NRNP-6531-3/NRNP-6531C-3-Adv Prac Care Adlt across Lif-2022-Spring-QTRQuiz - Week 8 Knowledge Check

NRNP-6531-3/NRNP-6531C-3-Adv Prac Care Adlt across Lif-2022-Spring-QTR-Term-wks- 1-thru-11-(02/28/2022-05/15/2022)-PT27 Knowledge Checks Review Test Submission: Quiz - Week 8 Knowledge Check Review Test Submission: Quiz - Week 8 Knowledge Check Question 1 1 out of 1 points The National Cholesterol Education Program’s Adult Treatment Panel III recommends that the goal for low density lipoproteins in high risk patients be less than: Selected Answer: c. 100 mg/dL Answers: b. 130 mg/dL c. 100 mg/dL d. 70 mg/dL Question 2 1 out of 1 points A 20 year old male patient complains of “scrotal swelling.” He states his scrotum feels heavy, but denies pain. On examination, the nurse practitioner notes transillumination of the scrotum. What is the most likely diagnosis? Selected Answer: b. Hydrocele Answers: a. Indirect inguinal hernia b. Hydrocele c. Orchitis d. Testicular torsion Question 3 1 out of 1 points John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be screened for hypercholesterolemia? Selected Answer: a. Every 5 years Answers: a. Every 5 years b. Every 2 years c. Every year d. Whenever blood work is done Question 4 1 out of 1 points Of the following choices, the least likely cause of cough is: Selected Answer: Acute pharyngitis This study source was downloaded by from CourseH on :33:42 GMT -05:00 Answers: a. Asthma b. Gastroesophageal reflux c. Acute pharyngitis d. Allergic rhinitis Question 5 1 out of 1 points Which of the following patients most warrants screening for hypothyroidism? Selected Answer: d. An elderly female with recent onset of mental dysfunction. Answers: a. A young adult female with postpartum depression lasting 2 weeks. b. A patient taking thyroid replacement preparation. c. A 40 year old male with unexplained tremors. d. An elderly female with recent onset of mental dysfunction. Question 6 1 out of 1 points Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid? Selected Answer: b. Peppermint Answers: a. Apples b. Peppermint c. Cucumbers d. Popsicles Question 7 1 out of 1 points After thorough history, physical examination, and laboratory tests, a patient is diagnosed with irritable bowel syndrome (IBS). Which of the following initial treatment plans is currently considered most effective? Selected Answer: a. A low fat, tyramine-free, caffeine-free, high fiber diet, along with a daily diary, and attention to psychosocial factors. Answers: a. A low fat, tyramine-free, caffeine-free, high fiber diet, along with a daily diary, and attention to psychosocial factors. b. Referral to a gastroenterologist for colonoscopy. c. Treatment with a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine (Prozac) or sertraline (Zoloft). d. Antibiotics, nutritional support, and high fiber diet. Question 8 1 out of 1 points Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus? Selected Answer: d. Postprandial hypoglycemia Answers: a. Hypertriglyceridemia and low high-density lipoprotein (HDL) b. Gestational diabetes and polycystic ovarian syndrome c. Hispanic, African-American, Native-American, and Pacific Islander ethnicity d. Postprandial hypoglycemia Question 9 1 out of 1 points The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is: Selected Answer: b. Oral doxycycline (Virbamycin) plus intramuscular ceftriaxone Answers: a. Oral ciprofloxacin (Cipro) b. Oral doxycycline (Virbamycin) plus intramuscular ceftriaxone c. Oral trimethoprim-sulfamethoxazole (Bactrim DS) d. Intramuscular penicillin Question 10 1 out of 1 points The most commonly recommended method for prostate cancer screening in a 55 year old male is: Selected Answer: a. Digital rectal examination (DRE) plus prostate specific antigen (PSA) Answers: a. Digital rectal examination (DRE) plus prostate specific antigen (PSA) b. Prostate specific antigen (PSA) alone c. Transrectal ultrasound (TRUS) alone d. Prostate specific antigen (PSA) and transrectal ultrasound (TRUS) Question 11 1 out of 1 points A patient presents with classic symptoms of gastroesophageal reflux disease (GERD). He is instructed on life style modifications and drug therapy for 8 weeks. Three months later he returns, reporting that he was “fine” as long as he took the medication. The most appropriate next step is: Selected Answer: d. Investigation with endoscopy, manometry, and/or pH testing Answers: a. Referral for surgical intervention such as a partial or complete fundoplication b. Dependent upon how sever the practitioner believes the condition c. To repeat the 8 week course of drug therapy while continuing lifestyle modifications d. Investigation with endoscopy, manometry, and/or pH testing Question 12 Microalbuminuria is a measure of: Selected Answer: a. Total urinary protein. Answers: a. Total urinary protein. 0 out of 1 points b. Late renal compromise in a diabetic patient. c. Early glycemic abnormality. d. Protein lost into the urine. Question 13 1 out of 1 points Reed-Sternberg B lymphocytes are associated with which of the following disorders: Selected Answer: b. Hodgkin’s lymphoma Answers: a. Aplastic anemia b. Hodgkin’s lymphoma c. Non Hodgkin’s lymphoma d. Myelodysplastic syndromes Question 14 1 out of 1 points A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is prescribed. How long should the nurse practitioner wait before checking the patient’s TSH? Selected Answer: c. 8 weeks Answers: a. 1 week b. 2 weeks c. 8 weeks d. 12 weeks Question 15 1 out of 1 points Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)? Selected Answer: d. Increased force of urine flow Answers: a. Difficulty initiating a urine stream b. Nocturia c. Urinary retention d. Increased force of urine flow Question 16 0 out of 1 points What is the most common cause of Cushing’s syndrome? This study source was dowSnleoaldeedcbtye1d24483 from CourseH on :33:42 GMT -05:00 Answer: a. Excessive ACTH production Answers: a. Excessive ACTH production b. Administration of a glucocorticoid or ACTH c. Pituitary adenoma or a non-pituitary ACTH-producing tumor d. Autonomous cortisol production from adrenal tissue Question 17 0 out of 1 points Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis? Selected Answer: a. Doxycycline 100 mg qd Answers: a. Doxycycline 100 mg qd b. Nitrofurantoin 100 mg qd c. Bactrim DS qd d. Erythromycin qd Question 18 Diagnostic confirmation of acute leukemia is based on: Selected Answer: d. All of the above 0 out of 1 points Answers: a. Bone marrow aspiration and biopsy b. Pancytopenia c. Hyperuricemia d. All of the above Question 19 1 out of 1 points Which of the following are classic features of ulcerative colitis? Selected Answer: d. Remissions and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain and weight loss. Answers: a. Right lower quadrant pain, frequently accompanied by a palpable mass, fever, and leukocytosis. b. Painful hematemesis, occasionally accompanied by melena. c. Rapidly progressive dysphagia with ingestion of solid foods, anorexia, and weight loss out of proportion to the dysphagia. d. Remissions and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain and weight loss. Question 20 0 out of 1 points Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders liver function studies. The patient’s aminotransferase (ALT) is elevated. What laboratory test(s) should be ordered? Selected Answer: b. Serum bilirubin Answers: a. Serologic markers for hepatitis b. Serum bilirubin c. Serum cholesterol with HDL and LDL d. A liver biopsy Wednesday, April 27, 2022 2:55:17 PM EDT ← OK