NR667 FINAL EXAM STUDY GUIDE 300
QUESTIONS & CORRECT VERIFIED ANSWERS
LATEST UPDATE
1. A 37-year-old female patient with a history of a single episode of depression and frequent
complaints of PMS is being treated for hypothyroidism. Today she complains of poor
concentration and fatigue. Initially, the NP should:
a. Question her further
2. A patient recovering from a recent stroke is starting anticoagulant therapy. The nurse practitioner
should teach the patient to avoid all of the following EXCEPT:
a. b. milk and milk products
3. Which of the following is an example of secondary prevention?
a. Annual influenza vaccination
4. A positive drawer sign support a diagnosis of
b. cruciate ligament injury
5. A 50-year-old patient with diabetes complains of pain bilaterally in her lower legs while walking.
The pain disappears at rest. What else would you expect to identify on her lower extremities.
b. peripheral artery insufficiency
6 . A 16-year-old athlete complains of pain underneath his heel every time he walks. There is a
verrucous surface level with the skin of the heel. What pharmacologic interventions should the nurse
practitioner prescribe for this patient?
a. salicylic acid plasters
7. A 35-year old female with a history of mitral valve prolapse is scheduled for routine dental
cleaning. According to the 2007 American Association’s guideline for endocarditis prophylaxis,
what would you advise this patient?
a. She does not need prophylaxis for any dental procedure
b.
8. What is an appropriate drug for prophylactic treatment of migraine headaches in a 21-year-old
female?
a. Sumatriptan (Imitrex)
b. propranolol (Inderal)
c. ibuprofen (Motrin)
, d. dihydroergotamine (DHE
9. A patient presents with periorbital erythema and edema, fever, and nasal drainage. The nurse
practitioner should
, a. start aggressive antibiotic therapy
10. A positive drawer sign support a diagnosis of
b. cruciate ligament injury
11. A 50-year-old patient with diabetes complains of pain bilaterally in her lower legs while walking.
The pain disappears at rest. What else would you expect to identify on her lower extremities. b.
peripheral artery insufficiency
12. A 16-year-old athlete complains of pain underneath his heel every time he walks. There is a
verrucous surface level with the skin of the heel. What pharmacologic interventions should the nurse
practitioner prescribe for this patient?
a. salicylic acid plasters
13. A -year-old with Type I diabetes has had itching and burning lesions between her toes for 6
months. Scrapings of the lesion confirm the diagnosis of tinea pedis. What is the best treatment
option for this patient?
a. prescribe an anti-fungal powder for application between her toes and in her shoes and a
topical prescription strength anti-fungal cream for other affected areas. Monitor for a
secondary bacterial infection.
c. Prescribe an oral anti-fungal for 4 to 12 weeks. Monitor liver enzymes, BUN and creatinine at
one week, 2 weeks, and every month thereafter.
d. Prescribe a prescription strength antifungal/steroid combination cream. Monitor for a
secondary bacterial infection.
14. What is an appropriate drug for prophylactic treatment of migraine headaches in a 21-year-old
female?
a. Sumatriptan (Imitrex)
b. propranolol (Inderal)
c. ibuprofen (Motrin)
d. dihydroergotamine (DHE)
15. Which of the following are the classic features of ulcerative colitis?
a. RLQ pain, frequently accompanied by a palpable mass, fever, and leukopenia
b. Massive painful hematemesis, occasionally accompanied by melena
c. Rapidly progressive dysphagia to solid foods, anoriexia, and weight loss out of proportion to
thedysphagia
d. Remission and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal
pain, and .
16. Which drugs below would be expected to produce the least amount of hypokalemia?a. Furosemide
(Lasix)
, b. mmhydrochlorothiazide mm(HCTZ) mmand mmspironolactone mm(Aldactone)
Spironolactone
d. mm (Aldactone)
hydrochlorothiazide m m (HCTZ)
17. What mminformation m m should mmpatients m mwith mmdiabetes mmand mmtheir mm families m m receive mmabout
m m hypoglycemia?
a. Hypoglycemia mm is m m very m m rare
b. Hypoglycemia mmrequires mmprofessional mmmedical mmtreatment
d. mHypoglycemia
m Hypoglycemiais
mmserious,
occurs mdangerous,
m only m m as m mand can be
a m m result m m fatal if not treated
of m m overdose m m of m quickly
m insulin
18. A mm60-year-old mmmale mmpatient mmwith mma mmpast mmhistory mmof mmglaucoma mmand mmfrequent mmsinusitis
mmpresents mmtoday mmwith m m hypertension. m m On mmhis m m last m m 2 m m visits mmto m m the m m clinic mmhis m m blood
m m pressures mmwere m m 150-160/90-98. mmThe mmnurse mmpractitioner mmdecides mmto mmtreat mmthe
mmhypertension mmwith mmlong-acting mmpropranolol mm(Inderal). mmBefore m m prescribing mmit, mmthe mmnurse
mmpractitioner mmshould mmask:
a. whether mmhe m m smokes m m or m m consumes m m alcohol m m on m m a m m daily m m basis
