NRNP 6568 Week 4 Comprehensive Practice Quiz Walden University 2024
Question 1
1 / 1 pts
Martin is a 17y/o male who comes to the clinic with the
... [Show More] following chief
complaint: “I have pain around my belly button and have had no appetite for
the past 24 hours. I have had some nausea and have vomited three times. I
have had a low-grade fever also.” During the clinical exam, the NP notices
that Martin has some guarding and rebound tenderness in the RLQ. The most
likely diagnosis for this patient is:
Acute appendicitis
Cholecystitis
Acute diverticulosis
Acute pancreatitis
Question 2
1 / 1 pts
Diagnostic studies for Type II diabetes mellitus would include which of the
following:
HbA1C (>6.5%)
Fasting plasma glucose (= to or >126 mg/dL)
Random plasma glucose (>200 mg/dL)
All of the above
None of the above
Question 3
1 / 1 pts
Amanda was out hiking with her boyfriend in the woods. When she gets
home, she notices that she has an inflammatory skin reaction caused by
something she picked up in the woods. The next day she sees bright red
pruritic lesions on her lower extremities that are moist and painful.
Treatment for Amanda’s condition would include which of the following?
A. Topical steroids
B. Triamcinolone
C. Calamine lotion
D. Oatmeal baths (Aveeno)
E. All of the above
F. All of the above except D
IncorrectQuestion 4
0 / 1 pts
John is a 7 y/o whose mother brings him to the clinic with the following chief
complaint: “He fidgets and squirms all the time. His teachers tell me he has
difficulty remaining in his seat, talks excessively, can’t wait for his turn,
interrupts conversations, and acts like a robot.” Differential diagnoses for
John would include all the following except:
Autism spectrum disorder
Language delay
Dysfunctional family situation
Laziness
Question 5
1 / 1 pts
Adela is a 38 y/o overweight female who presents to the clinic with RUQ pain
that occurs approximately 1 hour after eating a fatty meal. The most likely
diagnosis for Adela is:
Acute pancreatitis
Acute cholecystitis
Crohn’s disease
Ulcerative colitis
Question 6
1 / 1 pts
Martin is a 17 y/o male who comes to the clinic with the following chief
complaint: “I have pain around my belly button and have had no appetite for
the past 24 hours. I have had some nausea and have vomited three times. I
have had a low-grade fever also.” During the clinical exam, the NP notices
that Martin has some guarding and rebound tenderness in the RLQ. In the
physical exam, the NP performs some abdominal maneuvers. What would be
the most appropriate maneuvers for Martin’s symptomatology?
A. Psoas sign
B. Obturator sign
C. Rovsing’s sign
D. Murphy’s sign
E. A, B and C only
F. All of the above
Question 7
1 / 1 pts
Michael is 2 months old and his mother brings him to the clinic for his 2-
month vaccinations. Which is the correct combination of vaccines that he
needs?
Hep A, Tdap, PCV, Polio
Hep B, Tdap, Hib, Hep A
Hep B, DTaP, Hib, PCV
Hep B, DTaP, IPV
Question 8
1 / 1 pts
Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her
fourth child. She has a new onset of vaginal bleeding that is worsened by
intercourse. On external physical exam, you note that her uterus is soft and
non-tender to palpation. The most likely diagnosis for this condition is:
Placental abruption
Severe preeclampsia
Placenta previa
None of the above
Question 9
1 / 1 pts
Jay is a 72 y/o male who comes to the clinic with the following chief
complaint: “I have been feeling very tired recently and having trouble
breathing when I go upstairs. I noticed that my ankles and feet are swollen
and I have been putting on weight.” The most likely diagnosis for this patient
is:
Acute myocardial infarction (AMI)
Infective endocarditis
Congestive heart failure (CHF)
Dissecting abdominal aortic aneurysm (AAA)
Question 10
1 / 1 pts
Carter, a 74 y/o male, comes for his annual physical exam and the NP notes
that he has a very loud murmur with her scope off his chest, and that there
is also an obvious thrill. This would describe which grade of murmur?
Grade III
Grade IV
Grade V
Grade 6
Question 11
1 / 1 pts
Jane is a 57 y/o female whose husband of 35 years just passed away in the
past 6 months. Jane comes to the clinic and says: “I cry all the time. I can’t
sleep, I have no energy, I have lost 20 pounds in the past 2 months, and I get
easily agitated. What’s wrong with me?”
Anxiety
Minor depression
Major depression
None of the above
Question 12
1 / 1 pts
The use of steroids in the treatment of fungal infections will worsen the
infection.
True
False
Question 13
1 / 1 pts
Cellulitis is usually caused by a gram-negative bacterium.
True
False
Question 14
1 / 1 pts
Andre is a 52 y/o construction worker who stayed home today because he
was having severe chest pain. His wife calls the clinic and describes his
symptoms as: squeezing chest tightness, with pain that radiates to the left
side of his neck, jaw, and left arm. The NP’s immediate response should be
to tell the wife:
Begin CPR and then call 911.
Call 911 immediately.
Have the wife drive the patient to the ER.
Call back if the intensity of the pain increases.
