NRNP 6531 final
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 - ANSWER-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: - ANSWER-
Lateral epicondylitis
A 28 years old female presents to the office requesting testing for the diagnosis of hereditary
thrombophilia. her father recently had a deep vein thrombosis and she is concerned about her risk
factors the nurse practitioner explains that: - ANSWER-B and D
(Hereditary thrombophilia does not always require anticoagulation therapy and genetic and risk
managment counseling are recommended)
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: - ANSWER-trimethoprim sulfamethoxazole for 3 dyas
A 60-year-old male patient with multiple health problems presents with a complain of erectile
dysfunction (ED). of the following which medication is most likely to be causing the problem? - ANSWER-
thiazide diuretic
(hypertensive meds such as hydrochlorothiazide and other DM2 meds)
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? - ANSWER-ostheoaethritis
A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse to practice
what the treatment for this disorder is. The NP explains: - ANSWER-Primary hyperparathyroidism is
treated with parathyroidectormyparathyroidectomy
A 77-year-old female presents to the office complaining a sudden swelling on her right elbow. She
denies fever, chills, trauma, or pain. The physical exam reveals a non-tender area of swelling over the
extensor surface over the right elbow with evidence of trauma or irritation. The nurse practitioner
suspects: - ANSWER-olecranon bursitis
A child with type 1 diabetes mellitus has experienced excessive hunger, weight gain and increasing
hyperglycemia. The Somogyi effect is suspected. What steps should be taken to diagnose and treat this
, NRNP 6531 final
condition? - ANSWER-decrease the evening insulin dose and check capillary blood glucose (CBG) at 2;00
am
a client has excessive blood loss and prolonged hypotension during surgery. his postoperative urine
output is sharply decreased, and his urea nitrogen (BUN) is elevated. the most likely cause of the change
is acute. - ANSWER-bladder outlet obstruction
a diabetic patient is taking low-dose enalapril for hypertension. a record of the patient's blood pressure
over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg diastolic. how should the NP
respond? - ANSWER-increase the dosage of the current Bp med.
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: -
ANSWER-infection
A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the following
medications may be used to treat generalized anxiety disorder? - ANSWER-
A patient has been taking fluoxetine (Prozac) since being diagnosed with major depression, first episode,
2 months ago. She reports considerable improvement in her symptoms and her intention to discontinue
the medication. What should be the nurse practitioner's recommendation? - ANSWER-Recommend that
the patient continue the antidepressant medication for at least 4 more months
A patient has HIV infection and is having a problem with massive diarrhea. You suspect the cause is -
ANSWER-cryptosporidiosis
A patient has just been diagnosed with Bell's palsy. He is understandably upset and has questions about
the prognosis. you response should be - ANSWER-The condition is self-limiting and most likely complete
recovery will occur
A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified
as: - ANSWER-overweight
A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals hyponatremia,
hyperkalemia, and hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks later
with the same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What
action(s) should the nurse practitioner take? - ANSWER-Obtain a thorough history and physical, and
check serum cortisol and ACTH levels.
A patient taking levothyroxine is being over-replaced. What condition is he at risk for? - ANSWER-
osteoporosis
a patient who has had a swollen, non-tender scrotum for one week is found to have a mass within the
tunica vaginalis that transilluminates readily. the family nurse practitioner suspects. - ANSWER-a
hydrocele
A positive drawer sign supports a diagnosis of: - ANSWER-Cruciate ligament injury
A thymectomy is usually recommended in the early treatment of which disease? - ANSWER-Myasthenia
Gravis
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 - ANSWER-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: - ANSWER-
Lateral epicondylitis
A 28 years old female presents to the office requesting testing for the diagnosis of hereditary
thrombophilia. her father recently had a deep vein thrombosis and she is concerned about her risk
factors the nurse practitioner explains that: - ANSWER-B and D
(Hereditary thrombophilia does not always require anticoagulation therapy and genetic and risk
managment counseling are recommended)
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: - ANSWER-trimethoprim sulfamethoxazole for 3 dyas
A 60-year-old male patient with multiple health problems presents with a complain of erectile
dysfunction (ED). of the following which medication is most likely to be causing the problem? - ANSWER-
thiazide diuretic
(hypertensive meds such as hydrochlorothiazide and other DM2 meds)
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? - ANSWER-ostheoaethritis
A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse to practice
what the treatment for this disorder is. The NP explains: - ANSWER-Primary hyperparathyroidism is
treated with parathyroidectormyparathyroidectomy
A 77-year-old female presents to the office complaining a sudden swelling on her right elbow. She
denies fever, chills, trauma, or pain. The physical exam reveals a non-tender area of swelling over the
extensor surface over the right elbow with evidence of trauma or irritation. The nurse practitioner
suspects: - ANSWER-olecranon bursitis
A child with type 1 diabetes mellitus has experienced excessive hunger, weight gain and increasing
hyperglycemia. The Somogyi effect is suspected. What steps should be taken to diagnose and treat this
, NRNP 6531 final
condition? - ANSWER-decrease the evening insulin dose and check capillary blood glucose (CBG) at 2;00
am
a client has excessive blood loss and prolonged hypotension during surgery. his postoperative urine
output is sharply decreased, and his urea nitrogen (BUN) is elevated. the most likely cause of the change
is acute. - ANSWER-bladder outlet obstruction
a diabetic patient is taking low-dose enalapril for hypertension. a record of the patient's blood pressure
over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg diastolic. how should the NP
respond? - ANSWER-increase the dosage of the current Bp med.
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: -
ANSWER-infection
A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the following
medications may be used to treat generalized anxiety disorder? - ANSWER-
A patient has been taking fluoxetine (Prozac) since being diagnosed with major depression, first episode,
2 months ago. She reports considerable improvement in her symptoms and her intention to discontinue
the medication. What should be the nurse practitioner's recommendation? - ANSWER-Recommend that
the patient continue the antidepressant medication for at least 4 more months
A patient has HIV infection and is having a problem with massive diarrhea. You suspect the cause is -
ANSWER-cryptosporidiosis
A patient has just been diagnosed with Bell's palsy. He is understandably upset and has questions about
the prognosis. you response should be - ANSWER-The condition is self-limiting and most likely complete
recovery will occur
A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified
as: - ANSWER-overweight
A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals hyponatremia,
hyperkalemia, and hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks later
with the same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What
action(s) should the nurse practitioner take? - ANSWER-Obtain a thorough history and physical, and
check serum cortisol and ACTH levels.
A patient taking levothyroxine is being over-replaced. What condition is he at risk for? - ANSWER-
osteoporosis
a patient who has had a swollen, non-tender scrotum for one week is found to have a mass within the
tunica vaginalis that transilluminates readily. the family nurse practitioner suspects. - ANSWER-a
hydrocele
A positive drawer sign supports a diagnosis of: - ANSWER-Cruciate ligament injury
A thymectomy is usually recommended in the early treatment of which disease? - ANSWER-Myasthenia
Gravis
