WALDEN UNIVERSITY NRNP 6568 FINAL EXAM PRACTICE QUESTIONS (UPDATED 2023/2024) (100 % CORRECT & GRADED A+) (ACCURATE SUMMER-FALL QTR)

• Question 1 Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. The most likely diagnosis for this condition is: Selected Answer: Placenta previa Answers: Placental abruption Severe preeclampsia Placenta previa None of the above Adela is a 38 y/o overweight female who presents to the clinic with RUQ pain that occurs approximately 1 hour after eating a fatty meal. The most likely diagnosis for Adela is: Selected Answer: Acute cholecystitis Answers: Acute pancreatitis Acute cholecystitis Crohn’s disease Ulcerative colitis Martin is a 17y/o male who comes to the clinic with the following chief complaint: “I have pain around my belly button and have had no appetite for the past 24 hours. I have had some nausea and have vomited three times. I have had a low-grade fever also.” During the clinical exam, the NP notices that Martin has some guarding and rebound tenderness in the RLQ. The most likely diagnosis for this patient is: Selected Answer: Acute appendicitis Answers: Acute appendicitis Cholecystitis Acute diverticulosis Acute pancreatitis Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. Knowing that her cervix is not dilated, the most appropriate treatment would be: Selected Answer: Strict bedrest Answers: An emergency room visit Strict bedrest Hospitalization All of the above Mark is an alcoholic who is stopped for drunk driving. When the officers approach him he states that he wants to die. The officers decide that for his own protection they will Baker Act him. The Baker Act allows for involuntary detention for what period. Selected Answer: 72 hours Answers: Until the person sobers up 48 hours 72 hours 96 hours The typical ratio of basal to bolus insulin is: Selected Answer: 50:50 or 60:40 Answers: 70:30 or 55:45 50:50 or 60:40 40:60 to 45:55 None of the above Amanda was out hiking with her boyfriend in the woods. When she gets home, she notices that she has an inflammatory skin reaction caused by something she picked up in the woods. The next day she sees bright red pruritic lesions on her lower extremities that are moist and painful. Treatment for Amanda’s condition would include which of the following? Selected Answer: All of the above Answers: Topical steroids Triamcinolone Calamine lotion Oatmeal baths (Aveeno) All of the above All of the above except D Andrew, a 41 y/o male resident of Oklahoma, presents to the clinic in July with the following symptoms: fever, chills, severe headache photophobia, and myalgia. He states that since his fever occurred 2 days ago, he now has this rash of petechiae on wrists, forearms, and ankles. The NP, based on these data, diagnoses Andrew with: Selected Answer: Rocky Mountain Spotted Fever (RMSF) Answers: Rocky Mountain Spotted Fever (RMSF) Atopic dermatitis Erythema migrans Brown recluse spider bite John is a 7 y/o whose mother brings him to the clinic with the following chief complaint: “He fidgets and squirms all the time. His teachers tell me he has difficulty remaining in his seat, talks excessively, can’t wait for his turn, interrupts conversations, and acts like a robot.” After evaluation, the NP determines that he probably has which of the following: Selected Answer: Attention-deficit/hyperactive disorder (ADHD) Answers: Attention-deficit/hyperactive disorder (ADHD) Developmental delays Learning disability Poor parenting Bobby is a 20 y/o African American male who comes to the clinic with the following presentation. His BMI is 85% for his age and sex. His PMH indicates hypertension, hyperlipidemia, and acanthosis nigricans. Based on his PMH and presenting symptoms, the NP would most likely be inclined to identify him as having: Selected Answer: Type 2 diabetes Answers: Pheochromocytoma Type 1 diabetes mellitus Type 2 diabetes None of the above