NRNP 6568 Comprehensive Practice Questions Week 4, 5, 7, 8 (Summer QTR)

(NRNP 6568 Comprehensive Practice)

NRNP 6568 Week 4 Comprehensive Practice Questions (100% Correct)

1. Question: One of the most common side effects of SSRIs is:
2. Question: 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. The most likely diagnosis is:
3. Question: 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:
4. Question: Pneumococcal vaccine is recommended for which of the following groups of patients?
5. Question: 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:
6. Question: 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:
7. Question: Which of the following insulins is a “rapid acting” insulin?
8. Question: 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 your most likely treatment plan?
9. Question: John is 17 y/o and decides to marry his high school sweetheart. Under what condition(s) would he be declared an “emancipated minor?”
10. Question: 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
11. Question: At 12 weeks in a pregnancy the fundal height of the uterus should be:
12. Question: 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:
13. Question: 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:
14. Question: Which vaccine is required at birth of a newborn?
15. Question: 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?
16. Question: Bacterial vaginosis has all the following signs/symptoms except:
17. Question: 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:
18. Question: Zollinger-Ellison syndrome causes high levels of acid production in the stomach.
19. Question: Hyperprolactinemia can be a sign of pituitary adenoma.
20. Question: A pregnant women who has gestational diabetes mellitus (GDM) in the second trimester has which type of diabetes?
21. Question: 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?
22. Question: 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:
23. Question: The diagnosis of a subclinical hypothyroidism would be identified by which lab test results?
24. Question: Once cervical cancer screening is initiated in women, the screening interval should be:
25. Question: Which of the following vaccines are contraindicated in pregnancy?
26. Question: 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 Cullen’s and Grey-Turner’s
27. Question: When testing an infant for developmental dysplasia of the hip, which of the following tests could be used?
28. Question: 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:
29. Question: 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:
30. Question: In pulsus paradoxus, even if the pulse cannot be palpated, it can still be heard by using a BP cuff and stethoscope.
    

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NRNP-6568 Week 5 Comprehensive Practice Questions (100% Correct)

1. Question: 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 … diagnosis would include which of the following:
2. Question: Hemoglobin A1C is the average glucose level of what length of time?
3. Question: 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:
4. Question: Diabetes mellitus causes both microvascular and macrovascular damage. All of the following are indications of microvascular damage except:
5. Question: The definition of a UTI is >100,000 CFU/mL of one organism.
6. Question: Metabolic syndrome is … by all the following traits except
7. Question: Mike is a 56 y/o male who lives in an … 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:
8. Question: 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. Complications for Joan would include all the following except:
9. Question: 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:
10. Question: 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 … having 10–15 watery stools per day. The best way to treat Bonnie’s diarrhea is:
11. Question: All the following are antihypertensive drugs that can … in pregnant women except:
12. Question: Which of the following vaccines are … in pregnancy?
13. Question: 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?
14. Question: 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. The most likely diagnosis is:
15. Question: Vulvovaginitis in the vulva and vagina can … by which of the following organisms?
16. Question: Mike is a 56 y/o male who lives in an … 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:
17. Question: Once cervical cancer screening is … in women, the screening interval should be:
18. Question: 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 … by chills, nausea, and vomiting. This presentation is most typical of:
19. Question: 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. Based on these symptoms Mike’s likely diagnosis is:
20. Question: 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:
21. Question: Ann is a primigravida in her 35th week of pregnancy and presents to the clinic with severe recurrent headaches, … 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:
22. Question: Deep palpation of the left lower quadrant of the abdomen causes … pain to the RLQ. This is a positive for:
23. Question: Zollinger-Ellison syndrome causes high levels of acid production in the stomach.
24. Question: Pityriasis rosea is … as having a Christmas tree–like pattern.
25. Question: 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:
26. Question: According to the U.S. Preventive Task Force, screening for cervical cancer should not begin in women before the age of:
27. Question: 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:
28. Question: Diagnostic studies for Type II diabetes mellitus would include which of the following?
29. Question: Which of the following glands is responsible for calcium balance in the body?
30. Question: 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 … diagnosis:
    

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NRNP 6568 Week 7 Comprehensive Practice Questions: 100% Correct

