NRNP 6568 EXAM QUESTIONS AND ANSWERS LATEST EXAM UPDATES TESTED AND VERIFIED ANSWERS RATED, Exams of Nursing

Download NRNP 6568 EXAM QUESTIONS AND ANSWERS LATEST EXAM UPDATES TESTED AND VERIFIED ANSWERS RATED and more Exams Nursing in PDF only on Docsity! • Question 2 1 out of 1 points NRNP 6568 EXAM QUESTIONS AND ANSWERS LATEST EXAM UPDATES TESTED AND VERIFIED ANSWERS RATED A+ • Question 1 1 out of 1 points Release of information (ROI) to third parties requires authorization by the patient or his or her legal representative. True or False? Selected Answer: True Answers: True Fal s e When giving patients written information, what is the suggested reading level for that health information? Selected Answer: 5th grade Answers: 10th gra de 7th grad e 1st grad e 5th grade • Question 3 1 out of 1 points An NP must have a DNP to prescribe controlled substances. True or False? Selected Answer: Fal s e Answers: True Fal • Question 6 1 out of 1 points s e • Question 4 1 out of 1 points DNP stands for Doctor of Nursing Profession Selected Answer: Fals e Answers: True Fal s e • Question 5 1 out of 1 points A well-accepted change theory is the transtheoretical model (TTM), which conceptualizes the process of change in five stages. Pick the answer that lists the five stages in the correct order. Selected Answer: Precontemplation; contemplation; preparation; action; maintenance Answers: Preparation; precontemplation; contemplation; action; maintenance Precontemplation; contemplation; preparation; action; maintenance Action; maintenance; precontemplation; contemplation; preparation Preparation; contemplation; action; maintenance; precontemplation Different states have different titles for NPs. All of the following are recognized titles for Nurse Practitioners EXCEPT: How is the NP titled in your state? Also list the titles for NPs in two neighboring states. Selected Answer: Registered Nurse Practitioner Provider Answers: Advanced Practice Registered Nurse Advanced Registered Nurse Practitioner Certified Nurse Practitioner Registered Nurse Practitioner Provider • Question 7 1 out of 1 points A 55 year old male was admitted to hospital. The patient's mother wants to know • Question 2 1 out of 1 points Selected Answer: When care is provided remotely and the provider and patient are not physically present with each other Answer s: When care is provided remotely and the provider and patient are not physically present with each other When care is provided remotely and the provider and patient are physically present with each other Remote care that is challenging and only used for psychiatric patients Remote care provided to patients by providers and does not require HIPPA compliant video conferencing • Question 1 1 out of 1 points What is it called when an NP bills for a higher level of visit than actually was conducted? Selected Answer: Upcoding Answers: Billing Productivi t y Upcoding Down codin g The review of systems (ROS) is documented in the Physical Exam section of the visit. Selected Answer: Fal s e Answers: True Fal s e • Question 4 1 out of 1 points • Question 3 1 out of 1 points An occurrence policy covers any incident that occurred while the NP was insured. A claims made policy covers an NP only when the insurance policy is active, no matter when the incident occurred. Selected Answer: True Answers: True Fal s e If an NP is sued, it is important that the NP not call the insurance company immediately so as to prevent the rates from increasing. True or false? Selected Answer: Fal s e Answers: True Fal s e • Question 5 1 out of 1 points Standard of care is the use of unreasonable, extraordinary care, skill, and diligence as an NP in the type of patient practice in similar cases. Selected Answer: Fal s e Answers: True Fal s e • Question 6 1 out of 1 points A provider may be terribly negligent, but if there is no injury, there is no malpractice. True or False? Selected Answer: True • Question 9 1 out of 1 points • Question 8 0 out of 1 points Answer s: True Fal s e • Question 7 1 out of 1 points If a patient is dismissed from a practice, it is important that certain rules are followed. A patient should be sent a dismissal letter by First Class mail with return