What finding is unique to the documentation of a physical examination of an infant?

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Question 1

What finding is unique to the documentation of a physical examination of an infant?

Fontanel sizes
Liver span
Prostate size
Thyroid position

Question 2

Nasal symptoms that imply an allergic response include:

purulent nasal drainage.
bluish gray turbinates.
small, atrophied nasal membranes.
firm consistency of turbinates.

Question 3

Inspection of the abdomen should begin with the patient supine and the examiner:

seated at the patient’s side.
standing at the foot of the table.
standing at the patient’s left.
walking around the table.

Question 4

Mr. D. complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. This information would most likely belong in the:

chief complaint.
past medical history.
personal and social history.
review of systems.

Question 5

Mrs. Kinder is a 39-year-old patient who presents to the office with complaints of an earache. In explaining to the patient about the function of her ears, which ear structure would you tell her is responsible for equalizing atmospheric pressure when swallowing, sneezing, or yawning?

Eustachian tube
Inner ear
Pars flaccida
Triangular fossa

The lower respiratory system utilizes a number of different mechanisms that confer protection and maintain homeostasis. Which of the following physiological processes protects the lower respiratory system?

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Question 1 

Following an assessment by her primary care provider, a 70-year-old resident of an assisted living facility has begun taking daily oral doses of levothyroxine. Which of the following assessment findings should prompt the nurse to withhold a scheduled dose of levothyroxine? 

A) The resident has not eaten breakfast because of a recent loss of appetite

B) The resident’s apical heart rate is 112 beats/minute with a regular rhythm

C) The resident had a fall during the night while transferring from her bed to her bathroom

D) The resident received her annual influenza vaccination the previous day

Question 2 

A 33-year-old woman has irritable bowel syndrome (IBS). The physician has prescribed simethicone (Mylicon) for her discomfort. Which of the following will the nurse monitor most closely during the patient’s drug therapy?

A) drug toxicity
B) anorexia
C) increased abdominal pain and vomiting
D) increased urine output

Question 3  

The lower respiratory system utilizes a number of different mechanisms that confer protection and maintain homeostasis. Which of the following physiological processes protects the lower respiratory system?

A) goblet cells throughout the lower airways produce phagocytes that trap particles and microorganisms
B) the carina, where the trachea bifurcates into two bronchi, closes off the lower airway in response to noxious stimuli

C) The alveoli produce positive pressure in order to expel particles that have been inhaled
D) cilia sweep foreign material and mucus upward toward the trachea and larynx where they can then be swallowed

Question 4 

Which of the following patients is most likely to benefit from the administration of an adrenergic agonist?  

A) A man who is in cardiogenic shock following a myocardial infarction
B) A man who has a diagnosis of primary hypertension
C) A woman who has been admitted with a suspected ischemic stroke
D) A woman who is in labor and may require a caesarean section

Question 5 

The APRN is treating a 56 year old male with diagnosed atrial fibrillation. He is complaining of being light headed. His vital signs are BP 100/68 HR 144 RR 22. The best choice of medication to treat this patient is: 

A) Amiodarone
B) Dronedarone
C) Esmolol
D) Flecainide
E) Metoprolol

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

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Question 1

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

Answers:

Yes

No

Question 2

The most common cancer found on the auricle is:

Answers:

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?

Answers:

Xanthines

Antihistimines

Steroids

Anticholinergics

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?

Answers:

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?

Answers:

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

Why do adolescents have the highest risk of developing pelvic inflammatory disease (PID)?

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Question 1

How can liver and renal diseases result in abnormal uterine bleeding (AUB)?

They cause an imbalance in platelet aggregation.

They result in an inability to adequately clear estrogen from the body.

They cause thyroid dysfunction, which leads to bleeding abnormalities.

They result in elevated prolactin levels, which lead to bleeding abnormalities.

Question 2

What is now thought to be the most important causative agent in cervical cancer?

PCOS

Vulvar cancer

Herpes simplex

HPV

Question 3

An initial or primary genital herpes infection characteristically lasts about:

1 week

3 weeks

1 month

6 weeks

Question 4

Which contraceptive methods have inherent failure rates?

None

Some

All

All except sterilization

Question 5

Why do adolescents have the highest risk of developing pelvic inflammatory disease (PID)?

They have the highest risk for bacterial vaginosis.

They are the least at risk for developing other STIs.

