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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?


· Question 27


A thymectomy is usually recommended in the early treatment of which disease?


· Question 28


The most common cause of elevated liver function tests is:


· Question 29


A 14 year old female cheerleader reports gradual and progressive dull anterior knee pain, exacerbated by kneeling. The nurse practitioner notes swelling and point tenderness at the tibial tuberosity. X-ray is negative. What is the most likely diagnosis?


· Question 30


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