NRNP 6531 Final Exam compilation Questions and
Answers
Which of the following is a potential acquired cause of thrombophilia - ANS-
Antiphospholipid antibodies
Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of: - ANS-Carpal
tunnel syndrome
Which patient would benefit most from screening for type 2 diabetes? - ANS-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? - ANS-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: - ANS-trimethoprim sulfamethoxazole for 3 dyas
A thymectomy is usually recommended in the early treatment of which disease? - ANS-
Myasthenia Gravis
The diagnosis of human papilloma virus (HPV) infection in males is usually made by -
ANS-clinical appearance (examination of the lesison)
The most effective intervention(s) to prevent stroke is (are): - ANS-smoking cessation
and treatment of hypertension
What is the most common cause of Cushing's syndrome? - ANS-Administration of a
glucocorticoid or ACTH
Which of the following medications may predispose the patient to hypoglycemia? - ANS-
Beta-adrenergic blockers
Diagnostic radiological studies are indicated for low back pain: - ANS-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? - ANS-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? - ANS-FAQ - Functional
Activities Questionnaire
Major depression occurs most often in which of the following conditions? - ANS-stroke
Which of the following statements about multiple sclerosis (MS) is correct? - ANS-MS is
a chronic, treatable illness with unknown cause and a variable course.
Diagnostic evaluation of hypothyroidism reveals: - ANS-Elevated TSH and decreased
T4
Risk factors for prostate cancer include all of the following except: - ANS-Benign
prostatic hypertrophy
What information should patients with diabetes and their families receive about
hypoglycemia? - ANS-Hypoglycemia is serious, dangerous, and can be fatal if not
treated quickly.
Which history is commonly found in a patient with glomerulonephritis? - ANS-Beta-
hemolytic streptococcal infection
(uri or skin infection caused by these bacteria)
Which of the following is characteristic of a manic episode? - ANS-grandiose delusions
(A 1 week period of expansive elevated or irritable mood)
Central obesity, "moon" face, and dorsocervical fat pad are associated with: - ANS-
Cushings syndrome
Which of the following is the most common cause of low back pain? - ANS-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: - ANS-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? - ANS-Hypoglycemia
A patient has HIV infection and is having a problem with massive diarrhea. You suspect
the cause is - ANS-cryptosporidiosis
Answers
Which of the following is a potential acquired cause of thrombophilia - ANS-
Antiphospholipid antibodies
Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of: - ANS-Carpal
tunnel syndrome
Which patient would benefit most from screening for type 2 diabetes? - ANS-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? - ANS-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: - ANS-trimethoprim sulfamethoxazole for 3 dyas
A thymectomy is usually recommended in the early treatment of which disease? - ANS-
Myasthenia Gravis
The diagnosis of human papilloma virus (HPV) infection in males is usually made by -
ANS-clinical appearance (examination of the lesison)
The most effective intervention(s) to prevent stroke is (are): - ANS-smoking cessation
and treatment of hypertension
What is the most common cause of Cushing's syndrome? - ANS-Administration of a
glucocorticoid or ACTH
Which of the following medications may predispose the patient to hypoglycemia? - ANS-
Beta-adrenergic blockers
Diagnostic radiological studies are indicated for low back pain: - ANS-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? - ANS-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? - ANS-FAQ - Functional
Activities Questionnaire
Major depression occurs most often in which of the following conditions? - ANS-stroke
Which of the following statements about multiple sclerosis (MS) is correct? - ANS-MS is
a chronic, treatable illness with unknown cause and a variable course.
Diagnostic evaluation of hypothyroidism reveals: - ANS-Elevated TSH and decreased
T4
Risk factors for prostate cancer include all of the following except: - ANS-Benign
prostatic hypertrophy
What information should patients with diabetes and their families receive about
hypoglycemia? - ANS-Hypoglycemia is serious, dangerous, and can be fatal if not
treated quickly.
Which history is commonly found in a patient with glomerulonephritis? - ANS-Beta-
hemolytic streptococcal infection
(uri or skin infection caused by these bacteria)
Which of the following is characteristic of a manic episode? - ANS-grandiose delusions
(A 1 week period of expansive elevated or irritable mood)
Central obesity, "moon" face, and dorsocervical fat pad are associated with: - ANS-
Cushings syndrome
Which of the following is the most common cause of low back pain? - ANS-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: - ANS-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? - ANS-Hypoglycemia
A patient has HIV infection and is having a problem with massive diarrhea. You suspect
the cause is - ANS-cryptosporidiosis
