NSG5003 UPDATED QUESTIONS AND ANSWERS
GRADED A+
✔✔Symptoms interfering with functional ability - ✔✔A middle-aged patient has been
diagnosed with Parkinson's disease. What influences the nurse practitioner's decision to
begin pharmacological treatment for this patient?
✔✔Current vital signs - ✔✔. Essential parts of a health history include all of the
following except:
✔✔No palpable vibration is felt - ✔✔When palpating the posterior chest, the clinician
notes increased tactile fremitus over the left lower lobe. This can be indicative of
pneumonia. Areas of increased fremitus should raise the suspicion of conditions
resulting in increased solidity or consolidation in the underlying lung tissue, such as in
pneumonia, tumor, or pulmonary fibrosis. In the instance of an extensive bronchial
obstruction:
✔✔Myocardial infarction in family member at age 35 - ✔✔Which of the following would
be considered a "red flag" that requires more investigation in a patient assessment?
✔✔Statin medication - ✔✔Your 66-year-old male patient has recently started treatment
for metabolic syndrome and is currently taking the following medications: an ACE
inhibitor and beta blocker for treatment of hypertension. He is also taking a statin
medication, simvastatin for hyperlipidemia, and a biguanide, metformin, for type 2
diabetes. The patient complains of myalgias of the legs bilaterally and blood work
shows elevated serum creatine kinase. Which of the medications can cause such a side
effect?
✔✔Weight loss - ✔✔Symptoms in the initial human immunodeficiency virus (HIV)
infection include all of the following except
✔✔Indomethacin 50 mg thrice daily for 2 days; then 25 mg thrice daily for 3 days -
✔✔The most appropriate first-line treatment for an acute gout flare is (assuming no
kidney disease or elevated bleeding risk):
✔✔Nurse Practitioners (NPs) should keep all genetic information of patients confidential
NPs must obtain informed consent prior to genetic testing of all patients
Employers cannot inquire about an employee's genetic information
All of the above - ✔✔According to the Genetic Information Nondiscrimination Act
(GINA):
✔✔Exercise stress test - ✔✔A 55-year-old post-menopausal woman with a history of
hypertension complains of jaw pain on heavy exertion. There were no complaints of
chest pain. Her ECG indicates normal sinus rhythm without ST segment abnormalities.
Your plan may include
, ✔✔Prostatitis - ✔✔A 27-year-old male comes in to the clinic for symptoms of dysuria,
urinary frequency, as well as urgency and perineal pain. Transrectal palpation of the
prostate reveals a very tender, boggy, swollen prostate. The clinician should recognize
these as signs of:
✔✔A. Hidradenitis suppurativa
C.Furuncle - ✔✔Patient presents with complaint of a "swollen node" under his arm. The
area is tender and the node has progressed in size over the past few days. Which of the
following should be included in your differential diagnosis?
✔✔Hydronephrosis - ✔✔The most common complication of an untreated urinary
obstruction due to a ureteral calculus is:
✔✔Systemic lupus erythematosus - ✔✔A woman complains of malaise and arthralgias.
You note a butterfly-shaped, macular, erythematous rash across her cheeks and nose.
These conditions are common in:
✔✔Estimating cup-to-disk ratio - ✔✔Your patient has been treated for glaucoma for 5
years. Which of the following will provide indication of the level of progression during the
funduscopic examination for this patient?
✔✔Increased estrogen production's influence on the bladder and ureter - ✔✔Age-
related changes in the bladder, urethra, and ureters include all of the following in older
women except
✔✔Interstitial cystitis - ✔✔A 33-year-old female patient visits the clinic multiple times
over the last year complaining of dysuria, frequency, urgency, suprapubic pain, and
dyspareunia. Her physical examination, including a pelvic exam, is normal. Urinalysis
and urine culture is repeatedly negative. Her intravenous pyelogram is also normal. The
clinician should recognize that this presentation is consistent with symptoms of:
✔✔Oral medications can dramatically reduce the duration and intensity of his symptoms
- ✔✔An older adult male presents with pain in his right chest wall for the past 48 hours.
Upon examination, the nurse practitioner notices a vesicular eruption along the
dermatome and identifies this as herpes zoster. The NP informs the gentleman that:
✔✔Observed assessment of function - ✔✔Functional abilities are best assessed by
✔✔Clinical decision rule - ✔✔Which of the following clinical reasoning tools is defined
as evidence-based resource based on mathematical modeling to express the likelihood
of a condition in select situations, settings, and/or patients?
