NRNP-6565-6/NRNP-6565S-6-Synth Adv Nurs Prac Care Quiz – Week 5 Comprehensive Practice

Review Test Submission: Quiz – Week 5 Comprehensive Practice

NRNP-6565-6/NRNP-6565S-6-Synth Adv Nurs Prac Care Quiz – Week 5 Comprehensive Practice

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CourseNRNP-6565-6/NRNP-6565S-6-Synth Adv Nurs Prac Care-2022-Spring-QTR-Term-wks-1-thru-11-(02/28/2022-05/15/2022)-PT27
TestQuiz – Week 5 Comprehensive Practice
Started4/3/22 12:04 PM
Submitted4/3/22 12:56 PM
Due Date4/4/22 1:59 AM
StatusCompleted
Attempt Score30 out of 30 points
Time Elapsed51 minutes out of 1 hour and 30 minutes

Sunday, April 3, 2022 12:56:10 PM EDT

 

 

Question 1

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. Patients with Joan’s diagnosis would be referred to a nephrologist under these conditions if they were:

  Pregnant women
  Children
  Diabetic
  All of the above

Question 2

Pityriasis rosea is described as having a Christmas tree–like pattern.

True

False

 

A

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Question 3

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. Treatment for Judy’s condition would include all the following drugs except:

  Cefotan
  Amoxicillin
  Ceftriaxone
  Metronidazole

 

B

Question 4

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:

  Chronic bronchitis
  Emphysema
  COPD

C

Question 5

An S3 heart sound can be a normal finding in all the following except:

  Young athletes
  Pregnant women
  Children

A

Question 6

Diagnostic studies for Type II diabetes mellitus would include which of the following?

  HbA1C (>6.5%)
  Fasting plasma glucose (= to or >126 mg/dL)
  Random plasma glucose (>200 mg/dL)
  All of the above
  None of the above

D

Question 7

Marty is an 18y/o outdoorsman who loves hiking in the woods. Marty notes that he was hiking about 10 days ago and now he has a red rash with a central clearing that looks like a target. The rash is rough and hot to the touch. He now has flu-like symptoms. Treatment for Marty’s condition would include all the following drugs, except:

  Doxycycline
  Amoxicillin
  Cefuroxime
  Azithromycin

D

Question 8

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

B

Question 9

Mike is a 56 y/o male who lives in an abandoned building with about 40 other people who are homeless. He comes to the clinic with a social worker who describes his symptoms as: a cough, dyspnea, pleuritic chest pain, fever and tachypnea. In your physical exam, you learn that he has some consolidation in the lower lobes with an audible friction rub. To treat Mike’s problem, the most appropriate pharmacological agent would be:

  Levofloxacin
  Macrolide
  Cefoxitin
  Moxifloxacin

B

Question 10

All of the following are in the LUQ of the abdomen except

  Stomach
  Sigmoid colon
  Pancreas
  Kidney (left)

B

Question 11

Oral contraceptives can be started anytime in the menstrual cycle.

True

False

A

Question 12

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
  Dysmenorrhea
  Amenorrhea

A

Question 13

Deep palpation of the left lower quadrant of the abdomen causes referred pain to the RLQ. This is a positive for:

  Rovsing’s sign
  Psoas sign
  McBurney’s point
  Murphy’s maneuver

A

Question 14

An S3 heart sound is considered abnormal if it occurs after the age of 35–40 years of age.

True

False

A

 

Question 15

Mike is a 56 y/o male who lives in an abandoned building with about 40 other people who are homeless. He comes to the clinic with a social worker who describes his symptoms as: a cough, dyspnea, pleuritic chest pain, fever and tachypnea. In your physical exam, you learn that he has some consolidation in the lower lobes with an audible friction rub. Given Mike’s diagnosis, the most likely causative agent is:

  Strep pneumonia
  Pneumococcal pneumonia
  Mycoplasma pneumonia
  Moraxella catarrhalis

A

Question 16

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. Treatment for Martin would include which of the following:

  IV antibiotics
  Debridement of prosthetic valve
  Dental evaluation and treatment
  All of the above
  A & B only

D

Question 17

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

D

Question 18

Jane is a 57 y/o female whose husband of 35 years just passed away in the past 6 months. Jane comes to the clinic and says: “I cry all the time. I can’t sleep, I have no energy, I have lost 20 pounds in the past 2 months, and I get easily agitated. What’s wrong with me?”

  Anxiety
  Minor depression
  Major depression
  None of the above

C

Question 19

Marty is an 18 y/o outdoorsman who loves hiking in the woods. Marty notes that he was hiking about 10 days ago, and now he has a red rash with a central clearing that looks like a target. The rash is rough and hot to the touch. He now has flu-like symptoms. The NP diagnoses this rash as:

  Eczema
  Brown recluse spider bite
  Lyme disease
  Actinic keratosis

C

Question 20

Diabetes mellitus causes both microvascular and macrovascular damage. All of the following are indications of microvascular damage except:

  Retinopathy
  Nephropathy
  Neuropathy
  Atherosclerosis

D

Question 21

Risk factors for Alcohol Use Disorder include which of the following?

  Family history
  Stressful life events
  Low socioeconomic status
  All of the above
  A & B only

D

Question 22

The definition of a UTI is >100,000 CFU/mL of one organism.

True

False

A

Question 23

Mike is a 56 y/o male who lives in an abandoned building with about 40 other people who are homeless. He comes to the clinic with a social worker who describes his symptoms as: a cough, dyspnea, pleuritic chest pain, fever, and tachypnea. In your physical exam, you learn that he has some consolidation in the lower lobes with an audible friction rub. The most likely diagnosis for this man would be:

  COPD
  Asthma
  Community acquired pneumonia (CAP)
  Bronchitis

C

Question 24

Jon, a 63 y/o male, comes to the clinic with the following presentation. He reports a sudden eruption of multiple vesicular lesions on his scalp, forehead, and sides and tips of his nose. After performing a physical exam, the NP diagnoses his condition as:

  Mollusca contagiosum
  Shingles
  Impetigo
  Meningococcemia

B

Question 25

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. All of the following could be risk factors for Artie except:

  Family history of identical condition
  Low fluid intake
  Gout
  Arthritis
  A & B only

D

Question 26

Differential diagnoses for patients with alcohol use disorder would include all the following except:

  Depression
  Pulmonary disease
  Peptic ulcer disease
  Essential hypertension

B

Question 27

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. Differential diagnoses for Judy’s diagnosis would include which of the following:

  Ectopic pregnancy
  Ovarian cyst
  Acute appendicitis
  All of the above
  A & B only

D

Question 28

Zollinger-Ellison syndrome causes high levels of acid production in the stomach.

True

False

A

Question 29

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:

  Acute pyelonephritis
  Nephrolithiasis (kidney stone)
  Bladder cancer
  None of the above

B

Question 30

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 best way to treat Bonnie’s diarrhea is:

  Put her on an antidiarrheal medication
  Replace lost fluids with an IV
  Discontinue her Clindamycin
  Give her an antacid

C

 

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