NSG 6006 COMPREHENSIVE EXAM UPDATED QUESTIONS
AND SOLUTIONS GRADED A+
✔✔A MSN student is noting challenges related to attending school while attempting to
balance other work, family, and social responsibilities. Which of the following role
concepts illustrates the MSN student's experience - ✔✔Role stress
✔✔A 24-year-old female presents to the primary care office with complaints of dysuria.
Urinalysis lab results indicated positive nitrates. The nurse practitioner plans to initiate
antibiotic coverage for the most likely causative organism which is - ✔✔Escherichia coli
✔✔Place the following four steps of APN core competency of evidenced based practice
in order - ✔✔Critically appraise and extract evidence
Formulate a measurable clinical question
Review literature for relevant studies
Implement useful findings in clinical decision making
✔✔A 12-year-old male is diagnosed with Klinefelter syndrome. His karyotype would
reveal which of the following? (LESS BODY HAIR, BREAST ENLARGEMENT= EXTRA
X CHROMOSOME) - ✔✔XXY
✔✔Concerning the MMR vaccine, which of the following is a correct statement -
✔✔There is no scientific evidence to support MMR use increases autism risk
✔✔You are seeing a 40-year-old patient who has started varenicline (Chantix) 3 weeks
ago as a tool for smoking cessation. What is the most important question to ask during
the visit? (CAUSES MOOD SWINGS) - ✔✔Have you noticed changes in your mood?
✔✔A primary care nurse practitioner (NP) is seeking additional support from ancillary
health services fo ra diabetic client who is noncompliant with nutrition, exercise, and
medication. Which barrier to ethical practice is influencing the NP's practice -
✔✔Patient-provider
✔✔Which hospital ownership classification best describes an organization whose
excess income is distributed to its share holders - ✔✔For profit
✔✔How has the Quality Chasm Report been used to direct US health care - ✔✔As a
framework for safe, effective, efficient, equitable, timely, and patient centered care
✔✔A 12-year-old female is newly diagnosed with type 1 DM. When the parents ask
what causes this, what is the nurse practitioner's best response - ✔✔Immune
destruction of the pancreas
, ✔✔Which patient below is at most risk for invasive pneumococcal infection?
(SPLEEN=IMMUNE SYSTEM) - ✔✔A 32-year-old woman who underwent a
splenectomy after a motor vehicle accident
✔✔A Latino patient in your clinic has been perpetually late for his appointment. Which
action by the nurse practitioner would be most appropriate - ✔✔Assess how the patient
interpret the appointment time
✔✔What specific developments have primarily occurred because of the Affordable Care
Act (ACA) - ✔✔Development of patine centered outcomes, use of comparative
effectiveness research,
quality payment structure that impact APN reimbursement
✔✔Hamric's Integrative Model of Advanced Practice Nursing identify the central
competency of advance practice nursing that directs the other six core competencies -
✔✔Direct Clinical Practice
✔✔A public health nurse is teaching the community about health promotion. When
explaining immunity, the APN discusses that innate immunity is - ✔✔Present at birth
✔✔According to Madeline Leininger, cultural care/accommodation/negotiation refers to
actions/decisions that help a particular culture - ✔✔Adapt to or negotiate with others for
satisfying healthcare outcomes
✔✔The nurse practitioner is conducting annual physical exam on a 62-year-old male.
Which of the following risk factors will prompt the nurse practitioner to screen the patient
for development of benign prostatic hypertrophy (BPH) - ✔✔Increased age
✔✔The family nurse practitioner examines a patient who has sustained a non-work-
related injury that interferes with his ability to perform his job. The patient does not
qualify for medical disability and has a reasonable chance of engaging in a suitable
occupation with proper therapy. What typer of services or benefits should the nurse
practitioner recommend - ✔✔Vocational rehabilitation services
✔✔Which of the following statements best addresses how theory can guide and direct
practice - ✔✔Nursing theories will guide the way fo relating with he person, and direct
the goals fo practice with the person
✔✔To implement a theory/conceptual model into practice, the nurse would identify the
purpose of the practice, general nature of the practice problem, the setting of the
practice and the characteristics of the participants in the practice. What would be the
next step for the nurse - ✔✔Review several models to decide on the best approach for
the practice
AND SOLUTIONS GRADED A+
✔✔A MSN student is noting challenges related to attending school while attempting to
balance other work, family, and social responsibilities. Which of the following role
concepts illustrates the MSN student's experience - ✔✔Role stress
✔✔A 24-year-old female presents to the primary care office with complaints of dysuria.
