MN551 CERTIFICATION EVALUATION FULL
QUESTIONS WITH COMPLETE SOLUTION
●● A 43-year-old male patient has presented to the emergency
department with vomiting that he claims is of sudden onset. The patient
also states that the emesis has often contained frank blood in the hours
prior to admission. Which of the following potential contributing factors
would the care team first suspect?
Answer: Alcohol consumption
●● Cheryl has celiac disease. Which diet should you place her on?
Answer: Gluten free diet
●● The mother of a 19-week-old infant has brought her baby to a nurse
practitioner for assessment because of the baby's persistent weight loss
and diarrhea. An intestinal biopsy has confirmed a diagnosis of celiac
disease, and the child's mother is anxious to know what caused the
disease. Which of the following aspects of the etiology of celiac disease
would underlie the explanation that the nurse practitioner provides?
Answer: An inappropriate T-cell mediated response results in increased
levels of antibodies and an inflammatory response.
●● For several years, a 39-year-old female has been averaging two to
three bottles of wine each night after her children go to sleep, and has
included several ounces of brandy in recent years as well. Despite
,negative consequences to her career and the dissolution of her marriage,
her drinking continued and now has culminated in a diagnosis of
cirrhosis. Which of the following physical manifestations of the health
problem would her care team anticipate?
Answer: Ascites
●● A 29-year-old female has been admitted to the emergency
department following a suicide attempt by overdose of acetaminophen.
What changes in the patient's liver and diagnostic results would the care
team most likely anticipate?
Answer: Centrilobular necrosis evidenced by increased ALT and AST
levels
●● Which of the following patients is most clearly displaying the signs
and symptoms of IBD?
Answer: A 51-year-old male who states that his stomach pain is in his
lower abdomen, "comes and goes," and "feels more like a cramp than a
dull ache."
●● A 79-year-old male resident of a long-term care facility has
contracted Clostridium difficile and is experiencing consequent diarrhea.
Auscultation of the man's abdomen indicates hyperactive bowel sounds.
What processes in the man's small intestine are most likely
accompanying his current status?
Answer: Inflammation is accompanied by an increase in peristaltic
movements of his small intestine.
,●● David has an acute exacerbation of Crohn's disease. Which of the
following lab tests would you expect to be decreased?
Answer: Vitamins A, B complex and C levels
●● A male patient complaining of chronic cramping, bloating, and
diarrhea has been determined to have a deficiency in brush border
enzymes within his small intestine. Which of the following meals or
snacks is most likely to exacerbate the patient's signs and symptoms?
Answer: Roast beef and a baked potato
●● A 20-year-old male who is addicted to crystal methamphetamine has
been admitted to the hospital with a diagnosis of protein-calorie
malnutrition after many months of inadequate food intake. Which of the
following treatment plans would the care team most likely favor?
Answer: Incremental feeding combined with vitamin and mineral
supplementation
●● A 48-year-old woman has been diagnosed with extrahepatic
cholestasis following a thorough history, ultrasound, and blood work.
Which of the following symptoms most likely caused her to seek
medical treatment, and what consequences of her health problem would
the medical team anticipate?
Answer: Pruritus with consequences of deficient levels of fat-soluble
vitamins
, ●● A 24-year-old woman undergoing a premarital screening test is found
to have elevated levels of AST, ALT, and IgG, but no antibody-specific
markers for viral hepatitis. A liver biopsy reveals inflammation and
cellular damage. Which of the following treatments is most likely to be
effective for her?
Answer: Corticosteroids and immunosuppressant drugs
●● A 71-year-old male has been recently diagnosed with a stage III
tumor of colorectal cancer and is attempting to increase his knowledge
about his diagnosis. Which of the following statements about colorectal
cancer demonstrates a sound understanding of the disease?
Answer: "While diet is thought to play a role in the development of
colorectal cancer, the ultimate causes are largely unknown."
●● A female neonate has been in respiratory distress since delivery and
is unresponsive to oxygen therapy. Endoscopy has confirmed a diagnosis
of esophageal atresia and tracheoesophageal fistula (EA/TEF). Which of
the following explanations should the care team provide to the infant's
parents?
Answer: "We will have to perform surgery to correct the hole in her
throat to make sure that she is able to swallow and breathe normally."
●● As a result of oral ingestion of the microorganisms, an individual has
contracted H. pylori. Which of the following health problems is the
individual now at increased risk for?
