NRNP 6645 MIDTERM AND FINAL
EXAM 2025 (5 DIFFERENT VERSIONS
500 QS & ANS) /NRNP6645
PSYCHOTHERAPY WITH MULTIPLE
MODALITIES (grade A+)
1. Mr. Person comes to the health-care clinic with a presenting symptom of
not urinating as much as usual. The nurse practitioner assesses Mr. Person
by asking which of the following?
1. How much do you drink per day?
2. Is your urine a clear yellow color?
3. Do you experience urgency and frequency of urination?
4. What medications have you taken recently or are you currently taking? -
ANSWER: >>>>/4. Answer: 4
Page: 228
Feedback
1.
Patients may have nausea, vomiting, and diarrhea, leading to volume
depletion.
2.
The patient may have noticed a change in his urine consistency or color.
3.
The patient may have symptoms directly resulting from alterations in kidney
function, such as decreased to no urine output.
,4.
Specific questions regarding the use of medications that can cause renal
injury, including NSAIDs and antihypertensive medications, such as ACE
inhibitors and angiotensin receptor blockers, as well as recent antibiotic use,
need to be asked of the patient.
A 59-year-old female was admitted to the hospital for malaise, headache,
fever, and flu-like symptoms. She has a decreased appetite and is having
trouble sleeping. After a couple of days, she complains to the nurse
practitioner of itching, burning, and tingling pain around her waist. The nurse
practitioner advises the nursing staff to observe for vesicles for a few days.
The patient asks why she is so sick. What would be the nurse practitioner's
best response? Select all that apply.
1. We are not certain at this point, however, these symptoms often occur
before a break-out of
herpes zoster.
2. You have some very general systemic symptoms, so we are waiting for
more specific symptoms to appear.
3. Because you had chicken pox as a child, and you now have a depressed
immune system, the
chance of developing herpes zoster is high.
4. These symptoms are probably a strong case of influenza.
5. Herpes zoster is more com - ANSWER: >>>>/13. Answer: 1, 3
Page: 106
Feedback
1.
,Patients usually experience itching, burning, or tingling pain at the site 4 to 5
days before the eruption appears.
2.
Although there are general systemic symptoms, there is also itching,
burning, and pain in the waist, which is leading to a herpes zoster diagnosis.
3.
The patient has initial contact with VZV in the form of chicken pox.
Individuals who are immunosuppressed are more likely to develop herpes
zoster.
4.
Herpes zoster is characterized by pain along the dermatomes and vesicles,
which is not symptomatic of influenza.
2. Mr. Hupp, 84 years old, lost his wife 2 months ago. He goes to his nurse
practitioner and complains of the same symptoms that his wife had before
she died. Possible treatment options available to the nurse practitioner
include which of the following? Select all that apply.
1. Educate him on normal signs of grieving.
2. Take time to remember his wife and discuss memories.
3. Provide emotional support.
4. Monitor current chronic medical conditions.
5. Encourage him to stay quiet at home and decrease his physical activity. -
ANSWER: >>>>/15. Answers: 1, 2, 3, 4
Page: 459
Feedback
1.
, Sleep disruptions are common in the first 2 weeks; education on sleep
hygiene and assessing for pre-existing conditions such as obstructive sleep
apnea may be necessary. Referral to a bereavement support group may help
some individuals, but not all.
2.
Reminiscence is helpful to many.
3.
Provide emotional support, allowing the older adult to express feelings.
4.
Those with pre-existing chronic medical conditions, particularly cardiac, will
need to be monitored for adverse events; studies have demonstrated the
occurrence of acute coronary syndrome (ACS/MI) after the death of a
significant person.
5.
Encourage patients to return to their normal routine as soon as possible.
Daily physical exercise can help patients cope with the depression that
accompanies grief.
