1
NSG 6340 PREDICTOR STUDY
GUIDE 2
1. A 37-year-old female patient with a history of a single episode of depression and frequent
complaints of PMS is being treated for hypothyroidism. Today she complains of poor
concentration and fatigue. Initially, the NP should:
a. Question her further
3. Which of the following is an example of secondary prevention?
a. Annual influenza vaccination
7. A 35-year old female with a history of mitral valve prolapse is scheduled for routine dental
cleaning. According to the 2007 American Association’s guideline for endocarditis
prophylaxis, what would you advise this patient?
a. She does not need prophylaxis for any dental procedure
b.
8. A patient recovering from a recent stroke is starting anticoagulant therapy. The nurse practitioner should
teach the patient to avoid all of the following EXCEPT:
a. b. milk and milk products
9. A patient presents with periorbital erythema and edema, fever, and nasal drainage. The nurse
practitioner should
a. start aggressive antibiotic therapy
10. A positive drawer sign support a diagnosis of
b. cruciate ligament injury
11. A 50-year-old patient with diabetes complains of pain bilaterally in her lower legs while
walking. The pain disappears at rest. What else would you expect to identify on her lower
extremities.
b. peripheral artery insufficiency
12. A 16-year-old athlete complains of pain underneath his heel every time he walks. There is a verrucous
surface level with the skin of the heel. What pharmacologic interventions should the nurse practitioner
prescribe for this patient?
a. salicylic acid plasters
13. A -year-old with Type I diabetes has had itching and burning lesions between her toes for 6 months.
Scrapings of the lesion confirm the diagnosis of tinea pedis. What is the best treatment option for this
patient?
a. prescribe an anti-fungal powder for application between her toes and in her shoes and
a topical prescription strength anti-fungal cream for other affected areas. Monitor for
a secondary bacterial infection.
,2
c. Prescribe an oral anti-fungal for 4 to 12 weeks. Monitor liver enzymes, BUN and creatinine at
one week, 2 weeks, and every month thereafter.
, 3
d. Prescribe a prescription strength antifungal/steroid combination cream. Monitor for a secondary
bacterial infection.
14. What is an appropriate drug for prophylactic treatment of migraine headaches in a 21-year-
old female?
a. Sumatriptan (Imitrex)
b. propranolol (Inderal)
c. ibuprofen (Motrin)
d. dihydroergotamine (DHE)
15. Which of the following are the classic features of ulcerative colitis?
a. RLQ pain, frequently accompanied by a palpable mass, fever, and leukopenia
b. Massive painful hematemesis, occasionally accompanied by melena
c. Rapidly progressive dysphagia to solid foods, anoriexia, and weight loss out of proportion to
the dysphagia
d. Remission and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain,
and .
16. Which drugs below would be expected to produce the least amount of hypokalemia?
a. Furosemide (Lasix)
b. hydrochlorothiazide (HCTZ) and spironolactone (Aldactone)
c. Spironolactone (Aldactone)
d. hydrochlorothiazide (HCTZ)
17. What information should patients with diabetes and their families receive about hypoglycemia?
a. Hypoglycemia is very rare
b. Hypoglycemia requires professional medical treatment
c. Hypoglycemia is serious, dangerous, and can be fatal if not treated quickly
d. Hypoglycemia occurs only as a result of overdose of insulin
18. A 60-year-old male patient with a past history of glaucoma and frequent sinusitis presents today with
hypertension. On his last 2 visits to the clinic his blood pressures were 150-160/90-98. The nurse
practitioner decides to treat the hypertension with long-acting propranolol (Inderal). Before prescribing
it, the nurse practitioner should ask:
a. whether he smokes or consumes alcohol on a daily basis
b. what other medications have been prescribed for him
c. if he takes a daily antihistamine
d. if other family members are hypertensive
19. Which of the following is NOT associated with Type 2 diabetes mellitus?
a. Gestational diabetes, birth of a macrosomic infant
b. Hispanic, African-American, or Native American descent
c. Alcohol or other drug abuse
d. Obesity, hypertension, hypertriglyceridemia
NSG 6340 PREDICTOR STUDY
GUIDE 2
1. A 37-year-old female patient with a history of a single episode of depression and frequent
complaints of PMS is being treated for hypothyroidism. Today she complains of poor
concentration and fatigue. Initially, the NP should:
a. Question her further
3. Which of the following is an example of secondary prevention?
a. Annual influenza vaccination
7. A 35-year old female with a history of mitral valve prolapse is scheduled for routine dental
cleaning. According to the 2007 American Association’s guideline for endocarditis
prophylaxis, what would you advise this patient?
