NRNP 6531 Advanced Practice Care Of Adults Across The Lifespan Exam, Exams of Nursing

Download NRNP 6531 Advanced Practice Care Of Adults Across The Lifespan Exam and more Exams Nursing in PDF only on Docsity! NRNP 6531 Advanced Practice Care Of Adults Across The Lifespan LATEST EXAM NEW EDITION B. No a. It assesses numeracy skills. It enhances patient–provider b. communication. *c It evaluates medical word recognition. . d. It measures technology knowledge. *a Bonuses based on achievement of . benchmarks b. Care coordination for chronic diseases c. Standards for minimum cash reserves Strict requirements for financial d. reporting NRNP 6531 WEEK 6 MIDTERM EXAM LATEST 2023 QUALITATIVE EXAM MARCH-APRIL EXAM GRADED A+ GUARANTEED PASS 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? *A Ye . s 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 are Advanced core courses except: *A Public Health . B. Physiology C. Pharmacology NRNP 6531 Advanced Practice Care Of Adults Across The Lifespan LATEST EXAM NEW EDITION Physical D. Assessment The care provided by APRNs is not limited by setting but by patient care needs. *True NRNP 6531 Advanced Practice Care Of Adults Across The Lifespan LATEST EXAM NEW EDITION *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). A progesterone-only contraceptive is most beneficial for treating a. acne. Combined oral contraceptives are effective for non-inflammatory b. acne only. Oral contraceptives are effective because of their androgen c. enhancing effects. *d Yaz, Ortho Tri-Cyclen, and Estrostep, are approved for acne . 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 the provider 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 most likely diagnosis based on the physical exam is: A. Seborrheic *c Put cool compresses over the affected area after . application. Use a lotion or cream instead of an ointment d. preparation. NRNP 6531 Advanced Practice Care Of Adults Across The Lifespan LATEST EXAM NEW EDITION *A First degree . burn Second degree B. burn Third degree C. burn Fourth degree D. burn A. Nevi Acanthosis B. Nigricans * Acrochordon C. D. Cherry Angioma The most common type of melanoma in African Americans and Asians is: 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? keratoses *B Urticaria . C. Xanthelasma D. Melasma NRNP 6531 Advanced Practice Care Of Adults Across The Lifespan LATEST EXAM NEW EDITION During an eye examination, the provider notes a red-light reflex in one eye but not the other. What is the significance of this finding? C. Penicillin Azithromyci D. n * A. Amoxicillin B. Doxycycline Oral Consider prescribing a topical mast cell a. stabilizer. *b Determine the duration of treatment with this . medication. c. Prescribe a non-sedating oral antihistamine. d. Refer the patient to an ophthalmologist for 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 in managing 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. NRNP 6531 Advanced Practice Care Of Adults Across The Lifespan LATEST EXAM NEW EDITION *True False Artificial tear drops are a. contraindicated. b. Spontaneous bleeding is likely. *c UVB eye protection is especially . important. Visine may be used for symptomatic d. relief. *a Asymmetric red . reflex Corneal b. opacification c. Excessive tearing Injection of d. conjunctiva Good hand A. washing B. Adequate rest C. Zinc Lozenges *D All the above . E. A & B only d. Viral A retinal detachment would be identified by a shower of floaters with the addition of sudden flashes of light. A patient has an elevated, yellowish-white lesion adjacent to the cornea at the 3 o’clock position of the right eye. The provider notes pinkish inflammation with dilated blood vessels surrounding the lesion. What information will the provider provide the patient about this lesion? A primary care provider may suspect cataract formation in a patient with which finding? 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: NRNP 6531 Advanced Practice Care Of Adults Across The Lifespan LATEST EXAM NEW EDITION *A Acute otitis . media Bullous B. Myringitis C. Otitis externa D. Swimmer’s ear True * False A. Flu B. Peritonsillar abscess Streptococcal * C. Pharyngitis Administration of antibiotic eye a. drops *b Application of topical fluorescein . dye Instillation of cycloplegic eye c. drops Irrigation of the eye with normal d. saline Bryce is a 17 y/o male who comes to the clinic with chief complaint of ear sudden onset of pain, popping noises, and muffled hearing. During the ear exam the NP notices that the TM has ruptured. The most likely diagnosis is: Koplik spots on the buccal mucosa are pathognomonic for mumps. 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 diagnosis for Mikey is: 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 affected eye. On examination, the conjunctiva appears injected, but no foreign body is visualized. What is the practitioner’s next step? 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? *a Alopecia areata NRNP 6531 Advanced Practice Care Of Adults Across The Lifespan LATEST EXAM NEW EDITION Add a beta blocker to the patient’s A. regimen. *B Admit to the hospital for evaluation and . treatment. Increase the dose of the thiazide C. medication. D. Prescribe a calcium channel blocker. Admit the patient to the hospital for evaluation and a. treatment. *b Consult with the cardiologist to determine appropriate . diagnostic tests. c. Continue to monitor the patient every 3 years. *<140/9 0 <130/8 0 <150/9 0 <150/8 0 An African-American patient who is being treated 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? A young adult patient is diagnosed 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? According to the JNC 8 guidelines the hypertension treatment goal for patients 60 years and younger should be: . Anagen b. effluvium Cicatricial c. alopecia Telogen d. effluvium NRNP 6531 Advanced Practice Care Of Adults Across The Lifespan LATEST EXAM NEW EDITION a. Exercise is contraindicated for life. Exercise may resume when symptoms b. subside. *c He may resume exercise in 6 months. . d. He must be symptom-free for 1 year. Dorsiflexion of the foot that produces lower leg pain is termed Homan’s Sign. *True False surgical consult. . Order a CBC, type and crossmatch, electrolytes, and renal a. function tests. b. Perform an ultrasound examination to evaluate the cause. c. Schedule the patient for an aortic angiogram. *d Transfer the patient to the emergency department for a *a Echocardiogram . b. Electrocardiogram c. Endomyocardial biopsy Magnetic resonance d. imaging A patient who is an avid long-distant runner is diagnosed with viral myocarditis. What will the provider tell this patient when asked when resuming exercising is permitted? 