NURSING 6531 final exam 1 Graded A Latest 2021
NURSING NUR 6531 final
exam 1 Graded AFffffff9
Question 2
1 out of 1 points
Central obesity,
... [Show More] “moon” face, and dorsocervical fat pad are associated with:
A .
Metabolic syndrome
B .
Unilateral
pheochromocytoma
C .
Cushing’s syndrome
D .
None of the above
Question 3
1 out of 1 points
An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days
later, he returns to the office complaining of left great toe pain. On exam, the nurse
practitioner notes an edematous, erythematous tender left great toe. The likely
precipitant of this patient’s pain is:
A .
Trauma
B .
Tight shoes
C .
Arthritis flare
D .
Hydrochlorothiazide
Question 4
1 out of 1 points
The most effective treatment of non-infectious bursitis includes: Conservative treatmentincludes rest, cold and heat treatments, elevation, administration of nonsteroidal anti-inflammatory
drugs (NSAIDs), bursal aspiration, and intrabursal steroid injections
Question 5
1 out of 1 points
What conditions must be met for you to bill “incident to” the physician, receiving 100%
reimbursement from Medicare?
Selected
Answer: The physician must be on-site and engaged in
patient care
Answers: You must initiate the plan of care for the patient
The physician must be on-site and engaged in
patient care
You must be employed as an independent
contractor
You must be the main health care provider who
sees the patient
Question 6
1 out of 1 points
Which of the following is not a risk factor associated with the development of syndrome X
and type 2 diabetes mellitus?
The metabolic syndrome refers to the co-occurrence of several known cardiovascular risk factors,
including insulin resistance, obesity, atherogenic dyslipidemia and hypertension.
Question 7
1 out of 1 points
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 8
1 out of 1 points
Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how toreduce his lower esophageal sphincter pressure, which substances do you recommend
that he avoid?
Food that is very hot or very cold
Fatty or fried foods
Peppermint or spearmint, including flavoring
Coffee, tea, and soft drinks that contain caffeine
Spicy, highly seasoned foods
Fried food DT caffeine, chocolate and anticholinergics
Question 9
1 out of 1 points
Which drug category contains the drugs that are the first line Gold standard therapy for
COPD?
Beta antagonist
Question 10
1 out of 1 points
The most commonly recommended pharmacological treatment regimen for low back pain
(LBP) is:
Nsaid
Question 11
1 out of 1 points
Which of the following is not appropriate suppression therapy for chronic bacterial
prostatitis?
Erythromycin
Question 12
1 out of 1 points
A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals
hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but
the patient returns 6 weeks later with the same symptoms of hyperpigmentation,
weakness, anorexia, fatigue, and weight loss. What action(s) should the nurse
practitioner take?
.A Obtain a thorough history and physical, and check serum cortisol and ACTH
levels.
B. Perform a diet history and check CBC and FBS.C. Provide nutritional guidance and have the patient return in one month.
D. Consult home health for intravenous administration
Question 16
1 out of 1 points
You are assessing a patient after a sports injury to his right knee. You elicit a positive
anterior/posterior drawer sign. This test indicates an injury to the: he
A. lateral meniscus
B. cruciate ligament
C. medial meniscus
D. collateral ligament.
Question 17
1 out of 1 points
A 32 year old female patient presents with fever, chills, right flank pain, right
costovertebral angle tenderness, and hematuria. Her urinalysis is positive for leukocytes
and red blood cells. The nurse practitioner diagnoses pyelonephritis. The most
appropriate management is:
Include 500 mg of oral ciprofloxacin (Cipro) twice per day for seven days; 1,000 mg of
extended-release ciprofloxacin once per day for seven days; or 750 mg of levofloxacin
(Levaquin) once per day for five days.
Question 19
1 out of 1 points
A middle-aged man presents to urgent care complaining of pain of the medial condyle of
the lower humerus. The man works as a carpenter and describes a gradual onset of pain.
On exam, the medial epicondyle is tender and pain is increased with flexion and
pronation. Range of motion is full The most likely cause of this patient’s pain is:
epicondylitis
Question 21
1 out of 1 pointsThe best test to determine microalbuminuria to assist in the diagnosis of diabetic
neuropathy
s to measure albumin in a spot urine sample, collected either as the first urine in the morning
or at random, for example, at the medical visit. This method is accurate,:Early morning
Question 22
1 out of 1 points
What is the first symptom seen in the majority of patients with Parkinson’s disease?
