Actinic keratosis



NURS 6531 Midterm Exam / NURS6531 Midterm Exam (Latest): Walden University

Walden NURS 6531 Midterm Exam / Walden NURS6531 Midterm Exam (Latest)

· Question 1


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





· Question 2


The most common cancer found on   the auricle is:


Actinic keratosis


Basal cell carcinoma


Squamous cell carcinoma


Acral-lentiginous melanoma

· Question 3


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


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?


Instruct the patient on     measures to prevent hemorrhoids such as bowel habits and diet.


Order a topical hemorrhoid cream along with a stool softener.


Refer the patient for a barium enema and sigmoidoscopy.
Refer the patient for a surgical hemorrhoidectomy.

· Question 5


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


Overweight, cyanosis, and normal or slightly increased respiratory     rate
Underweight, pink skin, and increased respiratory rate
Overweight, pink skin, and normal or slightly increased respiratory     rate
Normal weight, cyanosis, and greatly increased respiratory rate

· Question 6


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:


Erythrocyte sedimentation rate
Abdominal ultrasound
CT scan

· Question 7


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:


Purulent drainage
A positive fluorescein stain

· Question 8


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:


Viral conjunctivitis
Common pink eye
Gonococcal conjunctivitis
Allergic conjunctivitis

· Question 9


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:


A common case of shingles and prescribe an analgesic and an antiviral     agent
A complicated case of shingles and prescribe acyclovir, an analgesic,     and a topical cortisone cream
Herpes zoster and consider that this patient may be immunocompromised
A recurrence of chickenpox and treat the patient’s symptoms

· Question 10


Which type of lung cancer has   the poorest prognosis?


Epidermoid carcinoma
Small cell carcinoma
Large cell carcinoma

· Question 11


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:


Acute diarrhea
Chronic diarrhea
Irritable bowel
Functional bowel disease

· Question 12


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?


An allergic reaction
Relapsing polychondritis
Lymphocytoma cutis
Systemic lupus erythematosus

· Question 13


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


Chronic sinusitis


Acute bronchitis
Bacterial pneumonia
Acute exacerbation of chronic bronchitis

· Question 14


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?


Mild intermittent
Mild persistent

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