NR 667 Practice exam week 1 | Chamberlain University-Illinois | Questions with
100% Verified Answers | Latest Update
Question: Nonpharmacologic therapy for Raynaud's disease include:
Avoidance of cold Use of hot soaks Ginkgo biloba Isometric exercise
Answer:
Avoidance of cold
Question: Which of the following people groups represent the least risk
of cardiac disease? African Americans American Indians Native
Hawaiians Caucasians
Answer:
Caucasians
Question: as a f/u from a hospitalization an adult patent presents with
ankle edema. Which of the following medications is the most likely
cause of the edema? Nebivolol HCTZ Metformin Norvasc
Answer:
Norvasc
Question: While working in a fast-track clinic as a NP in an emergency
department, your patient complains of shortness of breath with activity
and near syncope with changing position from seated to standing on
multiple recent episodes. You examine them and notice a harsh systolic
murmur heard best at the right sternal border at the 2nd intercostal space
rated 3/6, which has a bruit radiating to the right carotid artery. Of the
following examinations, which is most appropriate or you to order next
to evaluate this murmur? 12 Lead EKG Carotid ultrasound
Transthoracic echocardiogram CT non-contrast of chest, abdomen,
pelvis
Answer:
Transthoracic echocardiogram
Question: The inability to fully relax the myocardium during relaxation
is a trademark of which of the following diagnoses? Systolic heart
failure The inability to fully relax the myocardium during relaxation is a
trademark of which of the following diagnoses? Systolic heart failure
Diastolic dysfunction Grade 2 systolic dysfunction Grade 3 systolic
dysfunction
Answer:
Diastolic dysfunction
,Question: Your patient with a diagnosis of peripheral arterial disease
asks you what is considered a non-modifiable risk factor. Which of the
following represent the best answer for his question? Smoking less
cigarettes Medication compliance Family history of PAD Tight
glycemic control
Answer:
Family history of PAD
Question: A 50-year-old woman with a history of hypertension presents
with dyspnea on exertion and orthopnea. On examination, she has
jugular venous distention and bilateral crackles on lung auscultation.
What is the most likely diagnosis? Pulmonary embolism Chronic
obstructive pulmonary disease Congestive heart failure Acute
myocardial infarction
Answer:
Congestive heart failure
Question: A 60-year-old man with a history of hypertension and
diabetes presents with a new-onset headache and visual disturbances.
His blood pressure is 200/110 mmHg. What is the most appropriate
management? Prescribe antihypertensive medication and follow up in a
week Advise dietary changes Refer to the emergency department Start
insulin therapy
Answer:
Refer to the emergency department
Question: A 45-year-old man presents with chest pain radiating to the
left arm, diaphoresis, and shortness of breath. His ECG shows
ST-segment elevation. What is the initial management response? Start
intravenous heparin Administer nitroglycerin sublingually Perform
immediate coronary angiography Administer aspirin and call for
emergency medical services
Answer:
Administer aspirin and call for emergency medical services
Question: A 70-year-old man with a history of atrial fibrillation
presents with sudden-onset left-sided weakness and slurred speech.
What is the most likely diagnosis? Seizure Transient ischemic attack
(TIA) Myocardial infarction (MI) Stroke
Answer:
Stroke
,Question: A 60-year-old woman presents for a routine check-up. She
has a history of hypertension, type 2 diabetes mellitus, and
hyperlipidemia. She is currently on lisinopril, metformin, and
atorvastatin. She has no new complaints. On examination, her blood
pressure is 135/80 mmHg, heart rate is 72 beats per minute, and BMI is
32 kg/m². Recent laboratory tests reveal HbA1c of 7.5%, LDL
cholesterol of 110 mg/dL, and creatinine of
1.1 mg/dL. What is the most appropriate management plan to
optimize her care? Recommend lifestyle modifications including diet
and exercise Increase the dose of atorvastatin Increase the dose of
metformin Increase the dose of lisinopril
Answer:
Recommend lifestyle modifications including diet and exercise
Question: Patients on levothyroxine should be monitored for signs of:
Memory deficits and hyperreflexia Increased nausea and constipation
Ankle edema and discomfort Angina pectoris and dysrhythmia
Answer:
Angina pectoris and dysrhythmia
Question: A patient has a 3 cm pituitary mass noted on CT. What is
your next step in evaluating the patient? Screen for hormone
deficiencies Repeat MRI in 3 months Start Cabergoline Refer to surgery
Answer:
Screen for hormone deficiencies
Question: Which of the following is the most common cause of
Cushing's Syndrome? Long term excessive glucocorticoid use Adrenal
adenoma ACTH-producing pituitary adenoma Ectopic ACTH secretion
Answer:
ACTH-producing pituitary adenoma
Question: A 33-year-old woman presents with intermittent palpitations,
anxiety, and heat intolerance. Her thyroid function tests reveal low TSH
and high free T4. What is the most likely diagnosis? Hypothyroidism
Graves' disease Hyperthyroidism Thyroiditis
Answer:
Hyperthyroidism
, Question: An adult female who recently returned from a business trip to
Japan presents for a recheck appointment. The only remarkable
laboratory result is for thyroid-stimulating hormone (TSH), at 0.3
microunits/mL (normal = 0.4-6 microunits/mL). The patient reports that
her neck hurts; examination reveals thyroid tenderness. Which of the
following laboratory tests should the nurse practitioner order now?