They are the most sexually active.

They have decreased immunity to infectious organisms.

Which disease state of a non-adherent patient is at greater risk for substance use, violence, and victimization as well as worse overall quality of life?

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Question 1

M. M. is 27-year-old female student pharmacist who presents to the ER after experiencing extreme lightheadedness during her fourth-year seminar presentation. Her vitals are as follows: BP (107/65) and HR of 45. What medication below is likely the cause of these symptoms?

A.            Tranylcypromine

B.            Clonazepam

C.            Propranolol

D.            Fluoxetine

Question 2

Which atypical antipsychotic(s) require a meal for better absorption?

i.              Quetiapine

ii.             Ziprasidone

iii.            Asenapine

iv.           Olanzapine

v.            Lurasidone

A.            I and V

B.            II and V

C.            III and V

D.            V only

Question 3

Which statement is TRUE regarding the use of selective serotonin reuptake inhibitors (SSRI)/serotonin-norepinephrine reuptake inhibitors (SNRI) in patients with Generalized Anxiety Disorder?

A.            Symptom remission is expected within 1 week.

B.            Symptoms may worsen initially with SSRI treatment.

C.            They are considered second-line therapy.

D.            Start at the usual starting dose that is consistent with depression treatment.

Question 4

Which disease state of a non-adherent patient is at greater risk for substance use, violence, and victimization as well as worse overall quality of life?

a.            Parkinson’s Disease

b.            Multiple Sclerosis

c.             Schizophrenia

d.            Major depressive disorder

Question 5

Choose the appropriate statement regarding lamotrigine dosing.

A.            If adding carbamazepine decrease lamotrigine dose

B.            If adding valproic acid decrease lamotrigine dose

C.            If adding carbamazepine no dose change is needed

D.            If adding valproic acid no dose change is needed

Which of the following statements is true with respect to children who present to care acutely due to violent, enraged behavior?

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Question 1

Which of the following statements is true with respect to children who present to care acutely due to violent, enraged behavior?

A. Under no circumstances should the PMHNP approach this patient.

B. Prepubertal children typically require medication as they are too young to respond to conversation.

C. Children who have a history of repeated, self-limited, severe tantrums require at least a 72-hour admission.

D. If the child appears to be calming down in the emergency area, the clinician may ask the child for his version of events.

Question 2

Phillip is a 5-year-old boy who is in care after being referred for failure to speak at school. He has been in kindergarten for 5 months, and initially his teacher thought he was just shy, so she did not focus on him. However, it has become increasingly apparent that he flat out will not speak at school. Phillip’s parents are adamant that there is not any problem at home and that Phillip talks with them and his older sister routinely. Further assessment reveals that he has always been extremely shy and that he doesn’t like it when people make a fuss over him. The PMHNP suspects that Phillip has selective mutism, which is closely related to:

A. A history of sexual abuse

B. Fetal alcohol syndrome

C. Early onset schizophrenia

D. Social anxiety disorder

Question 3

Jason is a 17-month-old male who is referred for evaluation of an unusually high level of irritability. His mother says he cries ?all the time,? and sometimes he just cannot be comforted; Jason’s pediatrician felt that the complaint warranted an evaluation by child psychiatry. Comprehensive assessment of Jason’s irritability should include all the following except:

A. A comprehensive medical assessment

B. Standardized developmental measures

C. Assessment without the parents present

D. Observation of Jason during play

Question 4

Treatment of abused children is multimodal and long term. The single most important aspect of treatment is:

A. Establishing a safe place for the child

B. Exposure related to the feared experience

C. Psychoeducation

D. Cognitive-behavioral interventions

Question 5

Having child and adolescent patients rate their feelings and moods on a scale of 1–10 is most effective in which age group?

A. 18-months to 3 years

B. 3 to 5 years

C. 5 to 11 years

D. 12 to 17 years

Which of these countries is NOT identified in the text as having a developing economy with a substantial market?

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1. Which of these countries is NOT identified in the text as having a developing economy with a substantial market?

A) Russia 

B) China 

C) India 

D) Europe

2. Low inflation is a trigger for improved project management skills because: 

A) Rampant cost increases must be passed along to the consumer

B) Internal process improvement is accomplished via project management

C) Lower inflation means narrower product launch windows

D) Global markets are a prerequisite for low inflation

3. The Project Management Body of Knowledge Guide definition of a project indicates that a project is:

A) Multifunctional

B) Permanent

C) Designed to avoid using human resources

D) Not limited by a budget

4. The acronym PMBoK stands for: 

A) The Personal Management Before or Kernel. 

