Walden University NRNP 6531 Final Exam compilation Questions and Answers 100%Correct/Verified Assured Success New 2023!!!
Question 2. Which of the
... [Show More] following is a potential acquired cause of thrombophilia Homocystinuria
Protein C deficiency Factor V Leiden
Antiphospholipid antibodies
Question 3
Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of:
Ulnar tunnel syndrome Carpal tunnel syndrome Tarsal tunnel syndrome Myofascial pain syndrome
Question 4
Which patient would benefit most from screening for type 2 diabetes?
A 30 year old female with unintended weight loss.
A 25 year old male with family history of type 1 diabetes An obese female with recurrent vaginitis
A 50 year old hyperlipidemic male
Question 5
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?
Rheumatoid arthritis (RA) Osteoarthritis (OA)
Lupus
Peripheral neuropathy
Question 6
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:
Trimethoprim-sulfamethoxazole for 3 days Ciprofloxacin for 7-10 days
Trimethoprim-sulfamethoxazole for 14 days Ciprofloxacin for 3 days
A thymectomy is usually recommended in the early treatment of which disease? Parkinson's disease
Multiple sclerosis Myasthenia gravis Huntington's chorea
Question 8
The diagnosis of human papilloma virus (HPV) infection in males is usually made by
Clinical appearance Viral culture
Tzanck smear KOH prep
Question 9
The most effective intervention(s) to prevent stroke is (are):
81 mg of aspirin daily
Carotid endarterectomy for patients with high-grade carotid lesions Routine screening for carotid artery stenosis with auscultation for bruits Smoking cessation and treatment of hypertension
Question 10
What is the most common cause of Cushing's syndrome?
Excessive ACTH production Administration of a glucocorticoid or ACTH
Pituitary adenoma or a non-pituitary ACTH-producing tumor Autonomous cortisol production from adrenal tissue
Question 11
Diagnostic radiological studies are indicated for low back pain:
Routinely after 3 weeks of low back pain symptoms.
To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of more of low back
pain.
When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection. As a part of a pre-employment physical when heavy lifting is included in the job description.
Question 12
After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been cured?
An enzyme-linked immunosorbent assay titer A urea breath test
A rapid urease test A repeat endoscopy
Question 13
Which appropriate test for the initial assessment of Alzheimer's disease provides the performance ratings on 10 complex, higher order activities?
MMSE
CAGE questionnaire
FAQ - Functional Activities Questionnaire Holmes and Rahe social readjustment scale
Question 14
Major depression occurs most often in which of the following conditions?
A. Myocardial infarction Parkinson's disease Stroke
Alzheimer's disease
Question 15
Which of the following statements about multiple sclerosis (MS) is correct?
MS is a chronic, untreatable illness that is almost always fatal.
MS is a disease of steadily progressive and unrelenting neurologic deterioration. MS is a chronic, treatable illness with unknown cause and a variable course.
Patients with MS who take active steps to improve their health have the best cure rate.
Question 16
Diagnostic evaluation of hypothyroidism reveals:
Elevated TSH and decreased T4 Decreased TSH and increased T4 Decreased TSH and decreased T3 Elevated TSH and increased T4
Question 17
Risk factors for prostate cancer include all of the following except:
Family history
Benign prostatic hypertrophy African American race
Age
Question 18
What information should patients with diabetes and their families receive about hypoglycemia?
Hypoglycemia is a rare complication.
Hypoglycemia requires professional medical treatment.
Hypoglycemia is serious, dangerous, and can be fatal if not treated quickly. Hypoglycemia occurs only as a result of insulin overdose.
Question 19
Which history is commonly found in a patient with glomerulonephritis?
Beta-hemolytic strep infection Frequent urinary tract infections Kidney stones
Hypotension
Question 20
Which of the following is characteristic of a manic episode?
weight loss of gain insomnia or hypersomnia
diminished ability to think or concentrate grandiose delusions
Question 21
Central obesity, "moon" face, and dorsocervical fat pad are associated with:
Metabolic syndrome Unilateral pheochromocytoma Cushing's syndrome
None of the above
Question 22
Which of the following is the most common cause of low back pain?
Lumbar disc disease
Spinal stenosis
Traumatic fracture Osteoporosis
Question 23
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:
Infection Toxoplasmosis Mononucleosis All of the above
None of the above
Question 24
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?
Weight gain Fracture risk Hypoglycemia Weight loss
Question 25
A patient has HIV infection and is having a problem with massive diarrhea. You suspect the cause is
cryptococcosis toxoplasmosis cryptosporidiosis cytomegalovirus
Question 26
Which of the following is the most common causative organism of nongonococcal urethritis?
Chlamydia trachomatis Ureaplasma urealyticum Mycoplasma hominis Trichonomas vaginalis
Question 27
The most common symptoms of transient ischemic attack (TIA) include
Nausea, vomiting, syncope, incontinence, dizziness, and seizure.
Weakness in an extremity, abruptly slurred speech, or partial loss of vision, and sudden gait changes. Headache and visual symptoms such as bright spots or sparkles crossing the visual field.
Gradual onset of ataxia, vertigo, generalized weakness, or lightheadedness
Question 28
What is the first symptom seen in the majority of patients with Parkinson's disease?
Rigidity Bradykinesia Rest tremor Flexed posture
Question 29
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
1-4 red blood cells per high-powered field Specific gravity 1.012
Urobilinogen
10- white blood cells per high-powered field
Question 30
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:
Radial tunnel syndrome
Ulnar collateral ligament sprain Olecranon bursitis
Lateral epicondylitis: Tennis Elbow
Question 31
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?
Depression Panic disorder Anxiety
Post-traumatic stress disorder
Question 32
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:
Trauma Tight shoes
Arthritis flare Hydrochlorothiazide [Show Less]