT ANSWERS
ALREADY GRADED A+
Question 1. 1. The nurse practitioner is discussing lifestyle changes with a patient diagnosed with gastroesophageal reflux. What are the nonpharmacological management interventions that should be included?Weight reduction and rest 30 minutes after each meal in the supine position Elevation of head of the bed 4-6 inches on blocks and weight reduction Encouraged to wear restrictive clothing to add support for diaphragmatic breathing Using oral mints to relieve gastric distress Elevation of head of the bed 4-6 inches on blocks and weight reduction Question 2. 2. Which lesions are typically located along the distribution of dermatome?Scabies Herpes zoster Tinea Dyshidrosis Herpes zoster Question 3. 3. Which of the following medications are commonly associated with the side effect of cough?Beta blocker Diuretic ACE inhibitor Calcium antagonist 1 / 4
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2 ACE inhibitor Question 4. 4. 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:
Refer the patient for transrectal ultrasound guided prostate biopsy
Obtain an abdominal X-ray of kidneys, ureter, and bladder
Recognize this as a normal finding that requires periodic follow up
Obtain urine culture and sensitivity for prostatitis Recognize this as a normal finding that requires periodic follow up Question 5. 5. 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?Femoral vein thrombosis Femoral artery thrombus Venous insufficiency Musculoskeletal injury Venous insufficiency
Question 6. 6. The most common cause of eye redness is:
Conjunctivitis Acute glaucoma Head trauma Corneal abrasion Conjunctivitis 2 / 4
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3 Question 7. 7. The aging process causes what normal physiological changes in the heart?The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis Cardiology occurs along with prolapse of the mitral valve and regurgitation Dilation of the right ventricle occurs with sclerosis of pulmonic and tricuspid valves Hypertrophy of the right ventricle The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis Question 8. 8. Ms. Smith, 37-year-old, comes to the clinic today complaining of dull, throbbing bilateral headaches almost every evening. You suspect she is
experiencing:
cluster headaches migraine headaches tension headaches benign intracranial hypertension tension headaches Question 9. 9. 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:
Peptic ulcer disease Barrett's esophagus Esophageal varices Pancreatitis Esophageal varices Question 10. 10. Which of the following is considered a "red flag" when diagnosing a patient with pneumonia?Fever of 102 3 / 4
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4 Infiltrates on chest X-ray Pleural effusion on chest X-ray Elevated white blood cell count Pleural effusion on chest X-ray Question 11. 11. 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:
Diverticulitis Colon cancer Appendicitis Peptic ulcer disease Colon cancer
- It is important to not dilate the eye if ____ is suspected.
- / 4
Cataract Macular degeneration Acute closed-angle glaucoma Chronic open-angle glaucoma Acute closed-angle glaucoma Question 13. 13. 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?Ultrasound of the kidneys Intravenous pyelogram Cystoscopy Transvaginal ultrasound of the bladder