B) The Project Movement Behind our Kernel.

C) The Project Management Body of Knowledge. 

D) The Performance Measurement Body of Knowledge.

5. Which of the following is NOT a project constraint? 

A) The budget 

B) The customer requirements 

C) The schedule 

D) The technical specifications

The first stab at a formalized government by the colonists was the

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Question 1 

American politics is often framed as debates about the size of government.

True

False

Question 2 

Who gets what, when and how is known as

Government

Politics

Federalism

Equity

Question 3 

__________________ is the ability to make another person do what you want, usually through coercion.

Justice

Authority

Power

Legitimacy

Question 4 

The first stab at a formalized government by the colonists was the ___________________.

Articles of Confederation

Constitution

Magna Carta

Continental Congress

Question 5 

________________ is the two-tiered system of government in which power is divided between a national government and subnational units.

Dualism

Federalism

Cooperatism

Despotism

How does Jane use influence to get John to be more concerned about the organizational success than his own needs or desires?

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Discussion: Organizational Success: Power and Influence

Jane Doe has a promising career at University Hospital. In six months of working, she has been promoted to Associate Director and tasked with overseeing consumer quality and satisfaction, which will be used to support the hospital’s new vision and mission. This is Jane’s first big assignment, which is to develop a campaign aimed toward adult learners across several departments. However, her project is at risk due to a 32-year veteran on her team, named John Doster, who is reluctant to participate.

Jane must find a way to leverage power and influence in order to encourage and motivate John to increase his performance and participation to ensure success of the project.

Discuss the following:

· What are the sources of power for Jane? And for John?

· What influence tactics can Jane utilize in order to get John on board?

· Which power bases should Jane draw on to help her influence John?

· How does Jane use influence to get John to be more concerned about the organizational success than his own needs or desires?

The effect of the media on nursing image. How can nurses educate the public and help portray the true image of nursing?

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  1. Students will choose from one of the following topics:
    1. Nursing during an epidemic, pandemic or natural disaster across the country or around the globe
    2. Social media influences on health or health care delivery
    3. The effect of the media on nursing image. How can nurses educate the public and help portray the true image of nursing?
    4. The prevalence and impact of substance abuse among nurses (impaired nursing)
    5. Impact of collective bargaining on the nursing profession
    6. Impact of workplace harassment and violence on the nursing profession
    7. You may select from ONE of the following technological advances and discuss its impact on patient outcomes:
      1. Telehealth technology
      2. Health applications
      3. Health-related/electronic wearables
  2. PPT Presentation will have 8-10 slides, NOT including the title and reference slides. You will also need to include graphics to make your slides interesting.
  3. You are to create bullet points for each slide, not including the title and reference slides. Include speaker notes for each slide by including 4-5 sentences to address the bulleted items on each slide. Please follow APA style and include citations in your speaker notes.
  4. Including a minimum of 4-5 peer research articles as references in the presentation. All research articles needs to be within 5 years from today’s date. No blog, chat, other university or Wikipedia information allowed in presentation.  The PowerPoint presentation must follow APA style. 
  5. Describe in detail your plan for how you would lobby your legislators or local government for funding and support for your chosen current issue or trend. 
  6. Include the following elements in your presentation:
    1. How will the topic impact your role as a nurse in nursing workforce or clinical setting?
    2. Current relevance of the topic
    3. How your topic is integrated and used in clinical practice

You will need to follow these steps below for saving your PowerPoint so that your speaker notes are visible:  

  1. Open your PPT and go to “file” in top left corner.  
  2. Click “print” option. Make sure “print all slides” and “print slides with notes” is selected.  
  3. Go to “Save As” on the left hand side and be sure you save as a PDF.  
  4. Under your save as selection, click “more options”. Select the “Options” button and click the “Publish What” pull-down and then select “Notes Pages.” (If you click slides it will not show the speaker notes)  
  5. Click “OK.”  
  6. Complete your selection process by checking “Open file after publishing” and selecting the “Optimize for: ‘Standard’ and ‘Minimum Size’” choices.  
  7. Click on “Save” next to the “Tools” button at the bottom of the box.