1. Question: Risk factors for Alcohol Use Disorder include which of the following?
2. Question: 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:
3. Question: 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 of Randy’s diagnosis would be:
4. Question: When testing an infant for developmental dysplasia of the hip, which of the following tests could be used?
5. Question: 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. Treatment of Artie’s condition would involve avoiding which of the following foods:
6. Question: Juan, and 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. Juan’s most likely diagnosis is:
7. Question: Andreas is a 22-year-old 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:
8. Question: 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 are 20 lb. Weight loss and more noticeable first lip breathing. Your diagnosis is:
9. Question: 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. Treatment for Jon’s condition would include which of the following drugs?
10. Question: Antipsychotics lead to an increased risk of metabolic syndrome.
11. Question: The most likely source of the shingles infection comes from the reactivation of a virus from which nerve root?
12. Question: Sam is a 19-year-old 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:
13. Question: Rescue drugs for patients with respiratory problems such as asthma or COPD would include both SABs and LABs.
14. Question: Hyperprolactinemia can be a sign of pituitary adenoma.
15. Question: 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 Cullen’s and Grey-Turner’s sign. The most likely diagnosis is:
16. Question: An S3 heart sound is considered abnormal if it occurs after the age of 35 – 40 years of age.
17. Question: An S3 heart sound can be considered abnormal in all patients except:
18. Question: All of the following are characteristics of the S4 heart sound except:
19. Question: Differential diagnosis for patients with alcohol use disorder would include all of the following except:
20. Question: Judy, at 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 of the following drugs except:
21. Question: 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 for the parents to use:
22. Question: Mary is a new mother who has tested HBsAG+ during her parental screening process. Upon the birth of her infant, the newborn should be given HBIG and B within:
23. Question: Juan, and 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:
24. Question: 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 know that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms are 20 lb. Weight loss and more noticeable first lip breathing. Given Martin’s condition, the first line treatment would be all the following except:
25. Question: The average age range of the beginning of natural menopause is:
26. Question: A patient with type 2 DM should have an eye exam for diabetic retinopathy every:
27. Question: Menopause is associated with the dramatic decline in estrogen level.
28. Question: Oral contraceptives can be started anytime in the menstrual cycle.
29. Question: 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?
30. Question: Serum creatinine is a better measure of renal function than BUN.
    

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NRNP-6568 Week 8 Comprehensive Practice Questions: 100% Correct

1. Question: Sam is 19 y/o male who comes to the clinic with a chief complaint of a several weeks of fatigue and non-productive paroxysmal cuffing. He initially had a sore throat, some rhinitis, and low grade fever. Treat treatment of Sam’s condition includes which of the following:
2. Question: Artie is a 21-year-old 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 runing nose. First -line treatment for Artie would include macrolides.
3. Question: Lactation mastitis typically occurs in which time frame:
4. Question: After skin cancer, breast cancer is the most common cancer in women.
5. Question: Susan is a 29-year-old 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 the 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?
6. Question: Imaging, in relationship to UTIs, should be done in all the following except:
7. Question: Zina is a 34-year-old 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 of the following except:
8. Question: Zina is a 34-year-old 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:
9. Question: The most uncommon method of contraception is:
10. Question: Patients with bipolar disorder may have all the following except:
11. Question: Jeremy is suffering from chronic alcohol abuse. His symptoms include mental confusion, ataxia, stupor, and hypertension. The most likely diagnosis for these symptoms is:
12. Question: The CDC recommends HPV vaccine for males until what age?
13. Question: Breast cancer in women is characterised by all of the following except:
14. Question: Drew is a 13-year-old 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?
15. Question: Zina is a 34-year-old 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?
16. Question: The most common side effects of giving SSRIs to depressed patients include:
17. Question: Which of the following can reduce breast cancer risk?
18. Question: Danger science of oral contraceptives include all of the following except:
19. Question: John’s Wart has all the following potential uses except:
20. Question: At 12 weeks in a pregnancy the fundal height of the uterus should be:
21. Question: All of the following are characteristics of Kleinfelter syndrome in a male except:
22. Question: Sam is a 19 year old 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:
23. Question: All of the following are in the LUQ of the abdomen except:
24. Question: 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:
25. Question: Adam is a 10 y/o male who has Koplik’s spots inside the cheeks by the rear molars. The most likely diagnosis is:
26. Question: 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:
27. Question: At what age should a child be able to speak in full sentences using 3-5 words?
28. Question: The positive signs of pregnancy include all the following except:
29. Question: All of the following are presumptive signs of pregnancy except:
30. Question: 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: