NRNP 6565 Synthesis Advanced Nursing Practice Final Exam

NRNP 6565 Synthesis Advanced Nursing Practice Final Exam  

Take Test:Exam – Week 10   

Question 1

Osteoporosis is defined as having a T-score of _____ or less than the standard deviation of a healthy individual.

Question 2

A smooth round nodule with a pearly gray border and central induration best describes which type of skin lesion? 

Question 3

A 59 year old man with chronic prostatitis should be treated with trimethoprim 80mg-sulfamethoxazole 400mg (TMP-SMX, Bactrim) for how long?

Question 4

Treatment for H. pylori-negative ulcers includes all the following except:

Question 5

Carlos is a 64 y/o male who has previously been diagnosed as a Category A COPD patient based on Gold guidelines (2017). The Category A patient group includes which of the following?

Question 6

Helicobacter pylori is implicated as a causative agent in the development of duodenal or gastric ulcers.  What teaching should the nurse practitioner plan for a patient who has a positive Helicobacter pylori test? 

Question 7

Metabolic syndrome is characterized by all the following traits except

Question 8

What is the first line of treatment for eczema? Select all that apply.

Question 9

Acanthosis nigricans is associated with all the following except:

Question 10

The NP recognizes that potentially inappropriate medications for older adults (Beers List Criteria) may include:

Question 11

A 19-year-old bisexual female wants to get tested for HIV. Based on CDC guidelines, what is the appropriate order of testing for HIV?

Question 12

The Influenza vaccine should be given annually. True or False?

 True

 False

Question 13

A 32 y/o female comes to the clinic for what she describes as “a dark-colored urine.” During the exam, the NP uses a urine dipstick to test for blood in the urine. Since the result had so many false negative and false positive indicators, the next step would be:

Question 14

A 35 year-old woman is seen with complaints of vaginal itching, burning, and discharge.  On potassium hydroxide (KOH) wet mount of vaginal discharge, the clinician notices hyphae.  Which of the following treatments would be appropriate? 

Question 15

A 32 y/o female comes to the clinic for what she describes as “a dark-colored urine.” During the exam, the NP uses a urine dipstick to test for blood in the urine. In reading the results, he/she discovers the following false negative readings characterized by all the following except:

Question 16

Hemoglobin A1C is the average glucose level of what length of time?

Question 17

A 36-year-old reports to clinic with complaints of a cough for over 2 weeks. The patient has a history of asthma. The patient is wheezing and has a fever. The patient O2 sat is 95%. You would expect the NP to treat the patient with

Question 18

Bupropion (Wellbutrin) is contraindicated in patients with anorexia/bulimia because of the potential for increasing the seizure threshold.

 True

 False

Question 19

Patients with bipolar disorder may have all the following except:

Question 20

________________vaccine is given in two separate doses to prevent Shingles.

Question 21

Mr. Richards is a 65 year old caucasian male who presents to your office with complaints of decreased arm swing and cogwheel rigidity.  What conditions are these symptoms a manifestation of? 

Question 22

Which of the following glands is responsible for calcium balance in the body?

Question 23

The NP recognizes that the main focus of treatment for Anemia is:

Question 24

The use of steroids in the treatment of fungal infections will worsen the infection.

 True

 False

Question 25

State laws about NP practice take two forms:

Question 26

Jason is 72 y/o COPD patient who has a 50-year history of smoking. He now has pneumonia. The most likely causative organism for his pneumonia is:

Question 27

One of the most common side effects of SSRIs is:

Question 28

Which of the following are non-antibiotic strategies to prevent UTIs?

Question 29

A nurse practitioner (NP) is applying for an NPI number. The NP recognizes that the purpose of NPI is to

Question 30

You would recommend the pneumococcal vaccine (Pneumovax) to patients with all of the following conditions except:

Question 31

All of the following are pharmacological treatments for osteoporosis except:

Question 32

An older woman with osteoporosis wants to be treated with Fosamax. The nurse practitioner (NP) recognizes that the patient is not a good candidate for this drug because of

Question 33

A nurse practitioner (NP) portfolio should include some but not all of the following:

Question 34

The NP recognizes that Beta-Blockers are contraindicated in patients with

Question 35

You are seeing a patient who reports possible symptoms of stress incontinence. Patients with stress incontinence often report urine loss: 

Question 36

Ms. Jacobs, a 67 year old female is being seen today concering her Rheumatoid Arthritis. The best form of aerobic exercise for a patient with severe rheumatoid arthritis is: 

Question 37

A 27-year-old gay male complains of nodule, sensation of heaviness or aching, one large testicle, and/or testicular tenderness. The NP suspects what condition?