receipt requested. What elements need to be included in the letter? Selected Answer: The last day the practitioner will be available to render medical care, which should be at least 30 days; indication that med refills will be provided during this period; alternative sources of medical care; how to obtain medical records Answers: The last day the practitioner will be available to render medical care, which should be at least 30 days; indication that med refills will be provided during this period; alternative sources of medical care; how to obtain medical records The last day the practitioner will be available to render medical care, which can be immediately; referral information to another provider, and how to obtain medical records Notice of immediate discharge from the practitioners care, prescriptions for 30 days of their medications, and how to obtain medical records The last day the practitioner will be available to render medical care, which should be at least 60 days; indication that med refills will not be provided during this period; referral to new provider; how to obtain medical records There are (fill in a number) levels of evaluation/management visits. Selected Answer: four Answers: thr e e four fiv e six seen in preschoolers usually seen in adults, mucopurulent discharge, and unilateral, no adenopathy • Question 4 watery discharge, unilateral, older children and adenopathy watery discharge, adults, unilateral, no adenopathy 1 out of 1 points The NP recognizes common symptoms for allergic rhinitis include: Selected Answer: Runny nose and itchy eyes Answers: Bloody nasal discharge • Question 5 Runny nose and itchy eyes Purulent nasal discharge Cough and fever 1 out of 1 points What is the most important way to control allergic rhinitis? Selected Answer: environmental control Answers: Nasal saline • Question 6 environmental control Benadryl Antihistamines 1 out of 1 points A 15 year old child with sore throat comes to clinic and rapid strep is positive for strep. The NP will more than likely treat patient with: Selected Answer: All of the above Answers: PCN V 500 mg bid x10 days Salt water gargles Throat lozenges • Question 7 All of the above 1 out of 1 points What differentiates chronic rhinosinusitis from allergic rhinitis. Selected Answer: Allergic rhinitis has an acute onset Answers: Allergic rhinitis has persistent nasal blockage Chronic rhinosinusitis is characterized by sneezing and watery eyes • Question 8 Allergic rhinitis has an acute onset Chronic rhinosinusitis typically has a positive family history of similar problems. 1 out of 1 points What is the recommended first-line antibiotic and dosage for children with acute otitis media? Selected Answer: amoxicillin 80- 90 mg/kg/day Answers: • Question 9 amoxicillin 80- 90 mg/kg/day Ceftin 90 mg/kg/day Penicillin VK 10 mg/kg/day azithromycin 50 mg/kg/day 1 out of 1 points What is normal intraocular pressure? Selected Answer: 10—20 mm hg Answers: 5-8 mm hg 2-4 mm hg Atherosclerosis 1 out of 1 points Jay is a 72 y/o male who comes to the clinic with the following chief complaint: “I have been feeling very tired recently and having trouble breathing when I go upstairs. I noticed that my ankles and feet are swollen and I have been putting on weight.” The most likely diagnosis for this patient is: Selected Answer: Congestive heart failure (CHF) Answers: Acute myocardial infarction (AMI) Infective endocarditis • Question 6 Congestive heart failure (CHF) Dissecting abdominal aortic aneurysm (AAA) 1 out of 1 points Mickey is a 23 y/o male who comes to the clinic with the following complaints: abdominal pain, chest pain, and seizures. In reviewing his record, the NP notices that this is his 20th visit this year. Furthermore, he has had six exploratory surgeries that have discovered nothing of consequence. His most likely diagnosis is: Selected Answer: Munchausen syndrome Answers: • Question 7 Munchausen syndrome Schizophrenia Posttraumatic syndrome Anorexia nervosa 1 out of 1 points Bupropion (Wellbutrin) is contraindicated in patients with anorexia/bulimia because of the potential for increasing the seizure threshold. Selected Answer: True Answers: True Fal s e • Question 8 1 out