NRNP 6531 Final Exam compilation-with 100% verified Myasthenia gravis
Huntington's chorea
solutions-2023
Question 2. Which of the following is a potential acquired cause of thrombophilia
Homocystinuria
Protein C deficiency
Factor V Leiden
Antiphospholipid antibodies
Question 3
Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of:
Ulnar tunnel syndrome
Carpal tunnel syndrome
Tarsal tunnel syndrome
Myofascial pain syndrome
Question 4
Which patient would benefit most from screening for type 2 diabetes?
A 30 year old female with unintended weight loss.
A 25 year old male with family history of type 1
diabetes An obese female with recurrent vaginitis
A 50 year old hyperlipidemic male
Question 5
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?
Rheumatoid arthritis (RA)
Osteoarthritis (OA)
Lupus
Peripheral neuropathy
Question 6
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 days
Ciprofloxacin for 7-10 days
Trimethoprim-sulfamethoxazole for 14 days
Ciprofloxacin for 3 days
A thymectomy is usually recommended in the early treatment of which disease?
Parkinson's disease
Multiple sclerosis
, pain.
Question 8
When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection.
The diagnosis of human papilloma virus (HPV) infection in males is usually made by
As a part of a pre-employment physical when heavy lifting is included in the job description.
Clinical appearance
Question 12
Viral culture
After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been
Tzanck smear
cured?
KOH prep
An enzyme-linked immunosorbent assay titer
Question 9
A urea breath test
The most effective intervention(s) to prevent stroke is (are):
A rapid urease test
81 mg of aspirin daily A repeat endoscopy
Carotid endarterectomy for patients with high-grade carotid lesions
Question 13
Routine screening for carotid artery stenosis with auscultation for bruits
Which appropriate test for the initial assessment of Alzheimer's disease provides the performance
Smoking cessation and treatment of hypertension
ratings on 10 complex, higher order activities?
Question 10
MMSE
What is the most common cause of Cushing's syndrome?
CAGE questionnaire
Excessive ACTH production FAQ - Functional Activities Questionnaire
Administration of a glucocorticoid or Holmes and Rahe social readjustment scale
ACTH
Question 14
Pituitary adenoma or a non-pituitary ACTH-producing tumor
Major depression occurs most often in which of the following conditions?
Autonomous cortisol production from adrenal tissue
A. Myocardial infarction
Question 11
Parkinson's disease
Diagnostic radiological studies are indicated for low back pain:
Stroke
Routinely after 3 weeks of low back pain symptoms. Alzheimer's disease
To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of more of low back
Question 15
Which of the following statements about multiple sclerosis (MS) is correct?
MS is a chronic, untreatable illness that is almost always fatal.
MS is a disease of steadily progressive and unrelenting neurologic deterioration.
MS is a chronic, treatable illness with unknown cause and a variable course.
Patients with MS who take active steps to improve their health have the best cure rate.
Question 16
Diagnostic evaluation of hypothyroidism reveals:
Elevated TSH and decreased T4
Decreased TSH and increased T4
Decreased TSH and decreased T3
Elevated TSH and increased T4
,Question 17 Traumatic fracture
Risk factors for prostate cancer include all of the following except: Osteoporosis
Family history Question 23
Benign prostatic hypertrophy A middle-aged female presents complaining of recent weight loss. The physical exam reveals an enlarged
African American race painless cervical lymph node. The differential diagnosis for this patient's problem includes:
Age
Infection
Question 18 Toxoplasmosis
What information should patients with diabetes and their families receive about hypoglycemia? Mononucleosis
All of the above
Hypoglycemia is a rare complication. None of the above
Hypoglycemia requires professional medical treatment.
Hypoglycemia is serious, dangerous, and can be fatal if not treated quickly. Question 24
Hypoglycemia occurs only as a result of insulin overdose. 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?
Question 19
Which history is commonly found in a patient with glomerulonephritis? Weight gain
Fracture risk
Beta-hemolytic strep infection Hypoglycemia
Frequent urinary tract infections Weight loss
Kidney stones
Hypotension Question 25
A patient has HIV infection and is having a problem with massive diarrhea. You suspect the cause is
Question 20
Which of the following is characteristic of a manic episode? cryptococcosis
toxoplasmosis
weight loss of gain cryptosporidiosis
insomnia or hypersomnia cytomegalovirus
diminished ability to think or
concentrate grandiose delusions Question 26
Which of the following is the most common causative organism of nongonococcal urethritis?
Question 21
Central obesity, "moon" face, and dorsocervical fat pad are associated with: Chlamydia trachomatis
Ureaplasma urealyticum
Metabolic syndrome Mycoplasma hominis
Unilateral pheochromocytoma Trichonomas vaginalis
Cushing's syndrome
None of the above Question 27
The most common symptoms of transient ischemic attack (TIA) include
Question 22
Which of the following is the most common cause of low back pain? Nausea, vomiting, syncope, incontinence, dizziness, and seizure.