Tremor at rest
Question 23
1 out of 1 points
The most commonly recommended method for prostate cancer screening in a 55 year old
male is:
digital rectal exams,
Question 24
1 out of 1 points
Martin, age 24, presents with an erythematous ear canal, pain, and a recent history of
swimming. What do you suspect?
Otitis externa/ swimmer’s ear
Question 25
1 out of 1 points
Which of the following symptoms suggests a more serious cause of back pain?
Pain associated with lying down at night
Question 28
1 out of 1 points
A patient taking levothyroxine is being over-replaced. What condition is he at risk for?
osteoporosis
Question 291 out of 1 points
Which of the following is the most common cause of low back pain?
A .
Lumbar disc disease
B .
Spinal stenosis
C .
Traumatic fracture
D .
Osteoporosis
Question 30
1 out of 1 points
Which is the most common cause of end-stage renal disease in the United States?
Diabetes
Question 31
1 out of 1 points
A 77-year-old female presents to the office complaining a sudden swelling on her right
elbow. She denies fever, chills, trauma, or pain. The physical exam reveals a non-tender
area of swelling over the extensor surface over the right elbow with evidence of trauma
or irritation. The nurse practitioner suspects:
A .
Arthritis
B .
Ulnar neuritis
C .
Septic arthritis
D .
Olecranon bursitis Question 32
1 out of 1 points
A 60 year old female patient complains of sudden onset unilateral, stabbing, surface pain
in the lower part of her face lasting a few minutes, subsiding, and then returning. The
pain is triggered by touch or temperature extremes. Physical examination is normal.
Which of the following is the most likely diagnosis?
A. fibromyligia or neuro something
Question 33
1 out of 1 points
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?
Arthritis, C
Question 34
D
1 out of 1 points
A patient exhibits extrapyramidal side effects of antipsychotic medications. Which of the
following symptoms would lead you to look for another diagnosis?
high fever (102 to 104 degrees F), irregular pulse, accelerated heartbeat (tachycardia),
increased rate of respiration (tachypnea), muscle rigidity, altered mental status, autonomic
nervous system dysfunction resulting in high or low blood pressure, profuse perspiration, and
excessive sweating. called Malignant Hyperthermia” OR Neuroleptic malignant syndrome
hallucinations.
Question 35
1 out of 1 points
Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of:
carpal tunnel syndrome
Question 37
1 out of 1 points
The most common cause of elevated liver function tests is:
alcohol
Question 381 out of 1 points
Reed-Sternberg B lymphocytes are associated with which of the following disorders:
A.
Aplastic anemia
B.
Hodgkin’s lymphoma
C.
Non Hodgkin’s
lymphoma
D.
Myelodysplastic
syndromes
Question 39
1 out of 1 points
Which of the following is a potential acquired cause of thrombophilia?
A.
Homocysteinuria
B.
Protein C deficiency
C.
Factor V Leiden
D.
Antiphospholipid
antibodies
Question 41
1 out of 1 points
A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the
nurse practitioner what the treatment for this disorder is. The nurse practitioner
explains:
Primary hyperparathyroidism is treated with Vitamin D restriction
Primary hyperparathyroidism is treated with parathyroidectomy
Primary hyperparathyroidism is treated with daily magnesium
Primary hyperparathyroidism is treated with parenteral parathyroid
hormone (PTH)
Question 43
1 out of 1 points
A 25 year old overweight patient presents with a complaint of dull achiness in his groinand history of a palpable lump in his scrotum that “comes and goes”. On physical
examination, the nurse practitioner does not detect a scrotal mass. There is no
tenderness, edema, or erythema of the scrotum, the scrotum does not transilluminate.
What is the most likely diagnosis?
A. Testicular torsion
B. Epididymitis
C. Inguinal hernia
D. Varicocele
Question 44
1 out of 1 points
Dave, age 38, states that he thinks he has an ear infection because he just flew back
from a business trip and feels unusual pressure in his ear. You diagnose barotrauma.
What is your next action?
A. Prescribe nasal steroids and oral decongestants
B. Prescribe antibiotic eardrops
C. Prescribe systemic eardrops
D. Refer David to an ear, nose, and throat specialist
A. Prescribe
Question 46
1 out of 1 points
The physiological explanation of syncope is:
Syncope is a transient loss of consciousness (TLOC) due to global cerebral hypoperfusion
characterized by rapid onset, short duration and spontaneous complete recovery.