of 1 points 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. Based on these finding alone the NP arrives at the following presumed diagnosis: Selected Answer: Infective endocarditis Answers: Congestive heart failure • Question 9 Infective endocarditis Dissecting abdominal aortic aneurysm (AAA) None of the above 0 out of 1 points Martin is a 73 y/o male who has a 50 pack/year history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss and more noticeable pursed lip breathing. Given Martin’s condition, the first line treatment would be all the following except: Selected Answer: Metaproterenol Answers: Albuterol Salmeterol Levalbuterol Metaprotere nol • Question 10 1 out of 1 points Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved with defecation. The most likely cause is: Selected Answer: Irritable bowel syndrome Answers: Irritable bowel syndrome Peptic ulcer disease GERD Pancreatitis • Question 11 1 out of 1 points e Answers: True Fal s e • Question 15 All diastolic murmurs are abnormal. Selected Answer: True Answers: 1 out of 1 points True Fal s e • Question 16 St. John’s Wart has all the following potential uses except: Selected Answer: HIV/AIDS Answers: Depression Menopaus al symptoms Wound healing HIV/AIDS • Question 17 1 out of 1 points 1 out of 1 points Angela is a 15 y/o who has a distorted perception of her body shape and size. She is currently down to 96 lbs. with a BMI of 17. Your physical exam and history note that she has lanugo, has not had a menses in 4 months, and has a daily history of vomiting and taking laxatives. The most likely diagnosis is: Selected Answer: Anorexia nervosa Answers: Schizophrenia Posttraumatic stress disorder (PTSD) Anorexia nervosa Munchausen syndrome • Question 18 1 out of 1 points 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. Selected Answer: True Answers: True Fal s e • Question 19 1 out of 1 points John is a 26 y/o Caucasian male who works as a landscaper for his father’s business. During the past couple of months, he has noticed a small dark popular lesion on his neck. He states that it sometimes bleeds and is a “sore that never heals.” The NP notes that he has a circumscribed 2mm lesion at the base of his neck just below the hairline. The most appropriate treatment for John’s lesion would be: Selected Answer: Mohs surgery Answers: Apply Aldara Cream Electrocautery Mohs surgery “Watch and wait” • Question 20 1 out of 1 points 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: Selected Answer: Strict bedrest Answers: An emergency room visit Strict bedrest Hospitalizatio n All of the above • Question 21 1 out of 1 points An S3 heart sound can be a normal finding in all the following except: Selected Answer: 40 year old female Answers: Well trained athletes Pregnant women Children 40 year old female • Question 22 1 out of 1 points 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. If Sara started having uterine cramping, then the most appropriate immediate treatment would be: Selected Answer: Intravenous magnesium Answers: Vaginal exam Ultrasound of the uterus C-section Intravenous magnesium • Question 23 1 out of 1 points Rescue drugs for patients with respiratory problems such as asthma or COPD would include both SABAs and LABAs. Selected Answer: Answer s: True Fal s e • Question 27 1 out of 1 points Martin is a 17 y/o male who comes to the clinic with the following chief complaint: “I have pain around my belly button and have had no appetite for the past 24 hours. I have had some nausea and have vomited three times. I have had a low-grade fever also.” During the clinical exam, the NP notices that Martin has some guarding and rebound tenderness in the RLQ. In the physical exam, the NP performs some abdominal maneuvers. What would be the most appropriate maneuvers for Martin’s symptomatology? Selected Answer: A & B only Answers: Psoas sign Obturator sign Rovsing’s sign Murphy’s sign A & B only • Question 28 1 out of 1 points 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. The first line treatment for Randy’s diagnosis would be: Selected Answer: Metformin Answers: Insuli n Acto s Metformi n Glucotro l • Question 29 1 out of 1 points Carlos is a 64 y/o male who has