NRNP 6531 Week 11 Final Exam Solutions (Spring QTR)
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(NRNP 6531 Week 11 Final Exam Solutions)
- Question: What diabetic complications result from hyperglycemia?
- Question: Which factors are … with high risk for foot complications in a patient with diabetes mellitus?
- Question: Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)? What are common early signs of BPH –
- Question: A 30-year-old female patient presents to the clinic with heat intolerance, tremors, nervousness, and weight loss inconsistent with increased appetite. Which test would … most likely to confirm the … diagnosis?
- Question: Which history is commonly found in a patient with glomerulonephritis?
- Question: Which of the following is not a characteristic of type 2 diabetes mellitus?
- Question: A patient has been … with hypothyroidism and thyroid hormone replacement therapy is prescribed. How long should the nurse practitioner wait before checking the patient’s TSH?
- Question: Which of the following is the most cause of low back pain?
- Question: What is the most common cause of Cushing’s syndrome?
- Question: Warfarin (Coumadin) is … for a frail, elderly male with new onset atrial fibrillation. The goal INR for this patient should be:
- Question: A 72-year-old patient exhibits sudden onset of fluctuating restlessness, agitation, confusion, and impaired attention. This is … by visual hallucinations and sleep disturbance. What is the most likely cause of this behaviour?
- Question: Which of the following is the most common causative organism of non gonococcal urethritis?
- Question: Which of the following does not cause nongonococcal urethritis
- Question: Which appropriate test for the initial assessment of Alzheimer’s disease provides the performance ratings on 10 complex, higher order activities?
- Question: What conditions must … met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare?
- Question: Diagnostic evaluation for urinary calculi includes:
- Question: Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue syndrome, which have many similarities. Which of the following is more characteristic of fibromyalgia?
- Question: Beth, age 49, comes in with low back pain. An x-ray of the lumbosacral spine is within normal limits. Which of the following diagnoses do you explore further?
- Question: Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid?
- Question: The cornerstone of treatment for stress fracture of the femur or metatarsal stress fracture is:
- Question: A thymectomy is usually … in the early treatment of which disease?
- Question: The most common cause of elevated liver function tests is:
- Question: Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of:
- Question: A 14-year-old female cheerleader reports gradual and progressive dull anterior knee pain, exacerbated by kneeling. The nurse practitioner notes swelling and point tenderness at the tibial tuberosity. X-ray is negative. What is the most likely diagnosis?
- Question: Which of the following is a contraindication for metformin therapy?
- Question: The best test to determine micro albuminuria to assist in the diagnosis of diabetic neuropathy:
- Question: Which is the most common cause of end-stage renal disease in the UnitedStates?
- Question: A diabetic patient is taking low dose enalapril for hypertension. A record of the patient’s blood pressure over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg diastolic. How should the nurse practitioner respond?
- Question: Micro albuminuria is a measure of:
- Question: Martin, age 24, presents with an erythematous ear canal, pain, and a recent history of swimming. What do you suspect?
- Question: A 32-year-old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment … :
- Question: Which of the following medications increase the risk for metabolic syndrome?
- Question: A 21-year-old female presents to the office complaining of urinary frequency and urinary burning. The nurse practitioner suspects a urinary tract infection when the urinalys is reveals
- Question: The 4 classic features of Parkinson’s disease are:
- Question: A child with type 1 diabetes mellitus has … excessive hunger, weight gain and increasing hyperglycemia. The Somogyi effect is … What steps should … taken to diagnose and treat this condition?
- Question: Other than smoking cessation, which of the following slows the progression of COPD in smokers?
- Question: A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are … , but the patient returns 6 weeks later with the same symptoms of hyper pigmentation, weakness, anorexia, fatigue, and weight loss. What action(s) should the nurse practitioner take?
- Question: A 75-year-old female is … with primary hyperparathyroidism and asks the nurse practitioner what the treatment for this disorder is. The nurse practitioner explains:
- Question: The hallmark of neurofibromatosis (von Recklinghausen’s disease) present in almost 100% of patients is:
- Question: A patient has HIV infection and is having a problem with massive diarrhea. You suspect the cause is:
- Question: How do you respond when Jessica, age 42, asks you what constitutes a good minimum cardiovascular workout?
- Question: The treatment of choice for chronic bacterial prostatitis (CBP) is:
- Question: Diagnostic confirmation of acute leukemia is based on:
- Question: Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel syndrome. Your next step is to:
- Question: Urine cultures should … for which of the following patients?
- Question: The diagnosis which must … in a patient who presents with a severe headache of sudden onset, with neck stiffness and fever, is:
- Question: Which patient would benefit most from screening for type 2 diabetes?
- Question: The intervention known to be most effective in the treatment of severe depression, with or without psychosis, is:
- Question: Jennifer says that she has heard that caffeine can cause osteoporosis and asks you why. How do you respond?
- Question: Which of the following patients most warrants screening for hypothyroidism?
- Question: Which of the following symptoms suggests a more serious cause of back pain?
