NRNP / NURS 6565 Final Exam Questions With Correct Answers Latest (Score A+)

NRNP / NURS 6565 Final Exam Questions With Correct Answers Latest (Score A+). Sierra, a 42 y/o female, comes to the clinic to follow up on some lab work that was drawn at her last visit. Her labs showed a low TSH and an increase in both her serum free T4 and T3. Sierra’s most likely diagnosis is: Selected Answer: Primary hyperthyroidism (Graves’ disease) Answers: Hypothyroidism Primary hyperthyroidism (Graves’ disease) Primary hyperparathyroidism None of the above Deep palpation of the left lower quadrant of the abdomen causes referred pain to the RLQ. This is a positive for: Selected Answer: Rovsing’s sign Answers: Rovsing’s sign Psoas sign McBurney’s point Murphy’s maneuver Page 2 • Question 7 Rescue drugs for patients with respiratory problems such as asthma or COPD would include both SABAs and LABAs. Selected Answer: Tru e Answers: Tru e Fals e John is a 7 y/o whose mother brings him to the clinic with the following chief complaint: “He fidgets and squirms all the time. His teachers tell me he has difficulty remaining in his seat, talks excessively, can’t wait for his turn, interrupts conversations, and acts like a robot.” Differential diagnoses for John would include all the following except: Selected Answer: Dysfunctional family situation Answers: Autism spectrum disorder Language delay Dysfunctional family situation Laziness 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. After performing a physical exam, the NP diagnoses his condition as: Selected Answer: Impetigo Answers: Mollusca contagiosum Shingles Impetigo Meningococcemia Page 3 Mark is a 2-month-old infant, and he should be able to do all the following tasks except: Selected Answer: Make gurgling sounds Answers: Follow objects past midline Make gurgling sounds Bring hands to mouth Lift head up 45 degrees Andrew, a 41 y/o male resident of Oklahoma, presents to the clinic in July with the following symptoms: fever, chills, severe headache photophobia, and myalgia. He states that since his fever occurred 2 days ago, he now has this rash of petechiae on wrists, forearms, and ankles. The NP, based on these data, diagnoses Andrew with: Selected Answer: Erythema migrans Answers: Rocky Mountain Spotted Fever (RMSF) Atopic dermatitis Erythema migrans Brown recluse spider bite Since UTIs are never "normal" in a male, what should the NP rule out as the cause of the infection? Selected Answer: All of the above Answers: Ureteral stricture Acute prostatitis STDs 0 out of 1 points Page 4 All of the above A & C only Risk factors for Alcohol Use Disorder include which of the following? Selected Answer: A & B only Answers: Family history Stressful life events Low socioeconomic status All of the above A & B only 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: Selected Answer: Gout Answers: Family history of identical condition Low fluid intake Gout Arthritis A & B only Adam is a 10 y/o male who has Koplik’s spots inside the cheeks by the rear molars. The most likely diagnosis is: Selected Answer: Measles Page 5 Answers: Measles Hand, foot, and mouth disease Scarlet fever Varicella 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. His most likely diagnosis is: Selected Answer: Nephrolithiasis (kidney stone) Answers: Acute pyelonephritis Nephrolithiasis (kidney stone) Bladder cancer None of the above What is the earliest age at which one would not give DTap to a child but rather would give Td or Tdap? Selected Answer: 7 years old Answers: 1 year old 2 years old 3 years old 7 years old Page 6 According to the U.S. Preventive Task Force, screening for cervical cancer should not begin in women before the age of: Selected Answer: 20 y/o or younger Answers: 30 y/o or younger 35 y/o or younger 20 y/o or younger 40 y/o or younger Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to selfmedicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat. The most likely diagnosis is: Selected Answer: Gastroesophageal reflux disease (GERD) Answers: Halitosis Peptic ulcer disease Gastroesophageal reflux disease (GERD) A or B only All the following are antihypertensive drugs that can be used in pregnant women except: Selected Answer: ACE inhibitors Answers: Methyldopa Calcium channel blockers Labetalol ACE inhibitors Page 7 Patients with bipolar disorder may have all the following except: Selected Answer: Lower rates of substance abuse Answers: Delusions Hallucinations Lower rates of substance abuse A & B only