NRNP 6531 CORE EXAM TEST QUESTIONS AND SOLUTIONS
GRADED A+
✔✔Which of the following is the most common causative organism of nongonococcal
urethritis? - ✔✔Chlamydia trachomatis
✔✔The most common symptoms of transient ischemic attack (TIA) include - ✔✔lower
limb weakness, slur speech, partial vision loss, gait change
✔✔Diagnostic evaluation for urinary calculi includes:
A.Urinalysis and culture
B. Non contrast CT
C. Serum calcium
D. All of the above - ✔✔D. All of the above
✔✔What is the first symptom seen in the majority of patients with Parkinson's disease?
- ✔✔resting tremor
✔✔A 21-year-old female presents to the office complaining of urinary frequency and
urinary burning. The nurse practitioner suspects a urinary tract infection when the
urinalysis reveals - ✔✔10- white blood cells per high-powered field
✔✔A 26 year old female presents with elbow pain that is described as aching and
burning. There is point tenderness along the lateral aspect of the elbow and painful
passive flexion and extension. She reports she has been playing tennis almost daily for
the past month. The most likely diagnosis is: - ✔✔Lateral epicondylitis
✔✔Maria, age 17, was raped when she was 13 year old. She is now experiencing
sleeping problems, flashbacks, and depression. What is your initial diagnosis? -
✔✔PTSD
✔✔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: - ✔✔hydrochlorhiazide
✔✔Which of the following is a contraindication for metformin therapy? - ✔✔Creatinine >
1.5
✔✔A positive drawer sign supports a diagnosis of: - ✔✔Cruciate ligament injury
, ✔✔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? - ✔✔peppermint
✔✔The nurse practitioner diagnoses epididymitis in a 24-year-old sexually active male
patient. the drug of choice fort the treatment of this patient is - ✔✔Oral doxycycline
(Vibramycin)plus IM ceftriaxone
✔✔Diagnostic confirmation of acute leukemia is based on - ✔✔bone marrow aspiration
and biopsy.
✔✔A patient taking levothyroxine is being over-replaced. What condition is he at risk
for? - ✔✔osteoporosis
✔✔Diabetes screening recommendations for asymptomatic adults age 45 and over
include which of the following: - ✔✔HbA1C2-hour 75 gram oral glucose tolerance test
✔✔Dave, age 38, states that he thinks he has an ear infection because he just flew
back from a business trip and feels unusual pressure in his ear. You diagnose
barotrauma. What is your next action? - ✔✔Prescribe nasal steroids and oral
decongestants
✔✔Josh, age 22, is a stock boy and has an acute episode of low back pain. You order
and NSAID and tell him which of the following? - ✔✔Begin lower back strengthening
exercises depending on pain tolerance
✔✔Risk factors for Addison's disease include which of the following? - ✔✔all of the
above (autoimmune disease, AIDS, and TB)
✔✔Urine cultures should be obtained for which of the following patients? -
✔✔Suspected urinary tract infection in pregnancyFebrile patientsYoung men
All of the above
✔✔Jennifer says that she has heard that caffeine can cause osteoporosis and asks you
why. how do you respond? - ✔✔A high caffeine intake has a diuretic effect that may
cause calcium to be excreted more rapidly."
✔✔The diagnosis which must be considered in a patient who presents with a severe
headache of sudden onset, with neck stiffness and fever, is: - ✔✔meningitits
GRADED A+
✔✔Which of the following is the most common causative organism of nongonococcal
urethritis? - ✔✔Chlamydia trachomatis
✔✔The most common symptoms of transient ischemic attack (TIA) include - ✔✔lower
limb weakness, slur speech, partial vision loss, gait change
✔✔Diagnostic evaluation for urinary calculi includes:
A.Urinalysis and culture
B. Non contrast CT
C. Serum calcium
D. All of the above - ✔✔D. All of the above
✔✔What is the first symptom seen in the majority of patients with Parkinson's disease?
- ✔✔resting tremor
✔✔A 21-year-old female presents to the office complaining of urinary frequency and
urinary burning. The nurse practitioner suspects a urinary tract infection when the
urinalysis reveals - ✔✔10- white blood cells per high-powered field
✔✔A 26 year old female presents with elbow pain that is described as aching and
burning. There is point tenderness along the lateral aspect of the elbow and painful
passive flexion and extension. She reports she has been playing tennis almost daily for
the past month. The most likely diagnosis is: - ✔✔Lateral epicondylitis
✔✔Maria, age 17, was raped when she was 13 year old. She is now experiencing
sleeping problems, flashbacks, and depression. What is your initial diagnosis? -
✔✔PTSD
✔✔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: - ✔✔hydrochlorhiazide
✔✔Which of the following is a contraindication for metformin therapy? - ✔✔Creatinine >
1.5
✔✔A positive drawer sign supports a diagnosis of: - ✔✔Cruciate ligament injury
, ✔✔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? - ✔✔peppermint
✔✔The nurse practitioner diagnoses epididymitis in a 24-year-old sexually active male
patient. the drug of choice fort the treatment of this patient is - ✔✔Oral doxycycline
(Vibramycin)plus IM ceftriaxone
✔✔Diagnostic confirmation of acute leukemia is based on - ✔✔bone marrow aspiration
and biopsy.
✔✔A patient taking levothyroxine is being over-replaced. What condition is he at risk
for? - ✔✔osteoporosis
✔✔Diabetes screening recommendations for asymptomatic adults age 45 and over
include which of the following: - ✔✔HbA1C2-hour 75 gram oral glucose tolerance test
✔✔Dave, age 38, states that he thinks he has an ear infection because he just flew
back from a business trip and feels unusual pressure in his ear. You diagnose
barotrauma. What is your next action? - ✔✔Prescribe nasal steroids and oral
decongestants
✔✔Josh, age 22, is a stock boy and has an acute episode of low back pain. You order
and NSAID and tell him which of the following? - ✔✔Begin lower back strengthening
exercises depending on pain tolerance
✔✔Risk factors for Addison's disease include which of the following? - ✔✔all of the
above (autoimmune disease, AIDS, and TB)
✔✔Urine cultures should be obtained for which of the following patients? -
✔✔Suspected urinary tract infection in pregnancyFebrile patientsYoung men
All of the above
✔✔Jennifer says that she has heard that caffeine can cause osteoporosis and asks you
why. how do you respond? - ✔✔A high caffeine intake has a diuretic effect that may
cause calcium to be excreted more rapidly."
✔✔The diagnosis which must be considered in a patient who presents with a severe
headache of sudden onset, with neck stiffness and fever, is: - ✔✔meningitits