Question 15
1 / 1 pts
John is a 7 y/o whose mother brings him to the clinic with the following chief
complaint: “He fidgets and squirms all the time. His teachers tell me he has
difficulty remaining in his seat, talks excessively, can’t wait for his turn,
interrupts conversations, and acts like a robot.” After evaluation, the NP
determines that he probably has which of the following:
Attention-deficit/hyperactive disorder (ADHD)
Developmental delays
Learning disability
Poor parenting
Question 16
1 / 1 pts
The CDC recommends that after a child receives a vaccine (s)he should be
monitored for:
15 minutes
20 minutes
30 minutes
60 minutes
Question 17
1 / 1 pts
John is a 26 y/o Caucasian male who works as a landscaper for his father’s
business. During the past couple of months, he has noticed a small dark
popular lesion on his neck. He states that it sometimes bleeds and is a “sore
that never heals.” The NP notes that he has a circumscribed 2mm lesion at
the base of his neck just below the hairline. The most appropriate treatment
for John’s lesion would be:
Apply Aldara Cream
Electrocautery
Mohs surgery
“Watch and wait”
Question 18
1 / 1 pts
Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her
fourth child. She has a new onset of vaginal bleeding that is worsened by
intercourse. On external physical exam, you note that her uterus is soft and
non-tender to palpation. If Sara started having uterine cramping, then the
most appropriate immediate treatment would be:
Vaginal exam
Ultrasound of the uterus
C-section
Intravenous magnesium
Question 19
1 / 1 pts
Marty is an 18 y/o outdoorsman who loves hiking in the woods. Marty notes
that he was hiking about 10 days ago, and now he has a red rash with a
central clearing that looks like a target. The rash is rough and hot to the
touch. He now has flu-like symptoms. The NP diagnoses this rash as:
Eczema
Brown recluse spider bite
Lyme disease
Actinic keratosis
Question 20
1 / 1 pts
According to the CDC, an infant can start receiving live attenuated vaccine at
6 months of age.
True
False
Question 21
1 / 1 pts
Ann is a primigravida in her 35th week of pregnancy and presents to the
clinic with severe recurrent headaches, blurred vision, pitting edema, and
right upper quadrant pain. Additionally, she has oliguria, nausea, and
vomiting. Her urine protein is >1+. Her most likely diagnosis is:
Placentia previa
Hemolysis, elevated liver enzymes, and low platelets (HEELP) syndrome
Placental abruption
Severe preeclampsia
Question 22
1 / 1 pts
Bobby is a 20 y/o African American male who comes to the clinic with the
following presentation. His BMI is >85% for his age and sex. His PMH
indicates hypertension, hyperlipidemia, and acanthosis nigricans. Based on
his PMH and presenting symptoms, the NP would most likely be inclined to
identify him as having:
Pheochromocytoma
Type 1 diabetes mellitus
Type 2 diabetes
None of the above
Question 23
1 / 1 pts
Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her
fourth child. She has a new onset of vaginal bleeding that is worsened by
intercourse. On external physical exam, you note that her uterus is soft and
non-tender to palpation. Knowing that her cervix is not dilated, the most
appropriate treatment would be:
An emergency room visit
Strict bedrest
Hospitalization
All of the above
Question 24
1 / 1 pts
Bonnie is a 76 y/o female patient who resides in a nursing home. She is
currently on a 10-day course of Clindamycin for a recurrent bacterial vaginal
infection. She has started having 10–15 watery stools per day. The NP
recognizes this as:
Crohn’s disease
Ulcerative colitis
Clostridium difficile colitis
None of the above
Question 25
1 / 1 pts
Andrew, a 41 y/o male resident of Oklahoma, presents to the clinic in July
with the following symptoms: fever, chills, severe headache photophobia,
and myalgia. He states that since his fever occurred 2 days ago, he now has
this rash of petechiae on wrists, forearms, and ankles. The first line
pharmacological treatment for Andrew would include:
Chloramphenicol
Doxycycline
Ampicillin
Penicillin
Question 26
1 / 1 pts
Jay is a 72 y/o male who comes to the clinic with the following chief
complaint: “I have been feeling very tired recently and having trouble
breathing when I go upstairs. I noticed that my ankles and feet are swollen
and I have been putting on weight.” Treatment for Jay’s diagnosis could
include which of the following?
A. Diuretics
B. Calcium channel blockers
C. Beta blockers
D. All of the above
E. A & C only
Question 27
1 / 1 pts
Andrew is a 37 y/o male who comes to the clinic with the following
symptoms: insomnia, feelings of worthlessness, and being easily fatigued.
Given his symptoms the most likely diagnosis would be:
Major depression
Minor depression
Suicidal ideation
Anxiety
Question 28
1 / 1 pts
Which vaccine is required at birth of a newborn?
Hepatitis A
Hepatitis B
DTAP
Tdap
Question 29
1 / 1 pts
The typical ratio of basal to bolus insulin is:
70:30 or 55:45
50:50 or 60:40
40:60 to 45:55
None of the above
Question 30
1 / 1 pts
Maria is a 26 y/o female in her third trimester of pregnancy. She has a
sudden onset of vaginal bleeding and has a hypertonic uterus. She has a
history of hypertension secondary to previous cocaine use. Her most likely
diagnosis would be:
Placental abruption
Placenta previa
Severe preeclampsia
Uterine rupture [Show Less]