FNP MSN 560 EXAM AND PRACTICE EXAM NEWEST
ACTUAL EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Which of the following is not considered a risk factor for
urinary tract infection (UTI)
A. Intrauterine device
B. Pregnancy
C. Diabetes mellitus
D. New sexual partner - CORRECT ANSWER A. Intrauterine
device
Explanation: IUD is not a risk factor for UTI. Risk factors for
UTI include: pregnancy, diabetes, diaphragm use, and a new
sexual partner.
A 52 yo female presents with c/o urinary incontinence that
has progressively gotten worse over the last two months.
She was abstinent up until six months ago when she got
married. She has a history of irregular menses for the last 12
months. The incontinence has now progressed to the point
where she leaks urine before she can make it to the
bathroom. What is the most likely diagnosis?
A. Urodynamic stress incontinence
B. Neurologic detrusor hyperreflexia
C. UTI
D. Vaginal atrophy - CORRECT ANSWER D. Vaginal atrophy
Explanation: The patient presents with irregular cycles over
the last year, which are mostly likely secondary to
symptoms of perimenopausal with thinning of the vaginal
mucosa.
,What accounts for 80-90% of UTIs in pregnant women? -
CORRECT ANSWER Escherichia coli
A 63 yo female c/o of urinary leakage. She states for the
past several months she feels she is constantly leaking
small amounts of urine. She goes to the bathroom frequently
but doesn't feel she is emptying her bladder. She feels her
urine stream is weak and she is having nocturia. She denies
any change with sneezing. She is not having significant
urgency. What type of incontinence is this woman
experiencing? - CORRECT ANSWER Overflow incontinence
Urine leakage which is involuntary and increases with
intraabdominal pressure such as coughing, sneezing, or
physical exertion is - CORRECT ANSWER Stress
incontinence
Frequent or near-continuous feeling of needing to void
immediately, with urine leakage either before or after
urination is - CORRECT ANSWER Urge incontinence
A patient who has symptoms of stress and urge
incontinence is - CORRECT ANSWER Mixed incontinence
Which of the following groups should asymptomatic bacteria
be treated?
A. Patients with diabetes mellitus
B. Patients with spinal cord injuries
C. Patients with indwelling catheters
D. Pregnant women - CORRECT ANSWER D. Pregnant
women
,Explanation: Pregnant women are at an increased risk of
asymptomatic bacteriuria becoming acute cystitis and/or
acute pyelonephritis, and the maternal and obstetric risk
associated with pyelonephritis are great. However, the
Infectious Disease Society of America does not recommend
that the remaining groups in the list undergo treatment of
asymptomatic bacteriuria.
A 40 yo female with stage 3 chronic kidney disease
secondary to hypertension presents complaining of dysuria
and frequency X 3 days. She denies fever or hematuria. On
exam, her temp is 98.9, HR is 88, BP is 140/80. Exam is
unremarkable except for suprapubic tenderness. UA reveals
cloudy urine with positive leukocyte esterase, nitrites, and
protein. Cultures are pending. What is the correct
medication therapy for this patient?
A. Oral trimethoprim-sulfamethizole
B. IM ceftriaxone
C. IV gentamycin
D. IV vancomycin - CORRECT ANSWER A. Oral
trimethoprim-sulfamethoxazole (Bactrim)
Which of the following beta-blockers is cardio selective?
A. Nadolol
B. Propanolol
C. Atenolol
D. Penbutolol - CORRECT ANSWER C. Atenolol
Explanation: Of the beta blockers listed, atenolol is the most
cardioseletive. Cardioselective refers to the ability to affect
predominately beta 1 receptors rather than beta 2 receptors.
Beta 1 receptors are located mainly in the heart and
mediate the sympathetic nervous system's direct effects on
, the heart. Beta 2 receptors are located predominately in the
peripheral vascular system and other organs like the lungs.
Although all beta-blockers affect beta receptors, some
affect subsets of receptors differently. This has a significan
consequences in terms of side effects, as beta-blockers are
know to cause extra-cardiac symptoms such as worsened
bronchospasms in in asthmatics.
Nadolol, propanolol, and penbutolol are non-selective beta-
blocker
For the initial pharmacological treatment of essential
hypertension, which of the following statements is true?
A. Diuretics should be the first consideration because of
their effectiveness, cost, and low side-effect profile.
B. ACE inhibitors speed the progression of moderately
increased albuminuria independent of blood pressure control
in diabetic patients.
C. Alpha-blockers are of particular benefit for the treatment
of hypertension in patients with ischemic cardiomyopathy.
D. Angiotensin receptor blockers should not be used in place
of ACE inhibitors in patients who develop a cough after
initiating an ACE inhibitor. - CORRECT ANSWER A.
Diuretics should be the first considered because of their
effectiveness, cost, and low side-effect profile.