VwhatVotherVmedicationsVhaveVbeenVprescribedVforVhim
c. if m m he m m takes m m a m m daily m m antihistamine
d. if m m other m m family m m members m m are m m hypertensive
19. Which m m of mmthe m m following m m is m m NOT m m associated mmwith m m Type mm 2 mmdiabetes m m mellitus?
a. Gestational mmdiabetes, mmbirth m m of m m a mmmacrosomic m m infant
b. Hispanic, mmAfrican-American, m m or mmNative mmAmerican mmdescent
c. mmVAlcoholVorVotherVdrug
d.abuse
mmObesity, mmhypertension, mm hypertriglyceridemia
20. A mm35-year-old mmmale mmpresents mmwith mma mmsevere mmunilateral mmheadache mmover mmhis mmleft mmeye.
mm He mmsays mmit m m started m m about m m one m m hour m m ago m m and m m has m m rapidly m m gotten m m worse. m m He
mm gives mm a mm history mm of mm similar mm headaches mm over mm the mm past mm 2 mm years. mm Physical
mm examination m m is mmnegative mmexcept m m for mmleft m m eye m m lacrimation. m m What m m is m m the mmmost mmlikely
mm diagnosis?
c.
Cluster headache
d. mmClassic mmmigraine mmheadache
21. A m m 16-year-old m m sexually mmactive mmfemale mmpresent mmto mmthe mmclinic. mmShe mmhas mmnever m m had
m m vaccination mmfor m m hepatitis mmA mmor mmB, mmshe mmhas mmhad mmone mmMMR mmimmunization, mmand mmher
mmlast mmtetanus mmvaccination mmwas mm4 mmyears mmago. mmWhich mmvaccination mmwould mmbe
mmcontraindicated mmwithout mmfurther mmtesting?
c.
MMR
22. A mm15-year-old mmmale mmpresents mmwith mmabdominal mmpain mmthat mmbegan mmin mmthe mmperi-umbilical
mmarea mmthen mmlocalized mmto mmthe mmright mmlower mmquadrant. mmHe mmcomplains mmof mmnausea, mmvomiting,
mmanorexia, mmand mmlow-grade mmfever. mmA mmcomplete mmblood mmcount mm(CBC) mmreveals mmmoderate
QUESTIONS & CORRECT VERIFIED ANSWERS
LATEST UPDATE
1. A 37-year-old female patient with a history of a single episode of depression and frequent
complaints of PMS is being treated for hypothyroidism. Today she complains of poor
concentration and fatigue. Initially, the NP should:
a. Question her further
2. A patient recovering from a recent stroke is starting anticoagulant therapy. The nurse practitioner
should teach the patient to avoid all of the following EXCEPT:
a. b. milk and milk products
3. Which of the following is an example of secondary prevention?
a. Annual influenza vaccination
4. A positive drawer sign support a diagnosis of
b. cruciate ligament injury
5. A 50-year-old patient with diabetes complains of pain bilaterally in her lower legs while walking.
The pain disappears at rest. What else would you expect to identify on her lower extremities.
b. peripheral artery insufficiency
6 . A 16-year-old athlete complains of pain underneath his heel every time he walks. There is a
verrucous surface level with the skin of the heel. What pharmacologic interventions should the nurse
practitioner prescribe for this patient?
a. salicylic acid plasters
7. A 35-year old female with a history of mitral valve prolapse is scheduled for routine dental
cleaning. According to the 2007 American Association’s guideline for endocarditis prophylaxis,
what would you advise this patient?
a. She does not need prophylaxis for any dental procedure
b.
8. What is an appropriate drug for prophylactic treatment of migraine headaches in a 21-year-old
female?
a. Sumatriptan (Imitrex)
b. propranolol (Inderal)
c. ibuprofen (Motrin)
, d. dihydroergotamine (DHE
9. A patient presents with periorbital erythema and edema, fever, and nasal drainage. The nurse
practitioner should
, a. start aggressive antibiotic therapy
10. A positive drawer sign support a diagnosis of
b. cruciate ligament injury
11. A 50-year-old patient with diabetes complains of pain bilaterally in her lower legs while walking.
The pain disappears at rest. What else would you expect to identify on her lower extremities. b.
peripheral artery insufficiency
12. A 16-year-old athlete complains of pain underneath his heel every time he walks. There is a
verrucous surface level with the skin of the heel. What pharmacologic interventions should the nurse
practitioner prescribe for this patient?
a. salicylic acid plasters
13. A -year-old with Type I diabetes has had itching and burning lesions between her toes for 6
months. Scrapings of the lesion confirm the diagnosis of tinea pedis. What is the best treatment
option for this patient?
a. prescribe an anti-fungal powder for application between her toes and in her shoes and a
topical prescription strength anti-fungal cream for other affected areas. Monitor for a
secondary bacterial infection.
c. Prescribe an oral anti-fungal for 4 to 12 weeks. Monitor liver enzymes, BUN and creatinine at
one week, 2 weeks, and every month thereafter.
d. Prescribe a prescription strength antifungal/steroid combination cream. Monitor for a
secondary bacterial infection.