5. Ms. Rose, 88 years old, comes to the nurse practitioner with a complaint
about a growth on her hand. She wants to have a biopsy done. The nurse
practitioner asks the following question:
1. Have you injured your hand recently?
2. Are you using a different detergent?
3. Has this growth changed, bled, or is it painful?
4. Has this growth made it difficult to put on your rings? - ANSWER: >>>>/5.
Answer: 3
Page: 97
EXAM 2025 (5 DIFFERENT VERSIONS
500 QS & ANS) /NRNP6645
PSYCHOTHERAPY WITH MULTIPLE
MODALITIES (grade A+)
1. Mr. Person comes to the health-care clinic with a presenting symptom of
not urinating as much as usual. The nurse practitioner assesses Mr. Person
by asking which of the following?
1. How much do you drink per day?
2. Is your urine a clear yellow color?
3. Do you experience urgency and frequency of urination?
4. What medications have you taken recently or are you currently taking? -
ANSWER: >>>>/4. Answer: 4
Page: 228
Feedback
1.
Patients may have nausea, vomiting, and diarrhea, leading to volume
depletion.
2.
The patient may have noticed a change in his urine consistency or color.
3.
The patient may have symptoms directly resulting from alterations in kidney
function, such as decreased to no urine output.
,4.
Specific questions regarding the use of medications that can cause renal
injury, including NSAIDs and antihypertensive medications, such as ACE
inhibitors and angiotensin receptor blockers, as well as recent antibiotic use,
need to be asked of the patient.
A 59-year-old female was admitted to the hospital for malaise, headache,
fever, and flu-like symptoms. She has a decreased appetite and is having
trouble sleeping. After a couple of days, she complains to the nurse
practitioner of itching, burning, and tingling pain around her waist. The nurse
practitioner advises the nursing staff to observe for vesicles for a few days.
The patient asks why she is so sick. What would be the nurse practitioner's
best response? Select all that apply.
1. We are not certain at this point, however, these symptoms often occur
before a break-out of
herpes zoster.
2. You have some very general systemic symptoms, so we are waiting for
more specific symptoms to appear.
3. Because you had chicken pox as a child, and you now have a depressed
immune system, the
chance of developing herpes zoster is high.
4. These symptoms are probably a strong case of influenza.
5. Herpes zoster is more com - ANSWER: >>>>/13. Answer: 1, 3
Page: 106
Feedback
1.
,Patients usually experience itching, burning, or tingling pain at the site 4 to 5
days before the eruption appears.
2.
Although there are general systemic symptoms, there is also itching,
burning, and pain in the waist, which is leading to a herpes zoster diagnosis.
3.
The patient has initial contact with VZV in the form of chicken pox.
Individuals who are immunosuppressed are more likely to develop herpes
zoster.
4.
Herpes zoster is characterized by pain along the dermatomes and vesicles,
which is not symptomatic of influenza.
2. Mr. Hupp, 84 years old, lost his wife 2 months ago. He goes to his nurse
practitioner and complains of the same symptoms that his wife had before
she died. Possible treatment options available to the nurse practitioner
include which of the following? Select all that apply.
1. Educate him on normal signs of grieving.
2. Take time to remember his wife and discuss memories.
3. Provide emotional support.
4. Monitor current chronic medical conditions.
5. Encourage him to stay quiet at home and decrease his physical activity. -
ANSWER: >>>>/15. Answers: 1, 2, 3, 4
Page: 459
Feedback
1.
, Sleep disruptions are common in the first 2 weeks; education on sleep
hygiene and assessing for pre-existing conditions such as obstructive sleep
apnea may be necessary. Referral to a bereavement support group may help
some individuals, but not all.
2.
Reminiscence is helpful to many.
3.
Provide emotional support, allowing the older adult to express feelings.
4.
Those with pre-existing chronic medical conditions, particularly cardiac, will
need to be monitored for adverse events; studies have demonstrated the
occurrence of acute coronary syndrome (ACS/MI) after the death of a
significant person.
5.
Encourage patients to return to their normal routine as soon as possible.
Daily physical exercise can help patients cope with the depression that
accompanies grief.
5. Ms. Rose, 88 years old, comes to the nurse practitioner with a complaint
about a growth on her hand. She wants to have a biopsy done. The nurse
practitioner asks the following question:
1. Have you injured your hand recently?
2. Are you using a different detergent?
3. Has this growth changed, bled, or is it painful?
4. Has this growth made it difficult to put on your rings? - ANSWER: >>>>/5.
Answer: 3
Page: 97
