BARKLEY DRT 1 LATEST REVISED EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED COMPLETE SOLUTION) ALREADY PASSED
SCORE A+
b - Which of these anti-epileptic drugs is the long term drug of choice for treating patients diagnosed
with convulsive status epilepticus?
A. fosphenytoin
B. phenytoin
C. phenobarbital
D. diazepam
d - your patient has just died of complications stemming from AIDS. Given national statistics what is the
most likely age for your patient?
a. 10
b. 47.
c. 18
d. 32
c - you are examining the urinalysis results for a patient with a suspected case of acute renal failure. The
results show few hyaline cases, a blood urea nitrogen to creatinine ratio of 22:1, and a fractional
excretion of sodium of 0.7%. Given these findings, which of these conditions is the most likely cause of
the patient's acute renal failure
a. thromob0sis
b. neurogenic bladder
c. sepsis
d. drug hypersensitivity
b - Cross sectional research is an example of what type of research?
,a. qualitative
b. non-experimental
c. non-qualitative
d. experimental
b
right = decreased affinity (acidosis, hyperthermia)
left = increased affinity (alkalosis, hypothermia) - a 47 year old male is showing signs of acidosis and
hyperthermia. The patient's affinity of hemoglobin and oxygen is most likely to:
a. increase, shifting the dissociation curve to the right
b. decrease, shifting the dissociation curve to the right
c. increase, shifting the dissociation curve to the left
d. decrease, shifting the dissociation curve to the left
c.
ESRD: 90%
Insufficiency: 75% - an elderly female comes in to your office with hx HTN. Although she has no known
history of renal disorder, the nurse finds doubled creatinine levels and 50% nephron loss. What stage of
failure is this?
a. end stage renal disease
b. post renal disease
c. diminished renal reserve
d. renal insufficiency
d - your 24 year old post trauma patient has been in the STICU for 3 days. today his labs include calcium
of 2.6 and a serum osmo of 282. Additionally you note broad T waves with a prominent U wave. Based
on your suspicion, which of the following would be most appropriate to order?
a. loop diuretic with 3% normal saline
,b. acetazolomide
c. calcium gluconate
d. potassium replacement
d - auscultating the chest of a patient, the nurse practitioner notes a murmur that is cleaRly audible. The
sound is accompanied by a vibration. Which grade?
a. v/vi
b. ii/vi
c. iii/vi
d. iv/vi
d - 34 year old female presents to the emergency department early this morning with severe flank pain,
nausea. She had difficulty urinating first. CT scan shows 2.5 mm in upper ureter. Which course of action
is most appropriate?
a. perform lithotripsy
b. diuretics
c. prescribe pain meds and dx
d. strain urine
a - which of the follow components of an evidenced based research process is the most important for
the NP to participate in?
a. formulating the research problem
b. specifying methods of data collection
c. formulated with hypothesis
d. carefully reviewing the lit
b - which of the following is NOT an expected finding of cushings syndrome?
a. hyperglycemia
b. hyperkalemia
c. hyernatremia
, d. leukocytosis
a
primary is prevention
secondary is early detection
tertiary rehab - which of these is an example of secondary prevent?
a. BMI measurement
b. immunization
c. education regarding proper exercise
d. cardiac rehab
a - which of the following is NOT a risk or potentially harmful interaction associated wiht the use of
ginko baloba?
a. visual disturbances or bradycardia
b. adverse interaction with acetylsalicylic acid and warfarin
c. increased risk of bleeding
d. increased BP
c - which of the following herbal agents is most frequently used to improve symptoms of an enlarged
prostate?
a. ginko baloba
b. evening primrose
c. st. johns wart
d. echinacea
c.
in the dex test, cushings folks have no change - for the past few months, 29 year old janine has been
gaining wt while experiencing amenorrhea and increasingly severe acne. She has also gained more than
20 lbs, you note that she is carrying her weight around the midline, with bilateral striae across both
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED COMPLETE SOLUTION) ALREADY PASSED
SCORE A+
b - Which of these anti-epileptic drugs is the long term drug of choice for treating patients diagnosed
with convulsive status epilepticus?