Weakness in an extremity, abruptly slurred speech, or partial loss of vision, and sudden gait changes.
Lumbar disc disease Headache and visual symptoms such as bright spots or sparkles crossing the visual field.
Spinal stenosis Gradual onset of ataxia, vertigo, generalized weakness, or lightheadedness
, Walden University NRNP 6531 Final Exam compilation Questions Walden University NRNP 6531 Final Exam compilation Questions
and Answers 100%Correct/Verified Assured Success New 2023!!! and Answers 100%Correct/Verified Assured Success New 2023!!!
Question 28 Question 33
What is the first symptom seen in the majority of patients with Parkinson's disease? Which of the following is a contraindication for metformin therapy?
Rigidity Insulin therapy
Bradykinesia Creatinine > 1.5
Rest tremor Edema
Flexed posture None of the above
Question 29 Question 34
A 21-year-old female presents to the office complaining of urinary frequency and urinary burning. The A positive drawer sign supports a diagnosis of:
nurse practitioner suspects a urinary tract infection when the urinalysis reveals
Sciatica
1-4 red blood cells per high-powered Cruciate ligament injury
field Specific gravity 1.012 Meniscal injury
Urobilinogen Patellar ligament injury
10- white blood cells per high-powered field
Question 35
Question 30 Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower
A 26 year old female presents with elbow pain that is described as aching and burning. There is point esophageal sphincter pressure, which substances do you recommend that he avoid?
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: Apples
Peppermint
Radial tunnel syndrome Cucumbers
Ulnar collateral ligament sprain Popsicles
Olecranon bursitis
Lateral epicondylitis: Tennis Elbow Question 36
A patient taking levothyroxine is being over-replaced. What condition is he at risk for?
Question 31
Maria, age 17, was raped when she was 13 year old. She is now experiencing sleeping problems, Osteoporosis
flashbacks, and depression. What is your initial diagnosis? Constipation
Depression
Depression Exopthalmia
Panic disorder
Anxiety Question 37
Post-traumatic stress disorder Diabetes screening recommendations for asymptomatic adults age 45 and over include which of the
following:
Question 32
An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he HbA1C
returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an 2-hour 75 gram oral glucose tolerance
edematous, erythematous tender left great toe. The likely precipitant of this patient's pain is: test C-peptide level
A and B
Trauma All of the above
Tight shoes
Arthritis flare
Hydrochlorothiazide
Huntington's chorea
solutions-2023
Question 2. Which of the following is a potential acquired cause of thrombophilia
Homocystinuria
Protein C deficiency
Factor V Leiden
Antiphospholipid antibodies
Question 3
Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of:
Ulnar tunnel syndrome
Carpal tunnel syndrome
Tarsal tunnel syndrome
Myofascial pain syndrome
Question 4
Which patient would benefit most from screening for type 2 diabetes?
A 30 year old female with unintended weight loss.
A 25 year old male with family history of type 1
diabetes An obese female with recurrent vaginitis
A 50 year old hyperlipidemic male
Question 5
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?
Rheumatoid arthritis (RA)
Osteoarthritis (OA)
Lupus
Peripheral neuropathy
Question 6
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 days
Ciprofloxacin for 7-10 days
Trimethoprim-sulfamethoxazole for 14 days
Ciprofloxacin for 3 days
A thymectomy is usually recommended in the early treatment of which disease?
Parkinson's disease
Multiple sclerosis
, pain.
Question 8
When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection.
The diagnosis of human papilloma virus (HPV) infection in males is usually made by
As a part of a pre-employment physical when heavy lifting is included in the job description.
Clinical appearance
Question 12
Viral culture
After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been
Tzanck smear
cured?
KOH prep
An enzyme-linked immunosorbent assay titer
Question 9
A urea breath test
The most effective intervention(s) to prevent stroke is (are):
A rapid urease test
81 mg of aspirin daily A repeat endoscopy
Carotid endarterectomy for patients with high-grade carotid lesions
Question 13
Routine screening for carotid artery stenosis with auscultation for bruits
Which appropriate test for the initial assessment of Alzheimer's disease provides the performance
Smoking cessation and treatment of hypertension
ratings on 10 complex, higher order activities?
Question 10
MMSE
What is the most common cause of Cushing's syndrome?
CAGE questionnaire
Excessive ACTH production FAQ - Functional Activities Questionnaire
Administration of a glucocorticoid or Holmes and Rahe social readjustment scale
ACTH
Question 14
Pituitary adenoma or a non-pituitary ACTH-producing tumor
Major depression occurs most often in which of the following conditions?
Autonomous cortisol production from adrenal tissue
A. Myocardial infarction
Question 11
Parkinson's disease
Diagnostic radiological studies are indicated for low back pain:
Stroke
Routinely after 3 weeks of low back pain symptoms. Alzheimer's disease
To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of more of low back
Question 15
Which of the following statements about multiple sclerosis (MS) is correct?
