NRNP 6568 Week 7 Quiz - Comprehensive Practice (30 out of 30 points)

1. Question: Differential diagnoses for patients with alcohol use disorder would include all the following except: 2. Question: Mary is a new mother who was tested HBsAG+ during her prenatal screening process. Upon the birth of her infant, the newborn should be given HBIG and Hep B within: 3. Question: Juan, an 82 y/o male, is brought to the clinic by his daughter with LLQ pain, anorexia, nausea, and vomiting. Palpation of the abdomen reveals a positive rebound tenderness, positive Rovsing’s sign, and rigid abdomen. Juan’s most likely diagnosis is: 4. Question: Jon, a 63 y/o male, comes to the clinic with the following presentation. He reports a sudden eruption of multiple vesicular lesions on his scalp, forehead, and sides and tips of his nose. Treatment for Jon’s condition would include which of the following drugs? 5. Question: Martin is a 73 y/o male who has a 50 pack/year history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss and more noticeable pursed lip breathing. Your diagnosis is: 6. Question: A patient with type 2 DM should have an eye exam for diabetic retinopathy every 7. Question: Serum creatinine is a better measure of renal function than BUN. 8. Question: Rescue drugs for patients with respiratory problems such as asthma or COPD would include both SABAs and LABAs 9. Question: Antipsychotics lead to an increased risk of metabolic syndrome. 10. Question: The most likely source of the shingles infection comes from the reactivation of a virus from which nerve root? 11. Question: Which of the following insulins is a “rapid acting” insulin? 12. Question: The average age range of the beginning of natural menopause is: 13. Question: Oscar is a 41 y/o male who presents to the clinic with onset of fever, n&v, with a rapid onset of pain that radiates to the midback, epigastric region. On physical exam, you notice guarding over epigastric area and a positive Cullen’s and Grey-Turner’s sign. The most likely diagnosis is: 14. Question: An S3 heart sound is considered abnormal if it occurs after the age of 35–40 years of age. 15. Question: Randy is a 29 y/o African American male who has a body mass index (BMI) of 30, does not exercise, and has evidence of metabolic syndrome. The first line treatment for Randy’s diagnosis would be: 16. Question: Hyperprolactinemia can be a sign of pituitary adenoma. 17. Question: Martin is a 73 y/o male who has a 50 pack/year history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss and more noticeable pursed lip breathing. Given Martin’s condition, the first line treatment would be all the following except: 18. Question: Andreas is a 22 y/o male who comes to the clinic with a UTI. In reviewing the labs that were drawn yesterday, you know that there are many squamous epithelial in the specimen. This indicates: 19. Question: Oral contraceptives can be started anytime in the menstrual cycle. 20. Question: Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20–60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. Treatment of Artie’s condition would involve avoiding which of the following foods: 21. Question: The most common drug trigger for Stevens-Johnson Syndrome include all the following except: 22. Question: Risk factors for Alcohol Use Disorder include which of the following? 23. Question: Sal is a 56 y/o male who the NP has seen on many occasions in the clinic. During her physical exam of the heart, the NP notices that he has a new mitral regurgitation murmur that is described as a Grade II. She notes that his murmur is associated with which part of the cardiac cycle? 24. Question: Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. Treatment for Judy’s condition would include all the following drugs except: 25. Question: Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. His likely diagnosis is: 26. Question: Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20–60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. All of the following could be risk factors for Artie except: 27. Question: Juan, an 82 y/o male, is brought to the clinic by his daughter with LLQ pain, anorexia, nausea, and vomiting. Palpation of the abdomen reveals a positive rebound tenderness, positive Rovsing’s sign, and rigid abdomen. The NP in Juan’s case should: 28. Question: All of the following are characteristic of the S4 heart sound except 29. Question: The parents of Joshua want to be able to follow their son’s growth and development patterns and ask you for a recommendation on which of the following standards would be most appropriate. You would recommend for the parents to use: 30. Question: An S3 heart sound can be considered abnormal in all patients except: