NR667- CEA FNP
The 32-year-old female patient newly diagnosed with depression is likely to be
started on which of the following agents with the fewest risks of extrapyramidal
symptoms?
A. Monoamine oxidase inhibitors
B. Tricyclic antidepressants
C. Atypical antipsychotics
D. Selective serotonin reuptake inhibitors
D
A young male presents with dysuria. Dipstick urinalysis is positive for WBCs,
shows a pH of 7.0, a specific gravity of 1.015, and is otherwise negative. The nurse
practitioner should:
A. Initiate trimethoprim-sulfamethoxazole (Bactrim) pending culture results
B. Obtain a urine sample for a nucleic acid test (NAT) for chlamydia
C. Start pyridoxine to decrease symptoms pending culture results
D. Order a voiding cystourethrogram and an ultrasound of the kidneys
,B
A 50-year-old man presents for a routine check-up and expresses concerns about
prostate health. What is the most appropriate screening recommendation for
prostate cancer?
A. No screening until symptoms appears
B. Prostate-specific antigen (PSA) test every year starting at age 50
C. Digital rectal examination (DRE) every year
D. PSA test every 5 years starting at age 40
B
All of the following are usually associated with an abruptio placentae EXCEPT:
A. Visible or concealed hemorrhage
B. A tender, hypertonic uterus
C. Spotting during the first trimester
D. Fetal distress
C
The NP should educate mothers that the most effective form of birth control
while breastfeeding is:
A. lactation amenorrhea method
B. progestin-only contraceptive
,C. diaphragm
D. Morena
B
Patients with bullous lung disease are at risk of developing all the following except
which barotrauma-related complication?
A. Hemothorax
B. Bronchopleural fistula
C. Tension pneumothorax
D. Pneumomediastinum
A
A patient is evaluated in the urgent care for complications of Type 2 diabetes due
to an episode of recent life stressors. All the following are consistent with HHS
except:
A. Markedly positive serum ketones
B. Urine osmolality 380 mOsm/mL
C. Arterial pH 7.6
D. BS= 850 mg/dL
A
, A 42-year-old female presents with large watery frequent stools. She also reports
abdominal pain and cramping, bloating and gas. The likely anatomical source of
her diarrhea is where?
A. Stomach
B. Large intestine (colon)
C. Small intestine
D. Esophagus
C
An adult female with rheumatoid arthritis presents to the office for a follow up.
She is currently taking methotrexate and over the counter Ibuprofen. Today she
complains of severe stomach pain and intense abdominal cramping. After the
nurse practitioner makes appropriate adjustments to the patient's medication
regimen, the patient still complains of abdominal discomfort and reports dark
stools. The practitioner suspects:
A. Diverticulitis
B. Ulcerative colitis
C. NSAID-induced hepatitis
D. Gastric ulceration
The 32-year-old female patient newly diagnosed with depression is likely to be
started on which of the following agents with the fewest risks of extrapyramidal
symptoms?
A. Monoamine oxidase inhibitors
B. Tricyclic antidepressants
C. Atypical antipsychotics
D. Selective serotonin reuptake inhibitors
D
A young male presents with dysuria. Dipstick urinalysis is positive for WBCs,
shows a pH of 7.0, a specific gravity of 1.015, and is otherwise negative. The nurse
practitioner should:
A. Initiate trimethoprim-sulfamethoxazole (Bactrim) pending culture results
B. Obtain a urine sample for a nucleic acid test (NAT) for chlamydia
C. Start pyridoxine to decrease symptoms pending culture results
D. Order a voiding cystourethrogram and an ultrasound of the kidneys
,B
A 50-year-old man presents for a routine check-up and expresses concerns about
prostate health. What is the most appropriate screening recommendation for
prostate cancer?
A. No screening until symptoms appears
B. Prostate-specific antigen (PSA) test every year starting at age 50
C. Digital rectal examination (DRE) every year
D. PSA test every 5 years starting at age 40
B
All of the following are usually associated with an abruptio placentae EXCEPT:
A. Visible or concealed hemorrhage
B. A tender, hypertonic uterus
C. Spotting during the first trimester
D. Fetal distress
C
The NP should educate mothers that the most effective form of birth control
while breastfeeding is:
A. lactation amenorrhea method
B. progestin-only contraceptive
,C. diaphragm
D. Morena
B
Patients with bullous lung disease are at risk of developing all the following except
which barotrauma-related complication?
A. Hemothorax
B. Bronchopleural fistula
C. Tension pneumothorax
D. Pneumomediastinum
A
A patient is evaluated in the urgent care for complications of Type 2 diabetes due
to an episode of recent life stressors. All the following are consistent with HHS
except:
A. Markedly positive serum ketones
B. Urine osmolality 380 mOsm/mL
C. Arterial pH 7.6
D. BS= 850 mg/dL
A
, A 42-year-old female presents with large watery frequent stools. She also reports
abdominal pain and cramping, bloating and gas. The likely anatomical source of
her diarrhea is where?
A. Stomach
B. Large intestine (colon)
C. Small intestine
D. Esophagus
C
An adult female with rheumatoid arthritis presents to the office for a follow up.
She is currently taking methotrexate and over the counter Ibuprofen. Today she
complains of severe stomach pain and intense abdominal cramping. After the
nurse practitioner makes appropriate adjustments to the patient's medication
regimen, the patient still complains of abdominal discomfort and reports dark
stools. The practitioner suspects:
A. Diverticulitis
B. Ulcerative colitis
C. NSAID-induced hepatitis
D. Gastric ulceration
