FNP exit exam | NR 667 | Chamberlain University-Illinois | Questions with 100%
Verified Answers | Latest Update
Question: While evaluating a two-year-old male patient in your clinic
for a sick visit, you auscultate thick rhonchi in the anterior medial upper
left lower lobe. Have the patient cough, with the follow-up auscultation
revealing the same breath sounds. His cough is persistent and he turns
bluish during the coughing fit. Which of the following would you
suspect?
A. Bronchiolitis.
B. Atelectasis.
C. Congestive heart failure.
D. Laryngospasm
Answer:
D. Laryngospasm
Question: Your patient is a tall, thin, 14-year-old male with a chief
complaint of rapid onset of shortness of breath after a fall while
skateboarding from standing. Based on this history, which of the
following diagnoses would you anticipate after examination? A,
spontaneous pneumothorax. B, complex regional pain syndrome. C,
cardiac tamponade. D, polymyalgia rheumatica.
Answer:
A, spontaneous pneumothorax.
Question: Your 39-year-old patient has recently been hospitalized for
an appendectomy and is being seen in your clinic for post-operative
follow-up with primary care. On assessment, the patient complains of
some incisional pain and otherwise examination is normal, with the
exception of dull percussion sounds noted on the thorax over lung
tissue. Which of the following diagnoses would be explained by this
finding in a post-operative patient?
A. Healthy patient with no coexisting disease.
B. Left-sided heart failure.
C. Chronic bronchitis
D. Atelectasis.
Answer:
D. Atelectasis.
,Question: Which one of the following patients would you most
anticipate to complain of hemoptysis?
A. Acute bronchitis,
B. Lung cancer,
C. Acute laryngitis,
D. Acute asthma.
Answer:
B. Lung cancer,
Question: Gladys, a 72-year-old patient with a history of anemia of
chronic disease from kidney failure, diabetes mellitus, and
hypothyroidism, presents today with concerns that her thyroid
medication is not working well enough. Her most recent labs reflect that
her TSH is 5.9 with a normal range of 0.5 to 5 and free T4 is 0.3 with a
normal range of 0.8 to 2.8. Which of the following clinical signs and or
symptoms would you expect a patient with these findings to present
with? A, excessive sweating, B, cold intolerance, C, weight loss, D,
palpitations.
Answer:
B, cold intolerance,
Question: Which of the following is considered the highest quality of
research data?
A. Double-blinded placebo-controlled studies.
B. Case studies.
C. Expert opinion.
D. Systematic review.
Answer:
D. Systematic review.
Question: The patient is being evaluated for Hashimoto's thyroiditis.
Which test would be useful to specifically evaluate for this as the
underlying pathology of this patient's hypothyroidism?
A. Ultrasound of the thyroid for cold nodules,
B. Check anti-thyroperoxidase levels,
C. Antinuclear antibody testing,
D. Ultrasound of the thyroid for hot nodules.
Answer:
B. Check anti-thyroperoxidase levels,
, Question: Your 51-year-old Caucasian male patient has not been seen
in primary care in over 20 years, and he is here for a history and
physical examination. While examining the head and face, you see your
patient has non-pitting periorbital edema, particularly underneath their
eyes, and very dry, thin hair, including the lateral third of their
eyebrows. Which of the following would you expect to be causing this
finding?
A. Alzheimer's.
B. Graves' disease.
C. Addison's disease.
D. Severe hypothyroidism.
Answer:
D. Severe hypothyroidism.
Question: Patients with flu-like symptoms who present with
splenomegaly and posterior cervical chain adenopathy should be
evaluated with which of the following tests?
A. Western blot,
B. strep culture,
C. strep swab,
D. monospot.
Answer:
D. monospot.
Question: Your patient has been diagnosed with acanthosis nigricans.
Which of the following exam findings would be consistent with the
typical presentation of this? A, body mass index of 22. B, large
confluence of corcoidians on the neck, groin, and axillary folds. C,
scaphoidal abdomen, D, severe malnutrition.
Answer:
B, large confluence of corcoidians on the neck, groin, and axillary folds.