Triiodothyronine (T3) only Triiodothyronine (T3) and free
triiodothyronine (FT3) Triiodothyronine (T3) and free thyroxine (FT4)
Triiodothyronine (T3) resin uptake assay
Answer:
Triiodothyronine (T3) and free thyroxine (FT4)
Question: Pheochromocytoma is best diagnosed by which of the
following tests:
Blood pressure values and adrenal CT/MRI 24-hour urine for
catecholamines/metanephrines and plasma metanephrines Adrenal
CT/MRI Plasma metanephrines with blood pressure values
Answer:
24-hour urine for catecholamines/metanephrines and plasma metanephrines
Question: A 50-year-old man presents with fatigue, muscle weakness,
and hyperpigmentation of the skin. Laboratory tests show low sodium,
high potassium, and low cortisol levels. What is the most likely
diagnosis? Pheochromocytoma Primary hyperaldosteronism Addison's
disease Cushing's syndrome
Answer:
Addison's disease
Question: A 18-year-old woman presents with increased thirst, frequent
urination, and unexplained weight loss. Her fasting plasma glucose level
is 200 mg/dL. What is the most likely diagnosis? Type 1 diabetes
mellitus Cushing's syndrome Syndrome of inappropriate Anti Diuretic
Hormone (SIADH) Diabetes insipidus
Answer:
Type 1 diabetes mellitus
100% Verified Answers | Latest Update
Question: Nonpharmacologic therapy for Raynaud's disease include:
Avoidance of cold Use of hot soaks Ginkgo biloba Isometric exercise
Answer:
Avoidance of cold
Question: Which of the following people groups represent the least risk
of cardiac disease? African Americans American Indians Native
Hawaiians Caucasians
Answer:
Caucasians
Question: as a f/u from a hospitalization an adult patent presents with
ankle edema. Which of the following medications is the most likely
cause of the edema? Nebivolol HCTZ Metformin Norvasc
Answer:
Norvasc
Question: While working in a fast-track clinic as a NP in an emergency
department, your patient complains of shortness of breath with activity
and near syncope with changing position from seated to standing on
multiple recent episodes. You examine them and notice a harsh systolic
murmur heard best at the right sternal border at the 2nd intercostal space
rated 3/6, which has a bruit radiating to the right carotid artery. Of the
following examinations, which is most appropriate or you to order next
to evaluate this murmur? 12 Lead EKG Carotid ultrasound
Transthoracic echocardiogram CT non-contrast of chest, abdomen,
pelvis
Answer:
Transthoracic echocardiogram
Question: The inability to fully relax the myocardium during relaxation
is a trademark of which of the following diagnoses? Systolic heart
failure The inability to fully relax the myocardium during relaxation is a
trademark of which of the following diagnoses? Systolic heart failure
Diastolic dysfunction Grade 2 systolic dysfunction Grade 3 systolic
dysfunction
Answer:
Diastolic dysfunction
,Question: Your patient with a diagnosis of peripheral arterial disease
asks you what is considered a non-modifiable risk factor. Which of the
following represent the best answer for his question? Smoking less
cigarettes Medication compliance Family history of PAD Tight
glycemic control
Answer:
Family history of PAD
Question: A 50-year-old woman with a history of hypertension presents
with dyspnea on exertion and orthopnea. On examination, she has
jugular venous distention and bilateral crackles on lung auscultation.
What is the most likely diagnosis? Pulmonary embolism Chronic
obstructive pulmonary disease Congestive heart failure Acute
myocardial infarction
Answer:
Congestive heart failure
Question: A 60-year-old man with a history of hypertension and
diabetes presents with a new-onset headache and visual disturbances.
