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 hydrochlorothiazide 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:
Primary hyperparathyroidism is treated with Vitamin D restriction
Primary hyperparathyroidism is treated with parathyroidectomy
Primary hyperparathyroidism is treated with daily magnesium
Primary hyperparathyroidism is treated with parenteral parathyroid hormone (PTH) - ANS
Primary hyperparathyroidism is treated with parathyroidectomy
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 hydrochlorothiazide 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:
Primary hyperparathyroidism is treated with Vitamin D restriction
Primary hyperparathyroidism is treated with parathyroidectomy
Primary hyperparathyroidism is treated with daily magnesium
Primary hyperparathyroidism is treated with parenteral parathyroid hormone (PTH) - ANS
Primary hyperparathyroidism is treated with parathyroidectomy