Question 47
1 out of 1 pointsA 20 year old male patient complains of “scrotal swelling.” He states his scrotum feels
heavy, but denies pain. On examination, the nurse practitioner notes transillumination of
the scrotum. What is the most likely diagnosis? hydrocele
Question 48
1 out of 1 points
A 32 year old male patient complains of urinary frequency and burning on urination for 3
days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection.
The initial treatment should be: nclude nitrofurantoin monohydrate/macrocrystals,
trimethoprim-sulfamethoxazole (TMP-SMX), or fosfomycin. trimethoprim and
sulfamethoxazole
Question 49
1 out of 1 points
Diagnostic radiological studies are indicated for low back pain:
Diagnostic imaging is indicated for patients with low back pain only if they have severe
progressive neurologic deficits or signs or symptoms that suggest a serious or specific underlying
condition. In other patients, evidence indicates that routine imaging is not associated with
clinically meaningful benefits but can lead to harms.
Question 51
1 out of 1 points
An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy
for this patient, the nurse practitioner is most concerned with which of the following side
effects?
A .
Weight gain
B .
Fracture risk
C .
Hypoglycem
ia
D .
Weight loss Question 53
1 out of 1 points
The diagnosis of human papilloma virus (HPV) infection in males is usually made by:
The diagnosis of HPV in men is made when external genital warts are seen. The diagnosis
of genital warts is made by examination of the lesions
Question 54
1 out of 1 points
Which history is commonly found in a patient with glomerulonephritis?
upper respiratory tract infection or a skin infection that was caused by those
bacteria
Question 55
1 out of 1 points
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?
Osteoarthritis
Question 56
1 out of 1 points
The most common presentation of thyroid cancer is:
is an asymptomatic thyroid mass or a nodule that can be felt in the neck.
Question 57
1 out of 1 points
The obligatory criteria for diagnosis of muscular dystrophy (MD) are:
Genetic testing to evaluate missing or repeated mutations in the dystrophin gene. A
lack of the dystrophin gene can lead to a diagnosis of Duchenne or Becker MD. The test is
important not only to confirm the MD diagnosis in males but also to determine whether
women with a family history of Duchenne or Becker MD may be carriers.4 The case for
genetic diagnosis.
Accurate diagnosis of the muscular dystrophies is important for patients,
their families, and efficient and cost-effective use of medical resources.(EEG.)
Question 58
1 out of 1 points
The diagnosis which must be considered in a patient who presents with a severe
headache of sudden onset, with neck stiffness and fever, is:
viral meningitis
Question 59
1 out of 1 points
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?
Hypertensive medication such as hydrochlorothiazides, and other DM2 medications
Question 60
1 out of 1 points
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?
A. Dementia
B. Delirium
C. Parkinson's disease
D. Depression
Question 61
1 out of 1 points
Which of the following set of symptoms should raise suspicion of a brain tumor?
Holocranial headaches present in the morning and accompanied by projectile vomiting
without nausea
Question 62
1 out of 1 pointsThe cornerstone of treatment for stress fracture of the femur or metatarsal stress
fracture is: relative rest-that being the cessation of the offending activity for a period of time
until the irritation is eliminated, pain is gone and the bone is given a chance to heal.
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 63
1 out of 1 points
Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel
syndrome. Your next step is to:
a. refer her to a hand surgeon
b. take a more complete hx
c. try neutral position wrist splinting and order an oral NSAID
d. order a nerve conduction study such as an electromyography (EMG)
Question 64
1 out of 1 points
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 65
1 out of 1 points
The cardinal sign of infectious arthritis is:
Affected joint is painful at rest, with movement and weight bearing
Question 66
1 out of 1 pointsDiagnostic evaluation for urinary calculi includes:
Diagnosis is based on urinalysis and radiologic imaging, usually noncontrast
helical CT.
Question 70
1 out of 1 points
A 15 year-old female patient is 5 feet tall and weighs 85 pounds. You suspect anorexia
and know that the best initial approach is to:
Having the client in view of staff for 90 minutes after each meal
Provide the client with a feeling of responsibility and control over her behavior
Question 71
1 out of 1 points
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 73
1 out of 1 points
A positive drawer sign supports a diagnosis of:
Posterior cruciate ligament injury
Question 75
1 out of 1 points
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?prepatellar bursitis?
Question 77
1 out of 1 points
Jack, age 55, comes to the office with a blood pressure of 144/98 mm Hg. He states that
he did not know if it was ever elevated before. When you retake his blood pressure at the
end of the exam, it remains at 144/98. What should your next action be? Answer: stage 2
hypertension (lifestyle change, and medication
Question 79
1 out of 1 points
Martin is complaining of erectile dysfunction. He also has a condition that has reduced
arterial blood flow to his penis. The most common cause of this condition is:
diabetes mellitus
Question 80
1 out of 1 points
Successful management of a patient with attention deficit hyperactivity disorder (ADHD)
may be achieved with:
Ritalin and diet
Question 81
1 out of 1 points
What diabetic complications result from hyperglycemia?
1. Retinopathy
2. Hypertension resistant to treatment
3. Peripheral neuropathy
4. Accelerated atherogenesis
Question 82
1 out of 1 points
In which of the following presentations is further diagnostic testing not warranted? Question 83
1 out of 1 points
The most common symptoms of transient ischemic attack (TIA) include:
Common symptoms are sudden and transient, and include unilateral paresis, speech
disturbance, and monocular blindness.
clinical symptoms typically lasting less than one hour, and without evidence of infarction on
imaging
Question 85
1 out of 1 points
Establishment of a definitive diagnosis of osteomyelitis requires:
Bone biopsy leads to a definitive diagnosis .
Question 86
1 out of 1 points
Which of the following is the most common causative organism of nongonococcal
urethritis?
A .
Chlamydia
trachomatis
B .
Ureaplasma
urealyticum
C .
Mycoplasma
hominis
D .
Trichonomas
vaginalis
Question 88
1 out of 1 points
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 bemost likely to confirm the suspected diagnosis?
TSH. We also assess free thyroid hormone (FT4) and at times T3
Question 90
1 out of 1 points
Potential causes of hypocalcemia include which of the following?
Hypoalbuminemia is the most common cause of hypocalcemia. Causes include cirrhosis,
nephrosis . hypoparathyroidism, vitamin D deficiency, and renal disease.
Question 92
1 out of 1 points
Which of the following is a contraindication for metformin therapy?
hypersensitity metabolic acidiosis, dehydration, sepsis, hypoxemia, hepatic impairment, renal
dysfunction
Question 93
1 out of 1 points
The organism most often associated with prostatitis is:
A .
Klebsiella
B .
Neiserria
gonorrhoaes
C .
Chlamydia
trachomatis
D .
Escherichia coli
Question 94
1 out of 1 points
The most effective intervention(s) to prevent stroke is (are):Aspirin is one of the most common, most effective/or life style changes
Question 95
1 out of 1 points
What is the most commonly abused substance?
alcohol is the #1 abused substance in America. An estimated 135.5 million people drink
alcohol, but of those people, 86 million are considered to be abusers,
Question 98
1 out of 1 points
An obese hyperlipidemic patient, newly diagnosed with type 2 diabetes mellitus, has
fasting glucose values 180 to 250 mg/Dl. What is the most appropriate initial treatment
to consider?
A. A low-calorie diet and exercise
B. Sliding-scale NPH insulin every 12 hours
C. A sulfonylurea and/or metformin (Glucophage® -XR)
D. Sliding-scale regular insulin every 6 hours
Question 100
1 out of 1 points
Prolonged PT suggests:
A.
Platelet abnormality
B.
Abnormality in intrinsic coagulation
pathway
C.
Abnormality in extrinsic coagulation
pathway
D.
None of the above
Deficiency of FII, FV, FX, or fibrinogen abnormalities
Question 101
1 out of 1 pointsA patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient
would be classified as:
Overweight
Question 2
1 out of 1 points
A patient presents with dehydration, hypotension, and fever. Laboratory testing
reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are
corrected, but the patient returns 6 weeks later with the same symptoms of
hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What action(s)
should the nurse practitioner take?
Answer: Obtain a thorough history and physical, and check serum cortisol and ACTH levels.Question 5
1 out of 1 points
Which of the following is a potential acquired cause of thrombophilia?
Antiphospholipid antibodies
Question 8
1 out of 1 points
Differential diagnosis of proteinuria includes which of the following?