previously been diagnosed as a Category A COPD patient based on Gold guidelines (2017). Treatment for Carlos would include which of the following? • Question 30 1 out of 1 points Selected Answer: Short-acting beta agonist (SABA) Answers: Long-acting beta agonist (LABA) Short-acting beta agonist (SABA) Long-acting muscarinic agent (LAMA) Referral to a pulmonologist The most common side effects of giving SSRIs to depressed patients include: Selected Answer: All of the above Answers: Diarrhea Nausea and vomiting Sexual dysfunction • Question 1 All of the above 1 out of 1 points The NP has prescribed a beta blocker for 40 year old black male. The NP knows Selected Answer: The medication must be weaned off slowly Answers: Beta-blockers are medications that do not need to be weaned There is no concern with rebound hypertension. • Question 2 The medication must be weaned off slowly The patient can discontinue at any time he decides with no problems 1 out of 1 points COPD beings earlier in life while asthma symptoms don't usually appear until midlife Selected Answer: 6 All of the above 1 out of 1 points Lobar consolidation is more common in pneumonia and bilateral diffuse. Infiltrates are seen more commonly in pneumonia. Selected Answer: typical; atypical Answers: • Question 7 typical; atypical atypical; typical fungal; viral viral; fungal 1 out of 1 points How would you interpret this EKG? Selected Answer: Ventricula r tachycardi a Answers: STEMI Third degree heart block Atrial fibrillation • Question 8 Ventricula r tachycardi a 1 out of 1 points Treatment of an abdominal aortic aneurysm is recommended when it has grown to greater than in diameter. Selected Answer: 5. 5 Answers: 4. 0 5. 0 • Question 10 1 out of 1 points 5. 5 6. 5 • Question 9 1 out of 1 points Topics that the NP should discuss with a newly diagnosed hypertensive patient include dietary instructions, exercise recommendations, risk factor modification, and medication information. Selected Answer: True Answers: True Fal s e An older patient complains of dyspnea, dry cough, fatigue, and swollen feet and ankles. These are symptoms of Selected Answer: Congestive Heart Failure Answers: Hypertension • Question 1 Congestive Heart Failure Myocardial infarction Acute renal failure 1 out of 1 points One of the most common side effects of SSRIs is: Selected Answer: Erectile dysfuncti on Answers: Nause a Answer: All of the above Answers: Persons > 65 y/o Impaired immunity Blood disorders Heart and lung disease • Question 5 All of the above A, B & D only 0 out of 1 points Martin is a 73 y/o male who has a 50 pack/year history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss and more noticeable pursed lip breathing. Your diagnosis is: Selected Answer: Emphysema Answers: Chronic bronchitis Emphysema • Question 6 COPD 1 out of 1 points Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20–60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. His most likely diagnosis is: Selected Answer: Nephrolithiasis (kidney stone) Answers: Acute pyelonephritis • Question 7 Nephrolithiasis (kidney stone) Bladder cancer None of the above 1 out of 1 points Which of the following insulins is a “rapid acting” insulin? defecation. The most likely cause is: Selected Answer: Irritable bowel syndrome Answers: Irritable bowel syndrome Peptic ulcer disease GERD Pancreatitis • Question 11 1 out of 1 points At 12 weeks in a pregnancy the fundal height of the uterus should be: Selected Answer: Above the symphysis pubis Answers: Above the symphysis pubis Between symphysis pubis and umbilicus At level of umbilicus Below the umbilicus • Question 12 1 out of 1 points 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. The most likely diagnosis for this condition is: Selected Answer: Placenta previa Answers: Placental abruption Severe preeclampsia Placenta previa None of the above • Question 13 1 out of 1 points Maria is a 26 y/o female in her third trimester of pregnancy. She has a sudden onset of vaginal bleeding and has a hypertonic uterus. She has a history of hypertension secondary to previous cocaine use. Her most likely diagnosis would be: Selected Answer: Placental abruption Answers: Placental abruption Placenta