(NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam 2025

Angie is a new NP who just finished her FNP program. She is having a difficult time finding anFNP position in the rural area where she lives. So, since she was an ER nurse prior to her graduate program she decides to go back to the ER as an APRN. Does she meet the competency requirements for such a position? What is the main reason for using the REALM-SF instrument to evaluate health literacy? A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated as a Level 1 ACO. What is part of this designation? Question 4 The Consensus Model identifies 3 core courses that all ANPs must take. All the following areAdvanced core courses except: *A Public Health . B. Physiology C. Pharmacology Physical D. Assessment The care provided by APRNs is not limited by setting but by patient care needs. *True B. No Epidemiological a. studies b. Experimental design *c Qualitative studies . Randomized clinical d. trials Associations with area a. hospitals b. Costs of ambulatory care *c Ease of access to care . The ratio of providers to d. patients A. CNM B. CRNA C. APN D. CNS False Which is the most appropriate research design for a Level III research study? What was an important finding of the Advisory Board survey of 2014 about primary care preferences of patients? To reduce adverse events associated with care transitions, the Centers for Medicare and Medicaid Service have implemented which policy? The Consensus Model for APRN regulation consists of which of the following roles? *True False *True False Apply a thick layer of medication over the affected a. area. A solution spray preparation will be more effective on b. hairy areas. Rules proposed by the various State Boards of Nursing must be approved by the state Legislatures. In reviewing the Total Percentage of Body surface area for adult burn patients each, leg, arm and head are noted evaluated at 9%. What is the initial approach when obtaining a biopsy of a potential malignant melanoma lesion? a. Avoid contact with the infected lesions. Elicit a positive Nikolsky sign to confirm the b. diagnosis. *c Perform direct immunofluorescence . microscopy. Prevent spread of the lesions to other areas of d. the skin. When recommending an over-the-counter topical medication to treat a dermatologic condition, which instruction to the patient is important to enhance absorption of the drug? . *True False *True False *True False a. Clean and dress the burn wounds. *b Order a CBC, glucose, and electrolytes. . c. Perform a chest radiograph. Refer the patient to the emergency d. department (ED). treatment. Carbuncles are typically treated with systemic antibiotics. Mild acne is treated only with topicals. Steroids should be avoided in cases of suspected fungal etiology. A patient comes to the clinic after being splashed with boiling water while cooking. The patient has partial thickness burns on both forearms, the neck, and the chin. What will theprovider do? A provider is considering an oral contraceptive medication to treat acne in an adolescent female. Which is an important consideration when prescribing this drug? Ashley a 24 y/o female comes to the clinic with the following chief complaint: “I have these reddish/purple raised patches all over my skin. On physical exam the NP notes that the lesions are erythematous with discrete borders that are irregular, oval or round. The mostlikely diagnosis based on the physical exam is: A. Seborrheic *c Put cool compresses over the affected area after . application. A. Nevi Acanthosis B. Nigricans * Acrochordon C. D. Cherry Angioma A. Basal Cell carcinoma B. Actinic Keratosis * Acral Lentiginous C. Melanoma Toxic Epidermal D. Necrolysis Olga was making French fries for her kids and gets splashed with hot oil. At the clinic the NP notes that she has red colored skin with superficial blisters and pain where the oil splashed. The most likely diagnosis is: Patty comes to the clinic with these soft fatty cystic lesions on her neck, trunk and arms. The most likely diagnosis is: During a total body skin examination for skin cancer, the provider notes a raised, shiny, slightly pigmented lesion on the patient’s nose. What will the provider do? *B Urticaria . Amoxicillin Penicillin medication. Mikey is a 19 y/o male who is brought to the clinic because he has a fever, sore throat, pain on swallowing and mildly enlarged submandibular nodes First line pharmacological treatment for Mikey would include: a. Normal physiologic variant *b Ocular disease requiring . referral Potential infection in the c. “red” eye Potential vision loss in one d. eye A patient diagnosed with allergic conjunctivitis and prescribed a topical antihistamine- vasoconstrictor medication reports worsening symptoms. What is the provider’s next step inmanaging this patient’s symptoms? Consult with a dermatologist about possible a. melanoma. b. Reassure the patient that this is a benign lesion. *c Refer the patient for possible electrodessication and . curettage. Tell the patient this is likely a squamous cell d. carcinoma. a. Antibiotic eye drops Nasolacrimal duct b. probing c. Systemic antibiotics *d Warm compresses . a. Anthralin Cyclospori b. ne c. Finasteride *d Minoxidil . An adult patient with a history of recurrent sinusitis and allergic rhinitis reports chronic tearing in one eye, ocular discharge, and eyelid crusting. The provider suspects nasolacrimalduct obstruction. Which initial treatment will the provider recommend? A patient diagnosed with alopecia is noted to have scaling on the affected areas of the scalp. Which confirmatory test(s) will the provider order? A female patient is diagnosed with androgenetic alopecia. Which medication will the primary health care provider prescribe? Mikey is a 19 y/o male who is brought to the clinic because he has a fever, sore throat, pain on swallowing and mildly enlarged submandibular nodes The most likely organism causing Mikey’s infection is: further care. A. Lateralization to the good ear *B Lateralization to the bad ear . Lateralization would be equal to C. either ear. *a Allergic . Bacteri b. al Chemic c. al Audrey is a 16 y/o female who comes to the clinic because her teacher says that she is having a hardtime hearing in class. The NP examines her ears and notes that she has otitis media. If the NP performed a Weber test on Audrey she would discover that there would be: A patient experiencing chronically dry eyes reports having a foreign body sensation, burning, and itching. A Schirmer test is abnormal. What is the suspected cause of this patient’ssymptoms based on this test finding? Which is the most common cause of orbital cellulitis in all age groups? A patient reports bilateral burning and itching eyes for several days. The provider notes a boggy appearance to the conjunctivae, along with clear, watery discharge. The patient’seyelids are thickened and discolored. There are no other symptoms. Which type of conjunctivitis is most likely?