KAPLAN MN566 2017 December Unit 10 Final Exam Latest

MN566 Introduction to Primary Care for the Nurse Practitioner

Unit 10 Final Exam

Question 1

Generalized patterns of nursing care are represented in The Circle of Caring Model as:(choose all that apply)

Question options:

self care

Patience

listening

courage

Authentic presence

advocacy

knowing

commitment

Question 2

Bloom’s (1956) taxonomies of learning includes all of the following except:

Question options:

the cognitive domain

the communication and leadership domain

the affective domain

psychomotor domain

Question 3

Gabby, aged 22, has BellÕs palsy on the right side of her face. Her mouth is distorted, and she is concerned about permanent paralysis and pain. What do you tell her?

Question options:

Most patients have complete recovery in 3 to 6 months.

Unfortunately, you'll probably have a small amount of residual damage.

Don't worry, I'll take care of everything.

You may have a few more episodes over the course of your lifetime but no permanent damage.

Question 4          Which of the following is an example of tertiary prevention in a patient with chronic renal failure?

Question options:

Fluid restriction

Hemodialysis 4 days a week

High-protein diet

Maintenance of blood pressure at 120/80

Question 5

When evaluating a patient with a an acute headache all of the following observations would indicate the absence of a more serious underlying condition except:

Question options:

Onset of headache with exertion, coughing or sneezing

History of previous headaches

Supple neck

normal neurological examination result.

Question 6          There are 1,185,000 cases of HIV/AIDS in the United StatesÓ is an example of the morbidity rate.

Question options:

                True

                False

Question 7

Which of the following would be considered the research design for Level IV evidence?

Question options:

Single descriptive or qualitative study

Opinion of authorities and expert committees

Systematic review of randomized clinical trial studies

Well-designed case Control or Cohort Study Level

Question 8

When administered at the beginning of an attack, oxygen therapy may help this kind of headache?

Question options:

Tension

Migraine

Cluster

Stress

Question 9

Which of the following statements is true concerning the use of bilberry as a complementary therapy for cataracts?

Question options:

The body converts bilberry to vitamin A, which helps to maintain a healthy lens.

Bilberry blocks an enzyme that leads to sorbitol accumulation that contributes to cataract formation in diabetes.

Bilberry boosts oxygen and blood delivery to the eye.

Bilberry is a good choice for patients with diabetes as it does not interact with antidiabetic drugs.

Question 10

The most significant precipitating event leading to otitis media with effusion is:

Question options:

Pharyngitis

Allergies

Viral upper respiratory infection (URI)

Perforation of the eardrum

Question 11

Which information should be included when you are teaching your patient about the use of nicotine gum?

Question options:

The gum must be correctly chewed to a softened state and then placed in the buccal mucosa.

Patients should not eat for 30 minutes prior to or during the use of the gum.

Initially, one piece is chewed every 30 minutes while awake.

Acidic foods and beverages should be encouraged during nicotine therapy.

Question 12

What antiplatelet agent is most widely used for secondary prevention of stroke?

Question options:

Aspirin

Ticlopidine

Clopidogrel

Aspirin and clopidogrel

Question 13

Which of the following would be considered the research design for Level V evidence?

Question options:

Systematic review of randomized clinical trial studies

Well-designed controlled trials without randomization

Systematic reviews of descriptive or qualitative studies

Single descriptive or qualitative study

Question 14

Which obstructive lung disease is classified as reversible?

Question options:

Asthma

Chronic bronchitis

Emphysema

COPD

Question 15

The forced vital capacity is decreased in:

Question options:

Asthma

Chronic bronchitis

Emphysema

Restrictive disease

Question 16

Nathan, a 32-year-old policeman, has a 15-pack-a-year history of smoking and continues to smoke heavily. During every visit, he gets irate when you try to talk to him about quitting. What should you do?

Question options:

Hand him literature about smoking cessation at every visit.

Wait until he is ready to talk to you about quitting.

Document in the record that he is not ready to quit.

Continue to ask him at every visit if he is ready to quit.

Question 17

Which cranial nerve is affected in a patient with a cerebrovascular accident who has difficulty chewing?

Question options:

CN V

CN VII

CN IX

CN X

Question 18 The bird flu of 2005 to 2006 is considered a sporadic outbreak.

Question options:

                True

                False

Question 19

Clinical features of insidious onset, slow progression, and a lack of other findings to explain the symptoms are fairly diagnostic of which condition?

Question options:

Guillain-Barr syndrome

Parkinson's disease

Alzheimer's disease

Huntington's disease

Question 20

Formulating your differential diagnosis is a process that includes:

Question options:

Diagnostic tests

"shot-gun" finding

A physical

History of the present illness

Your personal experiences

Critical Thinking

Question 21

You are doing a cerumen extraction and touch the external meatus of your patientÕs ear. He winces and starts coughing. What is the name of this reflex?

Question options:

Baker phenomenon

Arnold reflex

Cough reflex

Tragus reflex

Question 22

A chronic cough lasts longer than:

Question options:

3 weeks

1 month

6 months

1 year

Question 23

About 90% of all headaches are?

Question options:

Tension

Migraine

Cluster

Without pathological cause

Question 24

A score of 20 to 25 on this test indicates early-stage AlzheimerÕs disease:

Question options:

SLUMS

MoCA

FAST

MMSE

Question 25

Intravenous thrombolytic therapy following an ischemic CVA should be given within how many hours of symptom onset?

Question options:

1 hour

3 hours

6 hours

12 hours