NRNP 6568 Week 7 Comprehensive Practice

 

NRNP 6568 Week 7 Comprehensive

Practice 

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Question 1

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:

		Newborn Behavioral Assessment Scale
		Denver Developmental Scale II
		Ages and Stages Questionnaire
		Bayley Scales of Infant Development

Question 2

The most likely source of the shingles infection comes from the reactivation of a virus from which nerve root?

		CN I
		CN III
		CN V
		CN VII

Question 3

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

		Young athletes
		Pregnant women
		Children

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

Question 5

Oral contraceptives can be started anytime in the menstrual cycle.

 True

 False

Question 6

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

Question 7

Mary is a new mother who was tested HBsAG+ during her prenatal screening process. Upon the birth of her infant, the newborn should be given HBIG and Hep B within:

		12 hours of birth
		24 hours of birth
		36 hours of birth
		48 hours of birth

Question 8

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?

		Diastolic
		Systolic
		Friction rub
		None of the above

Question 9

Antipsychotics lead to an increased risk of metabolic syndrome.

 True

 False

Question 10

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

Question 11

A patient with type 2 DM should have an eye exam for diabetic retinopathy every

		6–12 months
		12–18 months
		18–24 months
		24–36 months

Question 12

The average age range of the beginning of natural menopause is:

		40–45 y/o
		46–50 y/o
		50–51 y/o
		52–53 y/o

Question 13

All of the following are characteristic of the S4 heart sound except

		Normal finding in some healthy elderly
		Occurs during systole
		Best heard at apex of the heart
		Best heard with bell of stethoscope

Question 14

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

Question 15

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. Juan’s most likely diagnosis is:

		PUD
		Acute diverticulitis
		Acute pancreatitis
		Hepatitis

Question 16

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

		Depression
		Pulmonary disease
		Peptic ulcer disease
		Essential hypertension

Question 17

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. His likely diagnosis is:

		Bronchitis
		Atypical pneumonia (Walking pneumonia)
		Allergic rhinitis
		Community acquired bacterial pneumonia

Question 18

Rescue drugs for patients with respiratory problems such as asthma or COPD would include both SABAs and LABAs.

 True

 False

Question 19

Andreas is a 22 y/o 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:

		Sample contamination
		Pyelonephritis
		Bladder cancer
		None of the above

Question 20

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:

		GERD
		Acute pancreatitis
		Hepatitis
		Peptic ulcer disease

Question 21

Serum creatinine is a better measure of renal function than BUN.

 True

 False

Question 22

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

 True

 False

Question 23

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:

		Refer to ER
		Try an antiemetic
		Draw labs
		Send for a CAT scan

Question 24

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:

		Insulin
		Actos
		Metformin
		Glucotrol

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. Treatment of Artie’s condition would involve avoiding which of the following foods:

		Rhubarb
		Spinach
		Beets
		Chocolate
		All of the above
		All of the above except D

Question 26

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. Given Martin’s condition, the first line treatment would be all the following except:

		Albuterol
		Salmeterol
		Levalbuterol
		Metaproterenol

Question 27

In treating patients for depression, the first line pharmacological treatment would be:

		Monoamine oxidase inhibitors (MAOIs)
		Benzodiazepines
		Selective serotonin reuptake inhibitors (SSRIs)
		Tricyclic antidepressants (TCAs)

Question 28

Hyperprolactinemia can be a sign of pituitary adenoma.

 True

 False

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Question 29

Menopause is associated with a dramatic decline in estrogen levels.

 True

 False

A

Question 30

The most common drug trigger for Stevens – Johnson syndrome include all the following except:

		ASA
		NSAIDS
		Anticonvulsants
		Allopurinol