NRNP 6531 FINAL YEAR 2024/2025 WITH RATIONALIZED
ANSWERS
Which of the following is a potential acquired cause of
thrombophilia - CORRECT ANSWERS-Antiphospholipid
antibodies
Phalen's test, 90°wrist flexion for 60 seconds, reproduces
symptoms of: - CORRECT ANSWERS-Carpal tunnel syndrome
Which patient would benefit most from screening for type 2
diabetes? - CORRECT ANSWERS-an obese female with
recurrent vaginitis
A 72 year old female patient reports a 6 month history of
gradually progressive swollen and painful distal interphalangeal
(DIP) joints of one hand. She has no systemic symptoms but
the erythrocyte sedimentation rate (ESR), antinuclear antibody
(ANA), and rheumatoid factor (RF) are all minimally elevated.
What is the most likely diagnosis? - CORRECT ANSWERS-
ostheoaethritis
A 32 year old male patient complains of urinary frequency and
burning on urination for 3 days. Urinalysis reveals bacteriuria.
He denies any past history of urinary tract infection. The initial
treatment should be: - CORRECT ANSWERS-trimethoprim
sulfamethoxazole for 3 dyas
A thymectomy is usually recommended in the early treatment of
which disease? - CORRECT ANSWERS-Myasthenia Gravis
The diagnosis of human papilloma virus (HPV) infection in
males is usually made by - CORRECT ANSWERS-clinical
appearance (examination of the lesison)
,The most effective intervention(s) to prevent stroke is (are): -
CORRECT ANSWERS-smoking cessation and treatment of
hypertension
What is the most common cause of Cushing's syndrome? -
CORRECT ANSWERS-Administration of a glucocorticoid or
ACTH
Which of the following medications may predispose the patient
to hypoglycemia? - CORRECT ANSWERS-Beta-adrenergic
blockers
Diagnostic radiological studies are indicated for low back pain: -
CORRECT ANSWERS-When there is a suspicion of a space-
occupying lesion, fracture, cauda equina, or infection.
After treating a patient for Helicobacter pylori infection, what
test do you order to see if it has been cured? - CORRECT
ANSWERS-A urea breath test
Which appropriate test for the initial assessment of Alzheimer's
disease provides the performance ratings on 10 complex,
higher order activities? - CORRECT ANSWERS-FAQ -
Functional Activities Questionnaire
Major depression occurs most often in which of the following
conditions? - CORRECT ANSWERS-stroke
Which of the following statements about multiple sclerosis (MS)
is correct? - CORRECT ANSWERS-MS is a chronic, treatable
illness with unknown cause and a variable course.
Diagnostic evaluation of hypothyroidism reveals: - CORRECT
ANSWERS-Elevated TSH and decreased T4
, Risk factors for prostate cancer include all of the following
except: - CORRECT ANSWERS-Benign prostatic hypertrophy
What information should patients with diabetes and their
families receive about hypoglycemia? - CORRECT ANSWERS-
Hypoglycemia is serious, dangerous, and can be fatal if not
treated quickly.
Which history is commonly found in a patient with
glomerulonephritis? - CORRECT ANSWERS-Beta-hemolytic
streptococcal infection
(uri or skin infection caused by these bacteria)
Which of the following is characteristic of a manic episode? -
CORRECT ANSWERS-grandiose delusions
(A 1 week period of expansive elevated or irritable mood)
Central obesity, "moon" face, and dorsocervical fat pad are
associated with: - CORRECT ANSWERS-Cushings syndrome
Which of the following is the most common cause of low back
pain? - CORRECT ANSWERS-Lumbar disc disease
A middle-aged female presents complaining of recent weight
loss. The physical exam reveals an enlarged painless cervical
lymph node. The differential diagnosis for this patient's problem
includes: - CORRECT ANSWERS-infection
An 81-year-old female is diagnosed with type 2 diabetes. When
considering drug therapy for this patient, the nurse practitioner
is most concerned with which of the following side effects? -
CORRECT ANSWERS-Hypoglycemia
ANSWERS
Which of the following is a potential acquired cause of
thrombophilia - CORRECT ANSWERS-Antiphospholipid
antibodies
Phalen's test, 90°wrist flexion for 60 seconds, reproduces
symptoms of: - CORRECT ANSWERS-Carpal tunnel syndrome
Which patient would benefit most from screening for type 2
diabetes? - CORRECT ANSWERS-an obese female with
recurrent vaginitis
A 72 year old female patient reports a 6 month history of
gradually progressive swollen and painful distal interphalangeal
(DIP) joints of one hand. She has no systemic symptoms but
the erythrocyte sedimentation rate (ESR), antinuclear antibody
(ANA), and rheumatoid factor (RF) are all minimally elevated.
