NRNP 6568 WEEK 2 2024 PRACTICE TEST 100/100 CORRECTLTY ANSWERD QUESTIONS 100% VERIFIED EXAM A+ GRADE GUARANTEE

NRNP 6568 WEEK 2 2024 PRACTICE TEST 100/100 CORRECTLTY ANSWERD QUESTIONS 100% VERIFIED EXAM A+ GRADE GUARANTEE 1. Which of the following findings is associated with thyroid hypofunction? a) Graves’ disease b) Eye disorder c) Thyroid storm d) Myxedema . 2. A 14-year-old boy is brought in by his mother who reports that her son has been complaining for several months of recurrent bloating, stomach upset, and occasional loose stools. She reports that he has difficulty gaining weight and is short for his age. She has noticed that his symptoms are worse after eating large amounts of crackers, cookies, and breads. She denies seeing blood in the boy’s stool. Which of the following conditions is most likely? . a) Amebiasis b) Malabsorption c) Crohn’s colitis d) Celiac disease 3. A 67-year-old female patient presents with a 3-day-old cat bite that has become swollen, reddened, and painful to the touch. The nurse practitioner notes there is purulent discharge at the site of the bite. Which medication will the NP prescribe? a) Gentamycin b) Tetanus toxoid c) Rabies prophylaxis d) Amoxicillin-clavulanate (Augmentin) . 4. A 14-year-old girl with short stature, swollen hands and feet, and a webbed neck presents to the primary care clinic. Upon assessment she is found to be a Tanner state I. Which test will the NP order to confirm a diagnosis? a) CT scan b) Karyotype (detects Turner Syn. Shows # & appearance of chromosomes in cell) c) Prolactin level d) X-ray of the hand 5. A 67-year-old woman with a 30-pack history of smoking presents for a routine annual physical exam. She complains of being easily SOB and is frequently fatigued. Physical exam reveals diminished breath sounds, hyperresonance, and hypertrophied respiratory accessory muscles. Her CBC results reveal that her HCT level is elevated. her pulmonary function test results show increased total lung capacity. Which diagnosis is most likely? a) Bronchogenic carcinoma b) COPD c) Chronic bronchitis d) CHF 6. An elderly male presents to the clinic for a routine examination. The NP notes multiple rough, scaly patches on the patient’s forearms and face, and the back of his ears. Which diagnosis is most likely? a) Seborrheic keratosis b) Senile purpura c) Lentigines d) Senile actinic keratosis (considered the most common precancerous lesion) 7. The NP is assessing a 63-year-old male who has a history of IV drug use as a young adult. He presents with fatigue and nausea. Which screen will the NP recommend for this patient? a) CXR b) UA c) Hep C d) EEG 8. The NP is performing an assessment of a 6-month-old child. What motor skills are expected at this stage? (Select all that apply). a) Palmar grasp of objects b) Sits up c) Stands independently d) Moves from one piece of furniture to another e) Feeds self without assistance 9. The NP is managing a stable middle-aged adult with emphysema. In addition to reinforcing smoking cessation and medication schedules, which annual intervention will the NP recommend? a) Pneumococcal polysaccharide vaccine (PPSV23) b) Live attenuated influenza vaccine (LAIV) c) Quadrivalent inactivated influenza vaccine (QIV) (recommended for adults with chronic respiratory disease) d) Pneumococcal conjugate vaccine (PCV13) (recommended for kids less than 2) 10. During a sports participation exam of a 14-year-old high school athlete, the NP notices a split of the S2 component of the heart sound during deep inspiration. She notes that it disappears upon expiration. The heart rate is regular, no murmurs are auscultated. Which of the following is correct? a) This is an abnormal finding and should be evaluated further by a cardiologist b) A stress test should be ordered c) This is a normal finding in some young athletes d) An ECG should be ordered. 11. Which finding will the nurse practitioner expect to see in a 13-year-old male patient with Cushing’s syndrome? a) Excess estrogen b) Delayed puberty (excess androgen-from hypercortisolism) c) Pseudogynecomastia (deposition of fat) d) Accelerated growth in height 12. Which lifestyle factor is associated with secondary polycythemia vera? a) Obesity b) Smoking (interferes with RBCs job to deliver O2 to body tissues) c) Alcohol abuse d) Sedentary lifestyle 13. Which test will CONFIRM the diagnosis of prostate cancer? a) PSA b) Digital rectal exam c) CBC w/diff d) Tissue biopsy 14. A 60-year-old female truck driver presents to the urgent care clinic of a hospital complaining of the worsening of her low back pain the past