Module 1 : Adv a nc ed Nurs ing Pra c tic e
C om petenc ies , Integ um enta ry , a nd
H E E NT C onditions
NRNP 6531 week 3 Knowledge Check: Mod ul e 1: Advanced
Nursing Practice Competencies, Integumentary , a nd HEENT
Conditions
Question 1
1. The Centor criteria for diagnosis o f Gr oup A B-hemolytic
stre ptococcus includes which of the following?
2. Fever history
Tender, swollen anterior cervic al lymph nodes
Pos itive rapid anti gen detection test
A and B only
A, B, and C
1 points
A and B only
NRNP 6531 week 3 Knowledge Check: Mod ul e 1: Advanced
Nursing Practice Competencies, Integumentary , a nd HEENT
Conditions Question 2
1. Marvin has sudden eye r edness that occur red af ter a
stren uous coughing episode. Y ou diagnose a subconjunc tival
hemorr hage. Y our ne xt step is to
2.a. Refer him to an ophthalmologist
b. Or der antibiotics
c. Do nothing other than pr ovide r eassurance
d. Consult with your colla bo rating physician
1 points
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,Do nothing other than provide reassurance
Question 3
1. Which of the following is a pr edisposing condition for
furunculosis?
2.a. Diabetes mellitus
b. Hypertension
c. Peripheral vascular dise ase
d. Chr onic fatigue syndr ome
1 points
Diabetes Mellitus
Question 4
1. If a patient pr esents with a deep aching, r ed eye and ther e is
no dischar ge, you should suspect:
2.a. Iritis
b. Aller gic conjunctivitis
c. Viral conjunctivitis
d. Bacterial conjunctivitis
1 point
O R D E R A P L A G IA R IS M-F R E E PA P E R O R
S H A D O W H E A LT H H E L P H E R E
Iritis
Question 5
1. Which of the following statements about malignant
melanomas is true?
2.a. They usually occur in ol der adult males
b. The patient has no family history of melanoma
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, Retinal detachment
Question 8
1. Sarah has aller gic rhinitis and i s curr ently being bothere d by
nasal congestion. Which of th e following meds or dere d for
aller gic rhinitis would be most ap propriate?
2. An antihistamine intranasal spray
A decongestant nasal spray
Ipratr opium
Omalizumab
1 points
Decongestant nasal spra y
NRNP 6531 week 3 Knowledge Check: Mod ul e 1: Advanced
Nursing Practice Competencies, Integumentary , a nd HEENT
Conditions Question 9
1. Medicar e is a federal pr ogram administere d by the Centers
for Medicar e and Medicaid Services (CMS). The CMS has
developed guidelines for Evaluation and Management
coding, which all pr oviders ar e expected to fo llow when
coding patient visits for r eimbursement. Which of the
following is an importan t consideration r egardin g billing
practices?
2.a. It is important to “unde rcode” so that one doe s not get charged
with Medicar e fraud
b. The practice of “ over coding” is essential in this age of decreasing
reimbursements
c. Failing to bill for billable servic es will lead to unnecessarily low
revenues
d. Time spent with the patient is a very im po rtant deter minant of
billing
1 points
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, F ailin g to bill for billable services w ill lead to unnecessarily low
revenues
Question 10
1. A 19 year old bask etball player complains of itching in the
crural folds, buttocks, and up per thighs. The lesions are well
demar cated and are half -moon shaped. The ar ea is red,
irritated, and there ar e small br eaks in the skin fr om
scratching. What is this patient’ s diagnosis and how should it
be tr eated?
2.a. Tinea cruris; tr eat with a topical antifungal
cr eam
b. Eczema; tr eat with a topical ster oid
c. Scabies; tr eat with per methrin cream
d. Syphilis; tr eat with penicillin
1 points
Tinea cruris
Question 11
1. A 45 year old with diabetes has h ad itching and burning
lesions between her toes for 2 month s. Scrapings of the
lesions confir m the diagnosis tinea pedis. What is the best
initial tr eatment option for this patient?
2. Prescribe an antifung al powder for application between her toes
and in her shoes and a topical prescri ption str ength antifungal
cr eam for other affected ar eas. Monitor for a secondary bacterial
infection.
Prescribe an oral antifungal for 4 to 12 weeks. Monitor BUN and
cr eatinine at 1 week, 2 weeks, and every month ther eaf ter .
Prescribe an oral antifungal for 4 to 12 weeks. Monitor liver
enzymes, BUN, and cr eatnine at 1 week, 2 weeks, and every
month ther eafter .
Prescribe a pr escription str ength antifungal/ster oid combination
cr eam. Monitor for a secondary bacterial infection .
1 points
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