GRADED A+
✔✔Symptoms interfering with functional ability - ✔✔A middle-aged patient has been
diagnosed with Parkinson's disease. What influences the nurse practitioner's decision to
begin pharmacological treatment for this patient?
✔✔Current vital signs - ✔✔. Essential parts of a health history include all of the
following except:
✔✔No palpable vibration is felt - ✔✔When palpating the posterior chest, the clinician
notes increased tactile fremitus over the left lower lobe. This can be indicative of
pneumonia. Areas of increased fremitus should raise the suspicion of conditions
resulting in increased solidity or consolidation in the underlying lung tissue, such as in
pneumonia, tumor, or pulmonary fibrosis. In the instance of an extensive bronchial
obstruction:
✔✔Myocardial infarction in family member at age 35 - ✔✔Which of the following would
be considered a "red flag" that requires more investigation in a patient assessment?
✔✔Statin medication - ✔✔Your 66-year-old male patient has recently started treatment
for metabolic syndrome and is currently taking the following medications: an ACE
inhibitor and beta blocker for treatment of hypertension. He is also taking a statin
medication, simvastatin for hyperlipidemia, and a biguanide, metformin, for type 2
diabetes. The patient complains of myalgias of the legs bilaterally and blood work
shows elevated serum creatine kinase. Which of the medications can cause such a side
effect?
✔✔Weight loss - ✔✔Symptoms in the initial human immunodeficiency virus (HIV)
infection include all of the following except
✔✔Indomethacin 50 mg thrice daily for 2 days; then 25 mg thrice daily for 3 days -
✔✔The most appropriate first-line treatment for an acute gout flare is (assuming no
kidney disease or elevated bleeding risk):
✔✔Nurse Practitioners (NPs) should keep all genetic information of patients confidential
NPs must obtain informed consent prior to genetic testing of all patients
Employers cannot inquire about an employee's genetic information
All of the above - ✔✔According to the Genetic Information Nondiscrimination Act
(GINA):
✔✔Exercise stress test - ✔✔A 55-year-old post-menopausal woman with a history of
hypertension complains of jaw pain on heavy exertion. There were no complaints of
chest pain. Her ECG indicates normal sinus rhythm without ST segment abnormalities.
Your plan may include
, ✔✔Prostatitis - ✔✔A 27-year-old male comes in to the clinic for symptoms of dysuria,
urinary frequency, as well as urgency and perineal pain. Transrectal palpation of the
prostate reveals a very tender, boggy, swollen prostate. The clinician should recognize
these as signs of:
✔✔A. Hidradenitis suppurativa
C.Furuncle - ✔✔Patient presents with complaint of a "swollen node" under his arm. The
area is tender and the node has progressed in size over the past few days. Which of the
following should be included in your differential diagnosis?
✔✔Hydronephrosis - ✔✔The most common complication of an untreated urinary
obstruction due to a ureteral calculus is:
✔✔Systemic lupus erythematosus - ✔✔A woman complains of malaise and arthralgias.
You note a butterfly-shaped, macular, erythematous rash across her cheeks and nose.
These conditions are common in:
✔✔Estimating cup-to-disk ratio - ✔✔Your patient has been treated for glaucoma for 5
years. Which of the following will provide indication of the level of progression during the
funduscopic examination for this patient?
✔✔Increased estrogen production's influence on the bladder and ureter - ✔✔Age-
related changes in the bladder, urethra, and ureters include all of the following in older
women except
✔✔Interstitial cystitis - ✔✔A 33-year-old female patient visits the clinic multiple times
over the last year complaining of dysuria, frequency, urgency, suprapubic pain, and
dyspareunia. Her physical examination, including a pelvic exam, is normal. Urinalysis
and urine culture is repeatedly negative. Her intravenous pyelogram is also normal. The
clinician should recognize that this presentation is consistent with symptoms of:
✔✔Oral medications can dramatically reduce the duration and intensity of his symptoms
- ✔✔An older adult male presents with pain in his right chest wall for the past 48 hours.
Upon examination, the nurse practitioner notices a vesicular eruption along the
dermatome and identifies this as herpes zoster. The NP informs the gentleman that:
✔✔Observed assessment of function - ✔✔Functional abilities are best assessed by
✔✔Clinical decision rule - ✔✔Which of the following clinical reasoning tools is defined
as evidence-based resource based on mathematical modeling to express the likelihood
of a condition in select situations, settings, and/or patients?