Urinalysis lab results indicated positive nitrates. The nurse practitioner plans to initiate
antibiotic coverage for the most likely causative organism which is - ✔✔Escherichia coli
✔✔Place the following four steps of APN core competency of evidenced based practice
in order - ✔✔Critically appraise and extract evidence
Formulate a measurable clinical question
Review literature for relevant studies
Implement useful findings in clinical decision making
✔✔A 12-year-old male is diagnosed with Klinefelter syndrome. His karyotype would
reveal which of the following? (LESS BODY HAIR, BREAST ENLARGEMENT= EXTRA
X CHROMOSOME) - ✔✔XXY
✔✔Concerning the MMR vaccine, which of the following is a correct statement -
✔✔There is no scientific evidence to support MMR use increases autism risk
✔✔You are seeing a 40-year-old patient who has started varenicline (Chantix) 3 weeks
ago as a tool for smoking cessation. What is the most important question to ask during
the visit? (CAUSES MOOD SWINGS) - ✔✔Have you noticed changes in your mood?
✔✔A primary care nurse practitioner (NP) is seeking additional support from ancillary
health services fo ra diabetic client who is noncompliant with nutrition, exercise, and
medication. Which barrier to ethical practice is influencing the NP's practice -
✔✔Patient-provider
✔✔Which hospital ownership classification best describes an organization whose
excess income is distributed to its share holders - ✔✔For profit
✔✔How has the Quality Chasm Report been used to direct US health care - ✔✔As a
framework for safe, effective, efficient, equitable, timely, and patient centered care
✔✔A 12-year-old female is newly diagnosed with type 1 DM. When the parents ask
what causes this, what is the nurse practitioner's best response - ✔✔Immune
destruction of the pancreas
, ✔✔Which patient below is at most risk for invasive pneumococcal infection?
(SPLEEN=IMMUNE SYSTEM) - ✔✔A 32-year-old woman who underwent a
splenectomy after a motor vehicle accident
✔✔A Latino patient in your clinic has been perpetually late for his appointment. Which
action by the nurse practitioner would be most appropriate - ✔✔Assess how the patient
interpret the appointment time
✔✔What specific developments have primarily occurred because of the Affordable Care
Act (ACA) - ✔✔Development of patine centered outcomes, use of comparative
effectiveness research,
quality payment structure that impact APN reimbursement
✔✔Hamric's Integrative Model of Advanced Practice Nursing identify the central
competency of advance practice nursing that directs the other six core competencies -
✔✔Direct Clinical Practice
✔✔A public health nurse is teaching the community about health promotion. When
explaining immunity, the APN discusses that innate immunity is - ✔✔Present at birth
✔✔According to Madeline Leininger, cultural care/accommodation/negotiation refers to
actions/decisions that help a particular culture - ✔✔Adapt to or negotiate with others for
satisfying healthcare outcomes
✔✔The nurse practitioner is conducting annual physical exam on a 62-year-old male.
Which of the following risk factors will prompt the nurse practitioner to screen the patient
for development of benign prostatic hypertrophy (BPH) - ✔✔Increased age
✔✔The family nurse practitioner examines a patient who has sustained a non-work-
related injury that interferes with his ability to perform his job. The patient does not
qualify for medical disability and has a reasonable chance of engaging in a suitable
occupation with proper therapy. What typer of services or benefits should the nurse
practitioner recommend - ✔✔Vocational rehabilitation services
✔✔Which of the following statements best addresses how theory can guide and direct
practice - ✔✔Nursing theories will guide the way fo relating with he person, and direct
the goals fo practice with the person
✔✔To implement a theory/conceptual model into practice, the nurse would identify the
purpose of the practice, general nature of the practice problem, the setting of the
practice and the characteristics of the participants in the practice. What would be the
next step for the nurse - ✔✔Review several models to decide on the best approach for
the practice
