NRNP 6531 Final Exam (100% Correct Answers)

NRNP 6531 Final Exam 100% Correct Answers NRNP 6531 Final Exam 2022 Questions And Answers An 80-year-old man with hypertension and hyperlipidemia presents with complaints of the rapid onset of severe low-back pain accompanied by abdominal pain that is gradually worsening. The patient appears pale and complains that he does not feel well. During the abdominal exam, the nurse practitioner detects a soft pulsatile mass just above the umbilicus as she palpates this area with her hand. Which of the following conditions is most likely? Correct Ans Abdominal aortic aneurysm Which of the following laboratory test is sensitive for evaluating the renal function Correct Ans Estimated glomerular filtration rate (eGFR) Which of the following groups has been recommended to be screened for thyroid disease? Correct Ans Women aged 50 years or older All of the following patients should be screened for diabetes mellitus except: Correct Ans A 30-year-old White man with hypertension A 40-year-old White woman with a body mass index (BMI) of 32 complains of colicky pain in the right upper quadrant of her abdomen that gets worse if she eats fried food. During the physical exam, the nurse practitioner presses deeply on the left lower quadrant of the abdomen and the patient complains of pain on the right side of the lower abdomen. What is the name of this finding? Correct Ans Rovsing's sign Which of the following symptoms characterize this disorder? Correct Ans 1.Ritualistic behaviors that the patient feels compelled to repeat. 2. increased axiety when attempting to ignore or suppress the repetitive behaviors. ent intrusive and repetive thoughts and impluses All the above Which of the following medications is indicated for the treatment of obsessive-compulsive disorder? Correct Ans Paroxetine (paxil CR) Which of the following conditions is most likely? Correct Ans Injury to the meniscus of the right knee Which of the following actions is the best course for patient? Correct Ans Refer him to an orthopedic specialist The patient's symptoms are highly suggestive of what condition? Correct Ans A 55-year-old male patient describes an episode of chest tightness in his substernal area that radiated to his back while he was jogging. It was relieved immediately when he stopped. Correct Ans Angina pectoris A 55-year-old male patient describes an episode of chest tightness in his substernal area that radiated to his back while he was jogging. It was relieved immediately when he stopped. Which of the following would you recommend to this 55-year-old patient? Correct Ans Consult ith a cardiologist for further evaluation A faun tail nevus is a sign of which of the following? Correct Ans Spina bifida A new mother is planning to breastfeed her newborn infant for at least 6 months. She wants to know whether she should give the infant vitamins. Which of the following vitamin supplements is recommended by the American Academy of Pediatrics (APA) during the first few days of life? Correct Ans Vit D drops An asthmatic exacerbation is characterized by all of the following symptoms except: Correct Ans Chronic coughing A 76-year-old woman reports that for the previous 4 months, she has noticed severe stiffness and aching in her neck and both shoulders and hips that is worsened by movement. She reports having a difficult time getting out of bed because of the severe stiffness and pain. It is difficult for her to put on a jacket or blouse or to fasten her bra. Along with these symptoms, she also has a low-grade fever, fatigue, loss of appetite, and weight loss. Starting yesterday, the vision in her right eye has progressively worsened. She has annual eye exams and denies that she has glaucoma. Which of the following conditions is most likely? Correct Ans Polymyalogia rheumatic (PMR) A 28-year-old woman with a history of hypothyroidism presents to an urgent care clinic complaining of numbness and tingling in the fingertips of both her hands for several hours. On examination, both radial pulses are at +2 and equal bilaterally. The patient reports that over the past few months she has had identical episodes, each lasting several hours. During these episodes, the skin changes color from blue to white, and then to dark red. Eventually, it returns to normal and the tingling and numbness disappear. Which of the following conditions is best described? Correct Ans Raynaud's phenomenon A fracture on the navicular area of the wrist is usually caused by falling forward and landing on the hands. The affected wrist is hyperextended to break the fall. The nurse practitioner is aware that all of the following statements are true regarding a fracture of the scaphoid bone of the wrist except: Correct Ans These fractures always require surgical intervention to stabilize the joint Glucosamine sulfate is a natural supplement that is used for which of the following conditions? Correct Ans Osteoarthritis The best form of aerobic exercise for a patient with severe rheumatoid arthritis is: Correct Ans Swimming The nurse practitioner examines a 4-week-old boy whose mother reports that