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NRNP 6531 Week 6 Midterm Exam

NRNP 6531 Week 6 Midterm Exam (March 2021)

  1. Question: Angie is a new NP who just finished her FNP program. She is having a difficult time finding an FNP 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?
  2. Question: What is the main reason for using the REALM-SF instrument to evaluate health literacy?
  3. Question: A small, rural hospital is part of an Accountable Care Organization (ACO) and is … as a Level 1 ACO. What is part of this designation? NRNP 6531 Week 6 Midterm Exam.
  4. Question: The Consensus Model identifies 3 core courses that all ANPs must take. All the following are Advanced core courses except:
  5. Question: The care provided by APRNs is not limited by setting but by patient care needs.
  6. Question: Which is the most appropriate research design for a Level III research study?
  7. Question: What was an important finding of the Advisory Board survey of 2014 about primary care preferences of patients?
  8. Question: To reduce adverse events … with care transitions, the Centers for Medicare and Medicaid Service have implemented which policy?
  9. Question: The Consensus Model for APRN regulation consists of which of the following roles?
  10. Question: Rules … by the various State Boards of Nursing must … by the state Legislatures.
  11. Question: In reviewing the Total Percentage of Body surface area for adult burn patients each, leg, arm, and head are noted … at 9%.
  12. Question: What is the initial approach when obtaining a biopsy of a potential malignant melanoma lesion?
  13. Question: When assisting with a skin biopsy of a patient … of has bullous pemphigoid (BP) lesions, what will the practitioner do?
  14. Question: 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?
  15. Question: Carbuncles are typically treated with systemic antibiotics
  16. Question: Mild acne is treated only with topicals.
  17. Question: Steroids should be avoided in cases of suspected fungal etiology.
  18. Question: 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 the provider do? NRNP 6531 Week 5 Assignment.
  19. Question: A provider is considering an oral contraceptive medication to treat acne in an adolescent female. Which is an important consideration when prescribing this drug?
  20. Question: 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 most likely diagnosis based on the physical exam is:
  21. Question: The most common type of melanoma in African Americans and Asians:
  22. Question: Olga was making French fries for her kids and gets … with hot oil. At the clinic, she notes that she has red-colored skin with superficial blisters and pain where the oil splashed. The most likely diagnosis is:
  23. Question: Patty comes to the clinic with these soft fatty cystic lesions on her neck, trunk and arms. The most likely diagnosis is:
  24. Question: During a total body skin examination for skin cancer, the provider notes a raised, shiny, slightly … lesion on the patient’s nose. What will the provider do?
  25. Question: 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 … submandibular nodes First line pharmacological treatment for Mikey would include:
  26. Question: During an eye examination, the provider notes a red-light reflex in one eye but not the What is the significance of this finding?
  27. Question: A patient … with allergic conjunctivitis and prescribed a topical antihistamine- vasoconstrictor medication reports worsening symptoms. What is the provider’s next step in managing this patient’s symptoms?
  28. Question: 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 nasolacrimal duct obstruction. Which initial treatment will the provider recommend?
  29. Question: A patient … with alopecia is … to have scaling on the affected areas of the scalp. Which confirmatory test(s) will the provider order?
  30. Question: A female patient is … with androgenetic alopecia. Which medication will the primary health care provider prescribe?
  31. Question: 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 … sub mandibular nodes The most likely organism causing Mikey’s infection is:
  32. Question: Audrey is a 16 y/o female who comes to the clinic because her teacher says that she is having a hard time hearing in class. The NP examines her ears and notes that she has otitis media. If the NP … a Weber test on Audrey she would discover that there would be:
  33. Question: A patient experiencing chronically dry eyes reports having a foreign body sensation, burning, and itching. A Schirmer test is abnormal. What is the … cause of this patient’s symptoms based on this test finding?
  34. Question: Which is the most common cause of orbital cellulitis in all age groups?
  35. Question: 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’s eyelids are thickened and …. There are no other symptoms. Which type of conjunctivitis is most likely?
  36. Question: A retinal detachment would … by a shower of floaters with the addition of sudden flashes of light.
  37. Question: A patient has an …, yellowish-white lesion adjacent to the cornea at the 3 o’clock position of the right eye. The provider notes pinkish inflammation with … blood vessels surrounding the lesion. What information will the provider provide the patient about this lesion?
  38. Question: A primary care provider may suspect cataract formation in a patient with which finding?
  39. Question: Aaron an 18 y/o male comes to the clinic with the following symptoms: nasal stuffiness, sneezing, scratchy irritated throat and hoarseness. He also complains of a low-grade fever and a cough that he has had for the past 4 days. Prevention of Aaron’s condition would include which of the following:
  40. Question: Bryce is a 17 y/o male who comes to the clinic with chief complaint of ear sudden onset of pain, popping noises, and … hearing. During the ear exam the NP notices that the TM has ruptured. The most likely diagnosis is:
  41. Question: Koplik spots on the buccal mucosa are pathognomonic for mumps.
  42. Question: 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 … submandibular nodes. The most likely diagnosis for Mikey is:
  43. Question: A patient who works in a furniture manufacturing shop reports a sudden onset of severe eye pain while sanding a piece of wood and now has copious tearing, redness, and light sensitivity in the … eye. On examination, the conjunctiva appears … , but no foreign body is visualized. What is the practitioner’s next step?
  44. Question: A patient is seen in the clinic for patches of hair loss. The provider notes several well-demarcated patches on the scalp and eyebrows without areas of inflammation and several hairs within the patch with thinner shafts near the scalp. Based on these findings, which type of alopecia is most likely?
  45. Question: According to the JNC 8 guidelines the hypertension treatment goal for patients 60 years and younger should be:
  46. Question: An African-American patient who is being … with a thiazide diuretic for chronic hypertension reports blurred vision and shortness of breath. The provider notes a blood pressure of 185/115. What is the recommended action for this patient?
  47. Question: A young adult patient is … with a mitral valve prolapse. During a routine 3-year health maintenance exam, the provider notes an apical systolic murmur and a mid-systolic click on auscultation. The patient denies chest pain, syncope, or palpitations. What action will the provider take?
  48. Question: A previously healthy patient presents with sudden onset of dyspnea, fatigue, and orthopnea. A family history is negative. The provider suspects myocarditis. What is the most likely etiology for this patient?
  49. Question: A patient is … with peripheral arterial disease (PAD) and elects not to have angioplasty after an angiogram reveals partial obstruction in lower extremity arteries. What will the provider recommend to help manage this patient’s symptoms?
  50. Question: A split S2 is best heard at the upper left sternum.
  51. Question: In coarctation of the aorta the BP of the arms is higher than the BP of the legs.
  52. Question: Pulsus paradoxus is a phenomenon in which the radial pulse can … even though the apical pulse can’t be heard.
  53. Question: Juan is a known patient to the NP. He comes in for his quarterly check on his blood pressure. His blood pressure is 125/85. According to JNC 8 his BP falls into the category of:
  54. Question: An elderly adult patient without prior history of cardiovascular disease reports lower leg soreness and fatigue when shopping or walking in the neighborhood. The primary care provider notes … pedal pulses bilaterally. Which test will the provider order initially to evaluate for peripheral arterial disease … on these symptoms? NRNP 6531 Week 6 Midterm Exam.
  55. Question: Ashley is a 47 y/o female who comes to the clinic with a chief complaint of sudden onset of palpitations and a feeling of weakness and dizziness. Additionally she notes that she has dyspnea on exertion. On the physical exam the NP notes that he HR is 120 bpm and her BP drops to 98/60. The NP after running an EKG and noting no discrete p waves and irregularly irregular rhythm diagnoses her as having:
  56. Question: I n performing a follow-up exam on a patient the NP discovers that the patient has a new murmur. The murmur is best heard at the apex of the heart, radiates to the axilla, and is a loud blowing and high-pitched murmur. This type of murmur is … with which of the following conditions:
  57. Question: Angus is a 73 y/o male who comes to the clinic with the chief complaint of: chest pain, palpitations, exercise intolerance, intermittent periods of dizziness. Past medical records indicate that he has an … heart. His diagnosis is:
  58. Question: A patient who is an avid long-distant runner is … with viral myocarditis. What will the provider tell this patient when … when resuming exercising is permitted?