Question 10
1 out of 1 points
Question 35
The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male
patient. The drug of choice for treatment of this patient is: Ceftriaxone 250 mg IM in a
single dose plus. Doxycycline 100 mg orally twice a day for 10 days
Question 11
1 out of 1 points
How do you respond when Jessica, age 42, asks you what constitutes a good
minimum cardiovascular workout?
20 3x per week
Question 121 out of 1 points
The intervention known to be most effective in the treatment of severe depression,
with or without psychosis, is:
electroconvulsive therapy (ECT).
Question 21
1 out of 1 points
Which of the following accounts for half of the bladder tumors among men and onethird in women?
Cigarette smoke, both active and passive inhalation
Question 23
1 out of 1 points
A 21-year-old female presents to the office complaining of urinary frequency and
urinary burning. The nurse practitioner suspects a urinary tract infection when the
urinalysis reveals
Answer: 10WBC/HPF
Question 26
1 out of 1 pointsThe initial clinical sign of Dupuytren’s contracture is:
Answer: Painless nodule on palmer fascia
Question 33
1 out of 1 points
A nurse practitioner diagnoses a 60 year old male with balanitis. Which disease is
commonly associated with balanitis?
(
Question 34
Josh, age 22, is a stock boy and has an acute episode of low back pain. You order and
NSAID and tell him which of the following?
Begin lower back strengthening exercises depending on pain tolerance.
Question 35
1 out of 1 points
A 72 year old female patient reports a 6 month history of gradually progressive
swollen and painful distal interphalangeal (DIP) joints of one hand. She has no
systemic symptoms but the erythrocyte sedimentation rate (ESR), antinuclear
antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is the
most likely diagnosis?
Osteoarthritis Question 40
1 out of 1 points
Jennifer says that she has heard that caffeine can cause osteoporosis and asks you
why. How do you respond?
"A high caffeine intake has a diuretic effect that may cause calcium to be
excreted more rapidly."
Question 41
1 out of 1 points
Which of the following set of symptoms should raise suspicion of a brain tumor?
Holocranial headaches present in the morning and accompanied by projectile
vomiting without nausea
Question 43
1 out of 1 points
Diagnostic confirmation of acute leukemia is based on:
Bone marrow aspiration and biopsy
Question 44
1 out of 1 points
Which of the following antibiotics should not be prescribed for a pregnant woman in
the 3rd trimester? Trimethoprim-sulfamethoxazole Question 46
1 out of 1 points
Who is at a higher risk for developing nephrolithiasis?
Bill, who runs every day and takes excessive amounts of vitamin C
Question 53
1 out of 1 points
A 28-year-old female presents to the office requesting testing for diagnosis of
hereditary thrombophilia. Her father recently had a deep vein thrombosis and she is
concerned about her risk factors. The nurse practitioner explains that:
B and D (does not always require anticoagulation therapy and genetic and risk management
counseling are recommended
Question 54
1 out of 1 points
Martin, a 58 year old male with diabetes, is at your office for his diabetes follow up.
On examining his feet with monofilament, you discover that he has developed
decreased sensation in both feet. There are no open areas or signs of infection on his
feet. What health teaching should Martin receive today regarding the care if his feet?See a podiatrist yearly; wash your feet daily with
warm, soapy water and towel dry between the
toes; inspect your feet daily for any lesions; and
apply lotion to any dry areas.
Question 57
1 out of 1 points
Potential causes of septic arthritis include which of the following? Lyme disease and
prosthetic joint infection
Question 58
1 out of 1 points
Which of the following is the best response to a woman who has just admitted she is a
victim of spousal abuse? "I am concerned about your safety."
Question 62
1 out of 1 points
A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the
following medications may be used to treat generalized anxiety disorder?
benzodiazepines include Xanax, Librium, Valium, and Ativan Question 64
1 out of 1 points
Sam, age 67, is a diabetic with worsening renal function. He has frequent
hypoglycemic episodes, which he believes means that his diabetes is getting “better.”
How do you respond?
Because your kidneys are not functioning well, your insuling is not being metabolized and
excreted as it should, so you need less of it
Question 67
1 out of 1 points
A 35 year old male presents with a complaint of low pelvic pain, dysuria, hesitancy,
urgency, and reduced force of stream. The nurse practitioner suspects acute bacterial
prostatitis. Which of the following specimens would be least helpful for diagnosis?