he has cried for at least 3 hours a day at the same time of day since birth. What is the main goal in the clinical evaluation of this infant? Correct Ans Rule out any physiological cause for the crying spells A 22-year-old sexually active woman is complaining of amenorrhea and newonset bloody vaginal spotting. On examination, her left adnexa is tender and cervical motion tenderness is positive. Which test should the nurse practitioner order initially? Correct Ans Urine pregnancy test A 44-year-old woman who is undergoing treatment for infertility complains of not having had a menstrual period for a few months. The night before, she started spotting and is now having cramp-like pains in her pelvic area. Her blood pressure (BP) is 160/80 mmHg, pulse is 110 beats/min, and she is afebrile. Her labs reveal mild anemia with mild leukocytosis. On pelvic exam, the uterine fundus is noted to be above the symphysis pubis. The cervical os is dilated at 3 cm. Which of the following is most likely? Correct Ans Inevitable abortion The Pap smear result for a 22-year-old sexually active college student whose partner uses condoms inconsistently reveals a large number of white blood cells and blood along with inflammatory changes. During the speculum exam, the cervix bled very easily (friable), and a small amount of purulent discharge was present on the cervical surface. No cervical motion tenderness was noted during the bimanual vaginal exam. What is the next step in the management of this patient? Correct Ans Advise the patient be tested for chlamydia and gonorrhea All of the following are infections that affect mostly the labia and vagina except: Correct Ans Chlamydia trachomatis Medicare Part B will pay for all of the following services except: Correct Ans Eyeglasses and routine dental care Which of the following individuals is more likely to be affected by alpha thalassemia anemia? Correct Ans 25-year-old Chinese patient A nurse practitioner's right to practice is regulated under: Correct Ans The board of nursing A 25-year-old woman's last menstrual period was 6 weeks ago. She is complaining of nausea with vomiting in the morning and fatigue. Her breasts feel bloated. The nurse practitioner suspects that she is pregnant. Her symptoms would be considered: Correct Ans Presumptive signs of pregnancy A new patient who is a 40-year-old female postal worker is being evaluated for complaints of a new-onset erythematous rash on both cheeks and the bridge of the nose, accompanied by fatigue. She reports a history of Hashimoto's thyroiditis and is currently being treated with Synthroid 1.25 mg daily. Which of the following conditions is most likely? Correct Ans Lupus erythematosus A woman at 32 weeks gestation has a positive throat culture for Streptococcus pyogenes (strep throat). She denies allergies but becomes very nauseated with erythromycin. Which of the following is the best choice for this pregnant patient? Correct Ans Penicillin (Pen VK) The treatment plan of patients with AIDS who have CD4 counts of less than 200 cells/mm3 should emphasize: Correct Ans Preventive therapy for PCP What type of testing is recommended before starting a patient on a prescription of hydroxychloroquine (Plaquenil)? Correct Ans Comprehensive eye exam Pulsus paradoxus is best described as: Correct Ans A decrease in systolic blood pressure on inspiration Patients with Down syndrome are at higher risk for all of the following except: Correct Ans Melanoma An 18-year-old college student, who is sexually active, wants to start taking birth control pills. The nurse practitioner at the college health clinic explains the risks and benefits of combined oral contraceptives to the patient. All of the following are appropriate laboratory tests for this patient except: Correct Ans Pap smear Which of the following is the best method to diagnose a vaginal trichomonas infection? Correct Ans Wet smear with microscopy This study source was downloaded by from CourseH on :18:31 GMT -06:00 You are reviewing the bilirubin level of a 3-day-old full-term neonate. You note that it is 10 mg/dL. The infant has a slight yellow color to his skin, mucous membranes, and sclera. The infant is feeding well, is not irritable, and has eight to 10 wet diapers per day. Which of the following is a true statement? Correct Ans Keep monitoring the infant's bilirubin level until it returns to normal in about 1 week All of the following clinical signs are seen in patients with Parkinson's disease except: Correct Ans Increased facial movements due to tics Your female patient of 10 years is concerned about her most recent diagnosis. She was told by her dermatologist that she has an advanced case of actinic keratosis. Which of the following is the best explanation for this patient? Correct Ans It is a precancerous lesion and needs to be followed up with her dermatologist A 13-year-old girl has a throat culture that is positive for strep throat. She reports that her younger brother was recently diagnosed with strep throat and treated. The patient has a severe allergy to penicillin and reports that erythromycin makes her very nauseated. Which