Answer: Gastric adenocarcinoma
QUESTIONS WITH COMPLETE SOLUTION
●● A 43-year-old male patient has presented to the emergency
department with vomiting that he claims is of sudden onset. The patient
also states that the emesis has often contained frank blood in the hours
prior to admission. Which of the following potential contributing factors
would the care team first suspect?
Answer: Alcohol consumption
●● Cheryl has celiac disease. Which diet should you place her on?
Answer: Gluten free diet
●● The mother of a 19-week-old infant has brought her baby to a nurse
practitioner for assessment because of the baby's persistent weight loss
and diarrhea. An intestinal biopsy has confirmed a diagnosis of celiac
disease, and the child's mother is anxious to know what caused the
disease. Which of the following aspects of the etiology of celiac disease
would underlie the explanation that the nurse practitioner provides?
Answer: An inappropriate T-cell mediated response results in increased
levels of antibodies and an inflammatory response.
●● For several years, a 39-year-old female has been averaging two to
three bottles of wine each night after her children go to sleep, and has
included several ounces of brandy in recent years as well. Despite
,negative consequences to her career and the dissolution of her marriage,
her drinking continued and now has culminated in a diagnosis of
cirrhosis. Which of the following physical manifestations of the health
problem would her care team anticipate?
Answer: Ascites
●● A 29-year-old female has been admitted to the emergency
department following a suicide attempt by overdose of acetaminophen.
What changes in the patient's liver and diagnostic results would the care
team most likely anticipate?
Answer: Centrilobular necrosis evidenced by increased ALT and AST
levels
●● Which of the following patients is most clearly displaying the signs
and symptoms of IBD?
Answer: A 51-year-old male who states that his stomach pain is in his
lower abdomen, "comes and goes," and "feels more like a cramp than a
dull ache."
●● A 79-year-old male resident of a long-term care facility has
contracted Clostridium difficile and is experiencing consequent diarrhea.
Auscultation of the man's abdomen indicates hyperactive bowel sounds.
What processes in the man's small intestine are most likely
accompanying his current status?
Answer: Inflammation is accompanied by an increase in peristaltic
movements of his small intestine.
,●● David has an acute exacerbation of Crohn's disease. Which of the
following lab tests would you expect to be decreased?
Answer: Vitamins A, B complex and C levels
●● A male patient complaining of chronic cramping, bloating, and
diarrhea has been determined to have a deficiency in brush border
enzymes within his small intestine. Which of the following meals or
snacks is most likely to exacerbate the patient's signs and symptoms?
Answer: Roast beef and a baked potato
●● A 20-year-old male who is addicted to crystal methamphetamine has
been admitted to the hospital with a diagnosis of protein-calorie
malnutrition after many months of inadequate food intake. Which of the
following treatment plans would the care team most likely favor?
Answer: Incremental feeding combined with vitamin and mineral
supplementation
●● A 48-year-old woman has been diagnosed with extrahepatic
cholestasis following a thorough history, ultrasound, and blood work.
Which of the following symptoms most likely caused her to seek
medical treatment, and what consequences of her health problem would
the medical team anticipate?
Answer: Pruritus with consequences of deficient levels of fat-soluble
vitamins
, ●● A 24-year-old woman undergoing a premarital screening test is found
to have elevated levels of AST, ALT, and IgG, but no antibody-specific
markers for viral hepatitis. A liver biopsy reveals inflammation and
cellular damage. Which of the following treatments is most likely to be
effective for her?
Answer: Corticosteroids and immunosuppressant drugs
●● A 71-year-old male has been recently diagnosed with a stage III
tumor of colorectal cancer and is attempting to increase his knowledge
about his diagnosis. Which of the following statements about colorectal
cancer demonstrates a sound understanding of the disease?
Answer: "While diet is thought to play a role in the development of
colorectal cancer, the ultimate causes are largely unknown."
●● A female neonate has been in respiratory distress since delivery and
is unresponsive to oxygen therapy. Endoscopy has confirmed a diagnosis
of esophageal atresia and tracheoesophageal fistula (EA/TEF). Which of
the following explanations should the care team provide to the infant's
parents?
Answer: "We will have to perform surgery to correct the hole in her
throat to make sure that she is able to swallow and breathe normally."
●● As a result of oral ingestion of the microorganisms, an individual has
contracted H. pylori. Which of the following health problems is the
individual now at increased risk for?
Answer: Gastric adenocarcinoma
