NURS 6531 Final Exam
Question 1
Diagnostic confirmation of acute leukemia is based on:
Bone marrow aspiration and
biopsy
Pancytopenia
Hyperuricemia
All of the above
Central obesity, “moon” face, and dorsocervical fat pad are associated with:
D None of the above
An elderly man is started on lisinopril and hydrochlorhiazide 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:
A Trauma
B Tight shoes
.
C Arthritis flare
.
D Hydrochlorothiazide
, .
The most effective treatment of non-infectious bursitis includes:
Conservative treatment
includes rest, cold and heat treatments, elevation, administration of nonsteroidal anti-inflammatory
drugs (NSAIDs), bursal aspiration, and intrabursal steroid injections
What conditions must be met for you to bill “incident to” the physician, receiving 100%
reimbursement from Medicare?
Selected
Answer: The physician must be on-site and engaged in
patient care
Answers: You must initiate the plan of care for the patient
The physician must be on-site and engaged in
patient care
You must be employed as an independent
contractor
You must be the main health care provider whosees
the patient
Which of the following is not a risk factor associated with the development of syndrome X
and type 2 diabetes mellitus?
The metabolic syndrome refers to the co-occurrence of several known cardiovascular risk
factors, including insulin resistance, obesity, atherogenic dyslipidemia and hypertension.
Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?
A. Nocturia
B. Urgency incontinence
C. Strong urinary stream flow
D. Straining to void
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?
Food that is very hot or very
coldFatty or fried foods
Peppermint or spearmint, including flavoring
Coffee, tea, and soft drinks that contain caffeine
Spicy, highly seasoned foods
Fried food DT caffeine, chocolate and anticholinergics
Which drug category contains the drugs that are the first line Gold standard therapy for
COPD?
Beta antagonist
The most commonly recommended pharmacological treatment regimen for low back pain
(LBP) is:
Nsaid
Which of the following is not appropriate suppression therapy for chronic bacterial
prostatitis?
Erythromycin
A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals
hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the
patient returns 6 weeks later with the same symptoms of hyperpigmentation, weakness,
anorexia, fatigue, and weight loss. What action(s) should the nurse practitioner take?
.A Obtain a thorough history and physical, and check serum cortisol and ACTH
levels.
B. Perform a diet history and check CBC and FBS.
, C. Provide nutritional guidance and have the patient return in one month.
D. Consult home health for intravenous administration
You are assessing a patient after a sports injury to his right knee. You elicit a positive
anterior/posterior drawer sign. This test indicates an injury to the: he
A. lateral meniscus
B. cruciate ligament
C. medial meniscus
D. collateral ligament.
A 32 year old female patient presents with fever, chills, right flank pain, right
costovertebral angle tenderness, and hematuria. Her urinalysis is positive for leukocytes
and red blood cells. The nurse practitioner diagnoses pyelonephritis. The most appropriate
management is:
Include 500 mg of oral ciprofloxacin (Cipro) twice per day for seven days; 1,000 mg of
extended-release ciprofloxacin once per day for seven days; or 750 mg of levofloxacin
(Levaquin) once per day for five days.
A middle-aged man presents to urgent care complaining of pain of the medial condyle of
the lower humerus. The man works as a carpenter and describes a gradual onset of pain.
On exam, the medial epicondyle is tender and pain is increased with flexion and pronation.
Range of motion is full The most likely cause of this patient’s pain is: epicondylitis
Question 1
Diagnostic confirmation of acute leukemia is based on:
Bone marrow aspiration and
biopsy
Pancytopenia
Hyperuricemia
All of the above
Central obesity, “moon” face, and dorsocervical fat pad are associated with:
D None of the above
An elderly man is started on lisinopril and hydrochlorhiazide 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:
A Trauma
B Tight shoes
.
C Arthritis flare
.
D Hydrochlorothiazide
, .
The most effective treatment of non-infectious bursitis includes:
Conservative treatment
includes rest, cold and heat treatments, elevation, administration of nonsteroidal anti-inflammatory
drugs (NSAIDs), bursal aspiration, and intrabursal steroid injections
What conditions must be met for you to bill “incident to” the physician, receiving 100%
reimbursement from Medicare?
Selected
Answer: The physician must be on-site and engaged in
patient care
Answers: You must initiate the plan of care for the patient
The physician must be on-site and engaged in
patient care
You must be employed as an independent
contractor
You must be the main health care provider whosees
the patient
Which of the following is not a risk factor associated with the development of syndrome X
and type 2 diabetes mellitus?
The metabolic syndrome refers to the co-occurrence of several known cardiovascular risk
factors, including insulin resistance, obesity, atherogenic dyslipidemia and hypertension.
Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?
A. Nocturia
B. Urgency incontinence
C. Strong urinary stream flow
D. Straining to void
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?
Food that is very hot or very
coldFatty or fried foods
Peppermint or spearmint, including flavoring
Coffee, tea, and soft drinks that contain caffeine
Spicy, highly seasoned foods
Fried food DT caffeine, chocolate and anticholinergics
Which drug category contains the drugs that are the first line Gold standard therapy for
COPD?
Beta antagonist
The most commonly recommended pharmacological treatment regimen for low back pain
(LBP) is:
Nsaid
Which of the following is not appropriate suppression therapy for chronic bacterial
prostatitis?
Erythromycin
A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals
hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the
patient returns 6 weeks later with the same symptoms of hyperpigmentation, weakness,
anorexia, fatigue, and weight loss. What action(s) should the nurse practitioner take?
.A Obtain a thorough history and physical, and check serum cortisol and ACTH
levels.
B. Perform a diet history and check CBC and FBS.
, C. Provide nutritional guidance and have the patient return in one month.
D. Consult home health for intravenous administration
You are assessing a patient after a sports injury to his right knee. You elicit a positive
anterior/posterior drawer sign. This test indicates an injury to the: he
A. lateral meniscus
B. cruciate ligament
C. medial meniscus
D. collateral ligament.
A 32 year old female patient presents with fever, chills, right flank pain, right
costovertebral angle tenderness, and hematuria. Her urinalysis is positive for leukocytes
and red blood cells. The nurse practitioner diagnoses pyelonephritis. The most appropriate
management is:
Include 500 mg of oral ciprofloxacin (Cipro) twice per day for seven days; 1,000 mg of
extended-release ciprofloxacin once per day for seven days; or 750 mg of levofloxacin
(Levaquin) once per day for five days.
A middle-aged man presents to urgent care complaining of pain of the medial condyle of
the lower humerus. The man works as a carpenter and describes a gradual onset of pain.
On exam, the medial epicondyle is tender and pain is increased with flexion and pronation.
Range of motion is full The most likely cause of this patient’s pain is: epicondylitis