- Question: What is the first step in the treatment of uric acid kidney stones?
- Question: Successful management of a patient with attention deficit hyperactivity disorder (ADHD) may … with:
- Question: Diabetes screening recommendations for asymptomatic adults age 45 and over include which of the following:
- Question: The most effective treatment of non-infectious bursitis includes:
- Question: Differential diagnosis of proteinuria includes which of the following?
- Question: You are assessing a patient after a sports injury to his right knee. You elicit a positive anterior/posterior drawer sign. This test indicates an injury to the:
- Question: A positive drawer sign supports a diagnosis of:
- Question: A 32-year-old female patient presents with fever, chills, right flank pain, right costovertebral angle tenderness, and hematuria. Her urinalysis is positive for leukocytes and red blood cells. The nurse practitioner diagnoses pyelonephritis. The most appropriate management is:
- Question: A 20-year-old male patient complains of “scrotal swelling.” He states his scrotum feels heavy but denies pain. On examination, the nurse practitioner notes transillumination of the scrotum. What is the most likely diagnosis?
- Question: What is the first symptom … in the majority of patients with Parkinson’s disease?
- Question: A 60-year-old female patient complains of sudden onset unilateral, stabbing, surface pain in the lower part of her face lasting a few minutes, subsiding, and then returning. The pain is … by touch or temperature extremes. Physical examination is normal. Which of the following is the most likely diagnosis?
- Question: Which of the following set of symptoms should raise suspicion of a brain tumor?
- Question: The most reliable indicator(s) of neurological deficit when assessing a patient with acute low back pain is(are):
- Question: Which drug category contains the drugs that are the first line Gold standard therapy for COPD?
- Question: Which of the following accounts for half of the bladder tumors among men and one-third in women?
- Question: A 35-year-old male presents with a complaint of low pelvic pain, dysuria, hesitancy, urgency, and reduced force of stream. The nurse practitioner suspects acute bacterial prostatitis. Which of the following specimens would be least helpful for diagnosis?
- Question: In which of the following presentations is further diagnostic testing not warranted?
- Question: Which of the following is the most common complication of the myelodysplastic syndromes?
- Question: You have a new patient that presents with … lymphadenopathy. You know that this is indicative of:
- Question: A 15-year-old female patient is 5 feet tall and weighs 85 pounds. You suspect anorexia and know that the best initial approach is to:
- Question: A patient taking levothyroxine is being … What condition is he at risk for?
- Question: A nurse practitioner diagnoses a 60-year-old male with balanitis. Which disease is commonly … with balanitis?
- Question: The diagnosis of human papilloma virus (HPV) infection in males is … made by:
- Question: Martin, a 58-year-old male with diabetes, is at your office for his PRO follow up. On examining his feet with monofilament, you discover that he has developed decreased sensation in both feet. There are no open areas or signs of infection on his feet. What health teaching should Martin receive today regarding the care if his feet?
- Question: Which of the following is the most common cause of low back pain?
- Question: Which of the following is a potential … cause of thrombophilia?
- Question: Deficiency of which nutritional source usually presents with an insidious onset of paresthesias of the hands and feet that are usually painful?
- Question: What information should patients with diabetes and their families receive about hypoglycemia?
- Question: Josh, age 22, is a stock boy and has an acute episode of low back pain. You order and NSAID and tell him which of the following?
- Question: A 28-year-old female presents to the office requesting testing for diagnosis of hereditary thrombophilia. Her father recently had a deep vein thrombosis and she is concerned about her risk factors. The nurse practitioner explains that:
- Question: Which of the following best reflects the National Osteoporosis Foundation daily calcium recommendations for adults?
- Question: Risk factors for Addison’s disease include which of the following?
- Question: Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?
- Question: The treatment of choice for chronic bacterial prostatitis (CBP) is:
- Question: The physiological explanation of syncope is:
- Question: A 65-year-old patient complains of a recurrent bilateral temporal headaches, malaise, muscle aches, and low grade fever. The headache is … as superficial tenderness rather than deep pain. Giant cell arteritis is … Appropriate treatment is:
- Question: You have a new patient that presents with … lymphadenopathy. You know that this is indicative of:
- Question: Which history is commonly found in a patient with glomerulonephritis?
- Question: Sam, age 42, has had persistent proteinuria on the previous two office visits. Which action is … next?
- Question: The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy:
- Question: A typical description of a tension headache is:
- Question: The obligatory criteria for diagnosis of muscular dystrophy (MD) are:
- Question: The primary goals of treatment for patients with alcohol abuse disorder are:
- Question: Your patient has an … mean cell volume (MCV). What should you be considering in terms of diagnosis?
- Question: Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?
- Question: Which of the following is the best response to a woman who has just … she is a victim of spousal abuse?
- Question: What information should patients with diabetes and their families receive about hypoglycemia
- Question: A child with type 1 diabetes mellitus has … excessive hunger, weightgain and increasing hyperglycemia. The Somogyi effect is … What stepsshould … taken to diagnose and treat this condition?