A. fosphenytoin
B. phenytoin
C. phenobarbital
D. diazepam
d - your patient has just died of complications stemming from AIDS. Given national statistics what is the
most likely age for your patient?
a. 10
b. 47.
c. 18
d. 32
c - you are examining the urinalysis results for a patient with a suspected case of acute renal failure. The
results show few hyaline cases, a blood urea nitrogen to creatinine ratio of 22:1, and a fractional
excretion of sodium of 0.7%. Given these findings, which of these conditions is the most likely cause of
the patient's acute renal failure
a. thromob0sis
b. neurogenic bladder
c. sepsis
d. drug hypersensitivity
b - Cross sectional research is an example of what type of research?
,a. qualitative
b. non-experimental
c. non-qualitative
d. experimental
b
right = decreased affinity (acidosis, hyperthermia)
left = increased affinity (alkalosis, hypothermia) - a 47 year old male is showing signs of acidosis and
hyperthermia. The patient's affinity of hemoglobin and oxygen is most likely to:
a. increase, shifting the dissociation curve to the right
b. decrease, shifting the dissociation curve to the right
c. increase, shifting the dissociation curve to the left
d. decrease, shifting the dissociation curve to the left
c.
ESRD: 90%
Insufficiency: 75% - an elderly female comes in to your office with hx HTN. Although she has no known
history of renal disorder, the nurse finds doubled creatinine levels and 50% nephron loss. What stage of
failure is this?
a. end stage renal disease
b. post renal disease
c. diminished renal reserve
d. renal insufficiency
d - your 24 year old post trauma patient has been in the STICU for 3 days. today his labs include calcium
of 2.6 and a serum osmo of 282. Additionally you note broad T waves with a prominent U wave. Based
on your suspicion, which of the following would be most appropriate to order?
a. loop diuretic with 3% normal saline
,b. acetazolomide
c. calcium gluconate
d. potassium replacement
d - auscultating the chest of a patient, the nurse practitioner notes a murmur that is cleaRly audible. The
sound is accompanied by a vibration. Which grade?
a. v/vi
b. ii/vi
c. iii/vi
d. iv/vi
d - 34 year old female presents to the emergency department early this morning with severe flank pain,
nausea. She had difficulty urinating first. CT scan shows 2.5 mm in upper ureter. Which course of action
is most appropriate?
a. perform lithotripsy
b. diuretics
c. prescribe pain meds and dx
d. strain urine
a - which of the follow components of an evidenced based research process is the most important for
the NP to participate in?
a. formulating the research problem
b. specifying methods of data collection
c. formulated with hypothesis
d. carefully reviewing the lit
b - which of the following is NOT an expected finding of cushings syndrome?
a. hyperglycemia
b. hyperkalemia
c. hyernatremia
, d. leukocytosis
a
primary is prevention
secondary is early detection
tertiary rehab - which of these is an example of secondary prevent?
a. BMI measurement
b. immunization
c. education regarding proper exercise
d. cardiac rehab
a - which of the following is NOT a risk or potentially harmful interaction associated wiht the use of
ginko baloba?
a. visual disturbances or bradycardia
b. adverse interaction with acetylsalicylic acid and warfarin
c. increased risk of bleeding
d. increased BP
c - which of the following herbal agents is most frequently used to improve symptoms of an enlarged
prostate?
a. ginko baloba
b. evening primrose
c. st. johns wart
d. echinacea
c.
in the dex test, cushings folks have no change - for the past few months, 29 year old janine has been
gaining wt while experiencing amenorrhea and increasingly severe acne. She has also gained more than
20 lbs, you note that she is carrying her weight around the midline, with bilateral striae across both
