NR 508 Week 8 Final Exam
1. Question
pts
A patient who has diabetes reports intense discomfort when needing to void. A
urinalysis is normal. To treat this, the primary care NP should consider
prescribing:
2. Question
pts
A patient reports difficulty returning to sleep after getting up to go to the
bathroom every night. A physical examination and a sleep hygiene history are
noncontributory. The primary care NP should prescribe:
3. Question
pts
A 5-year-old child who has no previous history of otitis media is seen in clinic
with a temperature of 100° F. The primary care NP visualizes bilateral
erythematous, nonbulging, intact tympanic membranes. The child is taking fluids
well and is playing with toys in the examination room. The NP should:
4. Question
pts
An 80-year-old patient with congestive heart failure has a viral upper respiratory
infection. The patient asks the primary care NP about treating the fever, which is
38.5° C. The NP should:
5. Question
pts
A patient who takes levodopa and carbidopa for Parkinson’s disease reports
experiencing freezing episodes between doses. The primary care NP should
consider using:
6. Question
pts
A patient is being tapered from long-term therapy with prednisolone and reports
weight loss and fatigue. The primary care NP should counsel this patient to:
7. Question
pts
The primary care nurse practitioner (NP) sees a 50-year-old woman who reports
frequent leakage of urine. The NP learns that this occurs when she laughs or
sneezes. She also reports having an increased urge to void even when her bladder
is not full. She is not taking any medications. The NP should:
8. Question
pts
A 7-year-old patient who has severe asthma takes oral prednisone daily. At a well-
child examination, the primary care NP notes a decrease in the child’s linear
growth rate. The NP should consult the child’s asthma specialist about:
9. Question
pts
, A patient who is taking isoniazid and rifampin for latent TB is seen by the primary
care NP for a routine follow-up visit. The patient reports having nausea, vomiting,
and a decreased appetite. The NP should:
10. Question
pts
A primary care NP sees a child with asthma to evaluate the child’s response to the
prescribed therapy. The child uses an ICS twice daily and an albuterol metered-
dose inhaler as needed. The child’s symptoms are well controlled. The NP notes
slowing of the child’s linear growth on a standardized growth chart. The NP
should change this child’s medication regimen to a:
11. Question
pts
A patient is newly diagnosed with Alzheimer’s disease stage 6 on the Global
Deterioration Scale. The primary care NP should prescribe:
12. Question
pts
The primary care NP sees a 12-month-old infant who needs the MMR, Varivax,
influenza, and hepatitis A vaccines. The child’s mother tells the NP that she is
pregnant. The NP should:
13. Question
pts
A parent brings a 5-year-old child to a clinic for a hospital follow-up appointment.
The child is taking a medication at a dose equal to an adult dose. The parent
reports that the medication is not producing the desired effects. The NP should:
14. Question
pts
An NP orders an inhaled corticosteroid 2 puffs twice daily and an albuterol
metered-dose inhaler 2 puffs every 4 hours as needed for cough or wheezing for a
65-year-old patient with recent onset of reactive airways disease who reports
symptoms occurring every 1 or 2 weeks. At a follow-up appointment several
months later, the patient reports no change in frequency of symptoms. The NP’s
initial action should be to:
15. Question
pts
A patient is diagnosed with a condition that causes chronic pain. The primary care
NP prescribes an opioid analgesic and should instruct the patient to:
16. Question
pts
A patient tells the primary care NP that he has difficulty getting and maintaining
an erection. The NP’s initial response should be to:
17. Question
pts
A 55-year-old patient develops Parkinson’s disease characterized by unilateral
tremors only. The primary care NP will refer the patient to a neurologist and
should expect initial treatment to be:
18. Question
1. Question
pts
A patient who has diabetes reports intense discomfort when needing to void. A
urinalysis is normal. To treat this, the primary care NP should consider
prescribing:
2. Question
pts
A patient reports difficulty returning to sleep after getting up to go to the
bathroom every night. A physical examination and a sleep hygiene history are
noncontributory. The primary care NP should prescribe:
3. Question
pts
A 5-year-old child who has no previous history of otitis media is seen in clinic
with a temperature of 100° F. The primary care NP visualizes bilateral
erythematous, nonbulging, intact tympanic membranes. The child is taking fluids
well and is playing with toys in the examination room. The NP should:
4. Question
pts
An 80-year-old patient with congestive heart failure has a viral upper respiratory
infection. The patient asks the primary care NP about treating the fever, which is
38.5° C. The NP should:
5. Question
pts
A patient who takes levodopa and carbidopa for Parkinson’s disease reports
experiencing freezing episodes between doses. The primary care NP should
consider using:
6. Question
pts
A patient is being tapered from long-term therapy with prednisolone and reports
weight loss and fatigue. The primary care NP should counsel this patient to:
7. Question
pts
The primary care nurse practitioner (NP) sees a 50-year-old woman who reports
frequent leakage of urine. The NP learns that this occurs when she laughs or
sneezes. She also reports having an increased urge to void even when her bladder
is not full. She is not taking any medications. The NP should:
8. Question
pts
A 7-year-old patient who has severe asthma takes oral prednisone daily. At a well-
child examination, the primary care NP notes a decrease in the child’s linear
growth rate. The NP should consult the child’s asthma specialist about:
9. Question
pts
, A patient who is taking isoniazid and rifampin for latent TB is seen by the primary
care NP for a routine follow-up visit. The patient reports having nausea, vomiting,
and a decreased appetite. The NP should:
10. Question
pts
A primary care NP sees a child with asthma to evaluate the child’s response to the
prescribed therapy. The child uses an ICS twice daily and an albuterol metered-
dose inhaler as needed. The child’s symptoms are well controlled. The NP notes
slowing of the child’s linear growth on a standardized growth chart. The NP
should change this child’s medication regimen to a:
11. Question
pts
A patient is newly diagnosed with Alzheimer’s disease stage 6 on the Global
Deterioration Scale. The primary care NP should prescribe:
12. Question
pts
The primary care NP sees a 12-month-old infant who needs the MMR, Varivax,
influenza, and hepatitis A vaccines. The child’s mother tells the NP that she is
pregnant. The NP should:
13. Question
pts
A parent brings a 5-year-old child to a clinic for a hospital follow-up appointment.
The child is taking a medication at a dose equal to an adult dose. The parent
reports that the medication is not producing the desired effects. The NP should:
14. Question
pts
An NP orders an inhaled corticosteroid 2 puffs twice daily and an albuterol
metered-dose inhaler 2 puffs every 4 hours as needed for cough or wheezing for a
65-year-old patient with recent onset of reactive airways disease who reports
symptoms occurring every 1 or 2 weeks. At a follow-up appointment several
months later, the patient reports no change in frequency of symptoms. The NP’s
initial action should be to:
15. Question
pts
A patient is diagnosed with a condition that causes chronic pain. The primary care
NP prescribes an opioid analgesic and should instruct the patient to:
16. Question
pts
A patient tells the primary care NP that he has difficulty getting and maintaining
an erection. The NP’s initial response should be to:
17. Question
pts
A 55-year-old patient develops Parkinson’s disease characterized by unilateral
tremors only. The primary care NP will refer the patient to a neurologist and
should expect initial treatment to be:
18. Question
