NR 667 Verified Multiple Choice and Conceptual
Actual Emended Exam Questions With
Reviewed 100% Correct Detailed Answers
Guaranteed Pass!!Current Update
1. A 35-year-old man presents with sudden onset of severe flank pain
radiating to the groin, nausea, and vomiting. He reports a history of similar
episodes. What is the most likely diagnosis?
a) Acute cystitis
b) Chronic kidney disease
c) Renal calculi
d) Pyelonephritis - ANSWER Renal calculi
2. A geriatric female presents with complaints of dyspnea and fatigue. All
blood work is normal except for Hgb of 9.0 g/dL, Hct of 33%, and guaiac
positive stool. The patient also reports a bowel pattern of alternating
constipation and diarrhea, and frequent laxative use. Which diagnostic tests
should be ordered?
a) Colonoscopy
b) MRI scan of abdomen
c) Upper GI series
d) CT scan of abdomen - ANSWER Colonoscopy
3. An adult female presents with profus, watery diarrhea and loss of appetite
for the past 5 days with 4-5 stools per day. Stool cultures are positive for C
Diff. Patient cannot afford Vancomycin. The most appropriate antibiotic is:
a) Doxycyline
, b) Bactrim
c) Augmentin
d) Metrondiazole - ANSWER Metrondiazole
4. A 64-year-old female with a past medical history significant for hepatitis C
and Cirrhosis presents to your office with abdominal pain and distention.
Exam reveals tense ascites. Which is indicated for treatment?
a) Labetalol 200mg PO BID
b) Furosemide 40mg PO BID
c) Transfer to the hospital for large Volume paracentesis
d) Midodrine 10mg PO TID - ANSWER Transfer to the hospital for large
Volume paracentesis
5. An adult patient presents with left lower quadrant abdominal tenderness
and a history of diverticular disease. The patient denies any fever or
vomiting, and the last episode was over 10 years ago. Suspecting this is a
mild and uncomplicated episode the best treatment plan is:
a) ciprofloxacin
b) increase whole grain and water intake
c) CT scan
d) CBC and metabolic panel - ANSWER ciprofloxacin
6. Which act formed in 1996 was created to protect patient health information
from being disclosed without the patient's consent or knowledge?
a) Consolidated Omnibus Budget Reconciliation Act (COBRA)
b) Emergency Medical Treatment and Labor Act (EMTALA)
c) Health Insurance Portability and Acountability Act (HIPAA)
d) Family Educational Rights and Protection Act (FERPA) - ANSWER
Health Insurance Portability and Acountability Act (HIPAA)
,7. Which of the following risks of patient use of convenient/urgent care may
increase the risk of a nurse practitioner to miss subtle changes in the
patient's condition over time?
a) Over testing
b) Overuse of medical imaging
c) Lack of longitudinal management and trending
d) Repeating of tests - ANSWER Lack of longitudinal management and
trending
8. An 87-year-old female has a history of ovarian cancer. She recently
completed the tenth of 26 chemotherapy treatments. She informs the
nurse practitioner that she plans to stop chemotherapy; she has lived a
good life and is ready to die. She is alert and very active, and lives with her
son. The family is determined that the patient will complete the
chemotherapy. The nurse practitioner's most appropriate action is to:
a) support the patient's decision.
b) refer the family for counseling.
c) encourage treatment.
d) follow the family's requests - ANSWER support the patient's decision.
9. Evidence based health screening is utilized with an understanding of the
limits of interpreting the results. In this context, the term sensitivity refers
to the ability of a test to:
- Detect an abnormal condition when it exists
- Detect the prevalence of a given condition
- Identify the specific condition
, - Provide reproducible results - ANSWER Detect an abnormal condition
when it exists
10.Your irate patient on involuntary hold due to risk of harm to themself or
others says they are going to "kill you when you leave work after they get
discharged". This statement is an example of which of the following?
- Verbal battery
- Verbal assault
- Emotional battery
- None of these options - ANSWER Verbal assault
11.Which of the following bacteria are more commonly associated with
pharyngitis?
- Proteus
- Enterococcus
- Streptomyces
- Group A Streptococcus - ANSWER Group A Streptococcus
12.Workup to rule out cardiac source of an embolic stroke should include
which of the following exams?
- CT facial bones
- 12 Lead EKG
- CT chest without contrast
- Transthoracic or Transesophageal echocardiogram - ANSWER
Transthoracic or Transesophageal echocardiogram
13.Which of the following best characterizes presbycusis in the older adult?