Question: You are evaluating a 39-year-old female patient in your
clinic with symptoms of right upper quadrant pain which worsens with
deep breathing. The patient exhibits a positive Murphy sign. These
findings are most consistent with which of the following:
A. Appendicitis,
B. Cholecystitis,
C. Crohn's flare,
D. Pancreatitis.
Answer:
B. Cholecystitis,
Verified Answers | Latest Update
Question: While evaluating a two-year-old male patient in your clinic
for a sick visit, you auscultate thick rhonchi in the anterior medial upper
left lower lobe. Have the patient cough, with the follow-up auscultation
revealing the same breath sounds. His cough is persistent and he turns
bluish during the coughing fit. Which of the following would you
suspect?
A. Bronchiolitis.
B. Atelectasis.
C. Congestive heart failure.
D. Laryngospasm
Answer:
D. Laryngospasm
Question: Your patient is a tall, thin, 14-year-old male with a chief
complaint of rapid onset of shortness of breath after a fall while
skateboarding from standing. Based on this history, which of the
following diagnoses would you anticipate after examination? A,
spontaneous pneumothorax. B, complex regional pain syndrome. C,
cardiac tamponade. D, polymyalgia rheumatica.
Answer:
A, spontaneous pneumothorax.
Question: Your 39-year-old patient has recently been hospitalized for
an appendectomy and is being seen in your clinic for post-operative
follow-up with primary care. On assessment, the patient complains of
some incisional pain and otherwise examination is normal, with the
exception of dull percussion sounds noted on the thorax over lung
tissue. Which of the following diagnoses would be explained by this
finding in a post-operative patient?
A. Healthy patient with no coexisting disease.
B. Left-sided heart failure.
C. Chronic bronchitis
D. Atelectasis.
Answer:
D. Atelectasis.
,Question: Which one of the following patients would you most
anticipate to complain of hemoptysis?
A. Acute bronchitis,
B. Lung cancer,
C. Acute laryngitis,
D. Acute asthma.
Answer:
B. Lung cancer,
Question: Gladys, a 72-year-old patient with a history of anemia of
chronic disease from kidney failure, diabetes mellitus, and
hypothyroidism, presents today with concerns that her thyroid
medication is not working well enough. Her most recent labs reflect that
her TSH is 5.9 with a normal range of 0.5 to 5 and free T4 is 0.3 with a
normal range of 0.8 to 2.8. Which of the following clinical signs and or
symptoms would you expect a patient with these findings to present
with? A, excessive sweating, B, cold intolerance, C, weight loss, D,
palpitations.
Answer:
B, cold intolerance,
Question: Which of the following is considered the highest quality of
research data?
A. Double-blinded placebo-controlled studies.
B. Case studies.
C. Expert opinion.
D. Systematic review.
Answer:
D. Systematic review.
Question: The patient is being evaluated for Hashimoto's thyroiditis.
Which test would be useful to specifically evaluate for this as the
underlying pathology of this patient's hypothyroidism?
A. Ultrasound of the thyroid for cold nodules,
B. Check anti-thyroperoxidase levels,
C. Antinuclear antibody testing,
D. Ultrasound of the thyroid for hot nodules.
Answer:
B. Check anti-thyroperoxidase levels,
, Question: Your 51-year-old Caucasian male patient has not been seen
in primary care in over 20 years, and he is here for a history and
physical examination. While examining the head and face, you see your
patient has non-pitting periorbital edema, particularly underneath their
eyes, and very dry, thin hair, including the lateral third of their
eyebrows. Which of the following would you expect to be causing this
finding?
A. Alzheimer's.
B. Graves' disease.
C. Addison's disease.
D. Severe hypothyroidism.
Answer:
D. Severe hypothyroidism.
Question: Patients with flu-like symptoms who present with
splenomegaly and posterior cervical chain adenopathy should be
evaluated with which of the following tests?
A. Western blot,
B. strep culture,
C. strep swab,
D. monospot.
Answer:
D. monospot.
Question: Your patient has been diagnosed with acanthosis nigricans.
Which of the following exam findings would be consistent with the
typical presentation of this? A, body mass index of 22. B, large
confluence of corcoidians on the neck, groin, and axillary folds. C,
scaphoidal abdomen, D, severe malnutrition.
Answer:
B, large confluence of corcoidians on the neck, groin, and axillary folds.
Question: You are evaluating a 39-year-old female patient in your
clinic with symptoms of right upper quadrant pain which worsens with
deep breathing. The patient exhibits a positive Murphy sign. These
findings are most consistent with which of the following:
A. Appendicitis,
B. Cholecystitis,
C. Crohn's flare,
D. Pancreatitis.
Answer:
B. Cholecystitis,