few days. Pain is accompanied by numbness in the perineal area. She describes the pain as “sharp and burning” and points to the left buttock. She reports that the pain started on the mid-buttock of the left leg and recently started to go down the lateral aspect of the leg toward the top of the foot. During PE, the ankle jerk and knee jerk reflex are 1+ on the affected leg and 2+ on the other leg. The pulses are the same bilat. Which of the following tests should the NP consider for this patient? a) Order an MRI scan of the lumbosacral spine ASAP b) Rx for Ibu 800mg PO QID with muscle relaxant, & F/U with PCP in 3 days c) Refer to ortho d) Ordering imaging study of spine is premature bc majority of LBP resolve 10-12 D. 15. When assessing a patient using a Snellen chart, the NP records the visual acuity as 20/80. What does this assessment mean? a) The patient can see at 20 feet what a person with normal vision sees at 80 feet b) The patient can see at 80 feet what a person with normal vision sees at 20 feet c) The patient has experienced a 20% decrease in acuity in one eye and an 80% decrease in the opposite eye d) The patient has presbyopia 16. An obese 28-year-old female patient is seen in the office with acne, hirsutism, and oligomenorrhea. Blood drawn for a free androgen index (FAI) result is a 9.8 level. The DX is PCOS, which puts the patient at additional risk for which condition(s)? a) CHF b) Metabolic syndrome c) Infertility d) Type 2 DM e) Endometriosis 17. A middle-aged hypertensive man presents with c/o an acute onset fever, chills, productive cough with rusty-colored sputum. c/o sharp pains on the left side of back and chest when coughing. T102.2°, HR 100, 130/80. UA negative. Consistent with? a) Atypical pneumonia b) Upper UTI c) Bacterial pneumonia d) Acute pyelonephritis 18. During a physical exam, the NP palpates the RUQ while the patient takes a deep inspiration. Which diagnostic test is being performed? a) Markle test (raise heels and drop suddenly) b) Rovsing’s test (deep palpation of LLQ) c) Murphy’s sign (palpation of RUQ for dx of cholecystitis) d) Psoas test (pos+ when pt has abdominal pain while flexing hip and knee) 19. An elderly fair-skinned male presents to the clinic for a routine exam. The NP notices a lesion on the nose. The lesion is small, translucent papule with a central ulceration, telangiectasis, and rolled borders. Which is likely DX? a) Acral lentiginous melanoma b) BCC c) AK d) SK 20. A cauliflower-like growth with foul-smelling discharge is seen during an otoscopic exam of the left ear in an 8-year-old boy with history of chronic OM. The TM and ossicles are not visible, and the patient seems to have difficulty hearing the NPs instructions. Which condition is most likely? a) Chronic perforation of TM with secondary bacterial infection b) Chronic mastoiditis c) Cholesteatoma d) CA of middle ear 21. An elderly patient presents with a new onset of sleepiness, weight gain of 10 lbs. in a month, xerosis, and anomia. The patient’s labs: free T4 is 7.8 mcg/dL, TSH of 6.2mU/L, and a score of 28 on the MMSE. Which medication will the NP prescribe? a) Levothyroxine b) Propylthiouracil (PTU) c) Memantine (Namenda) d) Carbidopa/Levodopa (Sinemet) 22. Which of the SSRIs is most likely to cause ED? a) Paroxetine (Paxil) (SSRI) b) Escitalopram (Lexapro) (SSRI) c) Venlafaxine (Effexor) (SNRI) d) Amitriptyline (Elavil) (TCA) 23. A 74-year-old male patient presents with an acute onset unilateral headache with a reddened and indurated temple. The patient is at risk for? a) Jaw claudication b) Amaurosis fugax (transient blindness 2nd to temporal arteritis) c) Elevated erythrocyte sedimentation rate (ESR) d) Elevated C-reactive protein (CRP) 24. Upon auscultation of a 6-year-old patient, the nurse practitioner hears a systolic murmur that sounds like a musical vibration and becomes louder in the supine position. The murmur is a Grade I/II in intensity with minimal radiation. The NP will? a) Refer the patient to a pediatric cardiovascular surgeon b) Refer the patient to a pediatric cardiologist c) Note on the record to monitor on annual physical exam (Still’s murmur, benign) d) Schedule an echocardiogram 25. All of the following would require the NP to delay testing a patient’s PSA, except: a) Urinary retention b) Urinary tract infection c) After a digital rectal exam d) Vigorous exercise 3 days prior 26. While performing a newborn assessment, the NP notes discharge, swelling, and redness on one of the infant’s lacrimal ducts. The mother reports crusting on the infant’s eyes. Which DX is most likely? a) Jaundice