NRNP 6568 Comprehensive exam-with 100% verified solutions-2024.docx, Exams of Nursing

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solutions- 2024

Answers in bold The most common side effects of giving SSRIs to depressed patients include: Diarrhea Nausea and vomiting Weight gain Sexual dysfunction All of the above A, B & C only Archie is a 19 y/o male who comes to the clinic with his significant other because of recent outbursts and then long periods of mood changes that cycle between mania and depression. His most likely diagnosis is: Major depression Bipolar depression Minor depression None of the above Bonnie is a 76 y/o female patient who resides in a nursing home. She is currently on a 10-day course of Clindamycin for a recurrent bacterial vaginal infection. She has started having 10–15 watery stools per day. The NP recognizes this as: Crohn’s disease Ulcerative colitis Clostridium difficile colitis None of the above Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. This presentation is most typical of: Pelvic inflammatory disease (PID) Vulvovaginitis

NRNP 6568 Comprehensive exam-with 100% verified

Dysmenorrhea

Amenorrhea

Diabetes mellitus causes both microvascular and macrovascular damage. All of the following are indications of microvascular damage except: Retinopathy Nephropathy Neuropathy Atherosclerosis An S3 heart sound is considered abnormal if it occurs after the age of 35–40 years of age. True False Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. Knowing that her cervix is not dilated, the most appropriate treatment would be: An emergency room visit Strict bedrest Hospitalization All of the above Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat. Medications to assist Zina would include all the following except: Zantac Pepcid NSAIDS Prevacid Sierra, a 42 y/o female, comes to the clinic to follow up on some lab work that was drawn at her last visit. Her labs showed a low TSH and an increase in both her serum free T4 and T3.

Treatment for Sierra’s disease could include which of the following? Propylthiouracil Methimazole Radioactive iodine All of the above A & B only Patients with bipolar disorder may have all the following except: Delusions Hallucinations Lower rates of substance abuse A & B only Andre is a 52 y/o construction worker who stayed home today because he was having severe chest pain. His wife calls the clinic and describes his symptoms as: squeezing chest tightness, with pain that radiates to the left side of his neck, jaw, and left arm. The NP’s immediate response should be to tell the wife: Begin CPR and then call 911. Call 911 immediately. Have the wife drive the patient to the ER. Call back if the intensity of the pain increases. Amanda was out hiking with her boyfriend in the woods. When she gets home, she notices that she has an inflammatory skin reaction caused by something she picked up in the woods. The next day she sees bright red pruritic lesions on her lower extremities that are moist and painful. Treatment for Amanda’s condition would include which of the following? Topical steroids Triamcinolone Calamine lotion Oatmeal baths (Aveeno)

All of the above All of the above except D Carlos is a 64 y/o male who has previously been diagnosed as a Category A COPD patient based on Gold guidelines (2017). The Category A patient group includes which of the following? Minimally symptomatic (low risk of exacerbation) More symptomatic (low risk of exacerbation) Minimally symptomatic (high risk of exacerbation) High risk At what age should a child be able to speak in full sentences using 3–5 words? 1 y/o 2 y/o 3 y/o None of the above The typical ratio of basal to bolus insulin in clinic is: 70:30 or 55: 50:50 or 60: 40:60 to 45: None of the above All diastolic murmurs are abnormal. True False Jeremy is suffering from chronic alcohol abuse. His symptoms include mental confusion, ataxia, stupor, and hypotension. The most likely cause of Jeremy’s disease is:

Vitamin D deficiency Thiamine deficiency Vitamin C deficiency Vitamin E deficiency Mary is a new mother who was tested HBsAG+ during her prenatal screening process. Upon the birth of her infant, the newborn should be given HBIG and Hep B within: 12 hours of birth 24 hours of birth 36 hours of birth 48 hours of birth Juan, an 82 y/o male, is brought to the clinic by his daughter with sudden LLQ pain, nausea, vomiting, diarrhea, or constipation. The patient has a temperature of 100.4 and reports blood in stool. Juan’s most likely diagnosis is: PUD Acute diverticulitis Acute pancreatitis Hepatitis Joan is a 39 y/o female who presents to the clinic with a chief complaint of: 3-day history of fever (101 F degrees), chills, n & v, and flank pain. During the physical exam, the NP notices that Joan has CVA tenderness. In a urine check, the NP notes that she has many leukocytes, hematuria, WBC casts, and mild proteinuria. Pharmacological treatment for Joan could include which of the following drugs: Fluoroquinolone Ceftriaxone Ciprofloxacin All of the above A & C only

Martin is a 41 y/o male who comes to the clinic with the following symptoms: fever, chills, and malaise. On physical exam, the NP notes that he has a new murmur that was not present at his last visit and is aware that he has a prosthetic valve. He also has splinter hemorrhages on his nails, and petechiae on his palate. Additional diagnostic criteria for Martin’s presumed diagnosis would include which of the following: Blood cultures Echocardiography Transesophageal echocardiography All of the above A & B only 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. Potential organisms that might have caused Sam’s condition include which of the following: Mycoplasma pneumoniae Chlamydia pneumoniae Legionella pneumonia All of the above None of the above Bobby is a 20 y/o African American male who comes to the clinic with the following presentation. His BMI is >85% for his age and sex. His PMH indicates hypertension, hyperlipidemia, and acanthosis nigricans. Based on his PMH and presenting symptoms, the NP would most likely be inclined to identify him as having: Pheochromocytoma Type 1 diabetes mellitus Type 2 diabetes None of the above To perform the psoas sign, the NP would do which of the following? With patient supine, have pt. raise right leg against NPs hand. Positive if pain is elicited. With patient on left side, extend patients right leg at hip. Positive if pain is elicited.

Pain during left-sided pressure in LLQ is positive sign. Flex patient’s right thigh at hip with knee bent and rotate leg internally at the hip. Positive if pain elicited. A & B only None of the above 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: Rest Mucolytics Antibiotics Increased fluid intake All of the following are characteristic of the S4 heart sound except Normal finding in some healthy elderly Occurs during systole Best heard at apex of the heart Best heard with bell of stethoscope Randy is a 29 y/o African American male who has a body mass index (BMI) of 30, does not exercise, and has evidence of metabolic syndrome. His most likely diagnosis is: DM type 1 DM type 2 None of the above The parents of Joshua want to be able to follow their son’s growth and development patterns and ask you for a recommendation on which of the following standards would be most appropriate. You would recommend: Newborn Behavioral Assessment Scale Denver Developmental Scale II

Ages and Stages Questionnaire Bayley Scales of Infant Development Continuous antibiotic prophylaxis with which antibiotic is the most effective mode of treating UTIs: TMP-SMX Nitrofurantoin Cephalexin Ciprofloxacin Osteoporosis is defined as having a T-score of or less than the standard deviation of a healthy individual. 1

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