Actual Emended Exam Questions With
Reviewed 100% Correct Detailed Answers
Guaranteed Pass!!Current Update
1. A 35-year-old man presents with sudden onset of severe flank pain
radiating to the groin, nausea, and vomiting. He reports a history of similar
episodes. What is the most likely diagnosis?
a) Acute cystitis
b) Chronic kidney disease
c) Renal calculi
d) Pyelonephritis - ANSWER Renal calculi
2. A geriatric female presents with complaints of dyspnea and fatigue. All
blood work is normal except for Hgb of 9.0 g/dL, Hct of 33%, and guaiac
positive stool. The patient also reports a bowel pattern of alternating
constipation and diarrhea, and frequent laxative use. Which diagnostic tests
should be ordered?
a) Colonoscopy
b) MRI scan of abdomen
c) Upper GI series
d) CT scan of abdomen - ANSWER Colonoscopy
3. An adult female presents with profus, watery diarrhea and loss of appetite
for the past 5 days with 4-5 stools per day. Stool cultures are positive for C
Diff. Patient cannot afford Vancomycin. The most appropriate antibiotic is:
a) Doxycyline
, b) Bactrim
c) Augmentin
d) Metrondiazole - ANSWER Metrondiazole
4. A 64-year-old female with a past medical history significant for hepatitis C
and Cirrhosis presents to your office with abdominal pain and distention.
Exam reveals tense ascites. Which is indicated for treatment?
a) Labetalol 200mg PO BID
b) Furosemide 40mg PO BID
c) Transfer to the hospital for large Volume paracentesis
d) Midodrine 10mg PO TID - ANSWER Transfer to the hospital for large
Volume paracentesis
5. An adult patient presents with left lower quadrant abdominal tenderness
and a history of diverticular disease. The patient denies any fever or
vomiting, and the last episode was over 10 years ago. Suspecting this is a
mild and uncomplicated episode the best treatment plan is:
a) ciprofloxacin
b) increase whole grain and water intake
c) CT scan
d) CBC and metabolic panel - ANSWER ciprofloxacin
6. Which act formed in 1996 was created to protect patient health information
from being disclosed without the patient's consent or knowledge?
a) Consolidated Omnibus Budget Reconciliation Act (COBRA)
b) Emergency Medical Treatment and Labor Act (EMTALA)
c) Health Insurance Portability and Acountability Act (HIPAA)
d) Family Educational Rights and Protection Act (FERPA) - ANSWER
Health Insurance Portability and Acountability Act (HIPAA)
,7. Which of the following risks of patient use of convenient/urgent care may
increase the risk of a nurse practitioner to miss subtle changes in the
patient's condition over time?
a) Over testing
b) Overuse of medical imaging
c) Lack of longitudinal management and trending
d) Repeating of tests - ANSWER Lack of longitudinal management and
trending
8. An 87-year-old female has a history of ovarian cancer. She recently
completed the tenth of 26 chemotherapy treatments. She informs the
nurse practitioner that she plans to stop chemotherapy; she has lived a
good life and is ready to die. She is alert and very active, and lives with her
son. The family is determined that the patient will complete the
chemotherapy. The nurse practitioner's most appropriate action is to:
a) support the patient's decision.
b) refer the family for counseling.
c) encourage treatment.
d) follow the family's requests - ANSWER support the patient's decision.
9. Evidence based health screening is utilized with an understanding of the
limits of interpreting the results. In this context, the term sensitivity refers
to the ability of a test to:
- Detect an abnormal condition when it exists
- Detect the prevalence of a given condition
- Identify the specific condition
, - Provide reproducible results - ANSWER Detect an abnormal condition
when it exists
10.Your irate patient on involuntary hold due to risk of harm to themself or
others says they are going to "kill you when you leave work after they get
discharged". This statement is an example of which of the following?
- Verbal battery
- Verbal assault
- Emotional battery
- None of these options - ANSWER Verbal assault
11.Which of the following bacteria are more commonly associated with
pharyngitis?
- Proteus
- Enterococcus
- Streptomyces
- Group A Streptococcus - ANSWER Group A Streptococcus
12.Workup to rule out cardiac source of an embolic stroke should include
which of the following exams?
- CT facial bones
- 12 Lead EKG
- CT chest without contrast
- Transthoracic or Transesophageal echocardiogram - ANSWER
Transthoracic or Transesophageal echocardiogram
13.Which of the following best characterizes presbycusis in the older adult?
