NRNP 6531
• Question 1
0 out of 0 points
When completing this quiz, did you comply with Walden University’s Code of Conduct including the
... [Show More] expectations for academic integrity?
Selected Answer:
Ye s
Answers:
Ye s
No
• Question 2
1 out of 1 points
The most common cancer found on the auricle is:
Selected Answer:
Answers:
Basal cell carcinoma
Actinic keratosis
Basal cell carcinoma
Squamous cell carcinoma
Acral-lentiginous melanoma
• Question 3
0 out of 1 points
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?
Selected Answer:
Answers:
Anticholinerg ics
Xanthines
Antihistimine s Steroids
Anticholinerg ics
• Question 4
0 out of 1 points
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?
Selected Answer:
Answers:
Instruct the patient on measures to prevent hemorrhoids such as bowel habits and diet.
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
0 out of 1 points Which of the following patient characteristics are associated with chronic bronchitis?
Selected Answer:
Underweight, pink skin, and increased respiratory rate
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
• Question 6
1 out of 1 points
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:
Selected Answer:
Answers:
CT scan
CBC/dif
Erythrocyte
sedimentation rate
Abdominal ultrasound
CT scan
• Question 7
1 out of 1 points
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:
Selected Answer:
Purulent drainage
Answers:
Purulent drainage
Tearing
Photophobia
A positive fluorescein
stain
• Question 8
1 out of 1 points
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:
Selected Answer:
Answers:
Gonococcal conjunctivitis
Viral conjunctivitis
Common pink eye
Gonococcal
conjunctivitis
Allergic conjunctivitis
• Question 9
0 out of 1 points
A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles consisting of about 15 lesions across 3 diferent thoracic dermatomes. He complains of pain, burning, and itching. The nurse practitioner should suspect:
Selected Answer:
Answers:
A complicated case of shingles and prescribe acyclovir, an analgesic, and a topical cortisone cream
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
0 out of 1 points
Which type of lung cancer has the poorest prognosis?
Selected Answer:
Answers:
Adenocarcinoma
Adenocarcinoma
Epidermoid
carcinoma
Small cell carcinoma
Large cell carcinoma
• Question 11
1 out of 1 points
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:
Selected Answer:
Answers:
Chronic diarrhea
Acute diarrhea
Chronic diarrhea
Irritable bowel
Functional bowel disease
• Question 12
1 out of 1 points
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?
Selected
Answer: Systemic lupus
erythematosus
Answers: An allergic reaction
Relapsing polychondritis
Lymphocytoma cutis
Systemic lupus erythematosus
• Question 13
1 out of 1 points
Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes?
Selected Answer:
Answers:
Acute bronchitis
Chronic sinusitis
Acute bronchitis
Bacterial pneumonia
Acute exacerbation of chronic bronchitis
• Question 14
0 out of 1 points
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily. Her exacerbations afect her activities and they occur at least twice weekly and may last for days. She is afected more than once weekly during the night with an exacerbation. Which category of asthma severity is Lisa in?
Selected Answer:
Answers:
Mild persistent
Mild intermittent
Mild persistent
Moderate persistent
• Question 15
0 out of 1 points
Which of the following is the most appropriate therapeutic regimen for an adult patient with no known allergies diagnosed with group A B-hemolytic strep?
Selected Answer:
None of the above
Answers:
Penicillin V 500 milligrams PO every 8 hours for 10 days
Ampicillin 250 milligrams PO twice a day for
10 days
Clarithromycin 500 milligrams po daily for 7 days
None of the above
• Question 16
0 out of 1 points
A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by leg elevation. She occasionally has edema in her lower legs at the end of the day. What is the most likely cause of these problems?
Selected Answer:
Answers:
Arterial insufficiency
Congestive heart failure
Varicose veins
Deep vein thrombosis
Arterial insufficiency
• Question 17
1 out of 1 points Which statement below is correct about pertussis?
Selected
Answer: It is also called whooping cough
Answers:
It is also called whooping cough
It begins with symptoms like strep throat
It lasts about 3 weeks
It occurs most commonly in toddlers and young children
• Question 18
0 out of 1 points
Which of the following is the most important diagnosis to rule out in the adult patient with acute bronchitis?
Selected Answer:
Asthma
Answers:
Pneumo
nia
Asthma
Sinusitis
Pertussis
• Question 19
1 out of 1 points
A 70 year old patient presents with left lower quadrant (LLQ) abdominal pain, a markedly tender palpable abdominal wall, fever, and leukocytosis. Of the following terms, which correctly describes the suspected condition?
Selected Answer:
Answers:
Diverticulit is
Diverticulo sis
Diverticula
Diverticulit is
Diverticulu m
• Question 20
1 out of 1 points
Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. This morning she noticed a rash with erythematous papules in that site. What do you suspect?
Selected Answer:
Answers:
Herpes zoster Varicella
Herpes zoster Syphilis
Rubella
• Question 21
0 out of 1 points
A 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knows that the most common cause of pancreatitis is:
Selected Answer:
Answers:
Medicatio ns
Alcohol
Gallstone s
Medicatio ns
Pregnanc y
• Question 22
1 out of 1 points
When a patient presents with symptoms of acute gallbladder disease, what is the appropriate nurse practitioner action?
Selected Answer:
Answers:
Order an abdominal ultrasound
Order abdominal x-rays
Order an abdominal ultrasound
Refer the patient to a surgeon for evaluation
Prescribe pain medication
• Question 23
0 out of 1 points A false-positive result with the fecal occult blood test can result from:
Selected Answer:
Answers:
stool that has been stored before testing ingestion of large amounts of vitamin C
a high dietary intake of rare cooked beef
a colonic neoplasm that is not bleeding
stool that has been stored before testing
• Question 24
0 out of 1 points
A 76-year-old male complains of weight loss, nausea, vomiting, abdominal cramping and pain. Physical findings include an abdominal mass and stool positive for occult blood. The nurse practitioner pain suspects a tumor in the small intestine. The best diagnostic test for this patient is:
Selected
Answer: Colonoscopy
Answers: Colonoscopy
Small bowel followthrough
Barium enema
CT abdomen
• Question 25
1 out of 1 points
A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema. The echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that these findings are consistent with:
Selected Answer:
Answers:
Systolic heart failure
Mitral regurgitation
Systolic heart failure
Cardiac myxoma
Diastolic heart failure [Show Less]