previa Severe preeclampsia Uterine rupture • Question 14 Which vaccine is required at birth of a newborn? Selected Answer: Hepatitis B Answers: Hepatitis A Hepatitis B DTAP Tdap • Question 15 1 out of 1 points 1 out of 1 points Mary is going through puberty at 13 y/o and notices that her areola/nipples separate and form a secondary mound. This is what state in Tanner? Selected Answer: Stage 4 Answers: Stage 2 Stage 3 Stage 4 Stage 5 • Question 16 Bacterial vaginosis has all the following signs/symptoms except: Selected Answer: Greenish d i s c h a r g e Answers: Fish-like 1 out of 1 points 0 out of 1 points A pregnant women who has gestational diabetes mellitus (GDM) in the second trimester has which type of diabetes? Selected Answer: Neit h er Answers: Type I Typ e 2 Neit h er • Question 21 1 out of 1 points Sal is a 56 y/o male who the NP has seen on many occasions in the clinic. During her physical exam of the heart, the NP notices that he has a new mitral regurgitation murmur that is described as a Grade II. She notes that his murmur is associated with which part of the cardiac cycle? Selected Answer: Systo li c Answers: Diast ol ic Systol i c A & B • Question 22 1 out of 1 points 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: Selected Answer: DM type 2 Answers: DM type 1 DM type 2 None of the above • Question 23 1 out of 1 points The diagnosis of a subclinical hypothyroidism would be identified by which lab test results? Selected Answer: Increased TSH and normal free T4 Answers: Increased TSH and normal free T4 Decreased TSH and normal free T4 Increased TSH and increased free T4 Decreased TSH and decreased free T4 • Question 24 1 out of 1 points Once cervical cancer screening is initiated in women, the screening interval should be: Selected Answer: Every 3 years Answers: Every 2 years Every 3 years Every 4 years Every 5 years • Question 25 1 out of 1 points Which of the following vaccines are contraindicated in pregnancy? Selected Answer: All of the above Answers: MMR Oral polio Varicell a All of the above • Question 26 1 out of 1 points Oscar is a 41 y/o male who presents to the clinic with onset of fever, n&v, with a rapid onset of pain that radiates to the midback, epigastric region. On physical exam, you notice guarding over epigastric area and a positive Acute pancreatitis • Question 29 1 out of 1 points Kyle is a 68 y/o male who comes to the clinic for his annual checkup. His chief complaint • Question 30 1 out of 1 points is that for the past couple of weeks he has had severe, sharp, excruciating pain in his abdomen, flank, and back. During the physical exam, the NP notices that on palpation of the abdomen she feels a palpable mass that is greater than 3 cm in width. This could potentially be: Selected Answer: Abdominal aortic aneurysm Answers: An acute MI Abdominal aortic aneurysm Infective endocarditis Congestive heart failure In pulsus paradoxus, even if the pulse cannot be palpated, it can still be heard by using a BP cuff and stethoscope. Selected Answer: True Answers: True Fal s e • Question 1 1 out of 1 points Abdominal pain must be present for an Irritable Bowel Syndrome (IBS) diagnosis. Selected Answer: True Answers: True Fal s e • Question 2 1 out of 1 points In a patient with chronic cholecystitis, would you expect to see normal lab values for which of the following? Selected Answer: All of the above Answers: White blood count Amylas e Lipase • Question 3 All of the above 1 out of 1 points The most common symptom of GERD is . Selected Answer: Heartburn Answers: Diarrhea Stomac h pain GI bleeding • Question 4 Heartbur n 1 out of 1 points Smoking is a major risk factor for bladder cancer. Selected Answer: True Answers: True Fal s e • Question 5 1 out of 1 points For the Rome III Criteria for constipation to be fulfilled at least one of the symptoms listed below must be present for at least 3 months with onset 6 months before the diagnosis. Which symptom is correct? Selected Answer: sensation of straining Answers: fewer than 2 bowel movements per week Fal s e • Question 2 1 out of 1 points Several organizations have come together to define the diagnostic criteria for metabolic syndrome. One of these criteria is: Elevated