  59. Question: A patient is in clinic for evaluation of sudden onset of abdominal pain. The provider palpates a pulsatile, painful mass between the xiphoid process and the umbilicus. What is the initial action?
  60. Question: Dorsiflexion of the foot that produces lower leg pain is … Homan’s Sign
  61. Question: Which test is diagnostic for diagnosing myocarditis?
  62. Question: Patients with hypertensive retinopathy will have all of the following except:
  63. Question: Guy is a 65 y/o male who comes to the clinic with the following chief complaint: “I have been feeling feverish, have chills, and am … all the time. My heart also makes a funny sound.
  64. Question: In the physical exam the NP auscultates a heart murmur, and notices that he patient has subungual hemorrhages, petechiae on the palate, violet … nodes on the fingers and feet, and nontender red nodes on the palms and soles of his feet. In a patient with Guy’s diagnosis, on funduscopic exam one might see:
  65. Question: Ashley is a 47 y/o female who comes to the clinic with a chief complaint of sudden onset of palpitations and a feeling of weakness and dizziness. Additionally she notes that she has dyspnea on exertion.
  66. Question: On the physical exam the NP notes that he HR is 120 bpm and her BP drops to 98/60. Her EKG shows no discrete p waves and irregularly irregular rhythm. If Ashley were to start bleeding she would go to the ER and they would initiate which intervention below to reverse the effects of her war farin:
  67. Question: Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis and low-grade fever. His likely diagnosis is:
  68. Question: Mike is a 56 y/o male who lives in an … building. With about 40 other street people. He comes to the clinic with a social worker who describes his symptoms as: a cough, dyspnea, pleuritic chest pain, fever and tachypnea. Your physical exam notes that he has some consolidation in the lower lobes with an audible friction rub. Given Mike’s diagnosis the most likely causative agent is:
  69. Question: Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15 days. He initially had a mild fever, and a runny nose. First line treatment for Artie would include macrolides
  70. Question: Mike is a 22 y/o male who comes to your clinic with a 5-day history of cough without sputum production. NRNP 6531 Week 6 Midterm Exam.
  71. Question: He states that his cough is worse in the morning and he has some hoarseness, post-nasal drip and a low- grade fever. Mike has otherwise been healthy Differentials for Mike might include which of the following:
  72. Question: A nonsmoking adult with a history of cardiovascular disease reports having a chronic cough without fever or upper airway symptoms. A chest radiograph is normal. What will the provider consider initially as the cause of this patient’s cough?
  73. Question: A young adult patient without a previous history of lung disease has an … respiratory rate and reports a feeling of “not getting enough air.” The provider auscultates clear breath sounds and notes no signs of … respiratory effort. Which diagnostic test will the provider perform initially?
  74. Question: Martin is a 73 y/o male who has a 50 year/pack history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss, and a more noticeable … lip breathing. Given Martin’s condition the first line treatment would be all the following except:
  75. Question: A patient with … stage small cell lung cancer (SCLC) has undergone chemotherapy with a good initial response to therapy. What will the provider tell this patient about the prognosis for treating this disease?
  76. Question: Which test is the most diagnostic for chronic obstructive pulmonary disease (COPD)?
  77. Question: Mike is a 22 y/o male who comes to your clinic with a 5-day history of cough without sputum production. He states that his cough is worse in the morning and he has some hoarseness, post-nasal drip, and a low-grade fever. Mike has otherwise been healthy Treatment for Mike’s condition would include all the following except NRNP 6531 Week 6 Midterm Exam.
  78. Question: Which is characteristic of obstructive bronchitis and not emphysema?
  79. Question: A patient … with chronic obstructive pulmonary disease reports daily symptoms of dyspnea and cough. Which medication will the primary health care provider prescribe?
  80. Question: A young adult patient develops a cough persisting longer than 2 months. The provider prescribes pulmonary function tests and a chest radiograph, which are normal. The patient denies abdominal complaints. There are no signs of rhinitis or sinusitis and the patientdoes nottake anymedications.What will the provider evaluate next to help determine the cause of this cough?
  81. Question: A patient with a smoking history of 35 pack years reports having a chronic cough with recent symptoms of pink, frothy blood on a tissue. The chest radiograph shows a possible nodule in the right upper lobe. Which diagnostic test is … ?
