Medical Knowledge Assessment, Exams of Nursing

Download Medical Knowledge Assessment and more Exams Nursing in PDF only on Docsity! NRNP 6531 FINAL EXAM 2024 LATEST EXAM QUESTIONS WITH DETAILED ANSWERS (VERIFIED ANSWERS) Which of the following is a potential acquired cause of thrombophilia Correct Answer Antiphospholipid antibodies Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of: Correct Answer Carpal tunnel syndrome Which patient would benefit most from screening for type 2 diabetes? Correct Answer an obese female with recurrent vaginitis A 72 year old female patient reports a 6 month history of gradually progressive swollen and painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is the most likely diagnosis? Correct Answer ostheoaethritis A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be: Correct Answer trimethoprim sulfamethoxazole for 3 dyas A thymectomy is usually recommended in the early treatment of which disease? Correct Answer Myasthenia Gravis The diagnosis of human papilloma virus (HPV) infection in males is usually made by Correct Answer clinical appearance (examination of the lesison) The most effective intervention(s) to prevent stroke is (are): Correct Answer smoking cessation and treatment of hypertension What is the most common cause of Cushing's syndrome? Correct Answer Administration of a glucocorticoid or ACTH Which of the following medications may predispose the patient to hypoglycemia? Correct Answer Beta-adrenergic blockers Diagnostic radiological studies are indicated for low back pain: Correct Answer When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection. After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been cured? Correct Answer A urea breath test Which appropriate test for the initial assessment of Alzheimer's disease provides the performance ratings on 10 complex, higher order activities? Correct Answer FAQ - Functional Activities Questionnaire Major depression occurs most often in which of the following conditions? Correct Answer stroke Which of the following statements about multiple sclerosis (MS) is correct? Correct Answer MS is a chronic, treatable illness with unknown cause and a variable course. Diagnostic evaluation of hypothyroidism reveals: Correct Answer Elevated TSH and decreased T4 An elderly man is started on lisinopril and hydrochlorothiazide for hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender left great toe. The likely precipitant of this patient's pain is: Correct Answer hydrochlorhiazide Which of the following is a contraindication for metformin therapy? Correct Answer Creatinine > 1.5 A positive drawer sign supports a diagnosis of: Correct Answer Cruciate ligament injury Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid? Correct Answer peppermint The nurse practitioner diagnoses epididymitis in a 24-year-old sexually active male patient. the drug of choice fort the treatment of this patient is Correct Answer Oral doxycycline (Vibramycin)plus IM ceftriaxone Diagnostic confirmation of acute leukemia is based on Correct Answer bone marrow aspiration and biopsy. A patient taking levothyroxine is being over-replaced. What condition is he at risk for? Correct Answer osteoporosis Diabetes screening recommendations for asymptomatic adults age 45 and over include which of the following: Correct Answer HbA1C2-hour 75 gram oral glucose tolerance test Dave, age 38, states that he thinks he has an ear infection because he just flew back from a business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next action? Correct Answer Prescribe nasal steroids and oral decongestants Josh, age 22, is a stock boy and has an acute episode of low back pain. You order and NSAID and tell him which of the following? Correct Answer Begin lower back strengthening exercises depending on pain tolerance Risk factors for Addison's disease include which of the following? Correct Answer all of the above (autoimmune disease, AIDS, and TB) Urine cultures should be obtained for which of the following patients? Correct Answer Suspected urinary tract infection in pregnancyFebrile patientsYoung men All of the above Jennifer says that she has heard that caffeine can cause osteoporosis and asks you why. how do you respond? Correct Answer A high caffeine intake has a diuretic effect that may cause calcium to be excreted more rapidly." The diagnosis which must be considered in a patient who presents with a severe headache of sudden onset, with neck stiffness and fever, is: Correct Answer meningitits What conditions must be met for you to bill "incident to" the physician, receiving 100% reimbursement from Medicare? Correct Answer The physician must be on-site and engaged in patient care The most commonly recommended method for prostate cancer screening in a 55 year old male is Correct Answer Digital rectal examination (DRE) plus prostate specific antigen (PSA) The primary goals of treatment for patients with alcohol abuse disorder are: Correct Answer Psychotherapeutic and pharmacological interventions to decrease desire for and effects of alcohol you are assessing a patient after a sports injury to his right knee. You elicit a positive anterior/posterior drawer sign. This test indicates an injury to the: Correct Answer Cruciate ligament Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue syndrome, which have many similarities. Which of the following is more characteristic of fibromyalgia Correct Answer Musculoskeletal pain Differential diagnosis of proteinuria includes which of the following? Correct Answer Orthostatic proteinuria A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified as: Correct Answer overweight Reed-Sternberg B lymphocytes are associated with which of the following disorders Correct Answer Hodgkin's lympoma A 77-year-old female presents to the office complaining a sudden swelling on her right elbow. She denies fever, chills, trauma, or pain. The physical exam reveals a non-tender area of swelling over the extensor surface over the right elbow with evidence of A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks later with the same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What action(s) should the nurse practitioner take? Correct Answer Obtain a thorough history and physical, and check serum cortisol and ACTH levels. Jack, age 55, comes to the office with a blood pressure of 144/98 mm Hg. He states that he did not know if it was ever elevated before. When you retake his blood pressure at the end of the exam, it remains at 144/98. What should your next action be? Correct Answer stage 2 hypertension (lifestyle change, and medication Martin is complaining of erectile dysfunction. He also has a condition that has reduced arterial blood flow to his penis. The most common cause of this condition is Correct Answer Diabetes mellitus Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus? Correct Answer Postprandial hypoglycemia A 28 years old female presents to the office requesting testing for the diagnosis of hereditary thrombophilia. her father recently had a deep vein thrombosis and she is concerned about her risk factors the nurse practitioner explains that: Correct Answer B and D (Hereditary thrombophilia does not always require anticoagulation therapy and genetic and risk managment counseling are recommended) The 4 classic features of Parkinson's disease Correct Answer tremor at rest, rigidity, bradykinesia, and postural disturbances which if the following set of symptoms should raise suspicion of brain tumor Correct Answer Holocarnial headaches present in the morning and accompanied by projective vomiting without nausea the most common cause of elevated liver function test is Correct Answer Chronic alcohol abuse 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? Correct Answer thiazide diuretic (hypertensive meds such as hydrochlorothiazide and other DM2 meds) the physiological explanation of syncope is Correct Answer a cycle of inappropriate vasodilation, bradycardia, and hypotension. The cardinal sign of infectious arthritis is Correct Answer 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: Correct Answer Primary hyperparathyroidism is treated with parathyroidectormyparathyroidectomy Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis? Correct Answer Erythromycin qd who is at a higher risk of developing nephrolithiasis? Correct Answer Bill, who runs every day and takes excessive amount of vitamin C Potential side effects of levofloxacin include which of the following? Correct Answer 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 Correct Answer 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? Correct Answer increase the dosage of the current Bp med. what diabetic complications result from hyperglycemia? Correct Answer 1,2,3 - Retinopathy - Hypertension resistant to treatment - peripheral neuropathy the best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy: Correct Answer An early morning spot urine collection which of the following antibiotics should not be prescribed for a pregnant woman in the 3rd trimester? Correct Answer 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