Question 38

Amanda was out hiking with her boyfriend in the woods. When she gets home, she notices that she has an inflammatory skin reaction caused by something she picked up in the woods. The next day she sees bright red pruritic lesions on her lower extremities that are moist and painful. Treatment for Amanda’s condition would include which of the following?

Question 39

An 88-year-old male says to the nurse practitioner (NP) that “I have never been taken care of by a nurse practitioner.” He asks, what is the difference between an NP and a physician? What is the best response by the NP?

Question 40

Mr. Mims presents with suspected recurrence of diverticulitis. In diverticulitis,  abdominal pain usually presents where in the abdomen? 

Question 41

A 25-year-old patient reports to clinic with c/o headaches with photophobia and nausea and vomiting. This patient is more likely to be diagnosed with

Question 42

Statues describing NP scope of practice fall into all but one of the categories:

Question 43

Since UTIs are never “normal” in a male, what should the NP rule out as the cause of the infection?

Question 44

An NP recognizes that the five major categories of third-party payers are:

Question 45

Mr. Trellis is a 65 year-old man who presents with complaints of nocturia. Which of the following should be included in the differential diagnosis? 

Question 46

Cellulitis is usually caused by a gram-negative bacterium.

 True

 False

Question 47

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:

Question 48

Mr. Knight, an obese middle-aged client presents with a month of nonproductive irritating cough without fever.  He also reports occasional morning hoarseness.  What should the differential include? 

Question 49

Pneumonia vaccine should be given annually. True or False?

 True

 False

Question 50

Ms. Stevens, a 70 year old patient with community acquired pneumonia presents with chills, productive cough, temperature of 102.1, pulse 100, respiration 18, BP 94/52, WBC 12,000, and blood urea nitrogen (BUN) 24mg/dl.  She has a history of mild dementia and his mental status is unchanged from her last visit.  These findings indicate that this patient: 

Question 51

Ms. Roberts is being seen today at your office.  She reports symptoms of Allergic Rhinitis.  The NP recognizes that Second-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal allergies because they: 

Question 52

Folliculitis is most commonly due to: 

Question 53

In pulsus paradoxus, even if the pulse cannot be palpated, it can still be heard by using a BP cuff and stethoscope.

 True

 False

Question 54

You are seeing Ms. Ellie,  a 60 year old female with COPD.  She tells you that she has been using albuterol with good relief for shortness of breath. She is using it 3-4 times daily over the past 4 weeks.  How should the NP manage this? 

Question 55

Bacterial vaginosis has all the following signs/symptoms except:

Question 56

The NP recognizes that the increased presence of which of the following ina  urinalysis indicates the presence of bacteria or protein, which is seen in severe renal disease and could also indicate urinary calculi? 

Question 57

A 25-year-old patient states that he is on an HMO plan. The nurse practitioner (NP) stands for

Question 58

Mr. Reynolds is a 66 year old male who is a Pastor of a church.  He informs you that he has just returned from a 6 month missionary trip to South Africa.  He reports unremitting cough, hemoptysis, and an unintentional weight loss of 10 pounds over the last month.  These symptoms should prompt the clinician to suspect: 

Question 59

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:

Question 60

Abby is a 63 y/o patient who is known to have atrial fibrillation and has been on Coumadin for 2 years. Her INR is 2.4. This ratio is considered:

Question 61

As the NP prepares to manage a patient with Anemia, the NP knows that The pathophysiological hallmark of Anemia of Chronic Disease is:

Question 62

A nurse practitioner (NP) is concerned about a possible malpractice lawsuit. The plaintiff must prove that all of the following occurred except:

Question 63

The nurse practitioner (NP) recognizes that an example of protecting a patient from harm is

Question 64

Medicare Part A covers all the following except:

Question 65

The ANA Code of Ethics for Nurses contains

Question 66

1. pylori is a common cause of both duodenal and gastric ulcers.

 True

 False

Question 67

Mr. Johnson is a 50 year old male who is a truck driver.  He presents with concerns of possible kidney stones.  Common symptoms of kidney stones include all of the following except: 

Question 68

Ms. Lashley, a 70  year old obese female presents complaining of persistent right upper quadrant pain.  She reports that she has not had any prior abdominal surgeries.  Which of the following laboratory studies would be most indicative of acute cholecystitis? 

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Question 69

The screening for melanoma includes: (Select all that apply.)

Question 70

If the TSH is decreased then the patient needs to be worked up for hypothyroidism.

 True

 False

Question 71

The diagnosis of a subclinical hypothyroidism would be identified by which lab test results?

Question 72

The most common way for testing COVID-19 is performed by what route?