  82. Question: A patient reports coughing up a small amount of blood after a week of cough and The patient has been previously healthy and does not smoke or work around pollutants or irritants.Whatwilltheprovidersuspectasthemostlikelycauseofthispatient’ssymptoms?
  83. Question: A patient reports anal pruritis and occasional bleeding with defecation. An examination of the perianal area reveals external hemorrhoids around the anal orifice as the patient is bearing down. The provider orders a colonoscopy to further evaluate this patient. What is the treatment for this patient’s symptoms?
  84. Question: A patient has recurrent constipation which improves with laxative use but returns when laxatives are discontinued. Which pharmacologic treatment will the provider recommend for long-term management?
  85. Question: Jeremy is an 18 y/o male who comes to the clinic with a chief complaint of periumbilical pain. Over the past 24 hours he has had bouts of nausea and diarrhea and pain at McBurney’s point. Which of the following diagnostic studies would be appropriate for Jeremy’s diagnosis?
  86. Question: Danny is a 37 y/o male who returns to the clinic for review of lab results. When he came in a week ago he … of a “sour” taste when he …, and severe pain in his stomach. A serum fasting gastrin level was drawn and sent to the lab. The results were 300 pg/ml. Treatment for Danny would include which of the following:
  87. Question: A 50-year-old, previously healthy patient has … gastritis. What is the most likely cause of this condition?
  88. Question: A patient is diagnosed with fibrotic liver disease; a liver biopsy shows micronodular cirrhosis. What is the most common cause of this form of cirrhosis?
  89. Question: Jeremy is an 18 y/o male who comes to the clinic with a chief complaint of periumbilical pain. Over the past 24 hours he has had bouts of nausea and diarrhea and pain at McBurney’s point. The NP diagnoses him as having: NRNP 6531 Week 6 Midterm Exam.
  90. Question: A patient experiences a feeding disorder after a stroke that causes … tongue function and … laryngeal closure. What intervention will be helpful to reduce complications in this patient?
  91. Question: A patient with a history of diverticular disease experiences left-sided pain and reports seeing blood in the stool. What is an important intervention for these symptoms?
  92. Question: A patient … with cirrhosis develops ascites. Which medication will … initially to improve symptoms?
  93. Question: A patient with a previous history of liver disease is … with a bile duct obstruction. Which procedure will … for this patient? NRNP 6531 Week 6 Midterm Exam.
  94. Question: Amylase and Lipase are sensitive tests … to assess for pancreatitis.
  95. Question: A patient with a history of diverticular disease asks what can be done to minimize acute symptoms. What will the provider recommend to this patient?
  96. Question: Jeremiah, a 47 y/o male presents to the clinic with episodic gastric pain he describes as gnawing and burning. He notes that the pain is temporarily … by food or antacids but returns in full force after a couple of hours. He notes that his stools are “tarry” and he sometimes has coffee … vomits. Jeremiah is determined to have pylori-positive ulcers which treatment would …?
  97. Question: A patient presents with fever, nausea, vomiting, anorexia, and right upper quadrant abdominal pain. An ultrasound is negative for gallstones. Which action is necessary to treat this patient’s symptoms? NRNP 6531 Week 6 Midterm Exam.
  98. Question: Jeremiah, a 47 y/o male presents to the clinic with episodic gastric pain he describes as gnawing and burning. He notes that the pain is temporarily … by food or antacids but returns in full force after a couple of hours. He notes that his stools are “tarry” and he sometimes has coffee-colored vomit. The Gold Standard for diagnosing Jeremiah’s problem is:
  99. Question: A patient has a sudden onset of the right upper quadrant (URQ) and epigastric abdominal pain with fever, nausea, and vomiting. The emergency department provider notes yellowing of the sclerae. What is the probable cause of these findings?
  100. Question: An adult patient reports intermittent, crampy abdominal pain with vomiting. The provider notes … abdominal distention and hyperactive bowel sounds. What will the provider do initially?
  101. Question: A patient … with chronic constipation uses polyethylene glycol and reports … abdominal discomfort with nausea and vomiting. What is the initial action by the provider?

NRNP 6531 Week 6 Practice Midterm (Q & A)

  1. Question: Which of the following dermatologic vehicles are the most effective in absorbing moisture and decreasing friction?
  2. Question: The most common cancer found on the auricle is:
  3. Question: 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:
  4. Question: 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? NRNP 6531 Week 6 Midterm Exam.
  5. Question: Which of the following patient characteristics are … with chronic bronchitis?
  6. Question: Which of the following medication classes should … in patients with acute or chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the patient?
  7. Question: 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:
  8. Question: 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:
  9. Question: 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: NRNP 6531 Week 6 Midterm Exam.
  10. Question: Risk factors for prostate cancer include all of the following except:
  11. Question: 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, and recent antibiotic use. The history suggests that the patient has:
  12. Question: 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?
  13. Question: When a patient presents with symptoms of acute gallbladder disease, what is the appropriate nurse practitioner action?
  14. Question: 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?
  15. Question: Which of the following is the most appropriate therapeutic regimen for an adult patient with no known allergies diagnosed with group A B-hemolytic streptococcus ?
  16. Question: 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?
  17. Question: Which statement below is correct about pertussis?
  18. Question: Which of the following is the most important diagnosis to rule out in the adult patient with acute bronchitis? NRNP 6531 Week 6 Midterm Exam.
  19. Question: A 70 year old patient presents with left lower quadrant (LLQ) abdominal pain, a markedly tender palpable abdominal wall, fever, and leukocytosis. Of the following terms, which correctly describes the suspected condition?
  20. Question: Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. This morning she noticed a rash with erythematous papules in that site. What do you suspect?
  21. Question: A 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knows that the most common cause of pancreatitis is:
  22. Question: Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes?
  23. Question: A false-positive result with the fecal occult blood test can result from:
  24. Question: A 76-year-old male complains of weight loss, nausea, vomiting, abdominal cramping and pain. Physical findings include an abdominal mass and stool positive for occult blood. The nurse practitioner pain suspects a tumor in the small intestine. The best diagnostic test for this patient is: NRNP 6531 Week 6 Midterm Exam.
  25. Question: A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema. The echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that these findings are consistent with:
  26. Question: Maxine, Age 76, has just been given a diagnosis of pneumonia. Which of the following is an indication that she should be hospitalized? :
  27. Question: A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him: NRNP 6531 Week 6 Midterm Exam.
  28. Question: Expected spirometry readings when the patient has chronic emphysema include:
  29. Question: An 80-year-old male admits to difficulty swallowing during the review of systems. The nurse practitioner recognizes the differential diagnosis for this patient’s dysphagia is:
  30. Question: A 40 year old female with history of frequent sun exposure presents with amulticolored lesion on her back. It has irregular borders and is about 11mm in diameter. What should the nurse practitioner suspect?:
  31. Question: Which of the following is not a goal of treatment for the patient with cystic fibrosis?
  32. Question: The nurse practitioner is performing a physical exam on a middle-aged African-American man. Which of the following areas is a common site for melanomas in African-Americans and other dark-skinned individuals?
  33. Question: An adult presents with tinea corporis. Which item below is a risk factor for its development?
  34. Question: A patient has experienced nausea and vomiting, headache, malaise, low-grade fever, abdominal cramps, and watery diarrhea for 72 hours. His white count is elevated with a shift to the left. He is requesting medication for diarrhea. What is the most appropriate response?
  35. Question: Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria. What do you order?
  36. Question: A 55-year-old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him:
  37. Question: A 16-year-old male presents with mild sore throat, fever, fatigue, posterior cervical adenopathy, and palatine petechiae. Without a definitive diagnosis for this patient, what drug would be least appropriate to prescribe?
  38. Question: A 70-year-old man who walks 2 miles every day complains of pain in his left calf when he is walking. The problem has gotten gradually worse and now he is unable to complete his 2-mile walk. What question asked during the history, if answered affirmatively, would suggest a diagnosis of arteriosclerosis obliterans?
  39. Question: Which of the following statements about malignant melanomas is true?
  40. Question: Sheila, age 78, presents with a chief complaint of waking up during the night coughing. You examine her and find an S3 heart sound, pulmonary crackles that do not clear with coughing, and peripheral edema. What do you suspect?
  41. Question: Which antibiotic would be the most effective in treating community acquiredpneumonia (CAP) in a young adult without any comorbidconditions?
