NRNP 6531 FINAL EXAM (8 VERSIONS, 800 Q & A)
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, NRNP 6531 Final Exam
A 2 year old presents with a white pupillary reflex. What is the most likely cause of this finding? Viral
conjunctivitis
Glaucoma
Corneal abrasion
Retinoblastoma
Harvey has had Meniere's disease for several years. He has some hearing loss but now has persistent
vertigo. What treatment might be instituted to relieve the vertigo? Pharmacological therapy
A labyrinthectomy
A vestibular neurectomy
Wearing an earplug in the ear with the most hearing loss
Which of the following is not a risk factor for coronary arterial insufficiency?
Hyperhomocysteinemia
Smoking
Genetic factors
Alcohol ingestion
An 18-year-old female presents to the urgent care center complaining of severe pruritus in both eyes that
started 2 days ago. Associated symptoms include a headache and fatigue. On examination, the nurse
practitioner notes some clear discharge from both eyes and some erythema of the eyelids and surrounding
skin. Which of the following is the most likely cause of this patient's symptoms?
Allergic conjunctivitis
Bacterial conjunctivitis
,Gonococcal conjunctivitis
Viral conjunctivitis
A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective in
keeping him symptom-free? A long-acting bronchodilator
An inhaled corticosteroid and cromolyn
Theophylline and a short acting bronchodilator
A bronchodilator PRN and an inhaled corticosteroid
Acute rheumatic fever is an inflammatory disease which can follow infection with:
Group A Streptococcus
Staphlococcus areus
B-hemolytic Streptococcus
Streptococcus pyogenes
A 60 year old male diabetic patient presents with redness, tenderness, and edema of the left lateral aspect of
his face. His left eyelid is grossly edematous. He reports history of a toothache in the past week which "is
better." His temperature is 100°F and pulse is 102 bpm. The most appropriate initial action is to:
Start an oral antibiotic, refer the patient to a dentist immediately, and follow up within 3 days
Order mandibular x-rays and question the patient about physical abuse
Start an oral antibiotic, mouth swishes with an oral anti-infective, and an analgesic
Initiate a parenteral antibiotic and consider hospital admission
If a patient presents with a deep aching, red eye and there is no discharge, you should suspect:
Iritis
Allergic conjunctivitis
Viral conjunctivitis
Bacterial conjunctivitis
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:
, 160 mg/dL
130 mg/dL
100 mg/dL
70 mg/dL
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: Referral for surgical intervention such as a
partial or complete fundoplication
Dependent upon how sever the practitioner believes the condition
To repeat the 8 week course of drug therapy while continuing lifestyle modifications
Investigation with endoscopy, manometry, and/or pH testing
Group A β-hemolytic streptococcal (GABHS) pharyngitis is most common in which age group?
Under 3 years of age
Preschool children
6 to 12 years of age
Adolescents
The most appropriate treatment for a child with mild croup is:
A bronchodilator
An antibiotic
A decongestant
A cool mist vaporizer
A child complains that his "throat hurts" with swallowing. His voice is very "throaty" and he is
hyperextending his neck to talk. Examination reveals asymmetrical swelling of his tonsils. His uvula is
deviated to the left. What is the most likely diagnosis? Peritonsillar abscess
Thyroiditis
• VERIFIED QUESTIONS AND ANSWERS
• DOWNLOAD TO SECURE HIGH SCORE IN
EXAM
• COMPLETE AND BEST DOCUMENT FOR
EXAM PREPARATION
• ALREADY GRADED A+
, NRNP 6531 Final Exam
A 2 year old presents with a white pupillary reflex. What is the most likely cause of this finding? Viral
conjunctivitis
Glaucoma
Corneal abrasion
Retinoblastoma
Harvey has had Meniere's disease for several years. He has some hearing loss but now has persistent
vertigo. What treatment might be instituted to relieve the vertigo? Pharmacological therapy
A labyrinthectomy
A vestibular neurectomy
Wearing an earplug in the ear with the most hearing loss
Which of the following is not a risk factor for coronary arterial insufficiency?
Hyperhomocysteinemia
Smoking
Genetic factors
Alcohol ingestion
An 18-year-old female presents to the urgent care center complaining of severe pruritus in both eyes that
started 2 days ago. Associated symptoms include a headache and fatigue. On examination, the nurse
practitioner notes some clear discharge from both eyes and some erythema of the eyelids and surrounding
skin. Which of the following is the most likely cause of this patient's symptoms?
Allergic conjunctivitis
Bacterial conjunctivitis
,Gonococcal conjunctivitis
Viral conjunctivitis
A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective in
keeping him symptom-free? A long-acting bronchodilator
An inhaled corticosteroid and cromolyn
Theophylline and a short acting bronchodilator
A bronchodilator PRN and an inhaled corticosteroid
Acute rheumatic fever is an inflammatory disease which can follow infection with:
Group A Streptococcus
Staphlococcus areus
B-hemolytic Streptococcus
Streptococcus pyogenes
A 60 year old male diabetic patient presents with redness, tenderness, and edema of the left lateral aspect of
his face. His left eyelid is grossly edematous. He reports history of a toothache in the past week which "is
better." His temperature is 100°F and pulse is 102 bpm. The most appropriate initial action is to:
Start an oral antibiotic, refer the patient to a dentist immediately, and follow up within 3 days
Order mandibular x-rays and question the patient about physical abuse
Start an oral antibiotic, mouth swishes with an oral anti-infective, and an analgesic
Initiate a parenteral antibiotic and consider hospital admission
If a patient presents with a deep aching, red eye and there is no discharge, you should suspect:
Iritis
Allergic conjunctivitis
Viral conjunctivitis
Bacterial conjunctivitis
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:
, 160 mg/dL
130 mg/dL
100 mg/dL
70 mg/dL
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: Referral for surgical intervention such as a
partial or complete fundoplication
Dependent upon how sever the practitioner believes the condition
To repeat the 8 week course of drug therapy while continuing lifestyle modifications
Investigation with endoscopy, manometry, and/or pH testing
Group A β-hemolytic streptococcal (GABHS) pharyngitis is most common in which age group?
Under 3 years of age
Preschool children
6 to 12 years of age
Adolescents
The most appropriate treatment for a child with mild croup is:
A bronchodilator
An antibiotic
A decongestant
A cool mist vaporizer
A child complains that his "throat hurts" with swallowing. His voice is very "throaty" and he is
hyperextending his neck to talk. Examination reveals asymmetrical swelling of his tonsils. His uvula is
deviated to the left. What is the most likely diagnosis? Peritonsillar abscess
Thyroiditis
