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NURS 676 FINAL EXAM NEWE ST 2024 ACTUAL EXAM
COMPLETE 170 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS )
|ALREADY GRADED A+
A patient reports a sudden onset of constant, sharp abd pain to the back.The examiner notes both direct and rebound tenderness with palpation of the abd. What is the significance of this finding? - ANSWER- severe acute pancreatitis with peritonitis.
The provider suspects that a patient has chronic pancreatitis. Which dx test will be most helpful to confirm this dx? - ANSWER- blood glucose and fecal fat
A patient has intermittent Left sided abd pain and fever associated with bloating and constipation alternating with diarrhea. The provider suspects acute diverticulitis. Which tests should be ordered? - ANSWER- CT scan of abd and pelvis, stool for occult blood.
A patient has a hx of of diverticular disease and asks what can be done to minimize acute symptoms. what will the practitioner recommend? - ANSWER- consuming a diet high in fiber
A patient who has a hx of diverticular disease has left sided pain and reports seeing blood in the stool. What is an important interventions for these symptoms? - ANSWER- referring patient for lower EGD.
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A patient has a recent episode of vomiting and describes the vomitus as containing mostlymgastric juice. what does this symptom suggest? - ANSWER- peptic ulcer
A patient has persistent epigastric pain occurring 2-3 hours after a meal.Which test is definitive for diagnosis peptic ulcer in this patient? - ANSWER- Endoscopy with biopsy of gastric mucosas.
What is the best treatment for H. pylori related PUD? - ANSWER- PPI, clarithromycin, for 14 days
A patient who has been taking an NSAID for osteoarthritis pain has PUD. What is the initial step in treating this patient? - ANSWER- Discontinue the NSAID
Which form of hepatitis virus is rapidly spread via fecal-oral route? - ANSWER- Hepatitis A
A patient has irritable bowel syndrome with alternating diarrhea and constipation and asks the provider about dietary changes that may help with symptoms. what will the provider recommend? - ANSWER- keeping a food and symptom diary
Which symptoms must be present for a diagnosis of IBS? - ANSWER- abdominal pain
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What is the probable underlying pathology of IBS, according to research over the last decade? - ANSWER- Alteration in the processing of sensory information
A patient comes to the clinic after being splashed by boiling water while cooking. The patient has partial thickness burns on both forearms, the neck, and chin. What will the provider do? - ANSWER- Refer the patient to the ED
A patient suffers chemical burns on both arms after a spill at work. What is the initial action by the providers in the ED? - ANSWER- remove the offending chemical and garments
A 50 year old previously healthy patient has developed chronic gastritis.What is most likely cause of the condition? - ANSWER- H. pylori infection
A recovering alcoholic reports nausea, vomiting diarrhea, and abd discomfort. a PE is negative for jaundice or scrites. What will the provider do initially? - ANSWER- Order a CBC and liver function tests
An adult patient who had pertussis immunization is exposed to pertussis and develops a runny nose, low grade fever, and URI illness with paroxysmal cough. What is recommendation? - ANSWER- Azithromycin daily for 5 days
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A patient develops a dry, non-productive cough and is diagnosed with bronchitis. Several days later, the cough becomes productive with mucoid sputum. What may be prescribed to help with symptoms? - ANSWER- Antitussive medication
A patient develops acute bronchitis and is diagnosed with having influenza. Which medication will help reduce the duration of symptoms in this patient? - ANSWER- Oseltamivir
Following an upper respiratory infection, a patient begins to develop ataxia and distal paresthesis, alond with oculomotor symptoms and double vision. Based on these presenting symptoms which type of GBS does this patient have? - ANSWER- MFS
A patient has a cough and fever, the provider ausculates rales in both lungs that do not clear with cough. The patient reports having a headache and sore throat prior to onset of cough. A CT shows patchy, nonhomogeneous infiltrates. Based on these findings what organism likely caused this? - ANSWER- Mycoplasma
A young adult, previously healthy clinic patient has symptoms of pneumonia including high fever and cough. Auscultation reveals rales in the left lower lobe. A chest radiograph is normal. The patient is unable to expectorate sputum. Which treatment is recommended for this patient? - ANSWER- Empiric treatment with a macrolide antibiotic
A patient who was initially treated as an outpatient for pneumonia and then hospitalized for two weeks after no improvement continues to show
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