NRNP 6531 Midterm Exam Review | Key
Concepts & Practice Questions
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? - ---correct answer----Antihistimines
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? - ---
correct answer----Refer the patient for a barium enema and sigmoidoscopy.
Which of the following patient characteristics are associated with chronic
bronchitis? - ---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: - ---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: - ---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: - ---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: - ---correct answer----Herpes zoster and consider that this
patient may be immunocompromised
Which type of lung cancer has the poorest prognosis? - ---correct answer----
Small cell carcinoma
An 83-year-old female presents to the office complaining of diarrhea for several
days. She explains she has even had fecal incontinence one time. She describes
loose stools 3-4 times a day for several weeks and denies fever, chills, pain, recent
, antibiotic use. The history suggests that the patient has: - ---correct answer--
--Chronic diarrhea
Margaret, age 32, comes into the office with painful joints and a distinctive rash in
a butterfly distribution on her face. The rash has red papules and plaques with a
fine scale. What do you suspect? - ---correct answer----Systemic lupus
erythematosus
Antibiotic administration has been demonstrated to be of little benefit to the
treatment of which of the following disease processes? - ---correct answer--
--Acute bronchitis
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting
beta-2 agonist daily. Her exacerbations affect her activities and they occur at least
twice weekly and may last for days. She is affected more than once weekly during
the night with an exacerbation. Which category of asthma severity is Lisa in? - ---
correct answer----Moderate persistent
Which of the following is the most appropriate therapeutic regimen for an adult
patient with no known allergies diagnosed with group A B-hemolytic strep? - ---
correct answer----Penicillin V 500 milligrams PO every 8 hours for 10 days
A cashier complains of dull ache and pressure sensation in her lower legs. It is
relieved by leg elevation. She occasionally has edema in her lower legs at the end
of the day. What is the most likely cause of these problems? - ---correct
answer----Varicose veins
Concepts & Practice Questions
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? - ---correct answer----Antihistimines
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? - ---
correct answer----Refer the patient for a barium enema and sigmoidoscopy.
Which of the following patient characteristics are associated with chronic
bronchitis? - ---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: - ---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: - ---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: - ---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: - ---correct answer----Herpes zoster and consider that this
patient may be immunocompromised
Which type of lung cancer has the poorest prognosis? - ---correct answer----
Small cell carcinoma
An 83-year-old female presents to the office complaining of diarrhea for several
days. She explains she has even had fecal incontinence one time. She describes
loose stools 3-4 times a day for several weeks and denies fever, chills, pain, recent
, antibiotic use. The history suggests that the patient has: - ---correct answer--
--Chronic diarrhea
Margaret, age 32, comes into the office with painful joints and a distinctive rash in
a butterfly distribution on her face. The rash has red papules and plaques with a
fine scale. What do you suspect? - ---correct answer----Systemic lupus
erythematosus
Antibiotic administration has been demonstrated to be of little benefit to the
treatment of which of the following disease processes? - ---correct answer--
--Acute bronchitis
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting
beta-2 agonist daily. Her exacerbations affect her activities and they occur at least
twice weekly and may last for days. She is affected more than once weekly during
the night with an exacerbation. Which category of asthma severity is Lisa in? - ---
correct answer----Moderate persistent
Which of the following is the most appropriate therapeutic regimen for an adult
patient with no known allergies diagnosed with group A B-hemolytic strep? - ---
correct answer----Penicillin V 500 milligrams PO every 8 hours for 10 days
A cashier complains of dull ache and pressure sensation in her lower legs. It is
relieved by leg elevation. She occasionally has edema in her lower legs at the end
of the day. What is the most likely cause of these problems? - ---correct
answer----Varicose veins