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? Which test is diagnostic for diagnosing myocarditis? Patients with hypertensive retinopathy will have all of the following except: *A CHF . Left Ventricular Hypertrophy B. (LVH) C. Right sided heart failure D. None of the above NRNP 6531 Advanced Practice Care Of Adults Across The Lifespan LATEST EXAM NEW EDITION Cotton wool A. spots Silver wire B. vessels * Retinal C. hemorrhages D. A & B only Vitamin A Vitamin C *Vitamin K Vitamin D *A Bronchitis . 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 tired all the time. My heart also makes a funny sound. In the physical exam the NP auscultates a heart murmur, and notices that he patient has subungual hemorrhages, petechiae on the palate, violet colored 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: 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. 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 warfarin: 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: A. Copper wire arterioles B. Silver wire arterioles C. Atriovenous nicking *D Optic disc with blurred . margins NRNP 6531 Advanced Practice Care Of Adults Across The Lifespan LATEST EXAM NEW EDITION A. Strep pneumonia *B Pneumococcal . pneumonia C. Mycoplasma pneumonia D. Moraxella catarrhalis True *False A. Pneumonia B. Sinusitis C. COPD All the D. Above *E A & B only . *a ACE inhibitor medication use . b. Chronic obstructive pulmonary Mike is a 56 y/o male who lives in an abandoned 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: 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. 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 Differentials for Mike might include which of the following: 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? Atypical Pneumonia (Walking B. pneumonia) C. Allergic Rhinitis Community acquired bacterial D. pneumonia NRNP 6531 Advanced Practice Care Of Adults Across The Lifespan LATEST EXAM NEW EDITION 24-hour esophageal pH a. monitoring *b Methacholine challenge . test c. Sputum culture d. Tuberculosis testing a. Coagulation studies *b Computed tomography . (CT) Fiberoptic c. bronchoscopy d. Needle biopsy *a Infection . b. Lung abscess c. Malignancy Thromboemboli d. sm *a A high-fiber diet and increased fluid intake . Daily laxatives to prevent straining with b. stools c. Infiltration of a local anesthetic into the denies abdominal complaints. There are no signs of rhinitis or sinusitis and the patient does not take any medications. What will the provider evaluate next to help determine the cause of this cough? 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 indicated? A patient reports coughing up a small amount of blood after a week of cough and fever. The patient has been previously healthy and does not smoke or work around pollutants or irritants. What will the provider suspect as the most likely cause of this patient’s symptoms? 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? NRNP 6531 Advanced Practice Care Of Adults Across The Lifespan LATEST EXAM NEW EDITION a. Bisacodyl Docusate b. sodium *c Methylcellulos . e d. Mineral oil A. CBC B. UA C. CT scan D. KUB *E All the . Above A, C & D F. only Debulking the A. liver B. Chemotherapy C. Liver transplant *D All the Above . E. A & B only 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? 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? 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 complained of a “sour” taste when he belched, 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: hemorrhoid d. Referral for possible surgical intervention NRNP 6531 Advanced Practice Care Of Adults Across The Lifespan LATEST EXAM NEW EDITION *a H. . pylori infection b. NSAID use Parasite c. infestation Viral d. gastroenteritis *a Alcoholism . b. Hepatitis C Hepatocellular c. carcinoma Right-sided heart d. failure Acute A. cholecystitis Acute B. Diverticulitis * Acute C. Appendicitis Acute D. Pancreatitis Irritable bowel A. syndrome *B Duodenal ulcer . A 50-year-old, previously healthy patient has developed gastritis. What is the most likely cause of this condition? 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? 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: 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 relieved by food or antacids but return in full force after a couple of hours. He notes that his stools are “tarry” and he sometimes has coffee colored vomit. On this basis the NP provides a diagnosis of: NRNP 6531 Advanced Practice Care Of Adults Across The Lifespan LATEST EXAM NEW EDITION A. Serology B. Urea Breath Test Upper endoscopy and biopsy of * C. tissue D. Stool antigen Acute acalculous a. cholecystitis b. Chronic cholelithiasis *c Common bile duct . obstruction d. Infectious cholecystitis Admit the patient to the hospital for consultation with a a. surgeon *b Obtain upright and supine radiologic views of the abdomen . Prescribe an antiemetic and recommend a clear liquid diet c. for 24 hours d. Schedule the patient for a barium swallow and enema Increase the dose of polyethylene a. glycol *b Obtain radiographic abdominal 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 relieved by food or antacids but return 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: A patient has sudden onset of 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? An adult patient reports intermittent, crampy abdominal pain with vomiting. The provider notes marked abdominal distention and hyperactive bowel sounds. What will the provider do initially? A patient diagnosed with chronic constipation uses polyethylene glycol and reports increased abdominal discomfort with nausea and vomiting. What is the initial action by the provider? up NRNP 6531 Advanced Practice Care Of Adults Across The Lifespan LATEST EXAM NEW EDITION . studies Perform a stool culture and occult c. blood Refer to a specialist for d. colonoscopy