14. What is an appropriate drug for prophylactic treatment of migraine headaches in a 21-year-old
female?
a. Sumatriptan (Imitrex)
b. propranolol (Inderal)
c. ibuprofen (Motrin)
d. dihydroergotamine (DHE)
15. Which of the following are the classic features of ulcerative colitis?
a. RLQ pain, frequently accompanied by a palpable mass, fever, and leukopenia
b. Massive painful hematemesis, occasionally accompanied by melena
c. Rapidly progressive dysphagia to solid foods, anoriexia, and weight loss out of proportion to
thedysphagia
d. Remission and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal
pain, and .
16. Which drugs below would be expected to produce the least amount of hypokalemia?a. Furosemide
(Lasix)
, b. mmhydrochlorothiazide mm(HCTZ) mmand mmspironolactone mm(Aldactone)
Spironolactone
d. mm (Aldactone)
hydrochlorothiazide m m (HCTZ)
17. What mminformation m m should mmpatients m mwith mmdiabetes mmand mmtheir mm families m m receive mmabout
m m hypoglycemia?
a. Hypoglycemia mm is m m very m m rare
b. Hypoglycemia mmrequires mmprofessional mmmedical mmtreatment
d. mHypoglycemia
m Hypoglycemiais
mmserious,
occurs mdangerous,
m only m m as m mand can be
a m m result m m fatal if not treated
of m m overdose m m of m quickly
m insulin
18. A mm60-year-old mmmale mmpatient mmwith mma mmpast mmhistory mmof mmglaucoma mmand mmfrequent mmsinusitis
mmpresents mmtoday mmwith m m hypertension. m m On mmhis m m last m m 2 m m visits mmto m m the m m clinic mmhis m m blood
m m pressures mmwere m m 150-160/90-98. mmThe mmnurse mmpractitioner mmdecides mmto mmtreat mmthe
mmhypertension mmwith mmlong-acting mmpropranolol mm(Inderal). mmBefore m m prescribing mmit, mmthe mmnurse
mmpractitioner mmshould mmask:
a. whether mmhe m m smokes m m or m m consumes m m alcohol m m on m m a m m daily m m basis
VwhatVotherVmedicationsVhaveVbeenVprescribedVforVhim
c. if m m he m m takes m m a m m daily m m antihistamine
d. if m m other m m family m m members m m are m m hypertensive
19. Which m m of mmthe m m following m m is m m NOT m m associated mmwith m m Type mm 2 mmdiabetes m m mellitus?
a. Gestational mmdiabetes, mmbirth m m of m m a mmmacrosomic m m infant
b. Hispanic, mmAfrican-American, m m or mmNative mmAmerican mmdescent
c. mmVAlcoholVorVotherVdrug
d.abuse
mmObesity, mmhypertension, mm hypertriglyceridemia
20. A mm35-year-old mmmale mmpresents mmwith mma mmsevere mmunilateral mmheadache mmover mmhis mmleft mmeye.
mm He mmsays mmit m m started m m about m m one m m hour m m ago m m and m m has m m rapidly m m gotten m m worse. m m He
mm gives mm a mm history mm of mm similar mm headaches mm over mm the mm past mm 2 mm years. mm Physical
mm examination m m is mmnegative mmexcept m m for mmleft m m eye m m lacrimation. m m What m m is m m the mmmost mmlikely
mm diagnosis?
c.
Cluster headache
d. mmClassic mmmigraine mmheadache
21. A m m 16-year-old m m sexually mmactive mmfemale mmpresent mmto mmthe mmclinic. mmShe mmhas mmnever m m had
m m vaccination mmfor m m hepatitis mmA mmor mmB, mmshe mmhas mmhad mmone mmMMR mmimmunization, mmand mmher
mmlast mmtetanus mmvaccination mmwas mm4 mmyears mmago. mmWhich mmvaccination mmwould mmbe
mmcontraindicated mmwithout mmfurther mmtesting?
c.
MMR
22. A mm15-year-old mmmale mmpresents mmwith mmabdominal mmpain mmthat mmbegan mmin mmthe mmperi-umbilical
mmarea mmthen mmlocalized mmto mmthe mmright mmlower mmquadrant. mmHe mmcomplains mmof mmnausea, mmvomiting,
mmanorexia, mmand mmlow-grade mmfever. mmA mmcomplete mmblood mmcount mm(CBC) mmreveals mmmoderate
