NRNP 6531 Midterm Exam Health
Assessment | Exam-Focused Q&A
(Updated)
The most common cancer found on the auricle is: - ---correct answer----
Basal Cell Carcinoma
Which of the following medication classes should be avoided in patients with
acute or chronic bronchitis because it will contribute to ventilation-perfusion
mismatch in the patient?
Xanthines
Antihistimines
Steroids
,Anticholinergics - ---correct answer----Antihistamines
A 47 year old male patient presents to the clinic with a single episode of a
moderate amount of bright red rectal bleeding. On examination, external
hemorrhoids are noted. How should the nurse practitioner proceed?
Instruct the patient on measures to prevent hemorrhoids such as bowel habits
and diet.
Order a topical hemorrhoid cream along with a stool softener.
Refer the patient for a barium enema and sigmoidoscopy.
Refer the patient for a surgical hemorrhoidectomy. - ---correct answer----
Refer the patient for a barium enema and sigmoidoscopy.
Which of the following patient characteristics are associated with chronic
bronchitis?
Overweight, cyanosis, and normal or slightly increased respiratory rate
Underweight, pink skin, and increased respiratory rate
Overweight, pink skin, and normal or slightly increased respiratory rate
Normal weight, cyanosis, and greatly increased respiratory rate - ---correct
answer----Overweight, cyanosis, and normal or slightly increased respiratory
rate
,A 65-year-old female with a past medical history of hypertension, hyperlipidemia,
and polymyalgia rheumatica presents to urgent care with new onset left lower
quadrant pain. Her current medications include omeprazole 20 milligrams po
daily, lisinopril 20 milligrams po daily, simvastatin 20 milligrams po daily, and
prednisone 12 milligrams po daily. The nurse practitioner suspects acute
diverticulitis and possibly an abscess. The most appropriate diagnostic test for this
patient at this time is:
CBC/diff
Erythrocyte sedimentation rate
Abdominal ultrasound
CT scan - ---correct answer----CT scan
A patient reports "something flew in my eye" about an hour ago while he was
splitting logs. If there were a foreign body in his eye, the nurse practitioner would
expect to find all except:
Purulent drainage
Tearing
Photophobia
A positive fluorescein stain - ---correct answer----Purulent drainage
, A 21 year old college student presents to the student health center with copious,
markedly purulent discharge from her left eye. The nurse practitioner student
should suspect:
Viral conjunctivitis
Common pink eye
Gonococcal conjunctivitis
Allergic conjunctivitis - ---correct answer----Gonococcal conjunctivitis
A 35 year old man presents with radicular pain followed by the appearance of
grouped vesicles consisting of about 15 lesions across 3 different thoracic
dermatomes. He complains of pain, burning, and itching. The nurse practitioner
should suspect:
A common case of shingles and prescribe an analgesic and an antiviral agent
A complicated case of shingles and prescribe acyclovir, an analgesic, and a topical
cortisone cream
Herpes zoster and consider that this patient may be immunocompromised
A recurrence of chickenpox and treat the patient's symptoms - ---correct
answer----Herpes zoster and consider that this patient may be
immunocompromised
Assessment | Exam-Focused Q&A
(Updated)
The most common cancer found on the auricle is: - ---correct answer----
Basal Cell Carcinoma
Which of the following medication classes should be avoided in patients with
acute or chronic bronchitis because it will contribute to ventilation-perfusion
mismatch in the patient?
Xanthines
Antihistimines
Steroids
,Anticholinergics - ---correct answer----Antihistamines
A 47 year old male patient presents to the clinic with a single episode of a
moderate amount of bright red rectal bleeding. On examination, external
hemorrhoids are noted. How should the nurse practitioner proceed?
Instruct the patient on measures to prevent hemorrhoids such as bowel habits
and diet.
Order a topical hemorrhoid cream along with a stool softener.
Refer the patient for a barium enema and sigmoidoscopy.
Refer the patient for a surgical hemorrhoidectomy. - ---correct answer----
Refer the patient for a barium enema and sigmoidoscopy.
Which of the following patient characteristics are associated with chronic
bronchitis?
Overweight, cyanosis, and normal or slightly increased respiratory rate
Underweight, pink skin, and increased respiratory rate
Overweight, pink skin, and normal or slightly increased respiratory rate
Normal weight, cyanosis, and greatly increased respiratory rate - ---correct
answer----Overweight, cyanosis, and normal or slightly increased respiratory
rate
,A 65-year-old female with a past medical history of hypertension, hyperlipidemia,
and polymyalgia rheumatica presents to urgent care with new onset left lower
quadrant pain. Her current medications include omeprazole 20 milligrams po
daily, lisinopril 20 milligrams po daily, simvastatin 20 milligrams po daily, and
prednisone 12 milligrams po daily. The nurse practitioner suspects acute
diverticulitis and possibly an abscess. The most appropriate diagnostic test for this
patient at this time is:
CBC/diff
Erythrocyte sedimentation rate
Abdominal ultrasound
CT scan - ---correct answer----CT scan
A patient reports "something flew in my eye" about an hour ago while he was
splitting logs. If there were a foreign body in his eye, the nurse practitioner would
expect to find all except:
Purulent drainage
Tearing
Photophobia
A positive fluorescein stain - ---correct answer----Purulent drainage
, A 21 year old college student presents to the student health center with copious,
markedly purulent discharge from her left eye. The nurse practitioner student
should suspect:
Viral conjunctivitis
Common pink eye
Gonococcal conjunctivitis
Allergic conjunctivitis - ---correct answer----Gonococcal conjunctivitis
A 35 year old man presents with radicular pain followed by the appearance of
grouped vesicles consisting of about 15 lesions across 3 different thoracic
dermatomes. He complains of pain, burning, and itching. The nurse practitioner
should suspect:
A common case of shingles and prescribe an analgesic and an antiviral agent
A complicated case of shingles and prescribe acyclovir, an analgesic, and a topical
cortisone cream
Herpes zoster and consider that this patient may be immunocompromised
A recurrence of chickenpox and treat the patient's symptoms - ---correct
answer----Herpes zoster and consider that this patient may be
immunocompromised