Midstream urine specimens for culture and sensitivity CBC and differential Blood urea nitrogen
Creatinine
Question 69
1 out of 1 points
A patient has just been diagnosed with Bell’s palsy. He is understandably upset and
has questions about the prognosis. You response should be:
the condition is self-limiting, and most likely complete recovery will occur
Question 70
1 out of 1 pointsWhat is the first step in the treatment of uric acid kidney stones?
Encouraging hydration
Question 71
1 out of 1 points
Urine cultures should be obtained for which of the following patients?
All of the above All of the above (pregnant females, males, and febrile patients)
Question 73
1 out of 1 points
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? Answer: 6 – 8 weeks
Question 76
1 out of 1 points
Which of the following patients most warrants screening for hypothyroidism?
An elderly female with recent onset of mental dysfunction
Question 77
1 out of 1 pointsThe hallmark of neurofibromatosis (von Recklinghausen’s disease) present in almost
100% of patients is:
cafe au lait spots.
Question 82
1 out of 1 points
A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient
would be classified as:
Overweight
Question 84
1 out of 1 points
Diagnostic evaluation of hypothyroidism reveals: Elevated TSH and decrease T4
Question 85
1 out of 1 points
Diagnostic radiological studies are indicated for low back pain:
Pain lasting more than 1 month
- Objective radiculopathy
- Cauda equina syndrome
- Considering "red flag": systemic arthritis, infx, malignancy, trauma, congenital/developmental
abnormalities Question 88
1 out of 1 points
The correct treatment for ankle sprain during the first 48 hours after injury includes:
a cold compress to help reduce swelling (Rest, ice, compression, elevation)
Question 89
1 out of 1 points
The most reliable indicator(s) of neurological deficit when assessing a patient with
acute low back pain is(are): decreased reflexes, strength, and sensation in the lower
extremities
Question 91
1 out of 1 points
Risk factors for Addison’s disease include which of the following? Tuberculosis,
Autoimmune disease, AIDS (all of the above)
Question 92
1 out of 1 points
Major depression occurs most often in which of the following conditions? stroke
Question 931 out of 1 points
Which of the following medications increase the risk for metabolic syndrome? Answer:
antihistamines and proton pump inhibitors, diuretics, beta-blockers
Question 97
1 out of 1 points
A 27 year old female patient with epilepsy is well controlled with phenytoin (Dilantin).
She requests information about contraception. The nurse practitioner should instruct
her that while taking phenytoin:
the effective of an oral contraceptive may be reduced
Question 98
1 out of 1 points
Risk factors for prostate cancer include all of the following except: BPH
Question 101
1 out of 1 points
Maria, age 17, was raped when she was 13 year old. She is now experiencing sleeping
problems, flashbacks, and depression. What is your initial diagnosis? Post-traumatic
stress disorder Question 5
1 out of 1 points
Diabetes screening recommendations for asymptomatic adults age 45 and over include
which of the following:
(HbA1C and 2-hour 75gram oral glucose tolerance test)
Question 9
1 out of 1 points
A child with type 1 diabetes mellitus has experienced excessive hunger, weight gain and
increasing hyperglycemia. The Somogyi effect is suspected. What steps should be taken
to diagnose and treat this condition? --------------------------------------------
Question 10
1 out of 1 points
Potential side effects of levofloxacin include which of the following? Confusion,
Hypoglycemia, Achilles tendon rupture, All of the above.
Question 12
1 out of 1 points
Which of the following is the most common complication of the myelodysplastic
syndromes? Bleeding
Question 15
0 out of 1 points
Which of the following is characteristic of a manic episode? Grandiosity or
grandiose delusions
Question 16
1 out of 1 points
Which of the following characteristics are associated with prepatellar bursitis? Repetitive
knee trauma Question 20
1 out of 1 points
A middle-aged female presents complaining of recent weight loss. The physical exam
reveals an enlarged painless cervical lymph node. The differential diagnosis for this
patient’s problem includes: Answer: infection
Question 21
1 out of 1 points
What is the most common cause of Cushing’s syndrome? the long-term, high-dose use of
the cortisol-like glucocorticoids
1 out of 1 points
Question 26
1 out of 1 points
A diabetic patient is taking low-dose enalapril for hypertension. A record of the patient’s
blood pressure over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg
diastolic. How should the nurse practitioner respond? Answer: Current guidelines
recommend lowering BP to <135/80 mmHg
Question 30
1 out of 1 points
Your patient has an elevated mean cell volume (MCV). What should you be considering
in terms of diagnosis?