MS is a chronic, untreatable illness that is almost always fatal.
MS is a disease of steadily progressive and unrelenting neurologic deterioration.
MS is a chronic, treatable illness with unknown cause and a variable course.
Patients with MS who take active steps to improve their health have the best cure rate.
Question 16
Diagnostic evaluation of hypothyroidism reveals:
Elevated TSH and decreased T4
Decreased TSH and increased T4
Decreased TSH and decreased T3
Elevated TSH and increased T4
,Question 17 Traumatic fracture
Risk factors for prostate cancer include all of the following except: Osteoporosis
Family history Question 23
Benign prostatic hypertrophy A middle-aged female presents complaining of recent weight loss. The physical exam reveals an enlarged
African American race painless cervical lymph node. The differential diagnosis for this patient's problem includes:
Age
Infection
Question 18 Toxoplasmosis
What information should patients with diabetes and their families receive about hypoglycemia? Mononucleosis
All of the above
Hypoglycemia is a rare complication. None of the above
Hypoglycemia requires professional medical treatment.
Hypoglycemia is serious, dangerous, and can be fatal if not treated quickly. Question 24
Hypoglycemia occurs only as a result of insulin overdose. 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?
Question 19
Which history is commonly found in a patient with glomerulonephritis? Weight gain
Fracture risk
Beta-hemolytic strep infection Hypoglycemia
Frequent urinary tract infections Weight loss
Kidney stones
Hypotension Question 25
A patient has HIV infection and is having a problem with massive diarrhea. You suspect the cause is
Question 20
Which of the following is characteristic of a manic episode? cryptococcosis
toxoplasmosis
weight loss of gain cryptosporidiosis
insomnia or hypersomnia cytomegalovirus
diminished ability to think or
concentrate grandiose delusions Question 26
Which of the following is the most common causative organism of nongonococcal urethritis?
Question 21
Central obesity, "moon" face, and dorsocervical fat pad are associated with: Chlamydia trachomatis
Ureaplasma urealyticum
Metabolic syndrome Mycoplasma hominis
Unilateral pheochromocytoma Trichonomas vaginalis
Cushing's syndrome
None of the above Question 27
The most common symptoms of transient ischemic attack (TIA) include
Question 22
Which of the following is the most common cause of low back pain? Nausea, vomiting, syncope, incontinence, dizziness, and seizure.
Weakness in an extremity, abruptly slurred speech, or partial loss of vision, and sudden gait changes.
Lumbar disc disease Headache and visual symptoms such as bright spots or sparkles crossing the visual field.
Spinal stenosis Gradual onset of ataxia, vertigo, generalized weakness, or lightheadedness
, Walden University NRNP 6531 Final Exam compilation Questions Walden University NRNP 6531 Final Exam compilation Questions
and Answers 100%Correct/Verified Assured Success New 2023!!! and Answers 100%Correct/Verified Assured Success New 2023!!!
Question 28 Question 33
What is the first symptom seen in the majority of patients with Parkinson's disease? Which of the following is a contraindication for metformin therapy?
Rigidity Insulin therapy
Bradykinesia Creatinine > 1.5
Rest tremor Edema
Flexed posture None of the above
Question 29 Question 34
A 21-year-old female presents to the office complaining of urinary frequency and urinary burning. The A positive drawer sign supports a diagnosis of:
nurse practitioner suspects a urinary tract infection when the urinalysis reveals
Sciatica
1-4 red blood cells per high-powered Cruciate ligament injury
field Specific gravity 1.012 Meniscal injury
Urobilinogen Patellar ligament injury
10- white blood cells per high-powered field
Question 35
Question 30 Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower
A 26 year old female presents with elbow pain that is described as aching and burning. There is point esophageal sphincter pressure, which substances do you recommend that he avoid?
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: Apples
Peppermint
Radial tunnel syndrome Cucumbers
Ulnar collateral ligament sprain Popsicles
Olecranon bursitis
Lateral epicondylitis: Tennis Elbow Question 36
A patient taking levothyroxine is being over-replaced. What condition is he at risk for?
Question 31
Maria, age 17, was raped when she was 13 year old. She is now experiencing sleeping problems, Osteoporosis
flashbacks, and depression. What is your initial diagnosis? Constipation
Depression
Depression Exopthalmia
Panic disorder
Anxiety Question 37
Post-traumatic stress disorder Diabetes screening recommendations for asymptomatic adults age 45 and over include which of the
following:
Question 32
An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he HbA1C
returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an 2-hour 75 gram oral glucose tolerance
edematous, erythematous tender left great toe. The likely precipitant of this patient's pain is: test C-peptide level
A and B
Trauma All of the above
Tight shoes
Arthritis flare
Hydrochlorothiazide