What is the most likely diagnosis? - CORRECT ANSWERS-
ostheoaethritis
A 32 year old male patient complains of urinary frequency and
burning on urination for 3 days. Urinalysis reveals bacteriuria.
He denies any past history of urinary tract infection. The initial
treatment should be: - CORRECT ANSWERS-trimethoprim
sulfamethoxazole for 3 dyas
A thymectomy is usually recommended in the early treatment of
which disease? - CORRECT ANSWERS-Myasthenia Gravis
The diagnosis of human papilloma virus (HPV) infection in
males is usually made by - CORRECT ANSWERS-clinical
appearance (examination of the lesison)
,The most effective intervention(s) to prevent stroke is (are): -
CORRECT ANSWERS-smoking cessation and treatment of
hypertension
What is the most common cause of Cushing's syndrome? -
CORRECT ANSWERS-Administration of a glucocorticoid or
ACTH
Which of the following medications may predispose the patient
to hypoglycemia? - CORRECT ANSWERS-Beta-adrenergic
blockers
Diagnostic radiological studies are indicated for low back pain: -
CORRECT ANSWERS-When there is a suspicion of a space-
occupying lesion, fracture, cauda equina, or infection.
After treating a patient for Helicobacter pylori infection, what
test do you order to see if it has been cured? - CORRECT
ANSWERS-A urea breath test
Which appropriate test for the initial assessment of Alzheimer's
disease provides the performance ratings on 10 complex,
higher order activities? - CORRECT ANSWERS-FAQ -
Functional Activities Questionnaire
Major depression occurs most often in which of the following
conditions? - CORRECT ANSWERS-stroke
Which of the following statements about multiple sclerosis (MS)
is correct? - CORRECT ANSWERS-MS is a chronic, treatable
illness with unknown cause and a variable course.
Diagnostic evaluation of hypothyroidism reveals: - CORRECT
ANSWERS-Elevated TSH and decreased T4
, Risk factors for prostate cancer include all of the following
except: - CORRECT ANSWERS-Benign prostatic hypertrophy
What information should patients with diabetes and their
families receive about hypoglycemia? - CORRECT ANSWERS-
Hypoglycemia is serious, dangerous, and can be fatal if not
treated quickly.
Which history is commonly found in a patient with
glomerulonephritis? - CORRECT ANSWERS-Beta-hemolytic
streptococcal infection
(uri or skin infection caused by these bacteria)
Which of the following is characteristic of a manic episode? -
CORRECT ANSWERS-grandiose delusions
(A 1 week period of expansive elevated or irritable mood)
Central obesity, "moon" face, and dorsocervical fat pad are
associated with: - CORRECT ANSWERS-Cushings syndrome
Which of the following is the most common cause of low back
pain? - CORRECT ANSWERS-Lumbar disc disease
A middle-aged female presents complaining of recent weight
loss. The physical exam reveals an enlarged painless cervical
lymph node. The differential diagnosis for this patient's problem
includes: - CORRECT ANSWERS-infection
An 81-year-old female is diagnosed with type 2 diabetes. When
considering drug therapy for this patient, the nurse practitioner
is most concerned with which of the following side effects? -
CORRECT ANSWERS-Hypoglycemia
