NRNP 6531 MIDTERM EXAM |LATEST GRADED A
• Question 28
Expected spirometry readings when the patient has chronic emphysema include: Increased total lung
capacity (TLC)
, NRNP 6531 MIDTERM EXAM |LATEST GRADED A
• Question 29
1 out of 1 points
An 80-year-old male admits to difficulty swallowing during the review of systems. The nurse
practitioner recognizes the differential diagnosis for this patient’s dysphagia is: Esophageal cancer,
GERD. A and C
• Question 30
A 40 year old female with history of frequent sun exposure presents with a multicolored lesion on her
back. It has irregular borders and is about 11mm in diameter. What should the nurse practitioner
suspect?: Malignant melanoma
• Question 31
Which of the following is not a goal of treatment for the patient with cystic fibrosis? Replace water-
soluble vitamins
• Question 32
The nurse practitioner is performing a physical exam on a middle-aged African-American man.
Which of the following areas is a common site for melanomas in African-Americans and other dark-
skinned individuals? B and C, Scalp, Nails
• Question 33
An adult presents with tinea corporis. Which item below is a risk factor for its development?:
Topical steroid use
• Question 34
A patient has experienced nausea and vomiting, headache, malaise, low grade fever, abdominal
cramps, and watery diarrhea for 72 hours. His white count is elevated with a shift to the left. He is
requesting medication for diarrhea. What is the most appropriate response? : Prescribe a broad-
spectrum antibiotic such as ciprofloxacin (Cipro), and symptom management.
, NRNP 6531 MIDTERM EXAM |LATEST GRADED A
• Question 35
Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria.
What do you order?: Antihistamines
• Question 36
Of the following signs and symptoms of congestive heart failure (CHF), the earliest clinical manifestation is:
Weight gain
• Question 37
A 16 year old male presents with mild sore throat, fever, fatigue, posterior cervical adenopathy, and
palatine petechiae. Without a definitive diagnosis for this patient, what drug would be least appropriate
to prescribe?: Amoxicillin
• Question 38
A 70 year old man who walks 2 miles every day complains of pain in his left calf when he is walking.
The problem has gotten gradually worse and now he is unable to complete his 2 mile walk. What
question asked during the history, if answered affirmatively, would suggest a diagnosis of
arteriosclerosis obliterans?: “Is your leg pain relieved by rest?”
• Question 39
Which of the following statements about malignant melanomas is true?: The prognosis is directly
related to the thickness of the lesion
• Question 40
Sheila, age 78, presents with a chief complaint of waking up during the night coughing. You examine
her and find an S3 heart sound, pulmonary crackles that do not clear with coughing, and peripheral
edema. What do you suspect?: Heart failure
• Question 41
Which antibiotic would be the most effective in treating community acquired pneumonia (CAP) in a
young adult without any comorbid conditions?: Clarithromycin (Biaxin)
• Question 28
Expected spirometry readings when the patient has chronic emphysema include: Increased total lung
capacity (TLC)
, NRNP 6531 MIDTERM EXAM |LATEST GRADED A
• Question 29
1 out of 1 points
An 80-year-old male admits to difficulty swallowing during the review of systems. The nurse
practitioner recognizes the differential diagnosis for this patient’s dysphagia is: Esophageal cancer,
GERD. A and C
• Question 30
A 40 year old female with history of frequent sun exposure presents with a multicolored lesion on her
back. It has irregular borders and is about 11mm in diameter. What should the nurse practitioner
suspect?: Malignant melanoma
• Question 31
Which of the following is not a goal of treatment for the patient with cystic fibrosis? Replace water-
soluble vitamins
• Question 32
The nurse practitioner is performing a physical exam on a middle-aged African-American man.
Which of the following areas is a common site for melanomas in African-Americans and other dark-
skinned individuals? B and C, Scalp, Nails
• Question 33
An adult presents with tinea corporis. Which item below is a risk factor for its development?:
Topical steroid use
• Question 34
A patient has experienced nausea and vomiting, headache, malaise, low grade fever, abdominal
cramps, and watery diarrhea for 72 hours. His white count is elevated with a shift to the left. He is
requesting medication for diarrhea. What is the most appropriate response? : Prescribe a broad-
spectrum antibiotic such as ciprofloxacin (Cipro), and symptom management.
, NRNP 6531 MIDTERM EXAM |LATEST GRADED A
• Question 35
Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria.
What do you order?: Antihistamines
• Question 36
Of the following signs and symptoms of congestive heart failure (CHF), the earliest clinical manifestation is:
Weight gain
• Question 37
A 16 year old male presents with mild sore throat, fever, fatigue, posterior cervical adenopathy, and
palatine petechiae. Without a definitive diagnosis for this patient, what drug would be least appropriate
to prescribe?: Amoxicillin
• Question 38
A 70 year old man who walks 2 miles every day complains of pain in his left calf when he is walking.
The problem has gotten gradually worse and now he is unable to complete his 2 mile walk. What
question asked during the history, if answered affirmatively, would suggest a diagnosis of
arteriosclerosis obliterans?: “Is your leg pain relieved by rest?”
• Question 39
Which of the following statements about malignant melanomas is true?: The prognosis is directly
related to the thickness of the lesion
• Question 40
Sheila, age 78, presents with a chief complaint of waking up during the night coughing. You examine
her and find an S3 heart sound, pulmonary crackles that do not clear with coughing, and peripheral
edema. What do you suspect?: Heart failure
• Question 41
Which antibiotic would be the most effective in treating community acquired pneumonia (CAP) in a
young adult without any comorbid conditions?: Clarithromycin (Biaxin)
