NRNP 6531 Final Exam Practice Complete Questions with Correct Answers

NRNP 6531 Final Exam Practice Complete Questions with Correct Answers Which of the following is a potential acquired cause of thrombophilia Antiphospholipid antibodies Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of: Carpal tunnel syndrome Which patient would benefit most from screening for type 2 diabetes? an obese female with recurrent vaginitis A 72 year old female patient reports a 6 month history of gradually progressive swollen and painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is the most likely diagnosis? ostheoaethritis A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be: trimethoprim sulfamethoxazole for 3 dyas A thymectomy is usually recommended in the early treatment of which disease? Myasthenia Gravis The diagnosis of human papilloma virus (HPV) infection in males is usually made by clinical appearance (examination of the lesison) The most effective intervention(s) to prevent stroke is (are): smoking cessation and treatment of hypertension What is the most common cause of Cushing's syndrome? Administration of a glucocorticoid or ACTH Which of the following medications may predispose the patient to hypoglycemia? Beta-adrenergic blockers Diagnostic radiological studies are indicated for low back pain: When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection. After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been cured? A urea breath test Which appropriate test for the initial assessment of Alzheimer's disease provides the performance ratings on 10 complex, higher order activities? FAQ - Functional Activities Questionnaire Major depression occurs most often in which of the following conditions? stroke Which of the following statements about multiple sclerosis (MS) is correct? MS is a chronic, treatable illness with unknown cause and a variable course. Diagnostic evaluation of hypothyroidism reveals: Elevated TSH and decreased T4 Risk factors for prostate cancer include all of the following except: Benign prostatic hypertrophy What information should patients with diabetes and their families receive about hypoglycemia? Hypoglycemia is serious, dangerous, and can be fatal if not treated quickly. Which history is commonly found in a patient with glomerulonephritis? Beta-hemolytic streptococcal infection (uri or skin infection caused by these bacteria) Which of the following is characteristic of a manic episode? grandiose delusions (A 1 week period of expansive elevated or irritable mood) Central obesity, "moon" face, and dorsocervical fat pad are associated with: Cushings syndrome Which of the following is the most common cause of low back pain? Lumbar disc disease A middle-aged female presents complaining of recent weight loss. The physical exam reveals an enlarged painless cervical lymph node. The differential diagnosis for this patient's problem includes: infection An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for this patient, the nurse practitioner is most concerned with which of the following side effects? Hypoglycemia A patient has HIV infection and is having a problem with massive diarrhea. You suspect the cause is cryptosporidiosis Which of the following is the most common causative organism of nongonococcal urethritis? Chlamydia trachomatis The most common symptoms of transient ischemic attack (TIA) include lower limb weakness, slur speech, partial vision loss, gait change Diagnostic evaluation for urinary calculi includes: A.Urinalysis and culture B. Non contrast CT C. Serum calcium D. All of the above D. All of the above What is the first symptom seen in the majority of patients with Parkinson's disease? resting tremor A 21-year-old female presents to the office complaining of urinary frequency and urinary burning. The nurse practitioner suspects a urinary tract infection when the urinalysis reveals 10- white blood cells per high-powered field A 26 year old female presents with elbow pain that is described as aching and burning. There is point tenderness along the lateral aspect of the elbow and painful passive flexion and extension. She reports she has been playing tennis almost daily for the past month. The most likely diagnosis is: Lateral epicondylitis Maria, age 17, was raped when she was 13 year old. She is now experiencing sleeping problems, flashbacks, and depression. What is your initial diagnosis? PTSD An elderly man is started on lisinopril and hydrochlorothiazide for hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender left great toe. The likely precipitant of this patient's pain is: hydrochlorhiazide Which of the following is a contraindication for metformin therapy? Creatinine > 1.5