NR507 exam Final week 8 new version

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NR507 exam Final week 8

Which of the following describes the pathology of heart failure?

Answers: A – D

1. Systemic hypotension results in pulmonary edema
2. Systemic hypotension results in decreased afterload

C. There is less cardiac output to meet the body’s oxygen demands

1. Increased systemic hypertension results in decreased ventricular preload

A patient presents to the emergency department (ED) with sustained trauma due to a motorcycle accident. Which of the following is the patient at risk for developing?

Answers: A – D

1. Hemolytic anemia

B. Acute blood loss anemia

1. Iron deficiency anemia
2. Chronic blood loss anemia

Which of the following FEV1/FEV ratios is characteristic of a restrictive respiratory disorder?

Answers: A – D

1. FEV1/FEV less than 70%
2. Increased FVC
3. Increased FEV1
4. FEV1/FEV of 85%

Correct Answer: D. FEV1/FEV of 85%

Which of the following prognostic features is commonly associated with a worse outcome in melanoma?

Answers: A – D

1. Radial growth phase
2. Nodular histologic subtype
3. Presence of ulceration
4. Clark’s level II

Correct Answer: C. Presence of ulceration

An individual presents to the clinic with symptoms suggestive of multiple sclerosis (MS). Which of the following risk factors is associated with an increased likelihood of developing MS?

Answers: A – D

1. Low magnesium level
2. Low caffeine intake
3. Smoking
4. Strenuous physical exercise

Correct Answer: C. Smoking

A 17-year-old patient presents with a complaint of worsening throbbing headache and fever. On exam, the NP notes positive Kernig and Brudzinski signs and nuchal rigidity. Which of the following diagnoses is most likely?

Answers: A – D

1. Subarachnoid hemorrhage
2. Viral encephalitis
3. Traumatic head injury
4. Bacterial meningitis

Correct Answer: D. Bacterial meningitis

In a client with cirrhosis of the liver, how would the NP recognize the initial development of hepatic encephalopathy?

Answers: A – D

1. Elevated serum bilirubin levels
2. Progressive jaundice and dark urine
3. Subtle changes in personality and memory loss
4. Increased liver enzymes

Correct Answer: C. Subtle changes in personality and memory loss

Which of the following is a trigger for intrinsic asthma?

Answers: A – D

1. Anxiety
2. Pet dander
3. Dust mites
4. Pollen

Correct Answer: A. Anxiety

A patient with GERD has been prescribed a proton-pump inhibitor (PPI). The patient returns to the office for follow-up and reports relief from heartburn but has some occasional breakthrough symptoms. Based on the NP’s evaluation of the patient’s report, what is the next best action by the NP?

Answers: A – D

1. Advise the patient to discontinue the PPI
2. Increase the dose of the PPI
3. Add an H2 receptor antagonist
4. Inquire about the timing and adherence to the medication

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