Explanation: There is no evidence that alpha-blockers are of
particular benefit for the treatment of hypertension in
patients with ischemic cardiomyopathy. The JNC 8
guidelines state that in the general non-black population,
including those with diabetes, initial antihypertensive
treatment should include a thiazide-type diuretic, calcium
channel blocker (CCB), angiotensin-converting enzyme
ACTUAL EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Which of the following is not considered a risk factor for
urinary tract infection (UTI)
A. Intrauterine device
B. Pregnancy
C. Diabetes mellitus
D. New sexual partner - CORRECT ANSWER A. Intrauterine
device
Explanation: IUD is not a risk factor for UTI. Risk factors for
UTI include: pregnancy, diabetes, diaphragm use, and a new
sexual partner.
A 52 yo female presents with c/o urinary incontinence that
has progressively gotten worse over the last two months.
She was abstinent up until six months ago when she got
married. She has a history of irregular menses for the last 12
months. The incontinence has now progressed to the point
where she leaks urine before she can make it to the
bathroom. What is the most likely diagnosis?
A. Urodynamic stress incontinence
B. Neurologic detrusor hyperreflexia
C. UTI
D. Vaginal atrophy - CORRECT ANSWER D. Vaginal atrophy
Explanation: The patient presents with irregular cycles over
the last year, which are mostly likely secondary to
symptoms of perimenopausal with thinning of the vaginal
mucosa.
,What accounts for 80-90% of UTIs in pregnant women? -
CORRECT ANSWER Escherichia coli
A 63 yo female c/o of urinary leakage. She states for the
past several months she feels she is constantly leaking
small amounts of urine. She goes to the bathroom frequently
but doesn't feel she is emptying her bladder. She feels her
urine stream is weak and she is having nocturia. She denies
any change with sneezing. She is not having significant
urgency. What type of incontinence is this woman
experiencing? - CORRECT ANSWER Overflow incontinence
Urine leakage which is involuntary and increases with
intraabdominal pressure such as coughing, sneezing, or
physical exertion is - CORRECT ANSWER Stress
incontinence
Frequent or near-continuous feeling of needing to void
immediately, with urine leakage either before or after
urination is - CORRECT ANSWER Urge incontinence
A patient who has symptoms of stress and urge
incontinence is - CORRECT ANSWER Mixed incontinence
Which of the following groups should asymptomatic bacteria
be treated?
A. Patients with diabetes mellitus
B. Patients with spinal cord injuries
C. Patients with indwelling catheters
D. Pregnant women - CORRECT ANSWER D. Pregnant
women
,Explanation: Pregnant women are at an increased risk of
asymptomatic bacteriuria becoming acute cystitis and/or
acute pyelonephritis, and the maternal and obstetric risk
associated with pyelonephritis are great. However, the
Infectious Disease Society of America does not recommend
that the remaining groups in the list undergo treatment of
asymptomatic bacteriuria.
A 40 yo female with stage 3 chronic kidney disease
secondary to hypertension presents complaining of dysuria
and frequency X 3 days. She denies fever or hematuria. On
exam, her temp is 98.9, HR is 88, BP is 140/80. Exam is
unremarkable except for suprapubic tenderness. UA reveals
cloudy urine with positive leukocyte esterase, nitrites, and
protein. Cultures are pending. What is the correct
medication therapy for this patient?
A. Oral trimethoprim-sulfamethizole
B. IM ceftriaxone
C. IV gentamycin
D. IV vancomycin - CORRECT ANSWER A. Oral
trimethoprim-sulfamethoxazole (Bactrim)
Which of the following beta-blockers is cardio selective?
A. Nadolol
B. Propanolol
C. Atenolol
D. Penbutolol - CORRECT ANSWER C. Atenolol
Explanation: Of the beta blockers listed, atenolol is the most
cardioseletive. Cardioselective refers to the ability to affect
predominately beta 1 receptors rather than beta 2 receptors.
Beta 1 receptors are located mainly in the heart and
mediate the sympathetic nervous system's direct effects on
, the heart. Beta 2 receptors are located predominately in the
peripheral vascular system and other organs like the lungs.
Although all beta-blockers affect beta receptors, some
affect subsets of receptors differently. This has a significan
consequences in terms of side effects, as beta-blockers are
know to cause extra-cardiac symptoms such as worsened
bronchospasms in in asthmatics.
Nadolol, propanolol, and penbutolol are non-selective beta-
blocker
For the initial pharmacological treatment of essential
hypertension, which of the following statements is true?
A. Diuretics should be the first consideration because of
their effectiveness, cost, and low side-effect profile.
B. ACE inhibitors speed the progression of moderately
increased albuminuria independent of blood pressure control
in diabetic patients.
C. Alpha-blockers are of particular benefit for the treatment
of hypertension in patients with ischemic cardiomyopathy.
D. Angiotensin receptor blockers should not be used in place
of ACE inhibitors in patients who develop a cough after
initiating an ACE inhibitor. - CORRECT ANSWER A.
Diuretics should be the first considered because of their
effectiveness, cost, and low side-effect profile.
Explanation: There is no evidence that alpha-blockers are of
particular benefit for the treatment of hypertension in
patients with ischemic cardiomyopathy. The JNC 8
guidelines state that in the general non-black population,
including those with diabetes, initial antihypertensive
treatment should include a thiazide-type diuretic, calcium
channel blocker (CCB), angiotensin-converting enzyme
