NRNP 6531 Midterm Exam Fall 2022 -Complete Solutions (Graded A)Angie is a new NP who just finished her FNP program. She is having a difficult time finding
... [Show More] an
FNP position in the rural area where she lives. So, since she was an ER nurse prior to her
graduate program she decides to go back to the ER as an APRN. Does she meet the
competency requirements for such a position?
*A
.
Ye
s
B. No
What is the main reason for using the REALM-SF instrument to evaluate health literacy?
a. It assesses numeracy skills.
b.
It enhances patient–provider
communication.
*c
.
It evaluates medical word recognition.
d. It measures technology knowledge.
A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated
as a Level 1 ACO. What is part of this designation?
*a
.
Bonuses based on achievement of
benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d.
Strict requirements for financial
reporting
Question 4
The Consensus Model identifies 3 core courses that all ANPs must take. All the following are
Advanced core courses except:
*A
.
Public Health
B. Physiology
C. Pharmacology
D.
Physical
Assessment
The care provided by APRNs is not limited by setting but by patient care needs.
*True
False
Which is the most appropriate research design for a Level III research study?
a.
Epidemiological
studies
b. Experimental design
*c
.
Qualitative studies
d.
Randomized clinical
trials
What was an important finding of the Advisory Board survey of 2014 about primary care
preferences of patients?
a.
Associations with area
hospitals
b. Costs of ambulatory care
*c
.
Ease of access to care
d.
The ratio of providers to
patients
To reduce adverse events associated with care transitions, the Centers for Medicare and
Medicaid Service have implemented which policy?
a.
Mandates for communication among primary caregivers and
hospitalists
b.
Penalties for failure to perform medication reconciliations at time
of discharge
*c
.
Reduction of payments for patients readmitted within 30 days
after discharge
d.
Requirements for written discharge instructions for patients and
caregivers
The Consensus Model for APRN regulation consists of which of the following roles?
A. CNM
B. CRNA
C. APN
D. CNS
*E
.
All the
Above
F.
A, B & C
only
Rules proposed by the various State Boards of Nursing must be approved by the state
Legislatures.
*True
False
In reviewing the Total Percentage of Body surface area for adult burn patients each, leg, arm
and head are noted evaluated at 9%.
*True
False
What is the initial approach when obtaining a biopsy of a potential malignant melanoma
lesion?
*a
.
Excisional
biopsy
b. Punch biopsy
c. Shave biopsy
d. Wide excision
When assisting with a skin biopsy of a patient suspected of having bullous pemphigoid (BP)
lesions, what will the practitioner do?
a. Avoid contact with the infected lesions.
b.
Elicit a positive Nikolsky sign to confirm the
diagnosis.
*c
.
Perform direct immunofluorescence
microscopy.
d.
Prevent spread of the lesions to other areas of
the skin.
When recommending an over-the-counter topical medication to treat a dermatologic
condition, which instruction to the patient is important to enhance absorption of the drug?
a.
Apply a thick layer of medication over the affected
area.
b.
A solution spray preparation will be more effective on
hairy areas.
*c
.
Put cool compresses over the affected area after
application.
d.
Use a lotion or cream instead of an ointment
preparation.
Carbuncles are typically treated with systemic antibiotics.
*True
False
Mild acne is treated only with topicals.
*True
False
Steroids should be avoided in cases of suspected fungal etiology.
*True
False
A patient comes to the clinic after being splashed with boiling water while cooking. The
patient has partial thickness burns on both forearms, the neck, and the chin. What will the
provider do?
a. Clean and dress the burn wounds.
*b
.
Order a CBC, glucose, and electrolytes.
c. Perform a chest radiograph.
d.
Refer the patient to the emergency
department (ED).
A provider is considering an oral contraceptive medication to treat acne in an adolescent
female. Which is an important consideration when prescribing this drug?
a.
A progesterone-only contraceptive is most beneficial for treating
acne.
b.
Combined oral contraceptives are effective for non-inflammatory
acne only.
c.
Oral contraceptives are effective because of their androgen
enhancing effects.
*d
.
Yaz, Ortho Tri-Cyclen, and Estrostep, are approved for acne
treatment.
Ashley a 24 y/o female comes to the clinic with the following chief complaint: “I have these
reddish/purple raised patches all over my skin. On physical exam the NP notes that the
lesions are erythematous with discrete borders that are irregular, oval or round. The most
likely diagnosis based on the physical exam is:
A. Seborrheic
keratoses
*B
.
Urticaria
C. Xanthelasma
D. Melasma
The most common type of melanoma in African Americans and Asians is:
A. Basal Cell carcinoma
B. Actinic Keratosis
*
C.
Acral Lentiginous
Melanoma
D.
Toxic Epidermal
Necrolysis
Olga was making French fries for her kids and gets splashed with hot oil. At the clinic the NP
notes that she has red colored skin with superficial blisters and pain where the oil splashed.
The most likely diagnosis is:
*A
.
First degree
burn
B.
Second degree
burn
C.
Third degree
burn
D.
Fourth degree
burn
Patty comes to the clinic with these soft fatty cystic lesions on her neck, trunk and arms. The
most likely diagnosis is:
A. Nevi
B.
Acanthosis
Nigricans
*
C.
Acrochordon
D. Cherry Angioma
During a total body skin examination for skin cancer, the provider notes a raised, shiny,
slightly pigmented lesion on the patient’s nose. What will the provider do?
a.
Consult with a dermatologist about possible
melanoma.
b. Reassure the patient that this is a benign lesion.
*c
.
Refer the patient for possible electrodessication and
curettage.
d.
Tell the patient this is likely a squamous cell
carcinoma.
Mikey is a 19 y/o male who is brought to the clinic because he has a fever, sore throat, pain on
swallowing and mildly enlarged submandibular nodes
First line pharmacological treatment for Mikey would include:
A. Amoxicillin
B. Doxycycline
*
C.
Oral
Penicillin
D.
Azithromyci
n
During an eye examination, the provider notes a red-light reflex in one eye but not the other.
What is the significance of this finding?
a. Normal physiologic variant
*b
.
Ocular disease requiring
referral
c.
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