of the following antibiotics is the best choice? Correct Ans Azithromycin (Zithromax) An asthmatic 20-year-old woman who was seen for a viral upper respiratory infection 2 weeks ago presents to the nurse practitioner's office complaining of a recent onset of shortness of breath, inspiratory and expiratory wheezing, and chest tightness. She has been using her albuterol inhaler four to six times a day with poor relief. She is unable to speak in full sentences. When the nurse practitioner quickly evaluates the patient, she notices that the patient is pale, diaphoretic, fatigued, and using her sternocleidomastoid accessory muscles for respiration. Her respiratory rate is 32 breaths/min and pulse is 130 beats/min. Which of the following interventions is not indicated? Correct Ans Initiate cardiopulmonary resuscitation (CPR) immediately A 67-year-old woman with a 30-pack-year history of smoking presents for a routine annual physical examination. She complains of being easily short of breath and is frequently fatigued. Physical examination reveals diminished breath sounds, hyperresonance, and hypertrophied respiratory accessory muscles. Her complete blood count (CBC) results reveal that her hematocrit level is elevated. Her pulmonary function test (PFT) results show increased total lung capacity. What is the most likely diagnosis for this patient? Correct Ans Chronic obstructive pulmonary disease (COPD) Signs and symptoms of depression include all of the following except: Correct Ans Apraxia This study source was downloaded by from CourseH on :18:31 GMT -06:00 All of the following are considered category X drugs except: Correct Ans Meperidine (Demerol) A patient who is complaining of a new onset of severe headache is being examined. The patient is instructed to lie down on the examining table while the nurse practitioner flexes his head and neck forward to his chest. The patient reacts by quickly flexing his hip and knee. What is the name of this positive finding? Correct Ans Brudzinski's sign Which of the following findings is associated with B12 deficiency anemia? Correct Ans Tingling and numbness of both feet A 70-year-old man with open-angle glaucoma is prescribed Betimol (timolol) ophthalmic drops. All of the following are contraindications to Betimol ophthalmic drops except: Correct Ans Migraine headaches Which of the following murmurs can radiate to the neck? Correct Ans Aortic stenosis This study source was downloaded by from CourseH on :18:31 GMT -06:00 Powered by TCPDF () Nurs6531 Final Exam 2020 | 99 questions And Answers Question 2. Which of the following is a potential acquired cause of thrombophilia Correct Ans Homocysteinuria Protein C deficiency Factor V Leiden Antiphospholipid antibodies Question 3 Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of: Correct Ans Ulnar tunnel syndrome Carpal tunnel syndrome Tarsal tunnel syndrome Myofascial pain syndrome Question 4 Which patient would benefit most from screening for type 2 diabetes? Correct Ans A 30 year old female with unintended weight loss. A 25 year old male with family history of type 1 diabetes An obese female with recurrent vaginitis A 50 year old hyperlipidemic male Question 5 A 72 year old female patient reports a 6 month history of gradually progressive swollen and painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is the most likely diagnosis? Correct Ans Rheumatoid arthritis (RA) Osteoarthritis (OA) Lupus Peripheral neuropathy Question 6 A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be: Correct Ans Trimethoprim-sulfamethoxazole for 3 days Ciprofloxacin for 7-10 days Trimethoprim-sulfamethoxazole for 14 days Ciprofloxacin for 3 days A thymectomy is usually recommended in the early treatment of which disease? Correct Ans Parkinson's disease Multiple sclerosis Myasthenia gravis Huntington's chorea Question 8 The diagnosis of human papilloma virus (HPV) infection in males is usually made by Correct Ans Clinical appearance Viral culture Tzanck smear KOH prep Question 9 The most effective intervention(s) to prevent stroke is (are): Correct Ans 81 mg of aspirin daily Carotid endarterectomy for patients with high-grade carotid lesions Routine screening for carotid artery stenosis with auscultation for bruits Smoking cessation and treatment of hypertension Question 10 What is the most common cause of Cushing's syndrome? Correct Ans Excessive ACTH production Administration of a glucocorticoid or ACTH Pituitary adenoma or a non-pituitary ACTH-producing tumor Autonomous cortisol production from adrenal tissue Question 11 Diagnostic radiological studies are indicated for low back pain: Correct Ans Routinely after 3 weeks of low back pain symptoms. To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of more of low back pain. When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection. As a part of a pre-employment physical when heavy lifting is included in the job description. Question 12 After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been cured? Correct Ans An enzyme-linked immunosorbent assay titer A urea breath test A rapid urease test A repeat endoscopy