NRNP 6531 FINAL
Central obesity, "moon" face, and dorsocervical fat pad are associated with:
A. Metabolic syndrome
B. Unilateral pheochromocytoma
C. Cushing's syndrome
D. None of the above - ANS-C. Cushing's syndrome
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:
A. Trauma
B. Tight shoes
C. Arthritis flare
D. Hydrochlorothiazide - ANS-D. Hydrochlorothiazide
What conditions must be met for you to bill "incident to" the physician, receiving 100%
reimbursement from Medicare?
You must initiate the plan of care for the patient
The physician must be on-site and engaged in patient care
You must be employed as an independent contractor
You must be the main health care provider who sees the patient - ANS-The physician
must be on-site and engaged in patient care
Which of the following is not a common early sign of benign prostatic hyperplasia
(BPH)?
A. Nocturia
B. Urgency incontinence
C. Strong urinary stream flow
, D. Straining to void - ANS-C. Strong urinary stream flow
Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how
to reduce his lower esophageal sphincter pressure, which substances do you
recommend that he avoid?
§ Food that is very hot or very cold
§ Fatty or fried foods
§ Peppermint or spearmint, including flavoring
§ Coffee, tea, and soft drinks that contain caffeine
§ Spicy, highly seasoned foods
§ Fried foodDT caffeine, chocolate and anticholinergics - ANS-Peppermint or spearmint,
including flavoring
A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals
hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but
the patient returns 6 weeks later with the same symptoms of hyperpigmentation,
weakness, anorexia, fatigue, and weight loss. What action(s) should the nurse
practitioner take?
.A Obtain a thorough history and physical, and check serum cortisol and ACTH levels.
B. Perform a diet history and check CBC and FBS.
C. Provide nutritional guidance and have the patient return in one month.
D. Consult home health for intravenous administration - ANS-A. Obtain a thorough
history and physical, and serum cortisol and ACTH levels
Which of the following is a potential acquired cause of thrombophilia?
A. Homocysteinuria
B. Protein C deficiency
C. Factor V Leiden
D. Antiphospholipid antibodies - ANS-D. Antiphospholipid antibodies
A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse
practitioner what the treatment for this disorder is. The nurse practitioner explains:
Central obesity, "moon" face, and dorsocervical fat pad are associated with:
A. Metabolic syndrome
B. Unilateral pheochromocytoma
C. Cushing's syndrome
D. None of the above - ANS-C. Cushing's syndrome
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:
A. Trauma
B. Tight shoes
C. Arthritis flare
D. Hydrochlorothiazide - ANS-D. Hydrochlorothiazide
What conditions must be met for you to bill "incident to" the physician, receiving 100%
reimbursement from Medicare?
You must initiate the plan of care for the patient
The physician must be on-site and engaged in patient care
You must be employed as an independent contractor
You must be the main health care provider who sees the patient - ANS-The physician
must be on-site and engaged in patient care
Which of the following is not a common early sign of benign prostatic hyperplasia
(BPH)?
A. Nocturia
B. Urgency incontinence
C. Strong urinary stream flow
, D. Straining to void - ANS-C. Strong urinary stream flow
Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how
to reduce his lower esophageal sphincter pressure, which substances do you
recommend that he avoid?
§ Food that is very hot or very cold
§ Fatty or fried foods
§ Peppermint or spearmint, including flavoring
§ Coffee, tea, and soft drinks that contain caffeine
§ Spicy, highly seasoned foods
§ Fried foodDT caffeine, chocolate and anticholinergics - ANS-Peppermint or spearmint,
including flavoring
A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals
hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but
the patient returns 6 weeks later with the same symptoms of hyperpigmentation,
weakness, anorexia, fatigue, and weight loss. What action(s) should the nurse
practitioner take?
.A Obtain a thorough history and physical, and check serum cortisol and ACTH levels.
B. Perform a diet history and check CBC and FBS.
C. Provide nutritional guidance and have the patient return in one month.
D. Consult home health for intravenous administration - ANS-A. Obtain a thorough
history and physical, and serum cortisol and ACTH levels
Which of the following is a potential acquired cause of thrombophilia?
A. Homocysteinuria
B. Protein C deficiency
C. Factor V Leiden
D. Antiphospholipid antibodies - ANS-D. Antiphospholipid antibodies
A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse
practitioner what the treatment for this disorder is. The nurse practitioner explains:
