NRNP 6568 WEEK 2 2024 PRACTICE TEST 100/100 CORRECTLTY ANSWERD QUESTIONS 100% VERIFIED EXAM A+ GRADE GUARANTEE

NRNP 6568 WEEK 2 2024 PRACTICE TEST 100/100 CORRECTLTY ANSWERD QUESTIONS 100% VERIFIED EXAM A+ GRADE GUARANTEE 1. Which of the following findings is associated with thyroid hypofunction? a) Graves’ disease b) Eye disorder c) Thyroid storm d) Myxedema . 2. A 14-year-old boy is brought in by his mother who reports that her son has been complaining for several months of recurrent bloating, stomach upset, and occasional loose stools. She reports that he has difficulty gaining weight and is short for his age. She has noticed that his symptoms are worse after eating large amounts of crackers, cookies, and breads. She denies seeing blood in the boy’s stool. Which of the following conditions is most likely? . a) Amebiasis b) Malabsorption c) Crohn’s colitis d) Celiac disease 3. A 67-year-old female patient presents with a 3-day-old cat bite that has become swollen, reddened, and painful to the touch. The nurse practitioner notes there is purulent discharge at the site of the bite. Which medication will the NP prescribe? a) Gentamycin b) Tetanus toxoid c) Rabies prophylaxis d) Amoxicillin-clavulanate (Augmentin) . 4. A 14-year-old girl with short stature, swollen hands and feet, and a webbed neck presents to the primary care clinic. Upon assessment she is found to be a Tanner state I. Which test will the NP order to confirm a diagnosis? a) CT scan b) Karyotype (detects Turner Syn. Shows # & appearance of chromosomes in cell) c) Prolactin level d) X-ray of the hand 5. A 67-year-old woman with a 30-pack history of smoking presents for a routine annual physical exam. She complains of being easily SOB and is frequently fatigued. Physical exam reveals diminished breath sounds, hyperresonance, and hypertrophied respiratory accessory muscles. Her CBC results reveal that her HCT level is elevated. her pulmonary function test results show increased total lung capacity. Which diagnosis is most likely? a) Bronchogenic carcinoma b) COPD c) Chronic bronchitis d) CHF 6. An elderly male presents to the clinic for a routine examination. The NP notes multiple rough, scaly patches on the patient’s forearms and face, and the back of his ears. Which diagnosis is most likely? a) Seborrheic keratosis b) Senile purpura c) Lentigines d) Senile actinic keratosis (considered the most common precancerous lesion) 7. The NP is assessing a 63-year-old male who has a history of IV drug use as a young adult. He presents with fatigue and nausea. Which screen will the NP recommend for this patient? a) CXR b) UA c) Hep C d) EEG 8. The NP is performing an assessment of a 6-month-old child. What motor skills are expected at this stage? (Select all that apply). a) Palmar grasp of objects b) Sits up c) Stands independently d) Moves from one piece of furniture to another e) Feeds self without assistance 9. The NP is managing a stable middle-aged adult with emphysema. In addition to reinforcing smoking cessation and medication schedules, which annual intervention will the NP recommend? a) Pneumococcal polysaccharide vaccine (PPSV23) b) Live attenuated influenza vaccine (LAIV) c) Quadrivalent inactivated influenza vaccine (QIV) (recommended for adults with chronic respiratory disease) d) Pneumococcal conjugate vaccine (PCV13) (recommended for kids less than 2) 10. During a sports participation exam of a 14-year-old high school athlete, the NP notices a split of the S2 component of the heart sound during deep inspiration. She notes that it disappears upon expiration. The heart rate is regular, no murmurs are auscultated. Which of the following is correct? a) This is an abnormal finding and should be evaluated further by a cardiologist b) A stress test should be ordered c) This is a normal finding in some young athletes d) An ECG should be ordered. 11. Which finding will the nurse practitioner expect to see in a 13-year-old male patient with Cushing’s syndrome? a) Excess estrogen b) Delayed puberty (excess androgen-from hypercortisolism) c) Pseudogynecomastia (deposition of fat) d) Accelerated growth in height 12. Which lifestyle factor is associated with secondary polycythemia vera? a) Obesity b) Smoking (interferes with RBCs job to deliver O2 to body tissues) c) Alcohol abuse d) Sedentary lifestyle 13. Which test will CONFIRM the diagnosis of prostate cancer? a) PSA b) Digital rectal exam c) CBC w/diff d) Tissue biopsy 14. A 60-year-old female truck driver presents to the urgent care clinic of a hospital complaining of the worsening of her low back pain the past few days. Pain is accompanied by numbness in the perineal area. She describes the pain as “sharp and burning” and points to the left buttock. She reports that the pain started on the mid-buttock of the left leg and recently started to go down the lateral aspect of the leg toward the top of the foot. During PE, the ankle jerk and knee jerk reflex are 1+ on the affected leg and 2+ on the other leg. The pulses are the same bilat. Which of the following tests should the NP consider for this patient? a) Order an MRI scan of the lumbosacral spine ASAP b) Rx for Ibu 800mg PO QID with muscle relaxant, & F/U with PCP in 3 days c) Refer to ortho d) Ordering imaging study of spine is premature bc majority of LBP resolve 10-12 D. 15. When assessing a patient using a Snellen chart, the NP records the visual acuity as 20/80. What does this assessment mean? a) The patient can see at 20 feet what a person with normal vision sees at 80 feet b) The patient can see at 80 feet what a person with normal vision sees at 20 feet c) The patient has experienced a 20% decrease in acuity in one eye and an 80% decrease in the opposite eye d) The patient has presbyopia 16. An obese 28-year-old female patient is seen in the office with acne, hirsutism, and oligomenorrhea. Blood drawn for a free androgen index (FAI) result is a 9.8 level. The DX is PCOS, which puts the patient at additional risk for which condition(s)? a) CHF b) Metabolic syndrome c) Infertility d) Type 2 DM e) Endometriosis 17. A middle-aged hypertensive man presents with c/o an acute onset fever, chills, productive cough with rusty-colored sputum. c/o sharp pains on the left side of back and chest when coughing. T102.2°, HR 100, 130/80. UA negative. Consistent