a. She does not need prophylaxis for any dental procedure
b.
8. A patient recovering from a recent stroke is starting anticoagulant therapy. The nurse practitioner should
teach the patient to avoid all of the following EXCEPT:
a. b. milk and milk products
9. A patient presents with periorbital erythema and edema, fever, and nasal drainage. The nurse
practitioner should
a. start aggressive antibiotic therapy
10. A positive drawer sign support a diagnosis of
b. cruciate ligament injury
11. A 50-year-old patient with diabetes complains of pain bilaterally in her lower legs while
walking. The pain disappears at rest. What else would you expect to identify on her lower
extremities.
b. peripheral artery insufficiency
12. A 16-year-old athlete complains of pain underneath his heel every time he walks. There is a verrucous
surface level with the skin of the heel. What pharmacologic interventions should the nurse practitioner
prescribe for this patient?
a. salicylic acid plasters
13. A -year-old with Type I diabetes has had itching and burning lesions between her toes for 6 months.
Scrapings of the lesion confirm the diagnosis of tinea pedis. What is the best treatment option for this
patient?
a. prescribe an anti-fungal powder for application between her toes and in her shoes and
a topical prescription strength anti-fungal cream for other affected areas. Monitor for
a secondary bacterial infection.
,2
c. Prescribe an oral anti-fungal for 4 to 12 weeks. Monitor liver enzymes, BUN and creatinine at
one week, 2 weeks, and every month thereafter.
, 3
d. Prescribe a prescription strength antifungal/steroid combination cream. Monitor for a secondary
bacterial infection.
14. What is an appropriate drug for prophylactic treatment of migraine headaches in a 21-year-
old female?
a. Sumatriptan (Imitrex)
b. propranolol (Inderal)
c. ibuprofen (Motrin)
d. dihydroergotamine (DHE)
15. Which of the following are the classic features of ulcerative colitis?
a. RLQ pain, frequently accompanied by a palpable mass, fever, and leukopenia
b. Massive painful hematemesis, occasionally accompanied by melena
c. Rapidly progressive dysphagia to solid foods, anoriexia, and weight loss out of proportion to
the dysphagia
d. Remission and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain,
and .
16. Which drugs below would be expected to produce the least amount of hypokalemia?
a. Furosemide (Lasix)
b. hydrochlorothiazide (HCTZ) and spironolactone (Aldactone)
c. Spironolactone (Aldactone)
d. hydrochlorothiazide (HCTZ)
17. What information should patients with diabetes and their families receive about hypoglycemia?
a. Hypoglycemia is very rare
b. Hypoglycemia requires professional medical treatment
c. Hypoglycemia is serious, dangerous, and can be fatal if not treated quickly
d. Hypoglycemia occurs only as a result of overdose of insulin
18. A 60-year-old male patient with a past history of glaucoma and frequent sinusitis presents today with
hypertension. On his last 2 visits to the clinic his blood pressures were 150-160/90-98. The nurse
practitioner decides to treat the hypertension with long-acting propranolol (Inderal). Before prescribing
it, the nurse practitioner should ask:
a. whether he smokes or consumes alcohol on a daily basis
b. what other medications have been prescribed for him
c. if he takes a daily antihistamine
d. if other family members are hypertensive
19. Which of the following is NOT associated with Type 2 diabetes mellitus?
a. Gestational diabetes, birth of a macrosomic infant
b. Hispanic, African-American, or Native American descent
c. Alcohol or other drug abuse
d. Obesity, hypertension, hypertriglyceridemia