b) Red reflex abnormality c) Myopia 27. During the PE of a 60-year-old adult, the NP performs an abdominal exam. The NP is checking the LUQ of the abdomen. During percussion, an area of dullness is noted beneath the lower left ribcage. Which of the following is a true statement regarding the spleen? a) The spleen is not palpable in the majority of healthy adults b) The spleen is 8-10 cm in the left midaxillary line at its longest axis c) The spleen is 2-6 cm between the 9th and 11th ribs on the left midaxillary line d) The splenic size varies depending on the patient’s gender 28. An elderly male resident in a LTF has suddenly developed a fever of 102.3° and c/o chills and pain that radiates from the perineal area to the rectum and back. The prostate is extremely tender, warm, and boggy upon DRE. UA reveals pyuria and hematuria. Which DX is most likely? a) Acute prostatitis b) Chronic UTI c) Kidney stones d) Chlamydial urethritis 29. A young adult with myasthenia gravis is diagnosed with pertussis. Which antibiotic is contraindicated in a patient with this condition? a) Erythromycin b) Doxycycline c) Clarithromycin d) Azithromycin 30. The NP who is evaluating a patient with polycystic kidney disease will pay close attention to which area of the kidney? a) Loop of Henle b) Glomerulus c) Renal tubules d) Bowman’s capsule 31. Heberden’s nodes are commonly found in which of the following diseases? a) RA b) DJD -Degenerative joint disease c) Psoriatic arthritis d) Septic arthritis 32. Which of the following is a contraindication of the influenza vaccination? a) Asthma b) Sickle cell anemia c) Age less than 5 months American Indian heritage 33. A newly retired 60-year-old patient presents with BMI of 32 and a waist circumference of 41 inches. his lipid panel shows total cholesterol of 200 mg/dL, high-density lipo-protein (HDL) of 35 mg/dL, and triglycerides of 175 mg/dL. His BP is 124/70 mmHg. All of the following findings put the patient at risk for CVD, except? a) Age b) Obesity c) Low HDL d) hypertension 34. A NP sees a pregnant woman for an evaluation of STDs. Assessment reveals Fitz- Hugh-Curtis syndrome with swollen, tender joints. The NP will: a) Prescribe benzathine PCN-G 2.4 mU IM weekly for 3 weeks b) Prescribe Doxycycline 100mg/day for 14 days c) Refer the patient to the ED for treatment with combination cefotaxime and azithromycin drug therapy d) Refer the patient to the ED for treatment of ceftriaxone 1 g IV/day for 24 to 48 hours after symptoms are resolved. 35. A 46-year-old male patient presents at the urgent clinic with swollen lower right leg that is reddened and tender to the touch. The patient reports no recent injury; however, he notes that yesterday he returned from a cross-country business trip. The NP will: a) Instruct patient to apply warm compresses to the area b) Ask the patient to perform dorsiflexion to the right foot (Homan’s sign) c) Instruct the patient to elevate the right leg d) Prescribe NSAIDs 36. Which condition is associated with the findings in this radiograph? Picture shows a) Atypical pneumonia b) Tuberculosis c) Bacterial pneumonia d) Viral pneumonia 37. A 68-year-old female presents to the clinic c/o increasing mid-back pain. Her past medical history is significant for treatment of GERD and a vertebral compression FX at T11 one year ago. An x-ray obtained during the encounter reveals a new vertebral FX at T12. Lab work reveals elevated serum alkaline phosphatase. The NP notes a 1-inch decrease in the patient’s height from the previous year. Which medication will the NP prescribe? a) Alendronate (Fosamax) b) Colchicine c) Allopurinol (Zyloprim) d) Ferrous sulfate 38. A 45-year-old patient presents to the clinic with c/o chills, fever, and malaise. Clinical findings show nontender red spots on the palms of both hands and soles of the feet. Splinter hemorrhages on the nail beds are also noted. The NP suspects which of the following conditions? a) CHF b) Infective endocarditis c) Dissecting abdominal aortic aneurysm d) Acute MI 39. A 4-year-old boy diagnosed withs acute OM return in 48 hours with a possible rupture of the TM of the right ear. The mother reports seeing pus and a small amount of blood on the pillow that morning. The child states that his ear is no longer painful. During the ear exam, the otoscope is used to visualize the TM, which has a perforation on the lower edge that is draining a small amount of purulent discharge. All of the following topical ear medications should be avoided in patients with perforation of the TM, except: a) Gentamycin ear drops b) Ofloxacin ear drops