NR667 CEA FNP Final Exam: NR667 CEA FNP: Questions & Answers: Latest Updated

Your patient arrives the urgent care complaining of a swollen throat and vocal changes. Which of the following statements made by the patient brings an index of suspicion of angioedema? A. I have been taking my lisinopril for the past week as prescribed B. I do not take any ibuprofen since it gives me an upset stomach C. I have never had this happen before D. This seems to be getting better already getting out of the cold (Ans- A Which of the following treatments is not recommended for a patient with a new diagnosis of rheumatoid arthritis? A. Prednisone burst, then taper to a lower daily maintenance dose B. Methotrexate daily C. Oxycontin PRN for mild pain D. Adalimumab daily (Ans- CA 43-year-old male patient weighing 100kg was burned over 20 percent of their body with partial thickness burns after escaping a house fire. Using the Parkland formula, what is the most appropriate amount of IV fluid resuscitation to provide the patient in the first 8 hours? A. 8 Liters B. 2 Liters C. 3 Liters D. 4 Liters (Ans- D What is the etiology of verruca? A. Human Papilloma Virus infection in the skin B. Chronic UV-B exposure to the skin C. Chronic UV-A exposure to the skin D. Group B Strep infection in the skin (Ans- A Which of the following medications is prescribed for the treatment of pinworm?A. Metronidazole (Flagyl) B. Corticosteroids C. Lindane (Kwell) D. Albendazole(Albenza) (Ans- D A frail elderly male with a history of sun exposure and rough, scaly, brownish lesions on the face, ears, and hands presents with a firm erythematous, ulcerated nodule on the dorsal surface of the hand. The most likely diagnosis is: A. Seborrheic keratosis B. Melanoma C. Squamous cell carcinoma D. Sebaceous hyperplasia (Ans- C A Caucasian male patient with fair skin and green eyes is at a particularly high risk for which of the following serious skin conditions? A. Wrinkles B. SunburnC. Keratoacanthoma D. Skin cancer (Ans- D An adult female with a diagnosis of eczema was given a prescription of hydrocortisone valerate 0.2% (Westcort) ointment last week for increased itching. The patient returns today reporting no improvement and more itching. The nurse practitioner's examination finds many vesicles and papules on hands, chest, and buttocks. The nurse practitioner also finds a linear burrow between the fingers and prescribes: A. a higher potency topical steroid. B. imiquimod 5% (Aldara) cream. C. ketoconazole (Nizoral) topical. D. permethrin 5% (Elimite) cream. (Ans- D What is the following is not an effective strategy of treatment for verruca? A. Punch biopsy B. CryotherapyC. Shave biopsy D. Curettage (Ans- C What is the most likely diagnosis for an elderly patient with GI cancer who presents with skin pallor, conjunctival pallor, palpitations, and weakness? A. Iron deficiency anemia B. Peptic ulcer disease C. Autoimmune hemolytic anemia D. Gastroesophageal reflux disease (Ans- A The 61-year-old female patient with lichen sclerosis has been prescribed clobetasol propionate 0.05% ointment. Which of the following statements made by the patient demonstrates good understand of her new prescription? A. I like this drug since I can take this for months and stop it abruptly without any side effects B. I will not use this anywhere other than where it is prescribed since it has a high risk of damaging my skinC. If I don't see results from this, I can switch to a higher potency steroid than an ointment. D. I can add additional medications at the same site if they are put on top of the steroid