NRNP 6568 FINAL EXAM QUESTIONS WITH 100% CORRECT ANSWERS | LATEST VERIFIED 2023/2024 (GRADED)

What is the American Cancer Society (ACS) recommendation for routine screening for colon cancer in a low-risk individual? Selected Answer: FOBT or fit test annually Answers: FOBT or fit test annually sigmoidoscopy annually sigmoidoscopy every 10 years colonoscopy every 2 years  Question 8 1 out of 1 points If a patient has a persistent proteinuria, what is the next step in testing? Selected Answer: 24-hour creatinine clearance and protein Answers: U/A 24-hour creatinine clearance and protein urine culture and sensitivity CT of abdomen  Question 9 1 out of 1 points A glomerular filtration rate (GFR) of less than __________ (fill in a value) is considered to be kidney failure, whereas greater or equal to __________ (fill in a value) is considered to be normal. Selected Answer: 15; 90 Answers: 30; 120 15; 90 10; 50 60; 120  Question 10 1 out of 1 points In acute appendicitis, when palpating the left lower quadrant of the abdomen and it leads to right lower quadrant pain, that is known as the ___________ sign. Selected Answer: Rosving Answers: Rosving Murph y Cullen Psoas  Question 1 1 out of 1 points In a patient with hyperglycemia, the intracellular fluid may shift into the extracellular compartment, leading to decreased sodium levels. Selected Answer: True Answers: True Fals e  Question 2 1 out of 1 points Several organizations have come together to define the diagnostic criteria for metabolic syndrome. One of these criteria is: Elevated blood pressure: systolic 140 mm Hg or higher and diastolic 95 mm Hg or higher, or drug treatment of previously diagnosed hypertension Selected Answer: Fals e Answers: True Fals e  Question 3 1 out of 1 points Levothyroxine typically _____________________ TSH levels Selected Answer: decrease s Answers: increase decrease s don't effect mask  Question 4 1 out of 1 points The NP suspects a patient has hypothyroidism. The NP would expect TSH and T4 level to be: Selected Answer: High TSH and low T4 Answers: Low TSH with High T4 levels Low TSH and low T4 High TSH and high T4 High TSH and low T4  Question 5 1 out of 1 points Hypokalemia is typically a result of inadequate intake. True of False. Selected Answer: Fals e Answers: True Fals e  Question 6 1 out of 1 points Several organizations have come together to define the diagnostic criteria for metabolic syndrome. One of these criteria is: Elevated triglyceride levels equal or greater than 150 mg/dL Selected Answer: True Answers: True Fals e  Question 7 1 out of 1 points Several organizations have come together to define the diagnostic criteria for metabolic syndrome. One of these criteria is: Reduced HDL cholesterol: below 50 mg/dL in males and below 60 in females, or specific treatment for this lipid abnormality Selected Answer: Fals e Answers: True Fals e  Question 8 1 out of 1 points What HgA1C level indicates a diagnosis of diabetes? Selected Answer: 6.5 Answers: 5.7 6.0 6.5 7.0  Question 9 1 out of 1 points What are cardinal signs of Type 1 Diabetes Mellitus? Selected Answer: Increased urination, increased thirst, increased appetite Answers: Weight gain, blurred vision, and increased energy Weight gain, blurred vision, insomnia Decreased urination, decreased thirst, and decreased appetite Increased urination, increased thirst, increased appetite  Question 10 1 out of 1 points Insulin doses typically remain the same when a woman with Type 1 Diabetes Mellitus becomes pregnant. True or False? Selected Answer: Fals e Answers: True Fals e  Question 1 1 out of 1 points Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Potential organisms that might have caused Sam’s condition include which of the following: Selected Answer: All of the above Answers: Mycoplasma pneumoniae Chlamydia pneumoniae Legionella pneumonia All of the above None of the above  Question 2 0 out of 1 points The most common method of contraception is: Selected Answer: Condoms Answers: IUDs Sterilization Condoms Birth control pills  Question 3 1 out of 1 points Juan, an 82 y/o male, is brought to the clinic by his daughter with LLQ pain, anorexia, nausea, and vomiting. Palpation of the abdomen reveals a positive rebound tenderness, positive Rovsing’s sign, and rigid abdomen. The NP in Juan’s case should: Selected Answer: Refer to ER Answers: Refer to ER Try an antiemetic Draw labs Send for a CAT scan  Question 4 1 out of 1 points Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15 days. He initially had a mild fever and a runny nose. First-line treatment for Artie would include macrolides. Selected Answer: True Answers: True Fals e  Question 5 1 out of 1 points Mary is a 22 y/o female who is at 6 weeks gestation. She stated that her last menstrual period was June 10, 2020. Using Naegele’s rule, which of the following is her expected date of confinement (EDD)? Selected Answer: March 17, 2021 Answers: March 17, 2021 March 10, 2021 April 10, 2021 April 17, 2021  Question 6 1 out of 1 points The CDC recommends HPV vaccine for males until what age? Selected Answer: 26 y/o Answers: 18 y/o 20 y/o 23 y/o 26 y/o  Question 7 1 out of 1 points Andre is a 52 y/o construction worker who stayed home today because he was having severe chest pain. His wife calls the clinic and describes his symptoms as: squeezing chest tightness, with pain that radiates to the left side of his neck, jaw, and left arm. The NP’s immediate response should be to tell the wife: Selected Answer: Call 911 immediately. Answers: Begin CPR and then call 911. Call 911 immediately. Have the wife drive the patient to the ER. Call back if the intensity of the pain increases.  Question 8 1 out of 1 points In pulsus paradoxus, even if the pulse cannot be palpated, it can still be heard by using a BP cuff and stethoscope. Selected Answer: True Answers: True Fals e  Question 9 1 out of 1 points Randy is a 29 y/o African American male who has a body mass index (BMI) of 30, does not exercise, and has evidence of metabolic syndrome. The first line treatment for Randy’s diagnosis would be: Selected Answer: Metformi n Answers: Insulin Actos Metformi n Glucotrol  Question 10 1 out of 1 points All of the following are characteristics of Kleinfelter syndrome in a male except: Selected Answer: Small stature Answers: Small testicles Wide hips Decreased body and facial hair Small stature  Question 11 1 out of 1 points Martin is a 41 y/o male who comes to the clinic with the following symptoms: fever, chills, and malaise. On physical exam, the NP notes that he has a new murmur that was not present at his last visit and is aware that he has a prosthetic valve. He also has splinter hemorrhages on his nails, and petechiae on his palate. Based on these finding alone the NP arrives at the following presumed diagnosis: Selected Answer: Infective endocarditis Answers: Congestive heart failure Infective endocarditis Dissecting abdominal aortic aneurysm (AAA)