NRNP 6531 COMPREHENSIVE EXAM UPDATED QUESTIONS
AND SOLUTIONS GRADED A+
✔✔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? - ✔✔thiazide diuretic
(hypertensive meds such as hydrochlorothiazide and other DM2 meds)
✔✔the physiological explanation of syncope is - ✔✔a cycle of inappropriate
vasodilation, bradycardia, and hypotension.
✔✔The cardinal sign of infectious arthritis is - ✔✔Affected joint is painful at rest, with
movement and weight bearing
✔✔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: - ✔✔Primary
hyperparathyroidism is treated with parathyroidectormyparathyroidectomy
✔✔Which of the following is not appropriate suppression therapy for chronic bacterial
prostatitis? - ✔✔Erythromycin qd
✔✔who is at a higher risk of developing nephrolithiasis? - ✔✔Bill, who runs every day
and takes excessive amount of vitamin C
✔✔Potential side effects of levofloxacin include which of the following? - ✔✔All of the
above (confusion, hypoglycemia, Achilles tendon rupture)
✔✔A patient has just been diagnosed with Bell's palsy. He is understandably upset and
has questions about the prognosis. you response should be - ✔✔The condition is self-
limiting and most likely complete recovery will occur
✔✔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? - ✔✔increase the dosage of the
current Bp med.
✔✔what diabetic complications result from hyperglycemia? - ✔✔1,2,3
- Retinopathy
- Hypertension resistant to treatment
- peripheral neuropathy
, ✔✔the best test to determine microalbuminuria to assist in the diagnosis of diabetic
neuropathy: - ✔✔An early morning spot urine collection
✔✔which of the following antibiotics should not be prescribed for a pregnant woman in
the 3rd trimester? - ✔✔Trimethoprim-sulfamethoxazole
✔✔Martine, a 58-year-old male with diabetes, is at your office for his diabetes follow-up.
On examining his feet with monofilament, you discover that he has developed
decreased sensation in both feet. There are no open areas or signs of infection on his
feet. What health teaching should Maritn receive today regarding the care if his feet? -
✔✔See a podiatrist yearly, wash your feet daily with warm soap water and towel dry
between the toes, inspect your feet daily for lesions, and apply lotion to dry areas.
✔✔the intervention known to be most effective in the treatment of severe depression,
with or without psychosis is - ✔✔Electroconvulsive therapy (ECT)
✔✔The initial clinical sign of Dupuytren's contractures is - ✔✔Painless nodule on
palmer fascia
✔✔Which of the following is the most common complication of the myelodysplastic
syndromes - ✔✔bleeding
✔✔what information should a 42-year-old patient with diagnosed diabetes receive about
exercise? - ✔✔snack before exercise
✔✔what is the most commonly abused substance - ✔✔alcohol
✔✔Sam, age 67 is a diabetic with worsening renal function. he has frequent
hypoglycemia episodes which he believes means that his diabetes is getting "better".
how do you respond - ✔✔"because your kidneys are not functioning well, your insulin is
not being metabolized and excreted as it should so you need less of it"
✔✔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
condition? - ✔✔decrease the evening insulin dose and check capillary blood glucose
(CBG) at 2;00 am
✔✔at what age is screening most likely to detect scoliosis - ✔✔12-14 years
AND SOLUTIONS GRADED A+
✔✔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? - ✔✔thiazide diuretic
(hypertensive meds such as hydrochlorothiazide and other DM2 meds)
✔✔the physiological explanation of syncope is - ✔✔a cycle of inappropriate
vasodilation, bradycardia, and hypotension.
✔✔The cardinal sign of infectious arthritis is - ✔✔Affected joint is painful at rest, with
movement and weight bearing
✔✔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: - ✔✔Primary
hyperparathyroidism is treated with parathyroidectormyparathyroidectomy
✔✔Which of the following is not appropriate suppression therapy for chronic bacterial
prostatitis? - ✔✔Erythromycin qd
✔✔who is at a higher risk of developing nephrolithiasis? - ✔✔Bill, who runs every day
and takes excessive amount of vitamin C
✔✔Potential side effects of levofloxacin include which of the following? - ✔✔All of the
above (confusion, hypoglycemia, Achilles tendon rupture)
✔✔A patient has just been diagnosed with Bell's palsy. He is understandably upset and
has questions about the prognosis. you response should be - ✔✔The condition is self-
limiting and most likely complete recovery will occur
✔✔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? - ✔✔increase the dosage of the
current Bp med.
✔✔what diabetic complications result from hyperglycemia? - ✔✔1,2,3
- Retinopathy
- Hypertension resistant to treatment
- peripheral neuropathy
, ✔✔the best test to determine microalbuminuria to assist in the diagnosis of diabetic
neuropathy: - ✔✔An early morning spot urine collection
✔✔which of the following antibiotics should not be prescribed for a pregnant woman in
the 3rd trimester? - ✔✔Trimethoprim-sulfamethoxazole
✔✔Martine, a 58-year-old male with diabetes, is at your office for his diabetes follow-up.
On examining his feet with monofilament, you discover that he has developed
decreased sensation in both feet. There are no open areas or signs of infection on his
feet. What health teaching should Maritn receive today regarding the care if his feet? -
✔✔See a podiatrist yearly, wash your feet daily with warm soap water and towel dry
between the toes, inspect your feet daily for lesions, and apply lotion to dry areas.
✔✔the intervention known to be most effective in the treatment of severe depression,
with or without psychosis is - ✔✔Electroconvulsive therapy (ECT)
✔✔The initial clinical sign of Dupuytren's contractures is - ✔✔Painless nodule on
palmer fascia
✔✔Which of the following is the most common complication of the myelodysplastic
syndromes - ✔✔bleeding
✔✔what information should a 42-year-old patient with diagnosed diabetes receive about
exercise? - ✔✔snack before exercise
✔✔what is the most commonly abused substance - ✔✔alcohol
✔✔Sam, age 67 is a diabetic with worsening renal function. he has frequent
hypoglycemia episodes which he believes means that his diabetes is getting "better".
how do you respond - ✔✔"because your kidneys are not functioning well, your insulin is
not being metabolized and excreted as it should so you need less of it"
✔✔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
condition? - ✔✔decrease the evening insulin dose and check capillary blood glucose
(CBG) at 2;00 am
✔✔at what age is screening most likely to detect scoliosis - ✔✔12-14 years
