NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination St, Exams of Nursing

Download NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination St and more Exams Nursing in PDF only on Docsity! NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 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 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 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 Physical D. Assessment The care provided by APRNs is not limited by setting but by patient care needs. *True NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 *True False *True False When assisting with a skin biopsy of a patient suspected of having bullous pemphigoid (BP) lesions, what will the practitioner do? b. Punch biopsy c. Shave biopsy d. Wide excision biopsy . *a Excisional 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? *E All the . Above A, B & C F. only NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 Apply a thick layer of medication over the affected a. area. A solution spray preparation will be more effective on b. hairy areas. NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 *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? *c Put cool compresses over the affected area after . application. Use a lotion or cream instead of an ointment d. preparation. NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 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? NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 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 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 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 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 NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 A. Lateralization to the good ear *B Lateralization to the bad ear . Lateralization would be equal to C. either ear. *a Aqueous . deficiency b. Corneal abrasion Evaporative c. disorder Poor eyelid d. closure Bacteremic spread from remote a. infections Inoculation from local trauma or b. bug bites *c Local spread from the ethmoid . sinus d. Paranasal sinus inoculation 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 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’s symptoms 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’s eyelids are thickened and discolored. There are no other symptoms. Which type of conjunctivitis is most likely? NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 *a Allergic . Bacteri b. al Chemic c. al NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 *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 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 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 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 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 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. *<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 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 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. NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 a. Digital subtraction angiography *b Doppler ankle, arm index . c. Magnetic resonance angiography Segmental limb pressure d. measurement A. Ventricular Tachycardia B. Pulsus paradoxus Atrial Fibrillation\ Atrial * C. Flutter D. None of the above *A Mitral . Regurgitation B. Aortic Stenosis C. Mitral Stenosis Aortic D. Regurgitation 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 decreased pedal pulses bilaterally. Which test will the provider order initially to evaluate for peripheral arterial disease based on these symptoms? 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: 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 associated with which of the following conditions: C. Stage I D. Stage II NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 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 enlarged heart. His diagnosis is: NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 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 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? *A CHF . Left Ventricular Hypertrophy B. (LVH) C. Right sided heart failure D. None of the above NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 *A Bronchitis . 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: NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 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 . 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 Atypical Pneumonia (Walking B. pneumonia) C. Allergic Rhinitis Community acquired bacterial D. pneumonia NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 *a ACE inhibitor medication use . b. Chronic obstructive pulmonary 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? NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 A. Rest B. Mucolytics * Antibiotics C. Increased fluid D. intake. a. Damage to the alveolar wall *b Destruction of alveolar . architecture Mild alteration in lung tissue c. compliance Mismatch of ventilation and d. perfusion 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: Which is characteristic of obstructive bronchitis and not emphysema? A patient diagnosed with chronic obstructive pulmonary disease reports daily symptoms of dyspnea and cough. Which medication will the primary health care provider prescribe? Forced expiratory time b. maneuver c. Lung radiograph *d Spirometry for FVC and . FEV1 NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 *a Ipratropium . bromide b. Pirbuterol acetate Salmeterol c. xinafoate d. Theophylline 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 NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 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 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 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 Debulking the A. liver B. Chemotherapy C. Liver transplant *D All the Above . E. A & B only NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 *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 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 NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 Irritable bowel A. syndrome *B Duodenal ulcer . 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 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 *True False Avoiding saturated fats and red a. meat *b Consuming a diet high in fiber . Taking an anticholinergic c. medication Using bran to replace high-fiber d. foods Amylase and Lipase are sensitive tests used to assess for pancreatitis. 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? 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. Jeremiah is determined to have H. pylori positive ulcers which treatment would be indicated? 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? A. Single Therapy of Ranitidine B. Single Therapy of Omeprazole Triple therapy of: Clarithromycin, * C. amoxicillin, PPI D. None of the above c. Open cholecystectomy *d Laparoscopic cholecystectomy . NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 Empirical treatment with antibiotics *Hospitalization for emergent treatment Prescribing ursodeoxycholic acid Supportive care with close follow- NRNP 6531 Week 6 Midterm Exam) NRNP 6531 Week 6 Midterm Exam Latest Updated Examination Study Guide 2023 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 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 up