blood pressure: systolic 140 mm Hg or higher and diastolic 95 mm Hg or higher, or drug treatment of previously diagnosed hypertension Selecte d Answer: Fal s e Answers: True Fal s e • Question 3 1 out of 1 points Levothyroxine typically TSH levels Selecte d Answer: decreas e s Answer s: increase decreas e s don't effec t • Question 4 mas k 1 out of 1 points The NP suspects a patient has hypothyroidism. The NP would expect TSH and T4 level to be: Selected Answer: High TSH and low T4 Answers: Low TSH with High T4 levels Low TSH and low T4 High TSH and high T4 • Question 5 High TSH and low T4 1 out of 1 points Hypokalemia is typically a result of inadequate intake. True of False. Selecte d Answer: Fal s e Answers: True Fal s e • Question 6 1 out of 1 points Several organizations have come together to define the diagnostic criteria for metabolic syndrome. One of these criteria is: Elevated triglyceride levels equal or greater than 150 mg/dL Selecte d Answer: Answer s: True True Fal s e • Question 7 1 out of 1 points Several organizations have come together to define the diagnostic criteria for metabolic syndrome. One of these criteria is: Reduced HDL cholesterol: below 50 mg/dL in males and below 60 in females, or specific treatment for this lipid abnormality Selecte d Answer: Fal s e Answers: True Fal s e • Question 8 What HgA1C level indicates a diagnosis of diabetes? 1 out of 1 points Selecte d Answer: 6.5 Answers: 5.7 Sterilization Condoms • Question 3 Birth control pills 1 out of 1 points Juan, an 82 y/o male, is brought to the clinic by his daughter with LLQ pain, anorexia, nausea, and vomiting. Palpation of the abdomen reveals a positive rebound tenderness, positive Rovsing’s sign, and rigid abdomen. The NP in Juan’s case should: Selecte d Answer: Refer to ER Answer s: Refer to ER Try an antiemetic Draw labs • Question 4 Send for a CAT scan 1 out of 1 points 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. Selecte d Answer: Answer s: True True Fal s e • Question 5 1 out of 1 points Mary is a 22 y/o female who is at 6 weeks gestation. She stated that her last menstrual period was June 10, 2020. Using Naegele’s rule, which of the following is her expected date of confinement (EDD)? Selecte d Answer: March 17, 2021 Answer s: March 17, 2021 March 10, 2021 April 10, 2021 • Question 6 April 17, 2021 1 out of 1 points The CDC recommends HPV vaccine for males until what age? Selecte d Answer: 26 y/o Answers: 18 y/o 20 y/o 23 y/o • Question 7 26 y/o 1 out of 1 points 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: Selecte d Answer: Call 911 immediately. Answer s: Begin CPR and then call 911. Call 911 immediately. Have the wife drive the patient to the ER. • Question 8 Call back if the intensity of the pain increases. 1 out of 1 points In pulsus paradoxus, even if the pulse cannot be palpated, it can still be heard by using a BP cuff and stethoscope. Selecte d Answer: True Sample contamination Answer s: Sample contamination Pyelonephritis Bladder cancer None of the above • Question 13 1 out of 1 points The most common drug trigger for Stevens-Johnson Syndrome include all the following except: Selecte d Answer: ASA Answer s: ASA NSAIDS Anticonvulsa nts Allopurinol • Question 14 1 out of 1 points Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved with defecation. Treatment of Agnes’s condition would include which of the following: Selecte d Answer: All of the above Answer s: Increased dietary fiber Avoid gas-producing foods Decrease stress in her life All of the above A & B only • Question 15 1 out of 1 points Andy comes to the clinic with a chief complaint of knee pain. He states that he plays quarterback on his high school football team and is captain of his basketball team. You palpate the tibial tuberosity and note pain, tenderness, and swelling. The most likely diagnosis is: Selecte d Answer: Osgood-Schlatter disease Answer s: Kleinfelter syndrome Osgood-Schlatter disease Turner’s syndrome Meniscal tear • Question 16 1 out of 1 points John is 17 y/o and decides to marry his high school sweetheart. Under what condition(s) would he be declared an “emancipated minor?” Selected Answer: B & C only Answers: Moving out of parents’ house Joining the Navy Legally married B & C only • Question 17 1 out of 1 points Jeremy is suffering from chronic alcohol abuse. His symptoms include mental confusion, ataxia, stupor, and hypotension. The most likely diagnosis for these symptoms is: Selecte d Answer: Korsakoff’s syndrome Answer s: Korsakoff’s syndrome Insomnia 60 minutes • Question 22 1 out of 1 points 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: Selecte d Answer: Pelvic inflammatory disease (PID) Answer s: Pelvic inflammatory disease (PID) Vulvovaginitis Dysmenorrhea Amenorrhe a • Question 23 1 out of 1 points Pneumococcal vaccine is recommended for which of the following groups of patients? Selecte d Answer: All of the above Answer s: Persons > 65 y/o Impaired immunity Blood disorders Heart and lung disease All of the above A, B & D only • Question 24 1 out of 1 points The most common side effects of giving SSRIs to depressed patients include: Selecte d Answer: All of the above Answer s: Diarrhea Nausea and vomiting Sexual dysfunction All of the above • Question 25 1 out of 1 points Ann is a primigravida in her 35th week of pregnancy and presents to the clinic with severe recurrent headaches, blurred vision, pitting edema, and right upper quadrant pain. Additionally, she has oliguria, nausea, and vomiting. Her urine protein is >1+. The only treatment for Ann would be: Selected Answer: Delivery of fetus Answer s: Delivery of fetus Strict bedrest Intravenous magnesium sulfate Erythromyc in • Question 26 All of the following are considered macular lesions except: 1 out of 1 points Selecte d Answer: A & C only Answer s: Freckles Acne Lentigo Psoriati c lesions A & C only B & D only Nephrolithiasis (kidney stone) Bladder cancer • Question 1 None of the above 0 out of 1 points Several organizations have come together to define the diagnostic criteria for metabolic syndrome. One of these criteria is: Elevated fasting plasma glucose: 100 mg/dL or higher, or drug treatment for elevated glucose Selected Answer: Answer s: Fals e True Fal s e • Question 2 1 out of 1 points In a patient with hyperglycemia, the intracellular fluid may shift into the extracellular compartment, leading to decreased sodium levels. Selected Answer: Answer s: True True Fal s e • Question 3 Hypokalemia is typically a result of inadequate intake. True of False. 1 out of 1 points Selecte d Answer: Fal s e Answers: True Fal s e • Question 4 1 out of 1 points Alopecia of outer one third of eyebrow and myxedema is are symptoms of: Selected Answer: Hypothyroidism Answers: Hyperthyroid is m Thyroid CA Hypothyroidism • Question 5 Thyrotoxicosis 1 out of 1 points blood glucose levels may be the first sign of an impending illness in a patient with Diabetes Mellitus. Selecte d Answer: Answer s: Rising Falling Decrea si ng Unstable • Question 6 Risin g 1 out of 1 points Insulin doses typically remain the same when a woman with Type 1 Diabetes Mellitus becomes pregnant. True or False? Selecte d Answer: Fal s e Answers: True Fal s e • Question 7 1 out of 1 points In an ambulatory patient, the most common cause of hypercalcemia is . Selecte d Answer: Answer s: Hyperparathyroidism Hypoparathyroid is m Hypothyroid Hyperparathyroidism Hyperthyroid Menopause is associated with a dramatic decline in estrogen levels. Selecte d Answer: Answer s: True True Fal s e • Question 3 Danger signs of oral contraceptives include all the following except: 1 out of 1 points Selecte d Answer: Weakness on both sides of the body Answer s: Chest pain Severe headache Weakness on both sides of the body • Question 4 Visual changes in one eye 1 out of 1 points Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved with defecation. The most likely cause is: Selecte d Answer: Irritable bowel syndrome Answer s: Irritable bowel syndrome Peptic ulcer disease GERD • Question 5 Pancreatit is 1 out of 1 points 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. If Sara started having uterine cramping, then the most appropriate immediate treatment would be: Selecte d Answer: Intravenous magnesium Answer s: Vaginal exam Ultrasound of the uterus C-section • Question 6 Intravenou s magnesiu m 1 out of 1 points Martin is a 73 y/o male who has a 50 pack/year