  42. Question: Which of the following dermatologic vehicles are the most effective in absorbing moisture and decreasing friction? NRNP 6531 Week 6 Midterm Exam.
  43. Question: A 70 year old patient presents with a slightly raised, scaly, erythematous patch on her forehead. She admits to having been a “sun worshiper.” The nurse practitioner suspects actinic keratosis. This lesion is a precursor to:
  44. Question: An elderly patient is being seen in the clinic for complaint of “weak spells” relieved by sitting or lying down. How should the nurse practitioner proceed with the physical examination?
  45. Question: What oral medication might be used to treat chronic cholelithiasis in a patient who is a poor candidate for surgery?
  46. Question: A 46-year-old female with a past medical history of diabetes presents with a swollen, erythematous right auricle and is diagnosed with malignant otitis externa. The nurse practitioner knows that the most likely causative organism for this patient’s problem is:
  47. Question: Which of the following is not a symptom of irritable bowel syndrome?
  48. Question: A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to the right. What additional history is needed?
  49. Question: Marvin, age 56, is a smoker with diabetes. He has just been … as hypertensive. Which of the following drugs has the potential to cause the development of bronchial asthma and inhibit gluconeogenesis?
  50. Question: The differential diagnosis for a patient complaining of a sore throat includes which of the following?
  51. Question: A patient presents to the primary care provider complaining of a rash on his right forehead that … yesterday and is burning and painful. The physical exam reveals an erythematous, maculopapular rash that extends over the patient’s right eye to his upper right forehead. Based on the history and examination, the most likely cause of this patient’s symptoms is:
  52. Question: Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders liver function studies. The patient’s aminotransferase (ALT) is elevated. What laboratory test(s) should be ordered? NRNP 6531 Week 6 Midterm Exam.
  53. Question: A patient with … lipids has been … on lovastatin. After 3 weeks of therapy, he calls to report generalized muscle aches. The nurse practitioner should suspect:
  54. Question: Treatment of acute vertigo includes:
  55. Question: Treatment of H. Pylori includes which of the following?
  56. Question: Carl, age 78, is brought to the office by his son, who states that his father has been unable to see clearly since last night. Carl reports that his vision is “like looking through a veil.” He also sees floaters and flashing lights but is not having any pain. What do you suspect?
  57. Question: In order to decrease deaths from lung cancer:
  58. Question: John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be screened. NRNP 6531 Week 6 Midterm Exam.
  59. Question: Mort is hypertensive. Which of the following factors influenced your choice of using an alpha blocker as the antihypertensive medication?
  60. Question: John, age 59, presents with recurrent, sharply … red papules and plaques with a powdery white scale on the extensor aspect of his elbows and knees. What do you suspect
  61. Question: Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her hypertension. Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium 1500 mg daily. At today’s visit. Her blood pressure is 170/89. According to JNC VIII guidelines, what should you do next to control Harriet’s blood pressure?
  62. Question: An active 65-year-old man under your care has known … valvular aortic stenosis and mitral regurgitation. He also has a history of infectious endocarditis. He has recently been told he needs elective replacement of his aortic valve. When he comes into theoffice you discover that he has 10 remaining teeth in poor Your recommendation would … to:
  63. Question: Appropriate therapy for peptic ulcer disease (PUD) is:
  64. Question: Shirley, age 58, has been a diabetic for 7 years. Her blood pressure is normal. Other than her diabetes medications, what would you prescribe today during her routine office visit?
  65. Question: Medicare is a federal program … by the Centers for Medicare and Medicaid Services (CMS). The CMS has … guidelines for Evaluation and Management coding, which all providers are … to follow when coding patient visits for reimbursement. Which of the following is an important consideration regarding billing practices?
  66. Question: A 2 year old presents with a white pupillary reflex. What is the most likely cause of this finding?
  67. Question: Harvey has had Meniere’s disease for several years. He has some hearing loss but now has persistent vertigo. What treatment might … to relieve the vertigo?
  68. Question: Which of the following is not a risk factor for coronary arterial insufficiency?
  69. Question: An 18-year-old female presents to the urgent care center complaining of severe pruritus in both eyes that … 2 days ago. Associated symptoms include a headache and fatigue. On examination, the nurse practitioner notes some clear discharge from both eyes and some erythema of the eyelids and surrounding skin. Which of the following is the most likely cause of this patient’s symptoms? NRNP 6531 Week 6 Midterm Exam.
