NR509 Final Exam Practice Test

NR509 Final Exam Practice Test 1. A 6-year-old female presents to the clinic with sore throat. The point of care test for Group A Streptococcal infection is positive. Which of the following indicates the expected lymphadenopathy presentation in this case?: Bilater- al, tender, mobile anterior cervical lymphadenopathy 2. Which of the following changes are expected in vision as part of the normal aging process?: Blurring of near vision 3. Identify the anatomical structure in this image between both of the exam- iner's hands and fingertips.: Cricoid cartilage 4. A 19-year-old African-American female presents to the clinic with moder- ate to severe right lower quadrant abdominal pain for the last 2 days. She has been experiencing nausea and vomiting but unsure if she has had fever. Which of the following is a possible differential diagnosis?: Appendicitis 5. A 15-day old infant girl is brought to the outpatient clinic by her mother on a Monday morning. The mother is concerned about a rash that seems to have appeared suddenly after she and her infant daughter spent the previous weekend in Florida visiting family. The time of year is August and the house did not have air conditioning. The infant is afebrile, eating and drinking well, and does not appear to be in distress. You note scattered vesicles on an erythematous base involving the infant's face and trunk. Based on the history and physical examination findings, what is the likely diagnosis?: Erythema Toxicum 6. A 48-year-old high school librarian comes to your clinic, complaining of 1 week of heavy discharge causing severe itching. She is not presently sexually active and has had no burning with urination. The symptoms started several days after her last period. She just finished a course of antibiotics for a sinus infection. Her past medical history consists of type 2 diabetes and high blood pressure. She is widowed and has three children. She denies tobacco, alcohol, or drug use. Her mother has high blood pressure and her father died of diabetes complications. On examination you see a healthy appearing woman. Her blood pressure is 130/80 and her pulse is 70. Her head, eyes, ears, nose, throat, cardiac, lung, and abdominal examinations are unremarkable. Palpation of the inguinal lymph nodes is unremarkable. On visualization of the vulva, a thick, white, curdy discharge is seen at the introitus. On speculum examination there is a copious amount of this discharge. The pH of the discharge is 4.1 and the KOH whiff test is negative, with no unusual smell. Wet prep shows budding hyphae. What vaginitis does this patient most likely have?: Candida vaginitis 7. A 32-year-old female presents with a complaint of a singular breast mass. The nurse practitioner collects a thorough history and physical examination of the client's breast and related systems. Based on the characteristics of a soft, round, mobile, and tender mass, as well at the client's age, select the most likely cause of the breast mass.: Cyst 8. A 16-year-old female presents with the complaint of acne as represented in this image. When documenting the assessment findings, what is the morphology of the predominant skin lesions?: Papules and pustules 9. You are observing an infant born at 42-weeks gestation who is able to pull to a stand, uses "mama" and "dada" specifically, and indicates his wants by vocalization and pointing. Where would you place this child's developmental age?: 8 months 10. Which of the following vaccinations are safe during pregnancy?: Hep B 11. A 50- year-old Caucasian male presents to the clinic with left leg pain that increases with rest and a feeling of warmth in the calf area. During your physical examination, you note erythema and increased warm involving the left posterior lower leg as well as a palpable cord. What diagnosis do you suspect?: Thrombophlebitis 12. Upon physical examination of an 11-month-old infant, you note the skin findings represented in this image. What is your initial assessment?: Atopic dermatitis 13. Jim is a 60-year-old man who presents with vomiting. He denies seeing any blood with emesis, which has been occurring for 2 days. He does note a dark, granular substance resembling the coffee left in the filter after brewing. What do you suspect?: Bleeding from a peptic ulcer 14. A 57-year-old maintenance worker comes to your office for evaluation of pain in his legs. He has smoked two packs per day since the age of 16, but he is otherwise healthy.You are concerned that he may have peripheral vascular disease. Which of the following is part of common or concerning symptoms for the peripheral vascular system?: Intermittent claudication 15. You note a painful ulcerative lesion near the medial malleolus, with accompanying hyperpigmentation. Which of the following etiologies is most likely?: Venous insufficiency 16. Which is the proper sequence of examination for the abdomen?: Inspec- tion, auscultation, percussion, palpation 17. An elderly woman with dementia is brought in by her daughter for a "rectal mass." On examination you notice a moist pink mass protruding from the anus, which is non-tender. It is soft and does not have any associated bleeding. Which of the following is most likely?: Rectal prolapse 18. Which of the following is true of the human papilloma virus (HPV) vac- cine?: It can protect against anogenital lesions. 19. Susanne is a 27-year-old who has had headaches, muscle aches, and fatigue for the last 2