Name: Score:
20 Multiple choice questions
Term 1 of 20
Question 25
A patient has HIV infection and is having a problem with massive diarrhea. You suspect the cause
is
cryptococcosis
toxoplasmosis
cryptosporidiosis
cytomegalovirus
rheumatoid arthritis (ra)
osteoarthritis (oa)
lupus
peripheral neuropathy
parkinson's disease
multiple sclerosis
myasthenia gravis
huntington's chorea
migraine headache
subarachnoid hemorrhage
glaucoma
meningitis
,Term 2 of 20
Question 87
A diabetic patient is taking low-dose enalapril for hypertension. A record of the patient's blood
pressure over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg diastolic. How
should the nurse practitioner respond?
Change to a different class of antihypertensive medication to get better control.
Increase the dosage of the current BP medication.
Continue the current medication and dosage for 4 more weeks.
Add a beta-blocker to the current medication regimen.
Obtain a thorough history and physical, and check serum cortisol and ACTH levels.
Obtain a diet history and check CBC and FBS.
Provide nutritional guidance and have the patient return in 1 month.
Consult home health for intravenous administration of fluids and electrolytes.
Advise the patient to stop the antidepressant medication
Question the patient to determine if the self-assessment is correct before advising her to
discontinue the medication
Recommend that the patient continue the antidepressant medication for at least 4 more
months
Discuss with the patient the need to take the antidepressant medication indefinitely
The patient should start anticoagulant therapy immediately.
Hereditary thrombophilia does not always require anticoagulation therapy.
Women of childbearing age cannot take anticoagulant therapy.
Genetic and risk management counseling are recommended.
B and D
, Term 3 of 20
Question 92
Martin, a 58 year old male with diabetes, is at your office for his diabetes follow up. On examining
his feet with monofilament, you discover that he has developed decreased sensation in both feet.
There are no open areas or signs of infection on his feet. What health teaching should Martin
receive today regarding the care if his feet?
"You're right; it seems like your diabetes is improving."
"Because your kidneys are not functioning well, your insulin is not being metabolized and
excreted as it should, so you need less of it."
"You have watched your diet for all these years and as a result, your body is using less
insulin."
"I will have to change your oral hyperglycemic agents as it seems your body is making more
insulin."
Prescribe systemic antibiotics
Prescribe antibiotic ear drops
Prescribe nasal steroids and oral decongestants
Refer him to an ear, nose, and throat specialist
Wash your feet with cold water daily
See a podiatrist every 2 years, inspect your own feet monthly, and apply lotion to your feet
daily
Go to a spa and have a pedicure monthly
See a podiatrist yearly; wash your feet daily with warm soapy water and towel dry between
the toes; inspect your feet daily for lesions; apply lotion to dry areas
Patient report of bladder dysfunction, saddle anesthesia, and motor weakness of limbs.
History of significant trauma relative to the patient's age.
Decreased reflexes, strength, and sensation in the lower extremities.
Patient report of pain with the crossed straight leg raise.
20 Multiple choice questions
Term 1 of 20
Question 25
A patient has HIV infection and is having a problem with massive diarrhea. You suspect the cause
is
cryptococcosis
toxoplasmosis
cryptosporidiosis
cytomegalovirus
rheumatoid arthritis (ra)
osteoarthritis (oa)
lupus
peripheral neuropathy
parkinson's disease
multiple sclerosis
myasthenia gravis
huntington's chorea
migraine headache
subarachnoid hemorrhage
glaucoma
meningitis
,Term 2 of 20
Question 87
A diabetic patient is taking low-dose enalapril for hypertension. A record of the patient's blood
pressure over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg diastolic. How
should the nurse practitioner respond?
Change to a different class of antihypertensive medication to get better control.
Increase the dosage of the current BP medication.
Continue the current medication and dosage for 4 more weeks.
Add a beta-blocker to the current medication regimen.
Obtain a thorough history and physical, and check serum cortisol and ACTH levels.
Obtain a diet history and check CBC and FBS.
Provide nutritional guidance and have the patient return in 1 month.
Consult home health for intravenous administration of fluids and electrolytes.
Advise the patient to stop the antidepressant medication
Question the patient to determine if the self-assessment is correct before advising her to
discontinue the medication
Recommend that the patient continue the antidepressant medication for at least 4 more
months
Discuss with the patient the need to take the antidepressant medication indefinitely
The patient should start anticoagulant therapy immediately.
Hereditary thrombophilia does not always require anticoagulation therapy.
Women of childbearing age cannot take anticoagulant therapy.
Genetic and risk management counseling are recommended.
B and D
, Term 3 of 20
Question 92
Martin, a 58 year old male with diabetes, is at your office for his diabetes follow up. On examining
his feet with monofilament, you discover that he has developed decreased sensation in both feet.
There are no open areas or signs of infection on his feet. What health teaching should Martin
receive today regarding the care if his feet?
"You're right; it seems like your diabetes is improving."
"Because your kidneys are not functioning well, your insulin is not being metabolized and
excreted as it should, so you need less of it."
"You have watched your diet for all these years and as a result, your body is using less
insulin."
"I will have to change your oral hyperglycemic agents as it seems your body is making more
insulin."
Prescribe systemic antibiotics
Prescribe antibiotic ear drops
Prescribe nasal steroids and oral decongestants
Refer him to an ear, nose, and throat specialist
Wash your feet with cold water daily
See a podiatrist every 2 years, inspect your own feet monthly, and apply lotion to your feet
daily
Go to a spa and have a pedicure monthly
See a podiatrist yearly; wash your feet daily with warm soapy water and towel dry between
the toes; inspect your feet daily for lesions; apply lotion to dry areas
Patient report of bladder dysfunction, saddle anesthesia, and motor weakness of limbs.
History of significant trauma relative to the patient's age.
Decreased reflexes, strength, and sensation in the lower extremities.
Patient report of pain with the crossed straight leg raise.