  70. Question: A 20 year old is … with mild persistent asthma. What drug combination would be most effective in keeping him symptom-free?
  71. Question: Acute rheumatic fever is an inflammatory disease which can follow infection with:
  72. Question: A 60 year old male diabetic patient presents with redness, tenderness, and edema of the left lateral aspect of his face. His left eyelid is grossly edematous. He reports history of a toothache in the past week which “is better.” His temperature is 100°F and pulse is 102 bpm. The most appropriate initial action is to:
  73. Question: If a patient presents with a deep aching, red eye and there is no discharge, you should suspect:
  74. Question: Risk factors for acute arterial insufficiency include which of the following?
  75. Question: A patient presents with classic symptoms of gastroesophageal reflux disease (GERD). He is … on lifestyle modifications and drug therapy for 8 weeks. Three months later he returns, reporting that he was “fine” as long as he took the medication. The most appropriate next step is:
  76. Question: Group A β-hemolytic streptococcal (GABHS) pharyngitis is most common in which age group?
  77. Question: The most appropriate treatment for a child with mild croup is:
  78. Question: A child complains that his “throat hurts” with swallowing. His voice is very “throaty” and he is hyperextending his neck to talk. Examination reveals asymmetrical swelling of his tonsils. His uvula is … to the left. What is the most likely diagnosis?
  79. Question: Salmeterol (Servent) is … for a patient with asthma. What is the most important teaching point about this medication?
  80. Question: Which intervention … below is safe for long term use by an adult with constipation?
  81. Question: A 40 year old presents with a hordeolum. The nurse practitioner teaches the patient to: NRNP 6531 Week 6 Midterm Exam.
  82. Question: Sarah has allergic rhinitis and is currently being … by nasal congestion. Which of the following meds … for allergic rhinitis would be most appropriate? NRNP 6531 Week 6 Midterm Exam.
  83. Question: What is the Gold standard for the diagnosis of asthma?
  84. Question: A patient complains of “an aggravating cough for the past 6 weeks.” There is no physiological cause for the cough. Which medication is most likely causing the cough?
  85. Question: Stacy, age 27, states that she has painless, white, slightly … patches in her mouth. They are probably … by: NRNP 6531 Week 6 Midterm Exam.
  86. Question: Risk factors for acute otitis media (AOM) include all of the following except:
  87. Question: Which of the following can result from chronic inflammation of a meibomian gland?
  88. Question: What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare?
  89. Question: Of the following choices, the least likely cause of cough is:
  90. Question: The most common correlate(s) with chronic bronchitis and emphysema is(are):
  91. Question: Which choice below is least effective for alleviating symptoms of the common cold?
  92. Question: When teaching a patient with hypertension about restricting sodium, you would include which of the following instructions? NRNP 6531 Week 6 Midterm Exam.
  93. Question: Which of the following heart murmurs warrants the greatest concern?
  94. Question: A patient presents with an … upper eyelid margin. The conjunctiva is red and there is particulate matter along the upper eyelid. The patient complains of a sensation that “there is something in my eye.” What is the diagnosis and how should it be treated?
  95. Question: A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the past hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that these changes are consistent with which myocardial infarction territory?
  96. Question: The nurse practitioner observes a tympanic membrane that is opaque, has … mobility, and is without bulging or inflammation. The least likely diagnosis for this patient is: NRNP 6531 Week 6 Midterm Exam.
  97. Question: Alan, age 54, notices a bulge in his midline every time he rises from bed in the morning. You tell him it is a ventral hernia, also known as:
  98. Question: A 58-year-old man is … with Barrett’s esophagus after an endoscopy. He has no known allergies. Which of the following medications is MOST appropriate to treat this patient’s disorder?
  99. Question: Larry, age 66, is a smoker with hyperlipidemia and hypertension. He is 6 months post-MI. To prevent reinfarction, the most important behavior change that he can make is to:
  100. Question: The National Cholesterol Education Program’s Adult Treatment Panel III recommends that the goal for low-density lipoproteins in high-risk patients be less than NRNP 6531 Week 6 Midterm Exam.