NRNP-6568-6-Syn Adv Nurs Pr Patient Family-2021-Winter-QTR-Term-wks-1-thru-11-(11/29/2021-02/13/2022)-PT27

Begin: Quiz – Week 8 Comprehensive Practice

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This Test is due on January 24, 2022 1:59:00 AM EST.

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Question 1

Lactation mastitis typically occurs in which time frame:

  At 3 months after birth
  At 6 months after birth
  Within the first 2 months after birth
  None of the above

A

Question 2

Danger signs of oral contraceptives include all the following except:

  Chest pain
  Severe headache
  Weakness on both sides of the body
  Visual changes in one eye

C

Question 3

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. His most likely diagnosis is:

  Pertussis
  Atypical pneumonia
  CAP
  Common cold

A

Question 4

Imaging, in relationship to UTIs, should be done in all the following except:

  Poor response to antibiotics
  H/O of calculi
  On initial visit
  Recurrent pyelonephritis

C

Question 5

Adam is a 10 y/o male who has Koplik’s spots inside the cheeks by the rear molars. The most likely diagnosis is:

  Measles
  Hand, foot, and mouth disease
  Scarlet fever
  Varicella

A

Question 6

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. Some lifestyle changes to treat Zina’s condition would include which of the following?

  Stop smoking
  Avoid ASA
  Avoid alcohol
  Avoid caffeine
  All of the above
  A, C, and D only

E

Question 7

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:

  Halitosis
  Peptic ulcer disease
  Gastroesophageal reflux disease (GERD)
  A or B only

C

Question 8

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.

True

False

A

Question 9

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. Treatment of Sam’s condition includes which of the following:

  Doxycycline
  Azithromycin
  Tessalon Perles
  All of the above
  A & B only

D

Question 10

After skin cancer, breast cancer is the most common cancer in women.

True

False

A

Question 11

Mark is a 2-month-old infant, and he should be able to do all the following tasks except:

  Follow objects past midline
  Make gurgling sounds
  Rolling over
  Lift head up 45 degrees

C

Question 12

Patients with bipolar disorder may have all the following except:

   Delusions
   Hallucinations
   Lower rates of substance abuse
   A & B only

C

Question 13

The positive signs of pregnancy include all the following except:

  Palpation of uterus by NP
  Ultrasound and visualization of fetus
  Goodell’s sign (cervical softening at 4 weeks)
  Fetal heart tones

A

Question 14

Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. Her most likely diagnosis is:

  Lower urinary tract infection
  Abdominal virus
  Upper urinary tract infection
  Sexually transmitted disease

C

Question 15

Drew is a 13 y/o male who presents to the clinic with testicular pain, nausea, vomiting, scrotal edema, and redness. You perform a urine analysis, which is negative. What is the most likely diagnosis?

  Testicular cancer
  Testicular torsion
  Hodgkin lymphoma
  None of the above

B

Question 16

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

B

Question 17

In a pregnant woman, most of the weight gain occurs in which trimester?

  First trimester
  Second trimester
  Third trimester
  Fourth trimester

B

Question 18

The CDC recommends HPV vaccine for males until what age?

  18 y/o
  20 y/o
  23 y/o
  26 y/o

D

Question 19

All of the following are characteristics of Kleinfelter syndrome in a male except:

  Small testicles
  Wide hips
  Decreased body and facial hair
  Small stature

D

Question 20

The most common method of contraception is:

  IUDs
  Sterilization
  Condoms
  Diaphragms

B

Question 21

Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. Within 2 weeks, Susan returns to the clinic and a culture of her urine shows she has the same bacteria as when the NP first saw her. This would be referred to as:

  Relapsing UTI
  Recurring UTI
  Persistent UTI
  None of the above

A

Question 22

Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. In treating Susan, the NP could use which of the following antibiotics?

  TMP-SMX
  Nitrofurantoin
  Cephalexin
  A and C only
  A & C only

C

Question 23

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

C

Question 24

Jeremy is suffering from chronic alcohol abuse. His symptoms include mental confusion, ataxia, stupor, and hypotension. The most likely diagnosis for these symptoms is:

   Korsakoff’s syndrome
   Insomnia
   Anorexia nervosa
   Bipolar disorder

A

Question 25

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

  Stomach
  Sigmoid colon
  Pancreas
  Kidney (left)

B

Question 26

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

C

Question 27

At 12 weeks in a pregnancy the fundal height of the uterus should be:

  Above the symphysis pubis
  Halfway between symphysis pubis and umbilicus
  At level of umbilicus
  Below symphysis pubis

A

Question 28

Breast cancer in women is characterized by all of the following except

  Mobile mass on palpation
  Mass is painless
  Mass is typically found in the upper outer quadrant
  Skin around breast is dimpled

A

Question 29

All of the following are presumptive signs of pregnancy except:

  Amenorrhea
  Chadwick’s sign (blue coloration of the uterus and vagina)
  Breast changes
  Fatigue

C

 

Question 30

Which of the following can reduce breast cancer risk?

  Healthy diet
  Limiting ETOH intake
  Stop smoking
  Maintain normal body weight
  All of the above
  A, B, & C only

E

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