What diabetic complications result from hyperglycemia?



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

Walden NURS 6531 Final Exam / Walden NURS6531 Final 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


A   patient complains of generalized joint pain and stiffness associated with   activity and relieved with rest. This patient history is consistent with   which of the following disorders?


· Question 3


What diabetic complications result from hyperglycemia?



1.  Retinopathy

2.  Hypertension resistant to treatment

3. Peripheral neuropathy

4.  Accelerated atherogenesis


· Question 4


Which   factors are associated with high risk for foot complications in a patient   with diabetes mellitus?

1. Obesity

2. Abnormal nails

3. Abnormal gait

4. Poorly controlled lipids


· Question 5


Which of the following is not a   common early sign of benign prostatic hyperplasia (BPH)?

A. Nocturia
B. Urgency incontinence
C. Strong urinary stream flow
D. Straining to void


· Question 6


A 63-year-old man presents to the   office with hematuria, hesitancy, and dribbling. Digital rectal exam (DRE)   reveals a moderately enlarged prostate that is smooth. The PSA is 1.2. What   is the most appropriate management strategy for you to follow at this time?

A.   Prescribe an alpha adrenergic blocker.
B. Recommend saw palmetto.
C. Prescribe an antibiotic
D. Refer the client to urology.


· Question 7


A 30 year old female patient   presents to the clinic with heat intolerance, tremors, nervousness, and   weight loss inconsistent with increased appetite. Which test would be most   likely to confirm the suspected diagnosis?


· Question 8


Which   history is commonly found in a patient with glomerulonephritis?

Ask about recent infections (skin or upper   respiratory);

recent travel (possible exposure to viruses,   bacteria, fungi, or parasites);

recent illnesses, surgery, or invasive procedures (possible   infection);

any systemic diseases (Systemic Lupus   Erythematosus -SLE)


· Question 9


A   60 year old male patient with multiple health problems presents with a   complaint of erectile dysfunction (ED). Of the following, which medication is   most likely to be causing the problem?


· Question 10


Which   of the following is not a characteristic of type 2 diabetes mellitus?


· Question 11


A   patient has been diagnosed with hypothyroidism and thyroid hormone   replacement therapy is prescribed. How long should the nurse practitioner   wait before checking the patient’s TSH?


· Question 12


A   patient has been diagnosed with generalized anxiety disorder (GAD). Which of   the following medications may be used to treat generalized anxiety disorder?


· Question 13


What   is the most common cause of Cushing’s syndrome?


· Question 14


Which   of the following is the most cause of   low back pain?


· Question 15


Warfarin   (Coumadin) is prescribed for a frail, elderly male with new onset atrial   fibrillation. The goal INR for this patient should be:


· Question 16


A 72   year old patient exhibits sudden onset of fluctuating restlessness,   agitation, confusion, and impaired attention. This is accompanied by visual   hallucinations and sleep disturbance. What is the most likely cause of this   behavior?


· Question 17


Which   of the following is the most common causative organism of nongonococcal   urethritis?

which of the following does not cause   nongonococcal urethritis
a chlamydia – most common
b. mycoplasma
c. neisseria
d. ureaplasma


· Question 18


Which   appropriate test for the initial assessment of Alzheimer’s disease provides   the performance ratings on 10 complex, higher order activities?


· Question 19


What   conditions must be met for you to bill “incident to” the physician, receiving   100% reimbursement from Medicare?


· Question 20


Diagnostic   evaluation for urinary calculi includes:




Urinalysis     and culture




Non     contrast CT




Serum     calcium




All     of the above


· Question 21


Reed-Sternberg   B lymphocytes are associated with which of the following disorders:


· Question 22


Marsha   presents with symptoms resembling both fibromyalgia and chronic fatigue   syndrome, which have many similarities. Which of the following is more   characteristic of fibromyalgia?

A.   Musculosckeletal pain
B. Difficulty sleeping
C. Depression
D. Fatigue


· Question 23


Beth,   age 49, comes in with low back pain. An x-ray of the lumbosacral spine is   within normal limits. Which of the following diagnoses do you explore   further?


· Question 24


Steve,   age 69, has gastroesophageal reflux disease (GERD). When teaching him how to   reduce his lower esophageal sphincter pressure, which substances do you   recommend that he avoid?


· Question 25


The   cornerstone of treatment for stress fracture of the femur or metatarsal stress   fracture is:

Rest the affected part of the body
– Once pain free, the person can gradually begin the   sporting activity again
– Air splinting can reduce pain and decrease the time   until return to full participation or intensity of exercise.
– NSAIDs to reduce pain and inflammation


· Question 26


Which   of the following is not a risk factor associated with the development of   syndrome X and type 2 diabetes mellitus?


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