Anemia (pernicious or folic acid anemia) macrocytic Liver disease
Question 31
1 out of 1 points
What information should patients with diabetes and their families receive abouthypoglycemia? ………………….
Question 35
0 out of 1 points
At what age is screening most likely to detect scoliosis? Adolescent (age 11 and older, or
from onset of puberty until skeletal maturity).
Question 38
1 out of 1 points
A patient has been taking fluoxetine (Prozac) since being diagnosed with major
depression, first episode, 2 months ago. She reports considerable improvement in her
symptoms and her intention to discontinue the medication. What should be the nurse
practitioner’s recommendation? Answer: Recommend that the patient continue the
antidepressant medication for at least 4 more months
Question 39
1 out of 1 points
A typical description of a tension headache is: mild to moderate intensity, bilateral,
nonthrobbing
Question 41
0 out of 1 points
Which of the following is not a characteristic of type 2 diabetes mellitus?
-----------------------------------
Which of the following is not a characteristic of type 1 diabetes mellitus? It is generally
controlled by diet and/or oral medication.
Question 42
1 out of 1 points
The most accurate measure of diabetes control is: hemoglobin A1c considered the most
accurate measurement or Glycosylated hemoglobin level
Question 430 out of 1 points
Microalbuminuria is a measure of: Answer: Urinary excretion of 30-299mg/24 hours of
albumin, Expressing albumin and creatinine ratio (ACR) takes the variability into account
and normalizes the albumin in a spot specime
Question 53
1 out of 1 points
A patient has HIV infection and is having a problem with massive diarrhea. You suspect
the cause is: Cryptosporidiosis
Question 56
1 out of 1 points
The nurse practitioner is following a child with juvenile rheumatoid arthritis (JRA) who has
been previously diagnosed and is being managed for the disease by a pediatric
rheumatologist. The mother asks for information about the child’s long term prognosis.
What is the most appropriate reply? prevent disease progression and destruction of joints,
bones, cartilage and soft tissues such as muscles, tendons and joint capsules
Question 59
0 out of 1 points
Which factors are associated with high risk for foot complications in a patient with
diabetes mellitus?
Obesity
Abnormal nails
Abnormal gait
Poorly controlled lipids
Obesity
2.Abnormal nails
3.Abnormal gait
4.Poorly controlled lipids Question 60
1 out of 1 points
Which of the following is the most common causative organism of nongonococcal
urethritis?
Chlamydia trachomatis
Question 61
0 out of 1 points
A 65 year old patient complains of recurrent bilateral temporal headaches, malaise,
muscle aches, and low grade fever. The headache is described as superficial tenderness
rather than deep pain. Giant cell arteritis is suspected. Appropriate treatment is: refer for
temporal artery biopsy and initiation of oral prednisone
Question 64
1 out of 1 points
The most reliable diagnostic indicator of gout is: Elevated serum uric acid levels
Question 82
0 out of 1 pointsA patient with HIV infection has a fever of unknown
origin (FUO). Which of the following is a possible
cause of FUO in a patient with HIV? drug fever
Question 85
1 out of 1 points
After treating a patient for Helicobacter pylori infection, what test do you order to see if it
has been cured? A urea breath test
Question 86
1 out of 1 points
Which of the following physical modalities recommended for treatment of rheumatoid
arthritis provides the most effective long term pain relief?
Your physical therapist may use modalities, such as gentle heat and electrical stimulation to
help manage your RA symptoms.
Question 88
1 out of 1 points
Other than smoking cessation, which of the following slows the progression of COPD in
smokers? oxygen
Question 93
1 out of 1 points
What intervention does the American College of Rheumatology recommend as first
line therapy for osteoarthritis? Acetaminophen should be used as first-line therapy for
mild osteoarthritis. Nonsteroidal anti-inflammatory drugs are superior to acetaminophen
for treating moderate to severe osteoarthritis Question 97
1 out of 1 points
The best test to determine microalbuminuria to assist in the diagnosis of diabetic
neuropathy: Answer: measure albumin (microalbuminuria
Question 99
0 out of 1 points
A 26 year old female presents with elbow pain that is described as aching and burning.
There is point tenderness along the lateral aspect of the elbow and painful passive flexion
and extension. She reports she has been playing tennis almost daily for the past month.
The most likely diagnosis is: lateral epicondylitis (tennis elbow) [Show Less]