NRNP 6531 Midterm Exam(V3)(100 Questions & Answers)(Latest, 2023-2024)Walden university, Exams of Nursing

Download NRNP 6531 Midterm Exam(V3)(100 Questions & Answers)(Latest, 2023-2024)Walden university and more Exams Nursing in PDF only on Docsity! Practice Test Questions NURS6531 Question 1 Which of the following dermatologic vehicles are the most effective in absorbing moisture and decreasing friction? Powder Question 2 The most common cancer found on the auricle is: Basal cell carcinoma Question 3 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: CT scan Question 4 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? Refer the patient for a barium enema and sigmoidoscopy. Question 5 Which of the following patient characteristics are associated with chronic bronchitis? Overweight, cyanosis, and normal or slightly increased respiratory rate Question 6 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? Antihistimines Question 7 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: Purulent drainage Question 8 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: Gonococcal conjunctivitis Question 9 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: Herpes zoster and consider that this patient may be immunocompromised Question 10 Risk factors for prostate cancer include all of the following except: BPH Question 11 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 Question 22 Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes? Acute bronchitis Question 23 A false-positive result with the fecal occult blood test can result from: a high dietary intake of rare, cooked beef Question 24 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: Small bowel follow-through Question 25 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: Systolic heart failure Question 26 Maxine, Age 76, has just been given a diagnosis of pneumonia. Which of the following is an indication that she should be hospitalized? : Multilobe involvement on chest x-ray with the inability to take oral medications Question 27 A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him: “It can be cured with surgical excision or radiation therapy.” Question 28 Expected spirometry readings when the patient has chronic emphysema include: Increased total lung capacity (TLC) Question 29 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: Esophageal cancer, GERD. A and C Question 30 A 40 year old female with history of frequent sun exposure presents with a multicolored lesion on her back. It has irregular borders and is about 11mm in diameter. What should the nurse practitioner suspect?: Malignant melanoma Question 31 Which of the following is not a goal of treatment for the patient with cystic fibrosis? Replace water-soluble vitamins Question 32 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? Scalp, Nails Question 33 An adult presents with tinea corporis. Which item below is a risk factor for its development? Topical steroid use Question 34 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? Prescribe a broad-spectrum antibiotic such as ciprofloxacin (Cipro), and symptom management. Question 35 Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria. What do you order Antihistamines Question 36 A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him: “It can be cured with surgical excision or radiation therapy.” Question 37 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? Amoxicillin Any recent trauma Question 49 Marvin, age 56, is a smoker with diabetes. He has just been diagnosed as hypertensive. Which of the following drugs has the potential to cause the development of bronchial asthma and inhibit gluconeogenesis? Beta Blocker Question 50 The differential diagnosis for a patient complaining of a sore throat includes which of the following? Gonococcal infection, Thrush, Leukoplakia Question 51 A patient presents to the primary care provider complaining of a rash on his right forehead that started 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: Ophthalmic zoster Question 52 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? Serologic markers for hepatitis Question 53 A patient with elevated lipids has been started on lovastatin. After 3 weeks of therapy, he calls to report generalized muscle aches. The nurse practitioner should suspect: Rhabdomyolysis Question 54 Treatment of acute vertigo includes: Bedrest and an antihistamine Question 55 Treatment of H. Pylori includes which of the following? Proton pump inhibitor, Antibiotic therapy, Bismuth subsalicylate Question 56 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? Retinal detachment Question 57 In order to decrease deaths from lung cancer: Patients should be counseled to quit smoking Question 58 John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be screened for hypercholesterolemia? Every 5 years Question 59 Mort is hypertensive. Which of the following factors influenced your choice of using an alpha blocker as the antihypertensive medication? Mort has benign prostatic hyperplasia Question 60 John, age 59, presents with recurrent, sharply circumscribed red papules and plaques with a powdery white scale on the extensor aspect of his elbows and knees. What do you suspect Psoriasis Question 61 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? Add a thiazide diuretic to the Lisinopril 5mg daily Question 62 An active 65-year-old man under your care has known acquired 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 the office you discover that he has 10 remaining teeth in poor repair. Your recommendation would be to: Suggest that he consult with his oral surgeon about having all the teeth removed at If a patient presents with a deep aching, red eye and there is no discharge, you should suspect: Iritis Question 74 Risk factors for acute arterial insufficiency include which of the following? Recent myocardial infarction, Atrial fibrillation, Atherosclerosis. All of the above Question 75 A patient presents with classic symptoms of gastroesophageal reflux disease (GERD). He is instructed 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: Investigation with endoscopy, manometry, and/or pH testing Question 76 Group A β-hemolytic streptococcal (GABHS) pharyngitis is most common in which age group? 6 to 12 years of age Question 77 The most appropriate treatment for a child with mild croup is: A cool mist vaporizer Question 78 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 deviated to the left. What is the most likely diagnosis? Peritonsillar abscess Question 79 Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important teaching point about this medication? It is not effective during an acute asthma attack. Question 80 Which intervention listed below is safe for long term use by an adult with constipation? Bulk-forming agents Question 81 A 40 year old presents with a hordeolum. The nurse practitioner teaches the patient to: Apply a topical antibiotic and warm compresses Question 82 Sarah has allergic rhinitis and is currently being bothered by nasal congestion. Which of the following meds ordered for allergic rhinitis would be most appropriate? A decongestant nasal spray Question 83 What is the Gold standard for the diagnosis of asthma? Spirometry Question 84 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? Enalapril Question 85 Stacy, age 27, states that she has painless, white, slightly raised patches in her mouth. They are probably caused by: Candidiasis Question 86 Risk factors for acute otitis media (AOM) include all of the following except: African-American ethnicity Question 87 Which of the following can result from chronic inflammation of a meibomian gland? A chalazion Question 88 What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare? The physician must be on-site and engaged in patient care Question 89 Of the following choices, the least likely cause of cough is: Acute pharyngitis Question 90