His blood pressure is 200/110 mmHg. What is the most appropriate
management? Prescribe antihypertensive medication and follow up in a
week Advise dietary changes Refer to the emergency department Start
insulin therapy
Answer:
Refer to the emergency department
Question: A 45-year-old man presents with chest pain radiating to the
left arm, diaphoresis, and shortness of breath. His ECG shows
ST-segment elevation. What is the initial management response? Start
intravenous heparin Administer nitroglycerin sublingually Perform
immediate coronary angiography Administer aspirin and call for
emergency medical services
Answer:
Administer aspirin and call for emergency medical services
Question: A 70-year-old man with a history of atrial fibrillation
presents with sudden-onset left-sided weakness and slurred speech.
What is the most likely diagnosis? Seizure Transient ischemic attack
(TIA) Myocardial infarction (MI) Stroke
Answer:
Stroke
,Question: A 60-year-old woman presents for a routine check-up. She
has a history of hypertension, type 2 diabetes mellitus, and
hyperlipidemia. She is currently on lisinopril, metformin, and
atorvastatin. She has no new complaints. On examination, her blood
pressure is 135/80 mmHg, heart rate is 72 beats per minute, and BMI is
32 kg/m². Recent laboratory tests reveal HbA1c of 7.5%, LDL
cholesterol of 110 mg/dL, and creatinine of
1.1 mg/dL. What is the most appropriate management plan to
optimize her care? Recommend lifestyle modifications including diet
and exercise Increase the dose of atorvastatin Increase the dose of
metformin Increase the dose of lisinopril
Answer:
Recommend lifestyle modifications including diet and exercise
Question: Patients on levothyroxine should be monitored for signs of:
Memory deficits and hyperreflexia Increased nausea and constipation
Ankle edema and discomfort Angina pectoris and dysrhythmia
Answer:
Angina pectoris and dysrhythmia
Question: A patient has a 3 cm pituitary mass noted on CT. What is
your next step in evaluating the patient? Screen for hormone
deficiencies Repeat MRI in 3 months Start Cabergoline Refer to surgery
Answer:
Screen for hormone deficiencies
Question: Which of the following is the most common cause of
Cushing's Syndrome? Long term excessive glucocorticoid use Adrenal
adenoma ACTH-producing pituitary adenoma Ectopic ACTH secretion
Answer:
ACTH-producing pituitary adenoma
Question: A 33-year-old woman presents with intermittent palpitations,
anxiety, and heat intolerance. Her thyroid function tests reveal low TSH
and high free T4. What is the most likely diagnosis? Hypothyroidism
Graves' disease Hyperthyroidism Thyroiditis
Answer:
Hyperthyroidism
, Question: An adult female who recently returned from a business trip to
Japan presents for a recheck appointment. The only remarkable
laboratory result is for thyroid-stimulating hormone (TSH), at 0.3
microunits/mL (normal = 0.4-6 microunits/mL). The patient reports that
her neck hurts; examination reveals thyroid tenderness. Which of the
following laboratory tests should the nurse practitioner order now?
Triiodothyronine (T3) only Triiodothyronine (T3) and free
triiodothyronine (FT3) Triiodothyronine (T3) and free thyroxine (FT4)
Triiodothyronine (T3) resin uptake assay
Answer:
Triiodothyronine (T3) and free thyroxine (FT4)
Question: Pheochromocytoma is best diagnosed by which of the
following tests:
Blood pressure values and adrenal CT/MRI 24-hour urine for
catecholamines/metanephrines and plasma metanephrines Adrenal
CT/MRI Plasma metanephrines with blood pressure values
Answer:
24-hour urine for catecholamines/metanephrines and plasma metanephrines
Question: A 50-year-old man presents with fatigue, muscle weakness,
and hyperpigmentation of the skin. Laboratory tests show low sodium,
high potassium, and low cortisol levels. What is the most likely
diagnosis? Pheochromocytoma Primary hyperaldosteronism Addison's
disease Cushing's syndrome
Answer:
Addison's disease
Question: A 18-year-old woman presents with increased thirst, frequent
urination, and unexplained weight loss. Her fasting plasma glucose level
is 200 mg/dL. What is the most likely diagnosis? Type 1 diabetes
mellitus Cushing's syndrome Syndrome of inappropriate Anti Diuretic
Hormone (SIADH) Diabetes insipidus
Answer:
Type 1 diabetes mellitus