history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss and more noticeable pursed lip breathing. Given Martin’s condition, the first line treatment would be all the following except: Selecte d Answer: Salmeterol Answer s: Albuterol Salmeterol Levalbuterol • Question 7 Metaproter en ol 1 out of 1 points 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 Selected & Answer : Laziness Answer s: Autism spectrum disorder Language delay Dysfunctional family situation Laziness • Question 11 1 out of 1 points In treating patients for depression, the first line pharmacological treatment would be: Selecte d Answer: Selective serotonin reuptake inhibitors (SSRIs) Answer s: Monoamine oxidase inhibitors (MAOIs) Benzodiazepines Selective serotonin reuptake inhibitors (SSRIs) Tricyclic antidepressants (TCAs) • Question 12 0 out of 1 points Continuous antibiotic prophylaxis with which antibiotic is the most effective mode of treating UTIs: Selecte d Answer: TMP-SMX Answer s: TMP-SMX Nitrofurant oi n Cephalexin Ciprofloxaci n • Question 13 1 out of 1 points 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. The most likely diagnosis is: Selected Answer: Gastroesophageal reflux disease 1 2 h o u r s o f b i r t h Answer s: 12 hours of birth 24 hours of birth 36 hours of birth 48 hours of birth • Question 17 All diastolic murmurs are abnormal. 1 out of 1 points Selecte d Answer: Answer s: True True Fal s e • Question 18 1 out of 1 points Kyle is a 68 y/o male who comes to the clinic for his annual checkup. His chief complaint is that for the past couple of weeks he has had severe, sharp, excruciating pain in his abdomen, flank, and back. During the physical exam, the NP notices that on palpation of the abdomen she feels a palpable mass that is greater than 3 cm in width. This could potentially be: Selecte d Answer: Answer s: Abdominal aortic aneurysm An acute MI Abdominal aortic aneurysm Infective endocarditis Congestive heart failure • Question 19 1 out of 1 points Maria is a 26 y/o female in her third trimester of pregnancy. She has a sudden onset of vaginal bleeding and has a hypertonic uterus. She has a history of hypertension secondary to previous cocaine use. Her most likely diagnosis would be: Selecte d Answer: Placenta l abruptio n Answer s: Placenta l abruptio n Placenta previa Severe preeclamps ia Uterine rupture • Questio High specific gravity Prolonged exposure of dipstick to air before testing • Question 22 1 out of 1 points Sal is a 56 y/o male who the NP has seen on many occasions in the clinic. During her physical exam of the heart, the NP notices that he has a new mitral regurgitation murmur that is described as a Grade II. She notes that his murmur is associated with which part of the cardiac cycle? Selecte d Answer: Systol i c Answers: Diast ol ic Systol i c A & B • Question 23 1 out of 1 points Martin is a 17y/o male who comes to the clinic with the following chief complaint: “I have pain around my belly button and have had no appetite for the past 24 hours. I have had some nausea and have vomited three times. I have had a low-grade fever also.” During the clinical exam, the NP notices that Martin has some guarding and rebound tenderness in the RLQ. The most likely diagnosis for this patient is: Selecte d Answer: Acute appendicit is Answer s: Acute appendicit is Cholecystitis Acute diverticulos is Acute pancreatitis • Question 24 1 out of 1 points Andreas is a 22 y/o male who comes to the clinic with a UTI. In reviewing the labs that were drawn yesterday, you know that there are many squamous epithelial in the specimen. This indicates: Selecte d Answer: Sample contaminati on Answer s: Sample contaminati on Pyelonephritis Bladder cancer None of the above • Question 25 1 out of 1 points The most common drug trigger for Stevens-Johnson Syndrome include all the following except: Selecte d Answer: Answer s: ASA ASA NSAIDS Anticonvulsa nts Allopurinol • Question 26 1 out of 1 points Hillary is an 18 y/o Caucasian who comes to the clinic with a chief complaint of hirsutism, acne, and amenorrhea. Her most likely diagnosis is: Selecte d Answer: Polycystic ovary syndrome (PCOS) Answer s: Polycystic ovary syndrome (PCOS) Ovarian cancer